Once you are enrolled, your credit card will be billed monthly on the anniversary date of your first appointment for $150 per adult (25 years and older.) For example, for a first appointment on January 15th your next monthly membership payment will be made on February 15th. In addition to your monthly membership fees, when you come in for an office visit, your insurance will be billed and co-pays and deductibles will be applied. You will be billed for whatever your insurance does not cover.