One Membership Delivers Multiple Advantages
Membership gives your family convenient, unrestricted, unlimited access to a physician they know and trust for a set monthly rate. You can text, call, send pictures, and video chat with your doctor from anywhere. Or come in for a same/next day office visit with no wait.
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Dedicated Doctor | ![]() |
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Care Team Support | ![]() |
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Same day/Next day Responses | ![]() |
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Same day/Next day In-Person Visits | ![]() |
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Free generic prescription drug program | ![]() |
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Free mental health program | ![]() |
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Free maintenance labs with biomarker analysis | ![]() |
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Discounted rates for lab tests | ![]() |
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In-office medical procedures | ![]() |
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Free EKG tests | ![]() |
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Breathing treaments for asthma or bronchitis | ![]() |
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Cortisone shots in the knees, shoulders, and other joints | ![]() |
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Stitches | ![]() |
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Removal of skin tags, sebaceous cysts, and lipomas | ![]() |
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Destruction of skin tags and warts with liquid nitrogen | ![]() |
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Removal of excess ear wax | ![]() |
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Treating ingrown toenails and infections in nailbeds | ![]() |
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Draining abscesses | ![]() |
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Rapid Strep and Flu testing | ![]() |
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Flu and Tetanus vaccines are provided for free (other vaccines are provided at cost) | ![]() |
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Skin biopsies for unusual rashes and lesions concerning for skin cancer | ![]() |
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Trigger point injections | ![]() |
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Body composition testing | ![]() |
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Antibiotics for treatment of STDs and STIs | ![]() |
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Discounted rates for at-home sleep studies, heart rate monitoring (Holter monitoring), and bone density screening | ![]() |
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Discounted imaging | ![]() |
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Discounted specialist referrals | ![]() |
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Larger Medical Costs (i.e. hospitalization, surgeries, ER visits, MRIs) | ![]() |
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You select your membership level (i.e. Initial Unsharable Amount) | ![]() |
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Clear guidelines and simple cost sharing process | ![]() |
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Annual Individual Max # of IUAs per membership year | ![]() |
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Annual Family Max # of IUAs per membership year | ![]() |
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Dedicated “Needs” Coordinator | ![]() |
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Child immunizations | ![]() |
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Screening colonoscopy and/or mammogram | ![]() |
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Maternity | ![]() |
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Monthly Membership Fee |
$125 (18-64)$150 (65+) |
Plan Cost Details |
One Superior Membership Delivered Two Different Ways:

PRIMARY MEMBERSHIP

Exceptional advantages every day throughout the year.
- Unlimited Office and Virtual Visits
- Dedicated Physician and Care Team
- Free and Low-Cost In-office Procedures
- Free Generic Prescription Medications
- Free Urgent Care Medications
- Free Lab Testing (up to 4 times per year*)
- Free Online Mental Health Program
*health maintenance labs only
A MONTH
A MONTH
Add children under 18 – $25 per person
Add family members ages 19 – 25: $75 per person
*With one time onboarding fee of $99
*Available in the greater Houston area only

Bonus #1: Comprehensive Health & Wellness Assessment ($798 Value)
- Comprehensive Biomarker Health Screening & Lab Panel ($350+ Value)
This 30+ biomarker screening is used to identify any potential health conditions such as inflammation, diabetes, heart disease, high cholesterol, or to indicate an increased risk for these conditions. It allows your physician to create a comprehensive preventative plan that keeps you healthy, happy and living your best life. - 45-Minute Personal Health & Wellness Consultation ($250 Value)
We will LISTEN to you and get a clear picture of your health goals and overall health. - Medical History Documentation & Review ($99 Value)
We document your health history and review your medical records, providing us with a clear picture of the past so we can best serve your future needs. - Medication Analysis & Cost Reduction Review ($99 Value)
We’ll discuss medications you were taking or currently taking, and make sure you’re getting the lowest possible price.



Bonus #2: FREE Generic Prescription Drugs
For medications that you take on a daily basis, get FREE home-retail delivery of over 1000 quality generic medications. Enjoy the convenience of a 90-day supply of your maintenance medications. Plus free urgent care medications you can pick up at any pharmacy. Our medication list contains over 95% of the top prescribed generic medications in the US for conditions such as:
- High Cholesterol
- Diabetes
- Mental Health
- Allergy
- Thyroid
- Asthma
- Men’s and Women’s Health
- High Blood Pressure
- And more…
Bonus #3: Keeping You Mentally Fit
Mental fitness is a key pillar of health and well-being. Through Starling Mental Fitness, your membership includes a 24/7 confidential digital mental health program that can be access via phone, tablet or computer. The program offers self-guided, unlimited and personalized digital Cognitive Behavioral Therapy support and training to help anyone 16 years or older.


Getting Started Is Easy
One: Choose your plan
You get unlimited, unrestricted access to your doctor through in-person visits and the Spruce Health app for text and video access. You’ll also unlock reduced wholesale pricing for most lab work, radiology, and select prescription medications.
Two: Meet your doctor
With FPC you will spend 45 minutes with your doctor on your first visit for a Comprehensive Health and Wellness Assessment. The better we know you, the better we can serve you.
Three: Complete your assessment
Your membership includes a comprehensive health exam and biomaker lab screening, a complete Medical History Review and Documentation, and FREE generic prescription drugs.

POP QUIZ
Your daughter gets sent home from school with pink eye!
What do you do?
A. Call your local pediatrician
and hope they can squeeze you in tomorrow, then brace yourself for the long waiting room experience, co-pay and the cost of the prescription.
B. Take your chances at an urgent care clinic
near you, wait around with a bunch of sick people and hope you don’t catch anything new, and try to call in to work for the 11 a.m. conference call.
C. Text your doctor
with some close-up pictures of your daughter’s eye. In 45-minutes you have a prescription in hand, a resting kiddo on the couch, and plenty of time to enjoy your coffee before that 11 a.m. conference call.
if you answered C you already know the power of First Primary Care.
(If you answered A. or B…you’ll want to keep reading.)
What First Primary Care offers to members isn’t exactly new. Direct Primary Care is the way healthcare used to be, back when doctors knew their patients personally – not just by the chart on the door. It’s the way our grandparents worked with their doctors: directly and without a middleman (the insurance companies) dictating care, attention, or cost.
Surprisingly Convenient Healthcare
What medical services are included with a
Primary365 Membership?
Most medical needs are very routine and predictable. Membership makes it convenient and affordable.
Family Medicine
SERVICES | TRADITIONAL COSTS | YOUR COST |
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On Time Routine Office Visits | $150/visit | Included |
Same Day Illness and Injury Visits | $450 | Included |
Virtual Consults with Your Doctor | Not available | Priceless! |
Annual Exams w/ Blood Work | $500 | Included |
Weight Loss Coaching/Consultation | $250/hr | Included |
Chronic Disease Management (ie; hypertension, diabetes, depression, etc.) |
$200/visit | Included |
Nebulized Breathing Treatments | $125 | Included |
Flu Test | $30 | Included |
Strep Test | $30 | Included |
Minor Procedures
SERVICES | TRADITIONAL COSTS | YOUR COST |
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Laceration Repair (Stitches) | $150 and up | Included |
Joint Injections | $250 and up | Included |
Electrocardiograms (EKG) | $60 | Included |
Venipuncture (Lab Draw) | $30 | Included |
Abscess Drainage | $150 | Included |
IV Hydration | $150 | $20 |
Spirometry | $125 | Included |
Women’s Health
SERVICES | TRADITIONAL COSTS | YOUR COST |
---|---|---|
Annual Well-Woman Exams | $600 | Included |
Family Planning counseling | $150/hr | Included |
Urine Pregnancy Testing | $30 | Included |
STD Testing | $600 | $70 |
Hormone Replacement Testing/Counseling/Replacement | $250-600 | Wholesale |
Men’s Health
SERVICES | TRADITIONAL COSTS | YOUR COST |
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Testosterone panel | $300 | $30 |
Testosterone replacement injectable (once weekly injections) | $300/month | $25/mo |
Testosterone replacement cream | $400/mo | $25/mo |
Erectile Dysfunction Drugs | $50/pill | $5/pill |
Skin Care
SERVICES | TRADITIONAL COSTS | YOUR COST |
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Wound Care | $150 | Included |
Removal of Minor Lesions | $250 | Included |
Biopsies of Skin Growths and Moles (Does not include cost of Pathology fee) | $250 | Included |
Cryotherapy for growths | $250 | Included |
Wart Removal | $250 | Included |
Radiology
Some example rates…
SERVICES | TRADITIONAL COSTS | YOUR COST |
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X-Rays w/ Interpretation | $300 | $35 |
MRI | $3000 | $400 |
CT | $2000 | $250 |
Ultrasound | $1200 | $150 |
Screening Mammogram | $400 | $150 |
Laboratory
Some example savings…
SERVICES | TRADITIONAL COSTS | YOUR COST |
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Annual Labs | $300 | $0 (Once Annually) |
Blood Glucose | $30 | $0 |
INR | $30 | $0 |
Hemoglobin A1c | $50 | $5 |
Urinanalysis | $50 | $5 |
Cholesterol Panel | $50 | $5 |
Complete Metabolic Panel | $150 | $5 |
Full Thryroid Panel | $150 | $15 |
Generic Medications
Some example rates…
SERVICES | TRADITIONAL COSTS |
---|---|
Amlodipine 10mg | $10 |
Lisinopril 10mg | $10 |
Hyzaar 100/25 | $15 |
Metformin 500mg ER | $10 |
Atorvastatin (Generic Lipitor) 40mg | $15 |
Levothyroxine (Generic Synthroid) 100mcg | $20 |
Azithromycin (Z-pak – One pack) | $10 |
Augmentin (10-d supply) | $10 |
Other Common Services
SERVICES | TRADITIONAL COSTS | YOUR COST |
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Sports Physicals | $100 | Included |
DOT Exams | $100 | Included for members |
Colonoscopy | $4,000 | $1,075 (Preferred provider only) |
Sleep Study | $1,200 | $150-300 |
EXTENDED MEMBERSHIP

Unlimited primary care plus cost-sharing for major medical needs
Primary365+™ is our premium membership option that includes Sedera Medical Cost Sharing to create a complete healthcare solution. Together, they protect members from life’s medical uncertainties and expensive medical bills (without any insurance hassles).