The Primary

The Primary offers both options so patients can choose what fits their situation. Insurance-based visits work well for patients who want to use their existing coverage for routine and sick care. The membership model suits patients who prefer direct physician access, longer visits, and monthly pricing with no copays. Either path connects you to the same physician and the same standard of care.

The Primary's membership includes monthly pricing with no copays, direct access to Dr. Spence, and longer in-depth visits. Some membership tiers also include expanded services such as hormone therapy and medical weight management. Membership patients also receive ongoing support and care coordination throughout their time in the practice.

Yes, The Primary accepts insurance-based visits for traditional primary care services. Insurance patients can access sick visits, chronic condition management, preventive screenings, routine checkups, and laboratory testing with follow-up care. Patients who prefer to use their insurance do not need a membership to receive care.

The Primary offers essential wellness and prevention, integrative and hormonal health, sick visits, chronic disease management, and medical weight optimization. Dr. Spence designs each service area to support both immediate health needs and long-term wellness goals. Patients receive care across all of these areas through a single, continuous physician relationship.

The Primary uses the Athena scheduling system for patient appointments. Patients can book directly through the patient portal online. For questions about which service or care model fits best, the practice also welcomes inquiries by email.

The Primary's website does not specify telehealth availability. Contact the practice directly to ask about remote or virtual visit options for your specific care needs.

The Primary builds care around prevention, continuity, and unhurried appointments. Dr. Spence structures visits with time in mind, so patients can fully engage with their health. The flexible access model gives patients a choice in how they receive care, which is not common in most standard primary care settings.

Yes, Dr. Spence sees patients for acute sick visits as well as ongoing chronic disease management. She addresses immediate symptoms while also tracking long-term health patterns. That combination supports both timely treatment and proactive prevention.