Our goal is to provide you with the kind of premium, thoughtful care that you simply can’t find in most corporate-managed or insurance-driven practices. By operating as a membership-based, direct-pay practice, we keep your care personalized and cost-effective — without the massive overhead that comes from staff spending hours trying to get insurance companies to approve tests, medications, or treatments they often don’t want to cover.
The primary benefit of membership is enhanced accessand availability of comprehensive and consistent care in a timely manner,allowing for meaningful physician engagement, proactive follow-up, andcontinuity of care that is not typically available in standard medicalsettings.
Our practice delivers a substantially broader and more integrated scope of care than traditional primary care models. In addition to comprehensive primary and preventive care, we routinely manage and coordinate advanced aspects of cardiovascular, endocrine, nephrology, gastroenterology, metabolic, neurocognitive, longevity, preventive, basic dermatologic, and psychiatric care. This expanded scope allows patients to receive highly personalized, continuity-based medical care that often reduces the need for fragmented specialty management.
Many concierge practices offering only conventional primary care services charge annual fees of $10,000 or more, while practices providing a similarly comprehensive scope of precision and longevity-focused care are frequently priced substantially higher. Our goal is to provide advanced precision primary care, preventive medicine, and evidence-informed longevity care while maintaining reasonable and sustainable pricing.
Your Membership includes reasonable usage for 12 months for an upfront fee of $10,000, payable prior to your start date ($16,000 for couples). Unlike standard medical practices, it is typical to have an initial 2 hour visit, which will have been preceded with needed labs, full prior chart review, to make for an efficient visit where we start moving things forward in a meaningful fashion from your first visit. We get to know you, and you are provided with meticulous care to optimize your health. Please note that prospective patients will be screened by Grant Fraser, M.D., or Yvette Fraser our nutrition/lifestyle coach, and a 30 minute session with Dr. Fraser to discuss and set expectations is available, pre-paid for $250. This amount will be credited toward your membership.
Nutrition Support is also available. Any nutrition consults with our trusted nutrition coach to allow for optimization of dietary and lifestyle which is so important in the support of longevity and prevention of disease.
Stable dosed medications are typically prescribed for 90 days with 3 refills. New medications, typically for 30 days. Controlled substances, which are typically limited to testosterone, and rarely to other medications, require a visit within 90 days. When needed we will work on prior-authorizations for medications initially denied by your insurance. Please note, we cannot guarantee approval by your insurance.
All patients are required to complete a minimum baseline panel of lab work and imaging to ensure we have a thorough understanding of your health status. This is essential to practicing safe, effective longevity medicine and optimizing your care plan.
We can order standard labs through LabCorp, Quest, or your preferred lab. Advanced or functional medicine tests are often run through specialty labs such as Rupa or Evexia. Many tests may be partially or fully covered by your insurance at negotiated rates. However, it’s vital that you verify with your insurance provider which tests are covered to avoid surprise billing. If your insurance denies coverage, labs can cost significantly more — sometimes 10–15 times higher than negotiated rates. If you have a high-deductible plan, paying cash upfront for labs can often be much more cost-effective. We’re happy to help you navigate these options.
Similarly, we can coordinate radiology testing through any local facility, and if insurance is unlikely to cover it, we can often secure cost effective self-pay pricing. For example, we have helped patients get imaging that would have cost thousands through insurance done for as little at 10-15% of that amount by using direct-pay centers.
Most medications we recommend are standard prescriptions typically covered by insurance or available at reasonable self-pay rates. For compounded or specialty medications, we help you find cost-effective sources. When we order medications directly through trusted compounders, we pass on those savings — with a modest processing surcharge to cover our administrative costs.
We offer trusted guidance on supplements but do not push in-house brands or markups. You’ll have access to high-quality options through our FullScript account, often with a discount, or we’ll recommend reputable brands available elsewhere. Supplements should always be chosen carefully — we’ll make sure they fit your goals and won’t interact with other therapies.
Unlike traditional offices where you may wait weeks for a rushed 7-minute visit, all your booked time with us is one-on-one with Dr. Fraser, via secure telemedicine. This allows us to collaborate meaningfully on complex issues efficiently and thoroughly — without the commute or the waiting room.
Many patients choose us to serve as their comprehensive primary care provider. We’re comfortable managing common conditions like hypertension, lipid disorders, hormone optimization, metabolic health, and prevention of cognitive decline — as well as advanced longevity strategies that go far beyond routine medicine.
Good nutrition is often the most powerful lever for lasting change. Our nutrition coach, Yvette, is a trusted resource who provides practical, personalized guidance to help you implement changes that really stick.
In Summary:
✅ Your membership means your time is focused entirely on you.
✅ We respect your investment and help you navigate labs, imaging, and medications wisely.
✅ You get direct access, a clear plan, and a practice that works for you — not your insurance company.
We’re honored to help you take control of your health and longevity journey.