Blue Spruce Health

Membership at Blue Spruce Health costs $150 per month for adults ages 27 to 59. Members ages 0 to 26 with an adult member pay $100 per month, and members 60 and older pay $175 per month. A one-time registration fee of $99 applies per individual or family. The practice also offers a 10 percent couples discount and a 10 percent discount for annual payment. Families pay for up to three children; additional children join for free.

The membership covers unlimited clinic visits, telehealth, comprehensive annual exams, chronic disease follow-up, wellness exams, sports participation screenings, urgent care, hormone evaluation and replacement, medically assisted weight loss, and a range of in-office procedures. Members also receive access to discounted cash-pay lab tests, discounted generic medications, discounted imaging, and secure 24/7 messaging through the Spruce platform.

Blue Spruce Health does not bill insurance for membership fees or covered services. The membership works well alongside PPO, HDHP, FSA, HRA, and HSA plans. Starting in 2026, DPC membership fees become HSA-eligible, up to $150 per month for individuals and $300 per month for families. Many members pair their membership with a high-deductible insurance plan for catastrophic coverage.

Members connect with Dr. Malik after hours through the Spruce platform, which supports secure text messaging, video chat, and photo sharing in real time. The practice also offers telehealth visits through the same app. This 24/7 access covers after-hours urgent concerns without a trip to the emergency room.

Yes. The practice schedules same-day and next-day appointments. Appointments run 30 to 60 minutes so visits never feel rushed. All visits require an appointment; patients can book online or by calling their nearest office.

Yes. Dr. Malik provides home visits for members who need care at home. Members can arrange house calls by contacting the practice directly.

The savings are significant. 80 at other primary care offices. 00. For many members with high-deductible plans, the cash-pay prices Blue Spruce Health offers run lower than their deductible or copay amounts.

Yes. Blue Spruce Health provides a full range of occupational health services, including DOT physicals, pre-employment physicals, drug screens, titers, vision screenings, and vaccinations. The team can also travel onsite to vaccinate staff. Employers can contact the practice directly for occupational health pricing and scheduling.

Yes. Blue Spruce Health offers employer-sponsored memberships for businesses looking to strengthen their team's healthcare benefits. Employers who sponsor memberships report medical costs cut by more than 50 percent per employee per month. The membership is compatible with existing group health insurance plans and supports FSA, HRA, and HSA arrangements.

Blue Spruce Health caps its panel at 600 patients. That limit keeps appointment times generous and ensures same-day and next-day access. Prospective patients can join online or by contacting any of the three Vermont office locations.