Medicine the way it should feel.
Most people have never experienced primary care the way it was meant to be. A doctor who knows your name, answers your calls, and has the time to actually listen.
Skona Health is a membership-based primary care practice in Snohomish County. No insurance hassles, no rushed visits — just a direct relationship with your physician.
— A DIFFERENT KIND OF CARE —
What is Direct Primary Care (DPC) ?
DPC removes insurance from the equation. One flat monthly fee covers unlimited access to your physician — no per-visit costs, no surprise bills, and no waiting weeks for an appointment.
No insurance billing
Your monthly fee covers all primary care. Keep insurance for specialists, hospitalizations, and imaging.
Direct access
Text or call your physician directly — no phone trees, no gatekeepers. Average response under one hour.
Smaller panel, better care
Traditional PCPs manage 2,000+ patients. Skona Health stays under 600, so your doctor truly knows you.
— WHY IT MATTERS —
Healthcare that works for you
You always see the same doctor
In traditional practices, you often see whoever is available. At Skona Health, every visit — whether in-person or virtual — is with Dr. Krishnan. She knows your history, your goals, and the context behind your health. That continuity changes everything.
Appointments that respect your time
The average wait to see a primary care doctor is 26 days. At Skona Health, most issues are addressed same or next day — and many never require an in-person visit at all. Your time has value.
A doctor who advocates for you
When you need a specialist, imaging, or a procedure, Dr.Krishnan helps coordinate and navigate that process — not just hand you a referral and send you off. You have someone in your corner who understands your full picture.
Prevention over reaction
When your doctor has time to actually talk with you, problems get caught early. DPC is structured around keeping you well — not just treating you when things go wrong. Fewer specialist visits, fewer ER trips, better long-term health.
Your membership fee is HSA-eligible
As of 2026, DPC membership fees can be paid using a Health Savings Account when paired with a high-deductible health plan. That means you can use pre-tax dollars to cover your Skona Health membership — making the financial case even stronger.
Care designed for your whole life
From managing a chronic condition to navigating a new diagnosis, preparing for a pregnancy, or simply staying ahead of your health — Skona Health is a constant, not just a resource you turn to when something goes wrong.
— YOUR PHYSICIAN —
Dr. Smitha Krishnan, MD
"Good medicine starts with actually knowing your patient."
My story spans two countries and several cities. I grew up in Chicago, spent my formative years in India for school and medical training, and returned to the US for my Internal Medicine residency at UPMC in Pittsburgh. After residency, I spent three years practicing outpatient primary care in Los Angeles before finding my home in the Pacific Northwest, joining Providence Swedish in 2021.
Throughout those years in traditional medicine, I kept encountering the same frustration. There was never enough time to truly care for people the way they deserved. Skona Health is my response to that. A practice built entirely around the patient-physician relationship, with the space and structure to do medicine the way it should be done.
My clinical focus is internal medicine, preventive care, chronic disease management, women’s hormonal treatment and obesity medicine. I am currently board certified in Internal & Obesity Medicine. I believe obesity medicine is one of the most undertreated areas in primary care and my patients deserve a physician who has done the work to get it right. Outside the clinic, I am a swimmer, a mom of two, and someone who will talk to you about what is on your plate just as readily as what is in your chart.
The name Skona comes from Swedish, meaning beautiful or lovely. It's a word that captures what we believe primary care should be: unhurried, personal, and genuinely good. Not just functional — beautiful in the way it fits your life