Simple. Private. Convenient.

Subscription-based medical care

No Compromises.

Your health, your time, and your privacy are the highest priority.

Buy Local.

Most insurers no longer pay for primary care, since deductibles have climbed to the thousands of dollars for most families.

One size does not fit all.

Choose a practice with the time to provide a custom approach to your health.


What is Direct Primary Care?

We provide medical care without the insurance middleman on a subscription basis.

What do fees cover?
All at no additional cost.
Let's talk numbers.
We are a Sedera affiliate
What do fees cover?
  • Unlimited contact with Dr. Varble: in her office, at your home or workplace in Buena Vista, by phone, email, video, and text message
  • Basic labs:Cholesterol (lipid panel), Sugar/diabetes testing (A1c, fasting blood sugar), Testing for anemia (CBC), Thyroid (TSH), Liver/kidneys/electrolytes (Comprehensive metabolic panel, CMP)
  • Many other services, including urgent care, are available:
    • Flu, strep throat, and urinary tract infection testing
    • Laceration repair
    • Skin biopsy (checking for skin cancer)
    • Splinting and casting for sprains, strains, and broken bones
    • Joint injections and trigger point injections
    • Chronic disease management
      • Diabetes
      • High blood pressure
      • High cholesterol
      • Asthma
      • Allergies (and allergy shot therapy)
      • Autoimmune diseases
        • Multiple sclerosis
        • Rheumatoid arthritis
        • Lupus and more
      • Chronic kidney disease
      • Dementia and elderly care in your loved ones' home (for Buena Vista-based patients)
    • EKG's
    • Pap smears
    • Pregnancy and sexually-transmitted disease testing
    • Hormone replacement (including bio-identical hormones)
    • INR management with home-testing
    • Phlebotomy
    • Well Child Checks
    • Sports, School, and Camp physicals
    • Annual Physicals
    • Well woman exams/woman's health
    • Geriatrics
    • Pediatrics
    • Newborn care in your own home (for Buena Vista-based patients)
    • Commercial driver’s license (CDL) exams
All at no additional cost.

We do not bill insurance, but you will want to carry at least a high-deductible policy to cover expenses like hospitalizations, emergency room visits, specialists, imaging like MRI’s, and labs outside of the basic list.

Relaxed, hour-long appointments let you address all of your concerns. Perfect for those with anxiety about going to the doctor's office.

Enjoy the benefits of a private visit to the doctor’s office without others in the waiting room. No more long waits in a crowded waiting room. No more sharing your concerns with receptionists and appointment-makers. Your medical records are secure with just a physician, nurse, and covering nurse practitioner, instead of a staff of 50 at large clinics.

Always have access to your doctor at the time most convenient to you. We are open Monday through Sunday, 6 am to 8 pm.

Guaranteed same-day appointments. No more calling multiple doctor’s offices, trying to get an appointment that day.

No more settling for someone other than your doctor, just to get seen that day. Dr. Varble alone provides 99% of patient care.

Appreciate the benefits of a modern practice, with medical care by phone, email, text, and video, especially when you are out of town.

Fees are simple and allow you to budget for your healthcare across an entire year without unanticipated costs for your primary care.

Let's talk numbers.

Adults, ages 19-39, $65 per month

Adults, ages 40-64, $75 per month

Adults, ages 65 and up, $100 per month

Kids, with one parent enrolled, $25 per month

$75 registration fee at the start of each subscription for a family

We are a Sedera affiliate

What is Cost Sharing? 


We are a Sedera Affiliate
Learn More

Dr. Varble is a native of Atlanta, Georgia. She and her husband, Derek, have two boys, aged 10 and 13.

After earning her Bachelor’s degree in Electrical Engineering at Stanford University, Dr. Varble completed four years in the United States Air Force, with an honorable discharge as a Captain.

She then pursued medical school, first at Wake Forest University, and then at the University of Southern California, after her husband’s Air Force transfer to Los Angeles. She received her MD degree in 2002. She completed her residency in Family Medicine at St. Anthony Medical Center in Denver, where she earned the fourth-year Chief Resident position.

In 2014, after 12 years in medicine in Denver and Buena Vista, Colorado, the American Academy of Family Physicians awarded Dr. Varble the degree of Fellow, recognizing her service to underserved and rural communities in full-spectrum Family Medicine. She is board-certified by the American Board of Family Medicine.

Dr. Varble stays active by cross country skiing, swimming, and biking. She is very involved with Boy Scouts and youth cross country skiing programs.

We get it. 13% of our county is uninsured, and an additional ~19% is on a non-group plan, paying a fortune for insurance that has a $7000 deductible, such that 31% of the county really does not have access to affordable care. This is not readily known to healthcare agencies in the county. The assumption is that nearly everyone is well-insured. 1 in 3 in our county are treated as second-class citizens with reduced access to care.

At Peace of Mind Medical Care, we provide care in our office for a low monthly subscription fee, during the day, at night, and on the weekends. We guarantee same-day appointments for urgent conditions to keep you out of the emergency department. We pay for basic lab work. No extra or hidden fees.

“87.4% of the population of Chaffee County, CO has health coverage, with 32.3% on employee plans, 15% on Medicaid, 20% on Medicare, 18.6% on non-group plans, and 1.46% on military or VA plans.

Per capita personal health care spending in the county of Chaffee County, CO was $6,804 in 2014. This is a 5.13% increase from the previous year ($6,472).”

Subscription-based medical care

Your health, your time, and your privacy are the highest priority.


You are anxious about going to the doctor and you put it off until you are really concerned. You arrive in an overfull waiting room, interact with a brusque staff, and then wait overly long in the waiting room. When your turn with the doctor comes, he/she is frazzled and in a hurry to catch up. A fraction of your concerns are addressed superficially.
It’s Friday and your child needs to be seen today for fever you know will keep them up all weekend. You call your doctor’s office and they cannot see her until Monday. All of the Salida offices are full. You desperately do not want to pay for an ER visit. In the end, you drive forty minutes in heavy snow to Leadville to see the physician assistant, spending the extra money to be seen as a new patient.
You schedule your appointment months in advance, and you show up early, only to find out that your insurance appears to have made a mistake and you are currently self-insured. Do you pay cash today to be seen or return another day after the mistake is cleared up?
You saw your doctor a year ago and the hospital is just now sending you bills for labs, ultrasound, and pap smears. One visit generates five separate bills. You sort through your EOB’s and your calendar, trying to remember just what happened at your appointment a year ago.
You have a medical problem that is both concerning and embarrassing for you. You call to schedule an appointment, and you have to explain to a receptionist why you want to be seen. A different receptionist calls you several weeks later, needing to reschedule your appointment for “x concern.” When you finally have your appointment, the nurse wants to know why you are being seen. By the end of your visit, you have had to discuss this very private matter with four different people.
You are a full-time RV’er. Under the demands of old-fashioned medicine, you are not able to get your medicines refilled unless you see a provider in person, resulting in a lot of urgent care visits as you travel across the country. If only there was a way to stay with one physician but communicate with them throughout the year while you are on the road.
You lost your insurance. There’s seems to be only two options–have insurance or go without and avoid getting any healthcare. Now, there is a different option. Pay just $720 a year for an adult under age 65 for unlimited visits and cell phone/text/email contact with your doctor. A budgetable, predictable expense for the unpredictable nature of health. Coupling this with a catastrophic plan provides the best protection against unforeseen need for surgery, ER, specialists, and imaging.
You spend half the year in southern Arizona, but no doctors down there will accept your insurance. Keep your summer doctor at Peace of Mind Medical Care and have access to medical care year-round without the need to be physically in Colorado.
You have been forced to a high-deductible medical insurance because the cost of insurance just keeps going up so high, so fast. With a $7000 deductible, getting any actual care paid by your insurance until you have a major accident is impossible. How do you budget for an unknown year of flu, allergies, and lacerations? For just $720 a year for an adult under age 65, you can get unlimited contact with your physician in person or by phone/text/email.
Most insurers no longer pay for primary care, since deductibles have climbed to the thousands of dollars for most families.
We get it. 13% of our county is uninsured, and an additional ~19% is on a non-group plan, paying a fortune for insurance that has a $7000 deductible, such that 31% of the county really does not have access to affordable care. This is not readily known to healthcare agenci...
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