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Direct primary care · St. Augustine, FL

Paradigm Primary Care in St. Augustine: DPC From $199/mo

Paradigm is the premium option in St. Johns County: an in-house lab and pharmacy, a published 300-patient cap per provider, and a VIP tier that covers hormone, weight-loss, IV and aesthetic treatments outright. At $199 to $299 for an adult the fee sits above the 2026 HSA cap, which matters if you plan to pay from an HSA.

  • Above 2026 HSA limit
  • Verified 2026-09-10

Membership pricing

Adult
Core $199/mo. VIP $299/mo covers weight loss, hormone, IV, aesthetic, dietitian and mental health services rather than discounting them.
Children
Child-only $149/mo. Additional children $49/mo on a family plan.
Couples and families
Core family (two adults, up to two children) $398/mo. VIP family $598/mo.
Employers
Employer pricing based on enrollment size; ask.
Enrollment fee
$149 one-time, nonrefundable. Rejoining fee $299.

Figures are the practice's own, read from its website on 2026-09-10. Practice owners can correct this listing.

Providers

  • Hongfei Di, MD
  • Alexis Baker, RN
  • Gina Werner, RN (aesthetics)

What makes it different

  • In-house lab and pharmacy
  • 300-patient cap per provider, published
  • VIP tier bundles treatments instead of discounting them
  • Two offices: World Golf Village and Nocatee

Services

  • Primary care
  • Pediatrics
  • Medical weight loss
  • Hormone therapy
  • Aesthetics
  • IV therapy
  • Mental health
  • Physical therapy
  • Dietitian
  • In-house lab
  • In-house pharmacy

What the practice says about coverage

No insurance, HSA, health-share or Medicare information on the site.

Questions about Paradigm Primary Care

How much does Paradigm Primary Care and Wellness cost per month?

Core $199/mo. VIP $299/mo covers weight loss, hormone, IV, aesthetic, dietitian and mental health services rather than discounting them. Child-only $149/mo. Additional children $49/mo on a family plan. Core family (two adults, up to two children) $398/mo. VIP family $598/mo. Enrollment fee: $149 one-time, nonrefundable. Rejoining fee $299..

Can I pay for Paradigm Primary Care with an HSA?

The adult membership of $199 a month is above the $150 individual cap in the 2026 federal rule, so paying it from an HSA is not covered by that rule. A licensed agent can explain the options.

Does Paradigm Primary Care accept Medicare?

Medicare policy not stated on the practice site. A DPC membership never replaces Medicare Part B or a Supplement; it covers primary care at this practice only.

What does the Paradigm Primary Care membership include?

Primary care, Pediatrics, Medical weight loss, Hormone therapy, Aesthetics, IV therapy and more. No insurance, HSA, health-share or Medicare information on the site.

· DPC America Data Desk