Sign up

Visit to sign up for Hickory Medical.


Why should I join?

Avoid the hassles of insurance
   • The healthcare you want for less than $50 a month and $20/visit
Easy access to medical care
   • Average wait times of less than 5 minutes
   • Same day appointments generally available
   • Your provider or nurse answers the phone
Providers who take time, listen, and care
   • 30 minute appointments
   • Consulting by phone
   • Home visits available

If your family, business, church, civic group, or social club would like to take a tour of the Hickory Medical Center in Bellefontaine or if you would like to learn more, please do not hesitate to be in touch with us and we will schedule a tour and/or informational meeting with one of our providers.


What about insurance or catastrophic coverage?

Direct Primary Care is NOT insurance. We encourage all of our members to find either an insurance plan or a health sharing plan to help cover the costs of catastrophic illness or injury. Hospital bills that come from an accident or from a serious disease are simply too big to cover on your own and the medical assistance that you will need to deal with these types of situations are more than Hickory Medical is built to provide.

Members of Hickory Medical routinely use their insurance or government program (Medicare or Medicaid) for medical procedures and specialist visits that happen outside of the Hickory Medical Center, as well as prescription medications and supplies. While we will see a patient with any insurance or no insurance, there are two type of plans that work particularly well with Direct Primary Care. Many of our patients carry some traditional form of insurance with a high deductible. With these high deductible plans, patient's premium savings are often much more than the cost of membership and their insurance is there to cover the cost of large incidents. Another option that is increasingly popular among individual Hickory Medical members are health-sharing plans such as Liberty Direct. These types of plans are recognized under the Affordable Care Act and allow participants to avoid any penalties for non-insurance. They are more lightly regulated so it is essential that any plan be carefully considered. Generally, these health-sharing plans offer more financial support (have fairly low amounts before cost are shared) which they achieve by having significantly lower overhead and in many cases somewhat less comprehensive coverage.



In order to provide you with the best value and the highest quality of care, we work for you, not for an insurance company. We do not bill insurance for any services provided. With this Direct Primary Care Model, you pay a monthly membership fee and as a member, there is a low cost scheduling fee and many services within our office that are provided at no additional charge. You can save on your membership fee by paying on a yearly basis. Membership fees are paid using automatic payment with your credit, debit card, or from your checking account.

Services provided for members at no additional charge

  • Same day appointments generally available
  • Communication with your provider by phone or electronic tools
  • Basic labs for members
  • Discounted pricing on other labs
  • Discounted pricing for procedures

This model works because we reduce the overhead cost associated with insurance and pass the savings on to our patients. The costs of salaries as well as other fixed costs, such as rent and equipment, are paid by the membership fees. The scheduling fee (for office visits) and procedure fee (for minor surgeries or injection of medications) is used to pay for variable overhead, such as disposable equipment, basic lab service, and costs associated with technology and scheduling. There are no additional charges for you or your insurance company. You will know all charges at the time of your visit and pricing is completely transparent. Vaccines are available at cost, through the health department, or can be obtained through a pharmacy using insurance.


Individuals & Families

Our biggest priority is healthcare and so we want our energy to focus entirely on taking care of the needs of our patients. To make this possible, we require some form of auto-payment using credit/debit card or checking account as part of membership. This allows us to keep fees very low and helps us to avoid the pricing games that are being played in many medical practices.



We can contract directly with Medicare beneficiaries to provide primary care services, but cannot bill Medicare for any charges. Medicare Beneficiaries must sign a private contract acknowledging this fact prior to joining.


Monthly Membership
  Ryan Kauffman, MD
      Adult $49
      Child (with adult) $21
  Marie Barth, APRN-CPN
      Adult $40
      Child (with adult) $21

Visit Charges
 Scheduling Fee $20
Includes EKG, Urinalysis, BMP, CMP, CBC, TSH, HgbA1C, FLP, Rapid Strep, Urine Pregnancy Test if indicated
  Procedure Fee $20
  Home Visit Fee: $10/mile