— annual membership · paid up front —

Three tiers.
One practice.

Membership is annual, paid up front, and capped per tier. We do not accept insurance. Most members submit visits for FSA / HSA reimbursement. Cancel any time, prorated refund.

— foundation —

Foundation

$3,400 /year

For healthy adults · 2 visits + 1 bloodwork panel per year

— what's included —

— what's not —

Apply for Foundation →
— cornerstone —

Cornerstone

$6,800 /year

Most chosen · quarterly visits + advanced labs · the program almost everyone re-enrolls in

— everything in foundation, plus —

Apply for Cornerstone →
— deep —

Deep

$14,000 /year

For complex cases or maximum optimization · monthly visits + concierge access

— everything in cornerstone, plus —

Apply for Deep →
— side by side —

The full matrix.

FeatureFoundationCornerstoneDeep
— visits —
Annual physical90 min90 min90 min
Follow-up visits / year1 (60 min)4 (60 min)12 (60 min)
Acute visits (urgent)4 / yearUnlimitedUnlimited + same-day
Telehealth
— bloodwork —
Standard panel (CBC, CMP, lipid, A1C, TSH)1 / year2 / year4+ / year
Advanced lipids (ApoB, Lp(a))2 / year4 / year
Hormones (sex hormones, cortisol)2 / year4 / year
Micronutrient panel1 / year2 / year
Inflammation markers (hs-CRP, IL-6)2 / year4 / year
— body composition + imaging —
InBody body composition1 / year4 / year4 / year
DEXA scan2 / year4 / year
Full-body MRI (Prenuvo or equiv.)1 / year
VO₂ max test1 / year2 / year
CT calcium score1 / year
— access —
Same-day texting✓ (24h SLA)✓ (4h SLA)✓ (1h SLA)
Specialist referral network
Mental health (collaborative)Included
— common questions —

Things you'll want to know.

Do I still need insurance?

Yes — we recommend keeping a high-deductible or catastrophic plan for hospitalization, surgery, and emergency care. Membership covers our practice; insurance covers what we don't do.

Can I use my HSA / FSA?

Most members can. Membership fees themselves are not always reimbursable, but individual visits, labs, and procedures inside the practice are typically eligible. We supply itemized receipts.

What if I want to cancel?

Cancel any time. We refund unused months on a prorated basis. The only catch: if you cancel mid-year and re-enroll later, you re-enroll at the back of the waitlist.

Why is the practice capped at 240 patients?

So that visits can be 60-90 minutes long, same-day texting can be answered, and our physicians remember who you are. The math works out to roughly 60 patients per physician — a fraction of a typical primary-care load (1,500-2,500).

Can my whole family join?

Yes. Spouses and dependents are -25% off membership at any tier. We see members from age 14 and up.

— next step —

Inquire about a seat.

14 spots open in the 2026 cycle. The 2027 waitlist is open. Both close by the end of summer.

Inquire about membership →