Primary Care
Membership Medicine for Better Primary Care
Primary care should not feel rushed.
It should not feel fragmented.
And it should never feel like you are navigating your health alone.
At Coastal Care Vitality, our Primary Care program is built on membership medicine — a structure intentionally designed to give you more time, more access, and a more proactive plan for your long-term health.
This is relationship-based care built to preserve strength, independence, and confidence at every stage of adulthood.

What Makes This Different
Traditional primary care is often built around volume.
Membership medicine is built around people.
Our members value:
- Longer, unrushed appointments
- Direct, secure access to their care team
- A physician who truly understands their history
- Thoughtful coordination with specialists
- Proactive health planning — not just reactive treatment
- A stable, consistent relationship over time
We care for adults of all ages, with many of our members seeking experienced, physician-led guidance as they move through midlife and beyond.
Comprehensive Primary Care Services
We provide the full scope of primary care, including:
- Annual physicals and comprehensive lab review
- Preventive screenings and personalized risk assessments
- Chronic condition management (diabetes, hypertension, heart disease, and more)
- Sick visits and acute concerns
- Medication management and oversight
- Specialist referrals and coordinated follow-up
- Individualized long-term health planning
But what patients consistently tell us is that the experience feels different.
There is time to talk.
Time to ask questions.
Time to plan.
And that time changes everything.
The Membership Experience
This is not traditional primary care.
It is membership medicine — intentionally structured to give you what most practices simply cannot: time, access, and a true partnership in your health.
Instead of feeling like a number in a schedule, you become a member of a practice built around relationship and continuity.
Our appointments are typically 45 minutes to an hour — often longer when needed. That time allows real conversation, careful review of your history, and thoughtful planning for what comes next.
Your membership provides:
- 45–60 minute visits that are never rushed
- Same- or next-day availability when appropriate
- A physician who truly knows your history, not just your chart
- Proactive planning to preserve mobility, cognition, and independence
- Thoughtful coordination with specialists and follow-through on care plans
- Direct, secure communication with your care team when questions arise

Insurance, including Medicare, is billed for eligible medical services.
Your membership is what makes this higher standard possible — supporting the time, attention, and proactive strategy that define the Vitality experience.
Communication & Access
Members benefit from direct, secure communication through our dedicated messaging platform (via the Spruce app), allowing you to connect with your care team in a convenient and confidential way.
Whether you have a follow-up question, need clarification on a plan, or simply want reassurance, communication is streamlined, personal, and responsive.
This is care that feels connected — not distant.
Membership Pricing
We believe transparency matters.
Membership is:
$225 per month
or
$2,500 annually
A one-time $150 registration fee applies.
This investment supports the time, access, and proactive planning that define the Vitality experience.
Insurance, including Medicare, is billed separately for eligible medical services.
Ready to Experience a Better Standard of Care?
If you are looking for:
- A physician who truly knows you
- More time in your appointments
- A proactive approach to aging well
- Clear, direct communication
- A stable, relationship-centered model