FAQ
Frequently asked questions
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About Total Access Medical
What is Total Access Medical?
Total Access Medical – Elise Hogan, MD is a concierge direct primary care practice in Wilmington, Delaware, grounded in Family Medicine, Lifestyle Medicine, and Integrative Medicine. Members pay a fixed membership fee and receive unlimited visits, direct access to their physician, and longer appointments.
Who is the physician?
Dr. Elise Hogan is double board-certified in Family Medicine and Lifestyle Medicine and is a Menopause Society Certified Practitioner. Learn more about Dr. Hogan.
Where are you located?
We are located at 2700 Silverside Road, Suite 2A, Wilmington, DE 19810.
Are you accepting new patients?
Yes. Physician panels are limited to ~350 patients, so we encourage you to schedule a free meet and greet before spots fill.
About Direct Primary Care and Concierge Medicine
What is Direct Primary Care (DPC)?
Direct Primary Care is a membership-based model of primary care in which patients pay a membership fee directly to their physician, bypassing insurance for primary care services. In exchange, members receive unlimited visits, direct 24/7 physician access, and longer appointments.
Is this the same as concierge medicine?
At Total Access Medical, we provide concierge medicine through a direct primary care model, giving you straightforward, predictable access to your physician. Unlike some concierge practices that continue to bill insurance for office visits, potentially resulting in copays or deductible expenses, your Total Access Medical membership covers your visits with no additional charges.
What is the difference between DPC/concierge and my current insurance-based doctor?
| Direct Primary Care (DPC) / Concierge Medicine | Insurance-based practices |
|---|---|
| Stronger, more personal relationship due to more time and smaller panel size | Often more transactional and limited in scope due to time constraints |
| Flat membership fee covering most primary care services | Fee-for-service model; costs billed to insurance and often include unpredictable co-pays and deductibles |
| Transparent, predictable costs with no hidden fees | Complex billing with variable costs and surprise medical bills |
| Access to your physician directly | It is rare that your doctor directly messages or calls you without an intermediary |
| Provides timely access with same-day or next-day appointments and flexible scheduling | Many primary care doctors are inaccessible for timely appointments due to high patient volume and scheduling constraints |
| Exclusively see your primary care doctor | May have to see other providers who don’t know you |
| Longer, unhurried appointments (typically 30 minutes for acute visits, 1+ hour for more comprehensive visits) | Shorter appointments (typically 15-20 minutes) |
| Smaller patient panel (300-600 patients per physician) | Larger patient panel (2000-3000 patients per physician) |
| Little to no wait on the day of appointment | Longer wait times, often 30-45 minutes |
| Continuous, personalized, evidence-based management with a holistic and cost-effective approach | Care varies widely, may be fragmented requiring multiple follow-up appointments due to insurance and time limitations |
Do you take my insurance?
We do not directly bill any insurance companies. We work exclusively for our patients, not for insurance providers. Operating without insurance restrictions and boundaries allows us to provide you with the highest quality healthcare without compromising on personalized attention.
Do I still need health insurance?
Yes, we strongly recommend it. Your DPC membership provides comprehensive primary care but does not cover hospital stays, emergency care, specialist visits, or surgery. Additionally, you will utilize your insurance for laboratory testing, imaging tests, and medications ordered by your DPC provider. We strongly recommend maintaining a health insurance plan for these scenarios.
Membership and Pricing
What is the cost of membership with Total Access Medical and Dr. Hogan?
The cost of annual membership is $5,000. This can be paid annually, quarterly ($1,250 per quarter), or monthly ($416.67 per month).
What does the monthly membership include?
Your membership is designed to give you more than access to a physician—it gives you a true partnership in your health. Dr. Hogan provides comprehensive, personalized primary care with the time and attention to understand the whole person, not just a diagnosis.
Personalized medical care
- Unlimited in-person, video, and phone visits
- Preventive care and wellness
- Chronic disease management
- Lifestyle, Integrative and Functional medicine
- Minor in-office procedures
Exceptional access & convenience
- Direct access to Dr. Hogan, 24/7
- Same-day and next-day appointments when needed
- Convenient virtual visits when an office visit isn’t necessary
- Unhurried appointments with the time to listen, answer questions, and thoughtfully address your concerns
Is there an enrollment fee?
At Total Access Medical, we do not charge an enrollment fee.
Is there a long-term commitment?
There is a 12-month minimum commitment from your enrollment date. After that period, the membership is month-to-month. Month-to-month plans require 30 days written notice to cancel.
Can I use HSA funds to help pay for the membership fee?
Federal law changed in 2026 so that a qualifying direct primary care arrangement does not disqualify you from contributing to a Health Savings Account, and qualifying fees may be reimbursable from an HSA. These rules include limits on the monthly fee and on which services are covered, so whether your membership qualifies depends on your situation. Please check with your HSA administrator or tax advisor. Our office staff can provide a receipt or documentation of your membership fees.
Appointments and Access
How quickly can I get an appointment?
Members have access to same-day and next-day appointments when needed, with longer, unhurried visits and little to no wait on the day of your appointment.
Can I contact my doctor between visits?
Yes. Members have direct access to Dr. Hogan by phone, text, and email.
What types of visits are available?
Your membership includes unlimited visits in person, by phone, and by video, so you can choose a virtual visit when an office visit isn’t necessary.
What if I have a medical emergency?
If you are experiencing a medical emergency, call 911 or go to the nearest emergency room. Hospital care and emergency services are billed through your health insurance.
What are your office hours?
Our office hours are Monday through Friday, 8:00 AM to 4:00 PM. Members also have direct access to Dr. Hogan by phone, text, and email.
Services Offered
What services are included in my membership?
Your membership covers unlimited office visits, direct physician access, annual and preventive care, chronic disease management, same-day sick visits, medication management, minor in-office procedures, and more. See the full list of services.
Do you do physicals?
Yes. Annual physicals are included, including sports physicals and DOT physicals. Preventive screenings, including Pap smears, are also included.
What procedures can you do in the office?
Minor in-office procedures include skin tag removal, small skin biopsies, earwax removal, joint injections, and trigger point injections.
Do you offer travel medicine or preoperative clearance?
Yes. Travel medicine consultations and preoperative clearance visits are included in your membership.
Do you prescribe opioid pain medication?
Dr. Hogan may prescribe a short course of opioid medication when it is appropriate for acute pain, such as after an injury or procedure. Our practice does not provide long-term opioid management for chronic pain. For patients who need ongoing opioid therapy, we are glad to help coordinate care with a pain management specialist, and we will continue to partner with you on other approaches to pain, including integrative and lifestyle strategies.
What will I still use my insurance for?
You will continue to use your insurance for medications, laboratory testing, imaging tests, immunizations, specialist visits, and hospital care and emergency services.
Integrative Medicine
What is integrative medicine?
Integrative medicine is a whole-person, healing-oriented approach to healthcare that blends conventional medical care with evidence-based complementary therapies such as lifestyle changes, nutrition, acupuncture, and mind-body medicine.
Do I have to choose between primary care and integrative care?
No. Integrative medicine is often practiced separately from primary care, but at Total Access Medical, Dr. Hogan brings comprehensive primary care together with lifestyle and integrative medicine in one practice and one plan of care.
What are the specialized integrative testing packages?
Optional add-on packages are available for members who want more in-depth testing. See the packages.
Menopause
Do you provide menopause and perimenopause care?
Yes. Dr. Hogan is a Menopause Society Certified Practitioner and provides thoughtful, individualized care for women navigating perimenopause and menopause, helping them understand their options and make informed decisions about their health. Menopause and perimenopause management is included in your membership.
Getting Started
How do I become a patient?
The first step is a free, no-obligation meet and greet with Dr. Hogan. Schedule yours here.
What is a meet and greet?
It is a complimentary visit with Dr. Hogan, in person or by video, where you can get to know her, learn more about the practice, and have an open conversation about what matters most to you in your healthcare. There is never any pressure to join.
Still have questions?
Meet Dr. Hogan at a complimentary meet and greet and ask anything you like.