Membership and What It Costs

We do not ask you to commit to a year before you have seen us work. No family in the middle of a diagnosis can honestly predict what state they will be in eight months from now, and pricing that pretends otherwise is designed for our convenience rather than yours. So the first month stands on its own, the ongoing tiers are month to month, and most families move down this page over time: in at Active while it is a crisis, down to Coordination when it stabilises, and eventually to Maintenance. The pricing expects that. Leaving the expensive tier is the plan, not a failure of ours to retain you.

The two ways through

Every engagement starts with the records audit. After that there are two routes, and which one you are on is decided by the patient's situation rather than by us.

The records audit $5,000 once Always first, always yours. You keep the record whatever you do next, and whatever happens to us.

then, depending on where things stand

Active $3,500 a month The patient is in it: a new diagnosis, chemotherapy, a surgical window, a fight with deadlines. We are in the room and moving the same day.

Coordination $1,500 a month The condition is managed rather than acute. We watch the record as results land and handle the paperwork, remotely.

when it settles, or stay in Active as long as it lasts

Maintenance $5,000 a year When things settle. The record is kept current instead of going stale, and you keep priority straight back into Active if something acute happens again.

Nobody is moved down a tier to suit us. Plenty of families stay in Active for as long as the situation lasts, and plenty go straight from the audit to Coordination and never need Active at all.

01The records audit

$5,000, paid once, delivered inside thirty days. Full intake across every historical provider: portals, legacy paper charts, and the imaging discs nobody can open. Out of it you get two documents. The reconstructed record, which is the whole history as one current, dated story. And the discrepancy log, which is the list of what does not agree: findings that were missed, labs old enough to mislead, notes from two institutions that contradict each other.

This is a complete engagement in itself. Some families take the audit, act on it, and never need us again, and that is a legitimate outcome rather than a lost sale. It is also the only honest way to let you judge us, because after thirty days you are holding the work instead of a proposal.

02Active

$3,500 a month. For the middle of it: a new diagnosis, chemotherapy, a surgical window, a diagnostic odyssey that is not resolving, or a benefits fight with deadlines. This is the tier most families arrive needing, because most families call us from the middle of something rather than ahead of it.

Someone from us is in the room at up to three appointments a month, with written notes the same day in plain language and a scheduled call to go through them. The record is monitored live as new evidence lands, and anything that does not reconcile is named and routed before a decision rests on it. Insurance and benefits work, including the disability pipeline with its deadlines. A weekly call with the family, including the relatives who are out of state. And a same-business-day response commitment, delivered by a team and written into the contract.

Twelve advisor-hours a month are included, as are the three appointments. Work beyond the twelve hours is billed at $295 an hour, estimated before it is incurred, never as a surprise on an invoice. A fourth appointment in the same month carries the three-hour minimum described below.

03Coordination

$1,500 a month. For a condition that is managed rather than in crisis, and for the adult child out of state who needs to know the machine is running without flying in to check. The record is monitored live as results land, discrepancies are flagged and routed, and the scheduling, records requests and insurance follow-up that were eating your evenings are handled.

This tier is remote by design, which also means it does not care where the family lives. Five advisor-hours a month are included. Appointment attendance is not: when you want someone in the room it is $295 an hour with a three-hour minimum, because an appointment is the travel, the waiting room, the appointment itself, and the written notes afterwards, and it is almost never one hour. We would rather quote you the number it actually takes than quote an hour and invoice for three.

04Maintenance

$5,000 a year, or $500 monthly if you would rather not prepay. For when the crisis has passed and the patient is stable. The record stays synced and is re-audited quarterly rather than going stale, and you keep a guaranteed activation commitment: if something acute happens, we are moving within 24 hours, on a record that is already current.

Worth being plain about what this is not. You already own the record. It is yours from the day the audit lands, in print and as files you hold, and nothing we do later takes it back. What Maintenance buys is two things: somebody keeping it current as new results arrive, and your place at the front of the queue when you need us again.

The reason this tier exists is that a reconstructed record is only worth what it is worth on the day you need it. A history that was accurate two years ago is a history you will be rebuilding from memory in an emergency room. Families who step away entirely and come back later start with a new audit at $5,000, not as a penalty but because rebuilding is the expensive part. Maintenance exists so that you never have to buy the rebuild twice. Ad-hoc work for Maintenance members is available at $295 an hour, estimated first, and in-room attendance carries the same three-hour minimum.

What is not in a tier

In-room appointment attendance, anywhere it is not already included in your tier, is $295 an hour with a three-hour minimum. Everything else hourly is billed in the time it takes, with an estimate before it is incurred.