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The Complex Care Model

At Lighthouse Complex Care, our model is different from other medical practices because our patients have more unique needs. We use a comprehensive, personalized medicine approach for every patient which includes greater patient access to our providers and more time spent by our providers on each case outside of your appointments.

What is the Complex Care Model?

Patients with multiple, complex medical issues tend to need more comprehensive care and frequent support between visits to stay feeling their best. Many of our younger patients can go from feeling okay to being in crisis in a very short time. We have implemented a membership fee model to bring you these supporting services.


Our patients also have more in-depth case reviews prior to, and between, appointments. We collaborate more often with our patient's other care providers. We spend more time managing supplements and medications because our patients tend to have more of them.

We recognize this need for increased contact time with our providers and have built it into our model to make sure you get the care and support you need, when you need it. 

What does the Lighthouse Membership Fee provide for our patients?

Your monthly membership fee allows us to offer you additional services outside of your visit. It includes services like but not limited to: 

  • Access to the after hours triage line (USA only); 

  • Case coordination and preparation for every appointment; 

  • Provider consult with other doctors and healthcare providers; 

  • Prescription management and refills in between appointments; 

  • Quick calls or inquiries through the portal or emails; 

  • Any necessary case research to refine care; 

  • The usual referral process to other clinics and specialists (USA only); 

  • Nutritional or supplement help; 

  • Management of medication reactions or support when you or your loved one is sick; 

  • Letters for school, work, or other social support agencies

  • Research on delivery of supplements, testing and medications to your international location.

What is not covered by the Lighthouse Membership fee?

  • Appointments 

  • Comprehensive lab result follow-up (while we will notify you of any critical abnormal lab results, to go over your labs and move your treatment plan forward, you will need an appointment)

  • Extensive research or genetic projects (these require multiple hours of investigations and will result in additional care fee hours being accrued or a single project fee can be arranged)

  • Referrals that require extensive interface such as with the Undiagnosed Disease Network or while outreaching multiple specialists and researchers

  • Unlimited out of visit consultation

  • Appointment cancellations with less than 48 hours notice

Will my insurance cover my monthly membership fee?

No. This fee will be your responsibility as our patient. It will be paid out of pocket by the 1st of every month. 

Can I opt-out of this fee?  

No. We only accept patients that meet complex care criteria in our clinic and have found that every patient at Lighthouse Complex Care consistently requires more support than average outside of appointments.  


We have found that while rarely, in some months, patients will not require extra attention, many months, patients will require more. It is only by charging this fee that we are fiscally able to offer the standard of care we provide.

How much is the monthly fee and When is it billed?

Membership fees are automatically billed at the end of each month to your card on file.

  • Individual Membership Fee: $75 per month

  • Family Discounted Fee (2 or more family members): $100 

  • Medicaid Holders Discounted Fee: $50 (to avail this discount a copy of Medicaid card is required)

Are there any discounts available?

Yes. We offer discounts for annual payment.


2500 Grubb Rd, Suite 123, Wilmington, DE, 19810, USA

Phone: 302-304-3417

Fax: 302-467-2474

Thanks! We'll be in touch!

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