Big Tree Medical

Big Tree Medical offers three membership tiers. The Access Membership runs $40 per month and is available only in Missouri for patients who carry traditional insurance. The Virtual-Only Membership costs $62 per month and is available in most states. The Unlimited Membership is $80 per month and requires living near one of the practice's clinic locations. All plans carry a three-month minimum commitment.

The Access Membership allows patients to bill appointments through their existing insurance while still accessing Big Tree's messaging, medication, and lab pricing benefits. The Virtual-Only and Unlimited memberships operate outside of insurance billing for primary care services. Big Tree recommends pairing a membership with a high-deductible plan or a health-sharing arrangement like Sedera for coverage beyond primary care.

Big Tree Medical operates brick-and-mortar clinics in Columbia, Boonville, Sedalia, and Jefferson City, Missouri. The Columbia location also houses Little Tree Pediatrics and an in-house pharmacy. S. states.

Big Tree members message their care team 24/7 through the Spruce app. The practice also offers same-day appointments for urgent needs. The Unlimited Membership provides unlimited in-person and virtual interactions with no per-visit charges.

Big Tree's in-house pharmacy at the Columbia clinic stocks over 180 generic medications at $1 for Missouri members. The practice also offers wholesale pricing on other medications. Missouri members typically pay significantly less for lab work through Big Tree's Quest partnership.

Yes. Little Tree Pediatrics operates as a dedicated pediatric clinic at 206 Corporate Lake Dr in Columbia, Missouri. Families enrolling children should contact the practice directly at 573-814-1170 to complete the sign-up process.

Big Tree Medical offers medical weight loss including compounded GLP-1 medications, hormone replacement therapy including Biote pellet therapy, and a Longevity Program featuring advanced biomarker testing, IV therapy, VO2 metabolic testing, and whole genome testing through a Biography Health partnership. The Columbia clinic also provides aesthetics services including laser hair removal, laser facials, cosmetic injections, and dermal filler.

Yes. Big Tree Medical works with employers to build group and self-funded health plans. Current employer clients include Chick-fil-A on Stadium Blvd, Shakespeare's Pizza, Murrys, College Park Christian Preschool, and GLH. Employers interested in group plans can contact the practice to discuss options.

Members may cancel after their initial three-month commitment. If a former member rejoins Big Tree Medical, the practice charges a $200 recommitment fee.

Big Tree Medical membership fees become HSA and FSA eligible starting January 1, 2026. Members should confirm eligibility details with their HSA or FSA administrator.