Benefits of Direct Primary Care
Ease of Access
Same- or next-day telehealth appointments, with direct text, email, and phone access to Dr. Cihlar.
Affordability
$50 per adult each month for membership services, with no per-visit fees or insurance copays.
Personalized, Collaborative Care
Understand your options and choose a care plan that fits your goals, values, and everyday life.
Male Hormone Management
Evaluation, monitoring, and ongoing support for low testosterone and related concerns, with treatment when clinically appropriate.
Chronic Care & Prevention
Proactive management of blood pressure, cholesterol, diabetes, thyroid conditions, and preventive care.
Weight Loss Medications
Medically supervised options, including GLP-1 medications when appropriate, alongside nutrition, lifestyle, and ongoing monitoring.
Help Finding Affordable Prescriptions
Dr. Cihlar helps you explore lower-cost prescription options. Ask the practice about medication and laboratory costs before starting care.
Coordination of specialty/referral, emergency room & hospital care
When specialty, emergency, or hospital care is needed, Dr. Cihlar helps coordinate care and stays involved as your advocate.
House calls only in greater Chattanooga, when clinically indicated
What is Direct Primary Care?
Direct primary care (DPC) is a monthly membership built around a direct relationship with your physician. You pay the practice for primary care access instead of using insurance for membership services. There are no per-visit fees or insurance copays for those services. The membership is not health insurance.
Telehealth that fits your life
Reliable Healthcare & Wellness serves patients located in Tennessee and Florida through secure video and phone visits. Members can text, email, or call Dr. Cihlar directly, with same- or next-day appointments for acute needs and flexibility for after-hours and weekend concerns. Care is personal, collaborative, and focused on helping you understand your options.
No traditional clinic. Local house calls when needed.
The practice has no physical clinic. House calls are available only in the greater Chattanooga area when clinically indicated. Some concerns require an in-person examination, testing, or specialty care; Dr. Cihlar will help you plan the appropriate next step.
A practical primary care benefit for small businesses
For teams in Tennessee and Florida, a predictable monthly membership can make primary care easier to reach around work schedules. Employers can discuss an employer-paid benefit or partial subsidy with the practice, alongside appropriate health coverage for major medical needs. Contact us for a plan tailored to your team.
HSA considerations in 2026
Qualifying DPC membership fees may be paid or reimbursed with HSA funds beginning in 2026. Eligibility depends on the membership arrangement and individual circumstances. Confirm details with your HSA administrator or tax adviser.
Your Care: Frequently Asked Questions
What is Direct Primary Care?
DPC is a monthly membership paid directly to the practice for primary care and an ongoing relationship with your physician. Membership services have no per-visit fees or insurance copays.
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How much does membership cost?
Adult membership is $50 per month. Children of members may receive basic urgent care and simple paperwork for $10 per month, or at no charge when both parents are members. Ask about any plan variations and additional costs.
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What does membership include?
Primary care access, secure telehealth, direct communication with Dr. Cihlar, acute visits, chronic disease management, prevention, and care coordination. Laboratory tests, medications, and other costs will be through independent pharmacies, labs, or similar third parties.
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Do I still need health insurance?
Yes. Membership is not insurance and does not replace coverage for hospital care, specialists, major procedures, or emergencies. Maintain appropriate health coverage for those needs.
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How do I contact the doctor?
Members text, email, or call Dr. Cihlar directly. Same- or next-day appointments are available for acute needs, with flexibility for after-hours and weekend concerns. For a medical emergency, call 911.
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What conditions do you treat?
Adult internal medicine includes high blood pressure, cholesterol, diabetes, thyroid conditions, men’s health, anxiety, depression, ADHD, insomnia, infectious illnesses, and preventive care. Specialty referrals and in-person assessment are arranged when appropriate.
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Can you manage testosterone or weight-loss medications?
Yes, when clinically appropriate after an individualized evaluation. Options may include testosterone therapy or GLP-1 medications. Testing, monitoring, or an in-person evaluation may be required.
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Is there a physical office?
No. Care is primarily delivered by secure video and phone. House calls are available only in the greater Chattanooga area when clinically indicated.
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What is the Medical Readiness Kit?
An optional, separately priced program for advance access to appropriate medications for travel or disruptions. It includes a telehealth evaluation, selected medications delivered by mail, and ongoing support. See the Medical Readiness Kit page for details.
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How does the new-patient process work?
Complete the contact form below or email the practice. You will receive a medical history form, then schedule a telehealth visit to discuss your needs, confirm membership, and establish care.
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What area do you serve?
Telehealth is available for patients located in Tennessee and Florida. House calls are limited to the greater Chattanooga area.
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How is this different from traditional primary care or online clinics?
You build an ongoing relationship with the same physician, with direct communication and convenient telehealth access. Care centers on education, options, and your goals rather than rushed, one-off visits.
Our Pricing
$50 per adult, per month
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Children of members: $10 per month for basic urgent care and simple paperwork, such as sick notes. These limited services are included at no charge when both parents are members.
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No per-visit fees or insurance copays for membership services.
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Please contact the practice to confirm any additional costs for laboratory testing, medications, or other services. The optional Medical Readiness Kit is priced separately.
About Us
Reliable Healthcare & Wellness, also known as Direct Primary Care of Tennessee, is a relationship-focused practice serving adults in Tennessee and Florida. Dr. Joseph C. Cihlar offers primary care built around education, clear options, and informed decisions. Your goals, values, and care choices are respected.
Our low-overhead, telehealth-first model has no physical clinic. Secure video and phone visits, direct physician communication, and occasional house calls only in greater Chattanooga when clinically indicated help care fit your life. We focus on prevention, common adult conditions, and coordination when specialty or hospital care is needed.
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To learn more about our doctor: Click here
