Primary care that travels at the same tempo you do.
Before medicine, Dr. Juan spent a decade as an internationally touring musician — three months on the road for every month home, $200 a week, and barely a doctor's visit between the ages of 20 and 30. Metronome was built for the version of himself who fell through the gap: too much for Medicaid, not enough to really use insurance.
Read Dr. Juan's full story →Too Much for Medicaid. Not Enough to Really Use Insurance.
For performing artists specifically, average annual wages can fall below $11,000 — but Colorado's Medicaid cliff sits around $21,600 for a single adult. That pushes most working musicians onto the marketplace, where every plan sold in Colorado is an HMO: in-network only, $0 paid toward any care outside it.
Deductibles around $7,500 before full coverage begins — often unusable for anything but a true catastrophe.
Lower deductibles around $1,000, but still built around a network that doesn't travel with you on tour.
The highest premium tier, and still carrying copays and out-of-pocket costs on top of the monthly bill.
Musicians are uninsured at far higher rates than the general population — and many who do have marketplace coverage can't realistically afford to use it. When an acute concern hits on tour and no doctor is reachable by phone, it becomes an urgent care or ER visit. An estimated 13–27% of ER visits nationally could be managed in a primary care setting instead — and by some estimates, half or more could be avoided altogether with consistent primary care access.
Built for a Schedule That Doesn't Sit Still
Reach Your Doctor Directly, In Colorado
Acute concerns handled by a physician who already knows your history — often preventing an ER visit entirely, whenever you're in-state.
Emergency Help Across State Lines
Physicians are licensed state by state. While you're touring outside Colorado, your DPC doctor can offer medical advice in a true emergency, or help arrange an emergency refill if a lifesaving medication is lost, stolen, or damaged. That advice may include telling you to get to the nearest urgent care or ER, since guidance over the phone can't replace in-person emergency evaluation.
Text or Email Triage
Simple concerns get handled without booking an appointment or waiting for a callback.
Same- and Next-Day Visits
Book during the small windows when you're actually home, instead of waiting weeks for an opening.
Full primary care — acute visits, prescribing, and everything else — is available whenever you're physically in Colorado. While traveling out of state, care is limited by state medical licensing law to medical advice in a true emergency, or arranging an emergency refill of a lost, stolen, or damaged lifesaving medication. That advice can't guarantee you won't still need to be seen in person — it may mean directing you to the nearest urgent care or ER.
A DPC Doctor Handles About 95% of What You'll Ever Need
Not a narrow urgent-care clinic — a real primary care relationship that covers most of what would otherwise send you to a specialist, a call center, or the ER.
Preventive Care
Psychiatry & ADHD
Urgent Care
Procedures
Hormone Health
Endocrinology
Nutrition & Weight
Longevity & Peptides
Plus dermatology, gastroenterology, orthopedics, and pulmonology — including asthma/COPD management, while you're in Colorado. Care across state lines is limited to medical advice in a true emergency and emergency refills of lost or damaged lifesaving medications — advice that may include directing you to the nearest urgent care or ER.
This Practice Was Built by Someone Who Fell Through the Same Gap
In the late '90s, Dr. Juan was a touring musician living in Boulder — three months on the road for every month home, $200 a week covering rent and groceries. Between the ages of 20 and 30, he saw a doctor only a handful of times. He was lucky. A lot of musicians aren't.
"If you fall into the gap — too much for Medicaid, not enough to really use your insurance — Direct Primary Care is an option you may not have heard of yet."
Bringing musicians and creative professionals into Direct Primary Care is core to what Metronome is about. The name isn't an accident.
Read the Full Story →Related Care at Metronome
Touring or performing, and stuck in the coverage gap?
If you're a musician or touring professional in Colorado looking for primary care that understands life on the road, get in touch.