Direct Primary Care · HSA-eligible under DPCSA

Not a signature factory.
The first AI-native DPC.

Your DPC membership bundles a physician who owns his practice, an AI co-pilot that actually knows your family, a digital ComfortCard in your Apple Wallet, and access to the caregiver cooperative when you need hands on deck.

One membership, $129/month. HSA-compatible. Same-day access. One clinical accountability — and it belongs to a physician, not a dashboard.

Talk to Sage about DPCMeet the practice →
50-state physician of recordUnder $150/mo = HSA-eligibleSage + ComfortCard includedCancel any time

One icon on your home screen

Four layers. One membership. One accountability.

Layer 1

Sage

24/7 AI co-pilot. Knows your family graph. Answers in seconds. Escalates to your physician when the moment calls for it.

Layer 2

Your DPC physician

Josh Emdur DO, 50-state licensed, signs every clinical document personally. Unlimited virtual visits. Same-day access.

Layer 3

ComfortCard

HSA/FSA-loaded, Apple Wallet-installable digital ID. Emergency QR/NFC for first responders. The payment rail that funds the whole stack.

Layer 4

Caregiver co-op

W-2 neighbors earning $25-28/hr + cooperative equity. Matched by Sage. Paid through ComfortCard. For the hands-on hours.

Why "not a signature factory"

Piecework healthcare makes doctors transactional. DPC makes them accountable.

The legacy model pays physicians per signature, per click, per code. That creates a signature factory — fast volume, no relationship, no accountability for what happens next.

Direct Primary Care flips the math. Your physician is paid a flat monthly fee to actually know you. They answer the phone. They handle your LMN, your care plan, your prior auth. They own the clinical relationship.

Altru.care is that practice. Sage is the AI that scales it. ComfortCard is the rail. co-op.care is the caregiver layer for the hands-on work. One membership, one accountability.

The math

$129/month pays for itself in the first LMN.

$129/mo
Membership fee
Flat monthly, HSA-eligible under DPCSA. Cancel any time.
$199+
LMN value, included
What piecework practices charge per letter. In DPC, it's a feature.
~32%
Pre-tax savings
HSA/FSA pays with pre-tax dollars, at your marginal rate. You keep the difference.

Start with a conversation, not a contract.

Talk to Sage about what your family needs. If DPC is the right fit, the physician reviews and confirms. No commitment to book the first call.

Talk to Sage about DPC