
Thrive Direct Primary Care
Quick Facts
| Membership Price Range | Adults 18-39: $90/mo (regular) / +$70/mo (family add-on); Adults 40-64: $120/mo (regular) / +$100/mo (family add-on); Adults 65+: $150/mo (regular) / +$130/mo (family add-on) — Waitlist Only. Enrollment Fee: $100/new member. Re-Enrollment Fee: $350. Save 5% quarterly, 10% annually. |
| Practice Type | Direct Primary Care |
| Location | Latham, upstate New York |
| Doctors | Disha Spath MD, FACP, Internal Medicine |
| Telehealth Type | Video visits, phone, secure messaging |
| Housecalls | Yes |
| Telehealth Available | Yes |
About
At Thrive Direct Primary Care, Dr. Disha Spath delivers personal, unhurried internal medicine to adults in Latham, NY. She built the practice around a simple conviction: good medicine requires real time and real relationships. Appointments run 30 to 60 minutes, and members reach Dr. Spath directly by text, call, or video.
The practice covers a broad clinical range. Dr. Spath manages chronic conditions like diabetes, hypertension, and thyroid disease alongside preventive care, women's health, and in-office procedures. She coordinates specialist referrals, labs, and imaging so members never navigate the system alone. Thrive also hosts the Community of Wellness, a group program organizing movement and wellness activities for members. Dr. Spath hosts "The 518 Thrives Healthcast," a podcast covering cardiovascular health and preventive medicine topics for the upstate New York community.
Details
Address
711 Troy Schenectady Road, Suite 207, Latham, NY 12110
Phone
(518) 490-5990Website
Visit websiteMembership
$90/monthly
Membership Details
Age-based monthly membership with no copays or deductibles. Enrollment fee of $100 per new member. Re-enrollment fee of $350 if a cancelled member returns. Home visit: $100/visit. After hours visit: $50/visit. Discounts: 5% quarterly, 10% annually.
Typical Appointment
45 minutes
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Frequently Asked Questions
Membership starts at $90 per month for adults ages 18 to 39. Adults ages 40 to 64 pay $120 per month. A one-time enrollment fee of $100 applies to all new members. Thrive also offers a 5% discount for quarterly payment and a 10% discount for annual payment.
Thrive does not bill insurance for membership fees. Members pay a flat monthly fee with no copays or surprise bills. However, the practice coordinates with your insurance or negotiates discounted cash rates for labs, imaging, and medications. Members can also use HSA or FSA funds to cover membership costs.
Members contact Dr. Spath directly by text, phone, or video. Secure direct messaging runs from 8am to 8pm on weekdays. When you reach out, you communicate with Dr. Spath, not a call center or answering service.
Yes. Thrive offers same-day and next-day appointments for members. Whether you have an urgent sick visit or a routine concern, Dr. Spath keeps her panel sized to accommodate timely access.
Appointments typically run 30 to 60 minutes. The practice structures visits this way so Dr. Spath has enough time to listen, answer questions, and address your concerns fully.
Yes. Dr. Spath offers home visits for $100 per visit and after-hours visits for $50 per visit. These options give members access to care beyond standard office hours and without a trip to urgent care.
Thrive does not currently accept Medicare-enrolled or Medicaid-enrolled patients while the practice completes its Medicare roster and compliance steps. Adults 65 and older and those enrolled in Medicaid can join a waitlist to receive notification when enrollment opens.
No. Thrive offers month-to-month memberships with no long-term contracts. Members who cancel and later choose to return pay a re-enrollment fee of $350.
Every membership includes unlimited in-person and virtual visits, same-day or next-day scheduling, preventive care, chronic disease management, urgent sick visits, in-office procedures, care coordination, prescription management, and insurance coordination for labs and imaging. Thrive also organizes Community of Wellness group activities for members.
Dr. Spath offers a complimentary Meet and Greet so prospective patients can ask questions before committing. The visit is non-clinical and carries no pressure or obligation. You can book through the Thrive website and sign up for membership online.
Practice last updated April 10, 2026


