Vivant Medical Concierge logo
Concierge
Family Medicine

Vivant Medical Concierge

Quick Facts

Membership Price Range$3,999/yr Titanium Care Program (Founders Price) | $300/mo Platinum HRT Optimization | $200/mo Golden Weight Management (+$300 for medications)
Practice TypeConcierge
LocationSouth Tampa, Hyde Park, Davis Islands, Downtown Tampa, Channelside, Harbour Island, Tampa Bay
DoctorsGretchen San Miguel MD, Family Medicine
Telehealth TypeTelehealth appointments when appropriate
HousecallsYes
Telehealth AvailableYes

About

At Vivant Medical Concierge, Dr. Gretchen San Miguel delivers mobile primary care throughout Tampa, FL. She brings triple board certification in Family Medicine, Geriatrics, and Obesity Medicine to every visit. Her clinical focus spans preventive care, hormone optimization, weight management, and chronic disease management. Vivant operates without a traditional clinic. Dr. San Miguel travels directly to each patient's home, office, or preferred location across South Tampa, Hyde Park, Davis Islands, Downtown Tampa, Channelside, and Harbour Island. She pairs evidence-based medicine with a whole-person philosophy, aiming to help patients not just avoid illness but genuinely thrive. The practice offers three membership tiers: the Titanium Care Program at $3,999 per year, the Platinum HRT Optimization program at $300 per month, and the Golden Weight Management program at $200 per month. Patients who prefer occasional visits can book one-time appointments without a membership.

Details

Membership

$200/monthly ($3,999/annual)

Membership Details

Titanium Care Program: $3,999/year - includes in-home annual physical, six-month follow-up, unlimited prescription refills, specialist referrals, 24/7 portal access, same-day/next-day appointments, acute telehealth and in-home visits, on-location lab draws. Platinum HRT Optimization: $300/month - includes HRT & thyroid optimization consult, labs, follow-up, 24/7 portal access (medication not included). Golden Weight Management: $200/month (+$300 for medications) - includes weight loss initial visit, injections, follow-up, 24/7 portal access. A la carte one-time visits also available without membership.

Telemedicine
House Calls
Same-Day Appointments

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Frequently Asked Questions

Vivant Medical Concierge offers three membership tiers. The Titanium Care Program runs $3,999 per year and covers in-home annual physicals, unlimited prescription refills, same-day or next-day appointments, telehealth, in-home acute visits, and on-location lab draws. The Platinum HRT Optimization program costs $300 per month and covers hormone and thyroid optimization with labs and follow-up. The Golden Weight Management program starts at $200 per month, with an optional $300 add-on for medications.

Yes. Vivant Medical Concierge offers one-time, a la carte visits for patients who do not want an ongoing membership. These visits give you direct access to Dr. San Miguel without a long-term commitment. Many patients who start with a single visit choose to transition into a membership for continuity of care.

Vivant Medical Concierge does not bill insurance for primary care services. Patients can still use their insurance for prescriptions, lab work, imaging, and specialist referrals. This approach keeps care transparent and flexible.

Vivant Medical Concierge serves patients across Tampa, including South Tampa, Hyde Park, Davis Islands, Downtown Tampa, Channelside, Harbour Island, and surrounding Tampa Bay communities. Dr. San Miguel travels directly to each patient's home, office, or preferred location. There is no traditional clinic to visit.

Titanium Care Program members receive same-day or next-day appointment access as part of their membership. Dr. San Miguel keeps her patient panel limited to make this level of availability possible. Members also have 24/7 access to the patient portal for ongoing communication.

Yes. Vivant Medical Concierge offers telehealth appointments for situations where an in-person visit is not required. Members can access virtual care through the patient portal. This is particularly useful for follow-up visits or when patients are traveling.

The Titanium Care Program covers an in-home annual physical and wellness evaluation, a six-month follow-up with lab review, unlimited prescription refills, specialist referrals, same-day or next-day appointments, acute telehealth visits, in-home acute visits, on-location lab draws, and 24/7 portal access. Vivant prices this program at $3,999 per year.

Vivant works well for busy professionals, families, frequent travelers, and patients managing chronic conditions. It is also a strong fit for adults focused on hormone health, weight management, or healthy aging. Anyone who values direct physician access and convenience over a traditional clinic experience will find the practice a natural match.

Yes. Vivant Medical Concierge provides acute non-emergent care through same-day in-home visits and telehealth. Titanium Care Program members receive both options as part of their membership. For true emergencies, patients should contact emergency services.

New patients can schedule an introductory call directly through the Vivant Medical Concierge patient portal. During that call, Dr. San Miguel's team reviews membership options and builds a personalized care plan. Patients who prefer a single visit can also book an a la carte appointment without committing to a membership.

Practice last updated June 11, 2026