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VANGUARD PHYSICIANS CONCIERGE

Membership Tiers

Your physician comes to you. No waiting rooms. No insurance. No surprises.

100% Mobile

Care at home, office, or wherever you are

Board-Certified

Multiple board certifications, complex cases handled in-house

Cash-Pay Only

No insurance. No surprise bills. One flat rate.

Our Membership Plans

VANGUARD HSA

Month-to-month. No contracts.

$150

Monthly

BEST FOR

Virtual-first patients, self-employed professionals, and HSA/FSA users who want direct physician access at an accessible monthly rate.

What's Included

ACCESS

Your doctor, one call away.

$299

Monthly

BEST FOR

Uninsured professionals, self-employed individuals, and executives who want a premium primary care relationship without insurance complexity, surprise bills, or waiting rooms. 

What's Included

SELECT

Your doctor, quarterly.
And the data in between.

$499

Monthly

BEST FOR

High-earning professionals who want quarterly house calls, a wearable device with monthly physician data review, proactive lifestyle coaching, and a physician who knows what’s happening with their health before they do.

What's Included

PREMIERE

On-call. On-demand.
No compromises.

$799

Monthly

BEST FOR

C-suite executives, business owners, and high-net-worth individuals who require on-demand access, hospital advocacy, a physician who personally fast-tracks every referral, and a dedicated healthcare team that runs entirely in the background of their lives.

What's Included

HSA & FSA ELIGIBLE — NEW IN 2026

As of January 1, 2026, Vanguard memberships qualify for reimbursement from HSAs and FSAs. A Select member can cover their full annual membership ($3,588) with pre-tax dollars — making the effective monthly cost $0. Ask us how to maximize your savings.

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ACCESS

$299

/mo

SELECT

$499

/mo

PREMIERE

$799

/mo
Telemedicine visits
Up to 8/month
Unlimited
Unlimited, 24/7

House calls

1 per year
4 per year (quarterly)
Up to 4 per month

Physician response time

Same/next day 

Same day (priority)
On-demand, 24/7
Direct physician line

Phone, text, email

Phone, text, email

24/7 personal line

Annual wellness exam

Included

Included

Included + mid-year review
Longevity deep-dive workup

—

—

Annual (in-home, 2–3 hrs)

Lab work included

Up to $100/yr

Up to $250/yr

Up to $500/yr + advanced panels

Remote health monitoring
Add-on
Apple Watch or Withings + monthly check-in
Included + quarterly review
Nutrition & lifestyle coaching

—

Included
Included
Mental health coordination

—

Referral network

Dr. Syed personally introduces you

Hospital bedside advocacy

—

—

Included

Specialist fast-track
Standard referral
Enhanced coordination

Dr. Syed personally calls, warm handoff

Travel health kit + consult

—

—

Included

Wellness Focus Programs

Programs Available

Programs Available

Programs Available

Wholesale pharmacy access

Included

Included

Included

HSA/FSA eligible

Yes

Yes

Yes

Monthly investment

$299

$499

$799

READY TO GET STARTED?

All memberships are month-to-month. No insurance required. No long-term commitment. Schedule a complimentary 15-minute call to find the right tier and program for you.
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VANGUARD HSA

Virtual-first physician care for patients who value direct access, continuity, and experienced medical guidance.

$150
Monthly

What's Included

  • Weekly Telemedicine Access — Video, phone, and secure messaging visits as needed through Spruce
  • Direct Physician Communication — Communicate directly with Dr. Syed through a HIPAA-compliant messaging platform
  • Same/Next-Day Availability — Rapid scheduling for urgent primary care concerns based on availability
  • Prescription Management — Medication refills, treatment adjustments, and chronic medication monitoring without unnecessary urgent care visits
  • Chronic Disease Support — Ongoing management of hypertension, diabetes, thyroid disease, cholesterol disorders, and other common conditions
  • Discounted House Calls — Physician home visits available within DFW for $100 per visit
  • Hospital & Specialist Care Coordination — Guidance during hospitalizations, rehab stays, specialist visits, and transitions of care
  • Post-Acute & Complex Care Experience — Backed by extensive experience in hospital medicine, hospice leadership, wound care, rehabilitation, and telemedicine
  • Wholesale Prescription Access — Discounted medication pricing through Cost Plus and partner pharmacies-
  • After-Hours Messaging — Urgent concerns may be sent anytime through Spruce with prompt physician response whenever possible
  • HSA/FSA Eligible — Use pre-tax HSA/FSA dollars for membership expenses
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ACCESS

Month-to-month. No contracts. Real Access. Real Physician. Flat Rate.

$299
Monthly

What's Included

  • Telemedicine — Up to 8 visits/month — video, phone, or secure message through Spruce
  • 1 House Call/Year — In-home visit, DFW area, scheduled in advance — subject to Dr. Syed's availability and scheduling
  • Same/Next-Day Access — We do our best to accommodate same or next-day appointments. Scheduling depends on availability — our goal is always to see you quickly.
  • Secure Patient Messaging — Communicate directly with Dr. Syed via the Spruce patient portal (HIPAA-compliant, secure messaging). We respond to non-urgent messages within one business day.
  • Annual Executive Wellness Exam — Comprehensive head-to-toe physical included
  • Chronic Disease Management — HTN, diabetes, thyroid, and more — ongoing
  • Prescription Management — Refills and medication adjustments without coming in
  • Mobile Phlebotomy — In-home blood draw included with any lab order
  • Lab Work — Up to $100/year at Vanguard member pricing — Quest DPC wholesale rates with a small practice markup, far below retail or insurance pricing (see separate lab menu)
  • Specialist Referral Coordination — Physician-directed referrals when needed
  • Wholesale Pharmacy Access — Cost Plus Drugs pricing on all prescriptions
  • After-Hours Messaging — Urgent concerns can be sent through Spruce at any time. Dr. Syed makes every effort to respond to after-hours messages as soon as possible. For life-threatening emergencies, call 911.
  • Wellness Focus Program — Add any program for additional monthly fee — see program menu
  • HSA/FSA Eligible — Pay with pre-tax dollars — effective cost as low as $0
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SELECT​

Month-to-month. No contracts. Everything in Access, Elevated. Your Physician Checks In With You — Every Single Month.

$499
Monthly

What's Included

  • Everything in Select, plus:
  • 4 House Calls/Year — Quarterly in-home visits — same-day priority scheduling
  • Daily Telemedicine Visit — As needed during business hours
  • Wearable Device Included — Your choice of wearable device provided at enrollment: Oura Ring, Whoop Band, Apple Watch Series 10, or Withings ScanWatch 2. Device selection based on availability and clinical fit — Dr. Syed will recommend the right device for your monitoring goals.
  • Monthly Monitoring Check-In — Dr. Syed personally reviews your wearable data every month and contacts you with findings
  • Lab Work — Up to $250/year at Vanguard member pricing — Quest DPC wholesale rates with practice markup, still 60–80% below retail (see separate lab menu)
  • Enhanced Diagnostics — Advanced workups ordered and interpreted in-house as clinically indicated
  • Nutrition & Lifestyle Coaching — Physician-guided, ongoing
  • Mental Health Referral Network — Access to a curated network of vetted psychiatrists and therapists
  • Enhanced Specialist Coordination — We track and confirm your specialist appointments
  • 1 Wellness Focus Program Included — Choose any program; additional programs +$99/month each
  • Wholesale Pharmacy Access — Cost Plus Drugs pricing
  • HSA/FSA Eligible
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PREMIERE

The Highest Tier Of Concierge Medicine Available In DFW. Built For High Performers Who Want To Optimize Their Biology — Not Just Treat Disease.

$799
Monthly

What's Included

  • Everything in Select, plus:
  • One House Call per Month — Home, office, hotel, or anywhere in DFW — on demand
  • Daily Telemedicine Visit — As needed during business hours
  • True 24/7 Physician Access — Dr. Syed’s personal line. Not a service — your doctor.
  • Hospital Bedside Advocacy — Admitted anywhere? Dr. Syed will call your attending and advocate for your care.
  • VVI Assessment (Lab + Data Score Calculation) — A comprehensive composite health score calculated across five clinical pillars — cardiometabolic, inflammation, hormonal, micronutrient, and recovery — using your full lab panel and wearable data. Your biological age is calculated and compared to your chronological age. Score is tracked year over year, so you can see your trajectory, not just your number.
  • Annual Longevity Review (90-min Dedicated Session with Written Plan) — A dedicated 90-minute in-home session with Dr. Syed to review your VVI results, biological age trajectory, key longevity risk factors, and a written 12-month health optimization plan. This is distinct from your Annual Executive Wellness Exam — it is a forward-looking longevity strategy session, not a routine physical. Topics include cardiovascular age, hormonal optimization, metabolic health, sleep architecture, and long-term disease prevention.
  • Specialist Fast-Track Access — Dr. Syed personally calls your specialist, provides a direct clinical handoff, and gets you seen in days — not weeks
  • Mental Health Fast-Track — Dr. Syed personally makes the introduction — no searching, no waiting months for an intake
  • Lab Work — Up to $500/year at Vanguard member pricing — advanced cardiac and hormone panels included — Quest DPC wholesale rates with practice markup (see separate lab menu)
  • Dedicated Care Coordinator — A single person manages all your scheduling, referrals, and follow-ups
  • Quarterly Health Optimization Report — Your personalized health data, reviewed and updated every quarter with written notes from Dr. Syed
  • Concierge Travel Health — Travel health kit + pre-travel consultation before any international trip
  • Wholesale Pharmacy Access — Cost Plus Drugs pricing
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