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.

Membership Options

Dedicated Doctor
Care Team Support
Same day/Next day Responses
Same day/Next day In-Person Visits
Free generic prescription drug program
Free mental health program
Free maintenance labs with biomarker analysis
Discounted rates for lab tests
In-office medical procedures
Free EKG tests
Breathing treaments for asthma or bronchitis
Cortisone shots in the knees, shoulders, and other joints
Removal of skin tags, sebaceous cysts, and lipomas
Destruction of skin tags and warts with liquid nitrogen
Removal of excess ear wax
Treating ingrown toenails and infections in nailbeds
Draining abscesses
Rapid Strep and Flu testing
Flu and Tetanus vaccines are provided for free (other vaccines are provided at cost)
Skin biopsies for unusual rashes and lesions concerning for skin cancer
Trigger point injections
Body composition testing
Antibiotics for treatment of STDs and STIs
Discounted rates for at-home sleep studies, heart rate monitoring (Holter monitoring), and bone density screening
Discounted imaging
Discounted specialist referrals
Larger Medical Costs (i.e. hospitalization, surgeries, ER visits, MRIs)
You select your membership level (i.e. Initial Unsharable Amount)
Clear guidelines and simple cost sharing process
Annual Individual Max # of IUAs per membership year
Annual Family Max # of IUAs per membership year
Dedicated “Needs” Coordinator
Child immunizations
Screening colonoscopy and/or mammogram
Monthly Membership Fee
$125 (18-64)
$150 (65+)
Plan Cost Details


One Superior Membership Delivered Two Different Ways:


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
18 to 64
65 AN UP

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.


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
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
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
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
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
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

Some example rates…

X-Rays w/ Interpretation $300 $35
MRI $3000 $400
CT $2000 $250
Ultrasound $1200 $150
Screening Mammogram $400 $150

Some example savings…

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…

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
Sports Physicals $100 Included
DOT Exams $100 Included for members
Colonoscopy $4,000 $1,075 (Preferred provider only)
Sleep Study $1,200 $150-300

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).