Frequently Asked Questions

Effective Nov. 1, 2026, all office visit prices will increase.

Your current/original membership will expire on your anniversary date. If you want to remain a member, you will need to go to our website and rejoin under the Next Gen Membership section.

Yes. But Next Gen members get significant discounted prices on Office Visits, Nurse Visits, Fullscript and other various procedures. As a non-member, you would pay a higher price for these services.

You should re-join immediately. If you don’t switch over and join immediately, you would have to pay the higher prices on the services received until you do join.

Yes. Each person still pays a membership fee. Members 1 and 2 pay the full per-person rate. Members 3 to 5, 6 to 12, and 13 and beyond each have their own per-person rate for annual, quarterly and monthly billing. Coupons apply after those rates.

We wanted to simplify the membership across the board. We wanted to allow patients who choose not to become a member a chance to still be a patient at LFM. But a non-member will pay higher prices on office visits and other various services.

If you are a patient who needs to be seen more than one or two times in a year, being a member will ensure that you receive all discounts that our membership offers. If you simply do not need to be seen often or don’t have continuing medical care throughout the year, you may choose to not become a member. But you will be paying a higher price for office visits, nurse visits, Fullscript and other various procedures.

Yes. At the current Silver membership price of $450, you could simply pay the difference of $75 (Next Gen member price is $525 annually) and become a Next Gen member for the duration of the original membership. Once your anniversary date approaches, you would simply go online and re-join the Next Gen membership.

The membership fee does not cover any office visits or treatment. Those charges are separate.

No. Original Member plans (Gold, Silver and Bronze) are closed to new members. Everyone joining today becomes a Next Gen Member.

Membership can be canceled at any time, and we continue to honor the term you paid for. If you want to become a member again later, you would join as a Next Gen Member, since Original Member plans are closed to new sign-ups.

No. You can still be a patient at LFM as a non-member, but you would pay a higher price for office visits, nurse visits, Fullscript and other procedures. Call 817-577-0480 or email [email protected].

Next Gen Member is $525 per person per year for members 1 to 2. Members 3 to 5, 6 to 12, and 13 and beyond each have their own per-person rate. You can pay annually, quarterly or monthly. The membership fee does not cover office visits or treatment. See Next Gen Member for what is included.

Next Gen members use the Next Gen member portal. Original Members (Gold, Silver or Bronze) keep using the Original Member portal at members.langfamilymed.com.

That is understandable, and we totally understand. You are not under any obligation to pay any membership fees at all. Your chart will be retained within our clinic as an established patient (but not a Member) for 36 months after the date of your last visit with Dr. Lang. This is the way it has always been done, and this will not change.

This 36-month principle will continue to be in effect, regardless of other changes on the surface. During this 36- month window, if you change your mind and wish to become a Member, simply call the office and then join as a Next Gen Member through our website, just like other members. We have enjoyed being a part of your medical care up until now, and we will be sorry to see you go if your 36-month window elapses and you do not choose to become a member.

Yes or No, you may decide. You have time to make this decision. There is no pressure.

You have 36 months from the time of your last visit before your chart is put in storage and you cease to be a patient at LFM. While you will still have a chart in our storage unit, you will not be classified as a patient or as a member after those 36 months have elapsed. If you desire medical care again from us at a later time, you would be a new patient. We cannot guarantee that we will ever be openly taking new patients again. If we are closed to new patients, and you are wanting to come back, we will not be able to reintroduce you back into the practice again.

See How will I know if a membership is best for me and/or my family?

Membership charges do not qualify for reimbursement by insurance companies. However, the various services provided by LFM under the membership model can qualify for reimbursement. As always, different services may be covered by different insurance plans, variably at best.

If LFM provides a service that is covered by your insurance company, then you can submit it for reimbursement, but it is up to your insurance plan as to what kind of reimbursement is received. Examples of possibly reimbursable services could include but are not limited to:

Doctor visits, nurse visits, supplements, injections, IV therapy, allergy therapy, and medical reviews coordinated between Dr. Lang and the nursing staff. We encourage you to call and ask what we have available to help offset membership charges.

The answer to this question is the same as it is for private insurance. Accounts of this nature can be used for medical goods and services, and they could include: Health Savings Accounts (HSA). Health Reimbursement Arrangement (HRA). Limited Purpose Flexible Spending Account (LPFSA).

Please refer to the question above about private insurance in order to understand how this works. As with the question above, we encourage you to call and ask what we have available to help offset membership charges under these circumstances.

In any system of membership such as we are engaging in here, we realize that people must be given the freedom to change their minds. This is part of life, and we totally understand.

Membership can be canceled at any time, although LFM will continue to honor the term of the paid for membership. For this reason, refunds will not be given. No refunds.

Under all circumstances, LFM will also provide emergency care for 30 days after a cancellation. However, with the above said about no refunds, there will be some patients who will be paying monthly or quarterly via the member portal. For these patients, they will not receive refunds for monthly or quarterly payments already given. However, they will have the freedom to stop future monthly or quarterly payments, without obligation, no questions asked. For this reason, we encourage patients to only pay for a period of time that they know they want. For example, if you are not sure you want a year-long membership, it may be wise to schedule your payments in the member portal to be monthly or quarterly.

We understand that there will be circumstances that prevent some patients from continuing to receive care here at LFM. If someone needs to transition to another provider, we want to offer some help with that process by continuing care for a limited time and waiving membership fees temporarily.

We will continue to care for you with a waived membership fee for a time period of 60 days following the opt out date (signed and dated form, provided through our opt out process). During those 60 days, you will have access to office visits, medication refills, and treatments through LFM; however, the monthly payments will be waived for 60 days. This provides 60 days to make other medical arrangements.

For sure, we have some patients who will not respond to us after we send out these announcements. Some people will not receive our messages, and they will be completely unaware of changes. Or, they have not seen us for some time and do not plan to utilize our services again. Or, they have moved away and established medical care elsewhere, no longer needing us.

Regardless of cause, they’ll continue to be patients here until 3 years (36 months) after their last visit. Once they reach 36 months after their last visit, they will no longer continue to be a patient.

In short, a “nurse visit” is when one of our patients requests our help for a solution to a medical problem, and we provide that solution by using one of our nurses to collect the appropriate information about the problem and report it to Dr. Lang. Details of the problem, medical decision making, and approval of requests is discussed between Dr. Lang and the nurse, and the nurse delivers solutions to the patient.

These problems tend to be less complex and require less time; therefore, they don’t cost as much. This is why nurse visits are less costly than visits directly with Dr. Lang. We first started using nurse visits like this during the early COVID months, when we became so busy with COVID patients that there was no room in the schedule to be able to take care of everyone in a personal visit with Dr. Lang, whether that was a visit in person, or virtual visit (Zoom or phone call). It became clear very quickly that many of our patients enjoyed the benefits of receiving Dr. Lang’s style of care for some of their simpler problems, while also being charged less, and often receiving treatment the same day.

Clearly, not all visits can be nurse visits. Many problems have a level of complexity or intensity that requires a back-and-forth conversation with Dr. Lang and potentially an examination. However, there are many visits that can be nurse visits, even when certain things are required. It is possible for a urine sample with a culture, orders for blood tests, x-rays and other imaging, and injections or IV treatments to be involved in a nurse visit. These decisions are made on a case-by-case basis.

There may be times when a nurse visit is desired, but the problem requires a doctor’s visit. However, even in those cases, there are certain times when treatment can be started with a nurse visit, and the doctor’s visit can be scheduled later. Again, these decisions are made by Dr. Lang on a case-by-case basis.

As our practice matures and patients’ needs evolve, it is possible that approval of nurse visits for different kinds of problems may change. What will not change is the fact that all nurse visits involve the nurse communicating with Dr. Lang, and Dr. Lang engaging in medical decision making to meet patients at their point of need. Put another way, patients can receive Dr. Lang’s care without directly seeing Dr. Lang.

Dr. Howard Lang is spending a lot more time these days caring for his wife. He has already dropped down to 2 afternoons per week. We expect that he will drop down to 1 afternoon per week soon, and then 1 afternoon every other week.

Eventually, his schedule will become intermittent and sporadic, without its previous regularity. At some point, he will only be assisting Dr. Derek Lang to cover call during closings and vacations. It is difficult to predict exactly how this will go, but the decrescendo is already happening rapidly.

Absolutely, yes. Many patients have already transitioned to Dr. Derek Lang. Dr. Derek Lang is similar in many ways to Dr. Howard Lang.

We have also recently taken on a nurse practioner, Lindsay Kirkwood. Lindsay has many years of experience working in other clinic settings that practice medicine in a very similar way that LFM does. This makes Lindsay a perfect fit to join our practice. As she builds her practice here at LFM, she will be able to take on additional patients.

Dr. H has always been committed to helping patients with truth that connects with patients on a conservative and common-sense level. The clinic and Dr D will continue serving Dr H’s patients just like it always has. LFM will maintain therapies that work well and provide access to new treatments and concepts of wellness, both alternative and mainstream, using common sense, merged with patients’ values, opinions, and desires.

Of course, Dr. D was born and raised by Dr H. Sometimes they can be so similar, it’s startling. While Dr H has served on the International Board of Environmental Medicine, Dr D served for 7 years on the Board of the American Academy of Environmental Medicine. During that time, Dr D was VP, President, and Continuing Medical Education Chairman. Dr D is now serving a 2nd term on the AAEM Board.

The values espoused by Dr H are bred into Dr. D. The LFM clinic under Dr. D’s leadership will continue on in the same footsteps of service and dedication to the roots of issues and meeting patients at their point of need. There’s an old saying that “the apple doesn’t fall far from the tree”. In one sense, this could describe the fact that “Dr D the son” is not so different as a physician from “Dr H the father”…. and that’s true.

However, from its inception under Dr H, LFM has always received its inspiration and guidance from what many refer to as the Tree of Life. Dr. H has shown over many years that he didn’t fall far from This Tree, and he takes great strides to stay close to the Tree of Life in his daily walk. Likewise, Dr. D. hasn’t fallen far from the Tree of Life, either. Dr. D is passionately committed to being a “Tree hugger” in the spiritual sense. Under Dr. D, the Tree of Life will always remain at the center of LFM.

This is an excellent question, and the simple fact of allowing us to pay our overhead and maintain business operations, so that we continue to be able to exist and serve you and others is part of the tangible portion of the answer.

Most of our patients know what they receive from our office on a tangible level. As important as the tangible parts of our business are, the intangible portions are invaluable. In answering “what’s in it for you”, the most direct “intangible” that you receive from us is POWER. At LFM, among other things, being a member means being a more powerful patient. Let me explain.

Knowledge is power. The more truth that you know and understand, the more powerful you are. Dr. Lang is a teacher at heart, and he will teach you things about your body and health. When you ask questions, Dr. Lang provides thorough answers. We do not evade or resent questions here, because they are the path to understanding. There’s no such thing as a dumb question. We welcome dialogue, reasoning, and learning. We want truthful knowledge to empower you. The beginning of Proverbs chapter 2 comes to mind. You will be hard pressed to find a physician who will enjoy explaining things to you more than Dr. Lang does as he empowers you with knowledge, understanding, and wisdom.

Control is power. The more control you have over medical decisions, the more powerful you are. Dr. Lang fundamentally believes in the heart of informed medical decision making. This means that you make decisions about what is best for you… not Dr. Lang. Your autonomy and authority in deciding what to do is prospected, expected, & respected. The center of your medical care is you, and your opinion and values matter. We empower you with knowledge and understanding to engender confident decisions. Dr. Lang will not force you to do anything, and you will not be manipulated here. You will be hard pressed to find a medical practice that tries to give you more control than Dr. Lang does as he encourages and empowers you to make decisions for yourself that you feel at peace about… without coercion, guilt, or judgment.

Relationship is power. The better your relationship is with your doctor, the more powerful you are. Dr. Lang’s values include a high-quality patient-physician relationship at the core of LFM. High-quality relationship is formed over time, often through conversation that lays a foundation of common goals and establishes trust. If you do not have a good relationship with your physician, then you do not have the trust and/or the “relational equity” to ask challenging questions, discuss treatment ideas and strategies openly, or feel comfortable going deep on health issues that may be embarrassing or challenging. Dr. Lang has the bedside manner, extroverted demeanor, conversational candor, professional integrity, and the intentional honor to spend time with you in such a way that will build quality relationship. When this is done right, over time you will feel at home at LFM, like a member of the family.

There are many other places where you are a number, or a co-pay, or the next one in line. You will be hard pressed to find a medical office that works harder to prioritize not only quality care, but also quality relationship that empowers you and simultaneously satisfies realities of relational connection for every human heart and soul.

In these intangible ways (and others), most patients will find themselves more empowered at Lang family medicine then virtually anywhere else.