MEMBERSHIP TERMS

Membership Services & Fees Skyline Pediatric Associates, PLLC

Effective Date: January 1, 2026

Overview of Membership

This Exhibit is incorporated into and forms part of the Skyline Elite Pediatrics Membership Agreement.

Skyline Elite Pediatrics offers a Direct Patient Care (DPC) membership program that provides enhanced access, continuity, and personalized pediatric care in exchange for a monthly membership fee.

Membership services are provided on a private-pay basis and are not billed to insurance, Medicare, or Medicaid.

Membership does not guarantee immediate or unlimited access at all times. All services are subject to physician availability, clinical appropriateness, and geographic considerations. No Insurance Billing. All services are private-pay. This membership is not health insurance and does not replace insurance coverage.

Membership Tiers

Skyline Elite Pediatrics offers three membership levels designed to meet the needs of different families.

(T1) Essential Pediatric Care

Designed for families seeking enhanced access and physician guidance.

Monthly Membership Fees (per child)

First child: $129
Second child: $110
Third child: $100
Additional children: $90

Included Services

Up to twelve telemedicine visits per year
Direct physician messaging during service hours
Limited after-hours and weekend availability
Care coordination and clinical guidance

Additional Fees

Additional telemedicine visit: $75
Weekday home visit: $300
Evening or weekend home visit: $400
Holiday home visit: $500

(T2) Premium Pediatric Care

Designed for families seeking increased flexibility and limited in-home care.

Monthly Membership Fees (per child)

First child: $249
Second child: $225
Third child: $200
Additional children: $180

Included Services

Unlimited telemedicine visits
Expanded physician messaging access
Up to six home visits per year
After-hours and weekend availability.

Additional Fees

Weekday home visit: $250
Evening or weekend home visit: $350
Holiday home visit: $450

(T3) Elite Pediatric Care

Designed for families seeking the highest level of access and physician involvement.

Monthly Membership Fees (per child)

First child: $399
Second child: $350
Third child: $300
Additional children: $250

Included Services

Unlimited priority telemedicine visits
Direct physician access with priority response
Up to twelve home visits per year
Same-day home visits when available
Weekday and weekend home visits included

Additional Fees

Weekday home visit: $200

Evening or weekend home visit: $300

Holiday home visit: $400

Geographic Service Area

Downtown, Midtown, Heights, River Oaks, Montrose, Museum District, Med Center Katy, Clearlake, Woodlands, Cypress
This radius is INCLUDED in standard home-visit pricing.

Home visits are provided within a defined service radius from Downtown Houston.

Included Radius:

Essential: up to 25 miles
Premium: up to 40 miles
Elite: up to 50 miles
Travel beyond the included radius may incur additional charges.
All home visits remain subject to availability, safety, and clinical appropriateness.

Covered services may include: