Signature Health
Quick Facts
| Membership Price Range | Adults over 39: $2,000/yr | Spouse/Partner (over 39): $1,800/yr | Adults under 39: $900/yr | Newborn through college age - 1st Child: $900/yr, 2nd Child: $700/yr, Each subsequent child: $500/yr (minus $200 if parent is a patient) | Family Maximum: $5,000/yr (parent over 39), $4,000/yr (parent 39 or younger) | Premium Membership with Home Visits (Dr. Spiegel only): $3,000/yr, Spouse/Partner: $2,500/yr |
| Practice Type | Concierge |
| Location | Homewood, Birmingham, Forest Park, Vestavia Hills |
| Doctors | Sarah Bagwell MD, Internal Medicine, Rob Spiegel MD, Internal Medicine |
| Year Founded | 2008 |
| Housecalls | Yes |
About
At Signature Health in Homewood, Alabama, two physicians deliver concierge internal medicine and pediatric care with a focus on wellness and prevention. Dr. Rob Spiegel founded the practice in 2008. Dr. Sarah Bagwell joined in 2024, adding dual-boarded expertise in internal medicine and pediatrics. The practice limits its total patient panel to protect quality and access. Members reach their doctor by cell phone around the clock. The fee structure covers spouses and partners at a reduced rate, children at tiered rates, and even visiting family members of existing members. Dr. Spiegel offers a Premium Membership that includes home visits for a limited service area. The office on Crescent Avenue runs in-house EKG and blood draw services. Coordination with specialists, hospice and palliative care, and secure online access to records and lab results round out what the practice provides.
Details
Address
2910 Crescent Avenue, Homewood, AL 35209
Phone
(205) 380-8820Website
Visit websiteMembership
$2,000/annual
Membership Details
Annual membership fees vary by age and family structure. Adults over 39: $2,000; Spouse/Partner discount: $1,800; Adults under 39: $900. Dr. Bagwell also accepts pediatric patients (newborn through college age) with tiered sibling discounts. Family maximums apply. Dr. Spiegel offers a Premium Membership with Home Visits for $3,000/yr. Medicare and private insurance do not cover membership fees, but HSA funds may apply. Unused annual fee is refunded if patient leaves.
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Frequently Asked Questions
Membership fees vary by age and family structure. Adults over 39 pay $2,000 per year. Adults under 39 pay $900. A spouse or partner pays $1,800. Dr. Bagwell accepts pediatric patients with tiered sibling pricing starting at $900 for the first child. Family maximum fees apply. Dr. Spiegel also offers a Premium Membership with home visits for $3,000 per year.
No. Neither Medicare nor private insurance covers the annual membership fee. However, Health Savings Account (HSA) funds may apply depending on your specific plan. The practice recommends confirming coverage with your tax advisor or employer. Signature Health does bill your insurance for covered medical services rendered during visits.
Yes. Signature Health recommends that all members maintain their health insurance. Insurance remains necessary for hospital stays, specialist visits, prescription medications, x-rays, and advanced diagnostic tests. The annual membership fee covers the concierge relationship and in-office services, not comprehensive insurance coverage.
Yes. Signature Health provides members with direct cell phone access to their doctor. A physician is available 24 hours a day, seven days a week. When either doctor is away for travel or a conference, a qualified covering physician remains on call.
Yes. Signature Health guarantees same-day or next-day appointments for members. m. m. m. m. The practice also accommodates after-hours visits on a case-by-case basis.
Signature Health operates a full-service medical office. The team performs in-office EKGs and blood draws for routine lab work. The practice also handles prescription refills, care coordination with specialists, and hospice and palliative care. Members access lab and radiology results through a secure online portal after their doctor reviews them.
Yes. Signature Health sees visiting family members of existing members when care is needed. The practice bills the visitor's individual insurance for the visit. Visiting family members receive the same quality of care that members experience.
Signature Health refunds the unused portion of the annual membership fee if a patient leaves the practice. Medical records transfer to another provider upon request.
Yes, through the Premium Membership option available with Dr. Spiegel. This tier costs $3,000 per year and includes home visits within a limited service area. A discounted rate of $2,500 applies for a spouse or partner on the same premium plan.
Call the Signature Health office at 205-380-8820 to schedule a tour or ask questions about membership. The staff can walk you through membership options and help you get started. Both Dr. Spiegel and Dr. Bagwell currently accept new patients.
Practice last updated June 9, 2026