Our Story
Why Onevia exists.
A physician who believed Montana deserved better healthcare - and decided to build it.
The beginning
It started with a simple frustration.
Dr. Trazz Pepper spent years in traditional medicine watching the same pattern play out: patients rushed through 10-minute appointments, bills that made no sense, and a system that rewarded volume over outcomes. Good physicians burning out. Good patients falling through the cracks.
The breaking point wasn't dramatic. It was quiet. It was the realization that the system wasn't going to fix itself - and that patients in Montana deserved someone willing to try something different.
Onevia started with a straightforward idea: what if a clinic was built entirely around the patient-doctor relationship? No insurance billing games. No 15-minute visit caps. No surprise costs. Just a membership that gives you a doctor who knows your name, your history, and your goals.
The model
Direct care changes everything.
Direct primary care removes the insurance middleman. Instead of billing codes and claims, members pay a flat monthly fee and get unlimited access to their care team. That simple shift changes the entire incentive structure.
When a clinic isn't paid per visit, the goal becomes keeping patients healthy - not cycling them through as quickly as possible. Appointments are longer. Access is easier. Physicians have smaller panels so they can actually know their patients.
We added pharmacy, dental, and vision because health doesn't stop at primary care. When your pharmacist talks directly to your doctor, when your dentist shares notes with your primary care team, care gets coordinated in ways that traditional siloed healthcare can't match.
Built for Montana
Montana-sized ambition. Community-sized care.
We started in Missoula because it's home. We expanded to Bozeman and Billings because those communities asked for it. Great Falls is next. The goal isn't to become the biggest healthcare company in Montana - it's to become the most trusted.
Every Onevia clinic is designed to feel local. Small teams, real relationships, and the kind of care you'd expect from a doctor who lives in your community - because they do.
Patients over profits
Every decision starts with "is this better for the patient?" If the answer is no, we don't do it.
Radical transparency
No hidden fees, no surprise bills, no fine print. You know exactly what you're paying and what you're getting.
Long-term thinking
We optimize for health outcomes over decades, not revenue over quarters. Prevention is always cheaper than treatment.
Accessible to all
Direct care shouldn't be luxury care. We keep membership affordable because healthcare access isn't optional.
What's next
Growing across Montana and beyond.
We're actively expanding to bring Onevia's model to more communities. Great Falls opens in 2026, and we're exploring locations across the state. If your community needs better primary care options, we want to hear from you.
Our vision is simple: every Montanan should have access to a doctor who knows them, costs they can understand, and care that's built around their life - not around a billing system.