Direct primary care · Pique Medical
Personal care.
Clear answers.
Closer to home.
Primary care, preventive health, and personalized wellness support—without feeling rushed. In person in Manteno, Illinois, or by telehealth in eligible states.
Healthcare that actually listens
More time for
what matters to you.
At Pique Medical, we take time to understand your symptoms, medical history, and goals. Your plan may bring together routine primary care, preventive screenings, hormone support, and metabolic health.
Direct primary care means you pay the practice directly for your visits or membership. It can be a practical option for people with high deductibles, rural access barriers, or anyone who wants a more personal relationship with their provider.
Our goal is simple: thoughtful medical care and clear next steps that fit your life.
The everyday concerns and the bigger picture
Care for the way you live.
Support for routine medical needs, ongoing conditions, and the symptoms you want to understand better.
A foundation
for your health.
- Annual wellness and preventive care
- Sick visits and acute concerns
- Chronic condition follow-up
- Screening and prevention planning
Look beyond
“everything is normal.”
- Fatigue, brain fog, and low energy
- Thyroid concerns
- Gut health concerns
- Nutrient deficiencies and lab review
Feel more
like yourself.
- Hormone changes in women and men
- Weight management
- Metabolic health
- Individualized treatment planning
Testing and treatment depend on your history, symptoms, and clinical needs. Medications, labs, and other services are separate from visit and membership fees.
One starting point. A plan built around you.
Getting started is simple.
Book a new patient visit first. We’ll work through the rest together.
Book your first visit.
Choose a new patient appointment on our existing booking page. Visit in person or virtually, when appropriate.
Get a clear plan.
We’ll discuss your history, concerns, and goals, then outline any recommended labs, screenings, treatment, or follow-up.
Choose ongoing care.
Continue with visits as needed or discuss Core Care membership for more regular support. Membership payments are arranged through the patient portal.
Know what to expect before you book
Straightforward care.
Transparent pricing.
One new patient visit gets you started. Then choose the ongoing care option that fits your needs.
Care when you need it
Visit-based care.
For patients who prefer appointments as needed without a monthly membership.
Comprehensive history review, evaluation, and treatment planning.
Symptom review, lab follow-up, and treatment adjustments.
Support with more continuity
Core Care membership.
For patients who want regular follow-up and a more connected approach to their health.
- Up to one visit per month
- Ongoing primary care follow-up
- Preventive care planning
- Chronic condition support
- Secure Spruce messaging for brief updates and simple questions
- Priority scheduling
What costs extra?
Labs, imaging, medications, supplements, procedures, and outside testing are billed separately.
How does insurance fit?
Office visits are self-pay. You may use insurance for eligible labs, imaging, or prescriptions, subject to your plan and the outside provider.
Is membership required?
No. Visit-based care is available. Membership is not insurance and does not replace coverage for hospital care or other outside services.
Local connection. Flexible access.
Thoughtful care.
Fewer miles in the way.
Getting care shouldn’t always mean a long drive. Telehealth can make follow-ups, symptom discussions, and ongoing care more convenient for patients in rural communities.
When an in-person exam, testing, or specialty care is needed, we’ll help you understand the next steps. Labs and imaging are completed through outside facilities.
Find the right visit for you.
In person: Pique Medical in Manteno, Illinois.
Telehealth: Available when clinically appropriate and permitted by state licensure rules. You must be physically located in an eligible state at the time of your visit.
AK · AZ · CA · CO · FL · IL · ID · MA · NJ · UT
Confirm eligibility when booking. Telehealth cannot replace every in-person examination or service.
Plan for costs beyond your visit
Testing & treatment estimates.
General self-pay estimates from our current service information. Outside prices vary by facility, location, test selection, and insurance. These are estimates, not guaranteed quotes.
Common laboratory testing
| Testing | Estimated cost |
|---|---|
| Basic panel: CBC, CMP, lipids, A1C | $50–150 |
| Thyroid panel | $50–150 |
| Hormone panel | $100–300 |
| Vitamin & nutrient testing | $50–200 |
| Functional medicine testing | $200–600+ |
Preventive screenings
| Screening | Estimated cost |
|---|---|
| Screening mammogram | $150–350 |
| Coronary calcium score | $75–200 |
| DEXA bone density scan | $75–150 |
| Stool-based colon cancer screening | $400–700 |
| Low-dose lung CT | $150–300 |
Screenings are recommended based on age, history, risk factors, and eligibility.
Weight management & hormone care
| Service or treatment | Monthly estimate |
|---|---|
| Weight loss program, excluding medication | $75–300 |
| Weight loss medication, when prescribed | $200–500 |
| Hormone therapy: TRT/HRT | $100–300 |
| Peptide therapies, if appropriate | $100–400 |
Separate programs and treatment costs depend on your plan. We’ll discuss what applies to you; these amounts are not automatically included in membership.
A few things you may be wondering
Your questions, answered.
Is direct primary care insurance?
No. Direct primary care is a payment arrangement with the practice for specified care. Core Care membership is not insurance and does not cover hospital care, emergency care, specialists, or other outside services.
Do I have to join a membership?
No. Start with a new patient visit for $199. You can continue with follow-up visits for $125 or discuss whether the optional $149/month Core Care membership fits your needs.
What should I book if I have several concerns?
Choose a new patient visit. You do not need to select a different initial appointment for each concern. We’ll review your priorities together and plan appropriate next steps.
Can I use insurance for labs, imaging, or prescriptions?
Office visits are self-pay. You may be able to use insurance for eligible labs, imaging, or prescriptions through participating outside providers. Coverage and out-of-pocket costs depend on your plan.
Do you order preventive screenings?
Yes, when appropriate for your age, medical history, and risk factors. Screenings and imaging are completed through outside facilities and billed separately.
Do you offer telehealth for rural patients?
Yes, when clinically appropriate and permitted by state licensure rules. You must be physically present in an eligible state during the appointment. Some concerns require an in-person exam or local testing.
How do I communicate between visits?
We use the patient portal for routine clinical communication. Core Care includes secure Spruce messaging for brief updates and simple questions. Messaging may lead to a visit when a concern needs further evaluation.
What makes Pique Medical different?
You work directly with a nurse practitioner who takes time to listen, consider the bigger picture, and build an individualized plan. We focus on clear communication, thoughtful clinical decisions, and practical next steps.
Start with a conversation
Care that feels personal.
A next step that feels simple.
Whether you need primary care, support with ongoing symptoms, or a more proactive health plan, you can start with one new patient visit.
Manteno, Illinois · Telehealth in eligible states