Membership
Everything Included. Nothing Buried.
Concierge care should not come with a decoder ring. One transparent price. One direct line to your physician. A full list of what that actually buys you is below.
No Surprises
You Will Never Get a Bill You Did Not See Coming
Transparent, all-inclusive pricing. No hidden costs, no surprise line items, no upcharges for the care you were already promised.
We do not bill insurance for office visits. Your membership covers them.
We will bill insurance for labs, referrals, and imaging. Entirely your preference.
Weight management is included. No added cost.
Menopause care is included. No added cost.
Medications are billed separately through insurance when possible.
In-office point-of-care testing for a nominal fee. Glucose, urine, strep, flu, and COVID. Results before you leave.
Time and Reach
Longer Visits. Faster Answers.
The seven-minute appointment is a scheduling decision, not a medical one. We made a different decision.
Longer Appointments
Enough time to get to the actual reason you came in.
Same-Day Visits
When something is wrong today, you are seen today.
Urgent After-Hours Access
Illness does not keep office hours. Neither does your access.
Time and Reach
Longer Visits. Faster Answers.
The seven-minute appointment is a scheduling decision, not a medical one. We made a different decision.
Longer Appointments
Enough time to get to the actual reason you came in.
Same-Day Visits
When something is wrong today, you are seen today.
Urgent After-Hours Access
Illness does not keep office hours. Neither does your access.
Direct Access
Your Physician. Your Phone. Secure.
Text, call, or video your physician and staff directly through the Spruce app. It is HIPAA compliant, so the conversation is protected. It is also recorded into your medical record, so nothing gets lost between the message and the chart.
Included at No Cost
Your Entire Medical History. One App.
Full premium access to Guava Health, included with membership. A $78 per year value, on us.
Every medical record, from every system, in one place
Lab trends tracked across different health systems
AI-generated insight on your results
Past testing and consultation notes, findable in seconds
Connect your Apple Watch, Oura Ring, or Fitbit and share that data directly with your physician
The Math Works
Membership Pays You Back
Access is the headline. The savings are the quiet part that adds up.
Significantly discounted cash-pay labs, imaging, and medications
Fullscript supplement access. Reliable, physician-vetted supplements at discount pricing, delivered to your door.
Try it before you buy it. Free samples on a range of medications and devices.
Efficient prior authorizations. We do the paperwork fight to get your medication and testing covered under your plan.
Getting Ahead of It
Prevention, Taken Seriously
The best medicine finds it early. These options are available to members and discussed as part of your care plan.
Genetic testing for cancer risk, kidney disease, Alzheimer's, and pharmacogenetics
Blood-based early cancer detection, including Galleri, CancerGuard, and Shield
Breast cancer risk assessments
In Development
What We Are Building Next
Membership grows. Here is what is on deck.
Programming for members and the wider community
In-house lab draws
In-office body composition testing
Enhanced cardiovascular disease screening
Two Ways to Start
Read the details, or meet us first. Both work.
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