A Viera Pediatric DPC Prices Its Membership by Age

A newborn in Viera, Florida, can now get a pediatrician who comes to the house for the baby’s first two visits. That’s one line on the service list at One Step Pediatrics, a direct primary care practice that opened at Addison Medical Plaza this fall. The more telling choices are in how its fee is built.

The practice charges by the child’s age. And, according to the Viera Voice, it bills vaccines to insurance, outside the membership.

Three brackets and a family cap

Dr. Lizabeth Saint-Hilaire, a board-certified pediatrician, leads the practice. She earned her medical degree at the University of Miami and trained at Nicklaus Children’s Hospital, according to her practice bio, and she sees families in English and Spanish.

One Step’s membership page lists three tiers. Founding families pay $185 a month for a child up to age 2, $145 for ages 3 to 10 and $125 for ages 11 to 17. Standard rates run $14 higher in each bracket, so they range from $139 to $199. A household never pays more than the family maximum: $400 a month at the founders rate, $450 at the standard rate. The founders window closes Dec. 31, 2026.

There’s also a one-time $100 enrollment fee. The page offers 5 percent off for families with two or more children, and another 5 percent for paying 12 months up front. DPC pricing varies by practice and by market, and these are one practice’s published rates.

The age curve lines up with the visit calendar. The AAP’s Bright Futures periodicity schedule recommends preventive visits at the newborn exam, at 3 to 5 days, by 1 month, and then at 2, 4, 6, 9, 12, 15, 18 and 24 months. That’s 11 well-child visits by a second birthday. From age 3 on, the schedule calls for one a year. One Step describes its youngest tier as “designed for the highest-frequency pediatric years.”

What the fee buys

The services page lists unlimited in-office and virtual visits, well-child checks, sports physicals and sick visits. In-office rapid tests include flu, RSV, strep and urinalysis. Procedures run from sutures and splinting to abscess drainage. The first two newborn visits happen at home for families within a 5-mile radius.

Members also get the doctor’s direct line. The How It Works page says parents can text Saint-Hilaire a question or a photo of a rash, and it lists 30- to 60-minute appointments with same- or next-day sick visits. The FAQ adds overnight nurse triage.

“There’s no deductibles, no co-pays, no bills after-the-fact,” Saint-Hilaire told the Viera Voice. “You just know what you’re getting and you can budget for it.”

The paper reported that the grand opening on Saturday, Oct. 3, drew a crowd of local families. It also described Saint-Hilaire as one of the few pediatricians in the Viera area.

Vaccines sit outside the fee

The Viera Voice reported that the monthly fee covers visits, tests and in-office procedures, and that “vaccines will be billed separately to insurance.”

In Florida, where that line falls has legal weight. Under section 624.27 of the Florida Statutes, a direct health care agreement must describe the services the monthly fee covers and list the fees for anything it doesn’t. Its signature page must state that the provider “will not file any claims against the patient’s health insurance policy or plan for reimbursement of any health care services covered by the agreement.”

The promise is scoped to covered services. So a vaccine billed to a family’s insurer has to sit outside what the fee covers.

The open question

Read the website and the newspaper side by side, and one point isn’t settled yet. The services page lists “Vaccines up to age 18” among its preventive care items, on a page whose heading says the services are “all included in your monthly fee.” The paper’s account puts vaccines on the family’s insurance instead.

One reading fits both: the shots are given in the office, and the vaccine itself is billed to the insurer. The website doesn’t spell that out, though, and the practice’s DPC disclosure says the written membership agreement “provided at enrollment” defines the final scope of services.

If you’re a parent comparing One Step with an insurance-based pediatric office, you might ask for that agreement before the meet-and-greet ends. It is the one document that says which side of the fee the vaccines are on.