Choose a standalone physician consultation or one of our three longevity programs. No program enrollment is required for a consultation.
STANDALONE VISIT
Physician Consultation
Your questions. Dedicated time.
A focused visit with Dr. Butler to review your existing results and records, discuss health concerns and goals, and plan next steps. Vital signs included at in-person visits.
Book once or return as needed. Each consultation is purchased separately.
Monthly membership NoneLaboratory tests, imaging and other diagnostic tests are separately purchased. Ongoing physician access is not included.
LONGEVITY PROGRAM
Foundation
Begin with understanding.
An initial physician assessment, core labs, 3X4 Genetics and a dedicated results-review visit. Imaging and allied care are available as separately purchased add-ons.
$3,800Initial Assessment & Program FeeOne-time assessment
No monthly membership. No automatic annual renewal.
One-time total $3,800Includes a 90-minute assessment and one 60-minute results review. Optional services are additional.
Comprehensive assessments with annual imaging, performance testing, DPT, dietitian support and direct physician access. Whole-genome sequencing included initially.
$9,500Initial Assessment & Program FeeFirst year
$5,500/yearAnnual Program & Diagnostic FeeBeginning in Year 2
Plus $500/monthMonthly MembershipYear 1 and beyond · Ongoing physician care and direct access
First-year total $15,500Year 2 onward $11,500/yearIncludes 12 monthly payments. Optional services are additional.
Signature care with additional physician visits, annual Galleri when appropriate, annual TruAge, Apple Watch data review and a deeper lifestyle analysis.
$15,500Initial Assessment & Program FeeFirst year
$9,500/yearAnnual Program & Diagnostic FeeBeginning in Year 2
Plus $500/monthMonthly MembershipYear 1 and beyond · Ongoing physician care and direct access
First-year total $21,500Year 2 onward $15,500/yearIncludes 12 monthly payments. Optional services are additional.
For our longevity programs, the initial fee covers the first-year program and included diagnostics. The Annual Program & Diagnostic Fee replaces that initial fee beginning in Year 2; monthly membership continues for Signature and Pinnacle. The standalone consultation is purchased per visit.
THE DETAILS
Care, clearly outlined.
The initial physician assessment is separate from the follow-up allowance. The results-review and care-plan appointment counts as the first follow-up. Annual visit allowances can be scheduled around your needs. Select “View details” or “View included tests” below to explore each benefit without leaving this page.
Physician care
Physician care: Foundation, Signature and Pinnacle
Service / benefit
Foundation
Signature
Pinnacle
Program structureInitial Assessment & Program Fee in Year 1. Annual Program & Diagnostic Fee begins in Year 2. Signature and Pinnacle also have $500 monthly membership.
Initial assessment + results review
Annual program + monthly membership
Annual program + monthly membership
Initial physician assessment90-minute initial assessment in Year 1. Annual results reviews in later years count within scheduled follow-ups.
90 minutes
90 minutes
90 minutes
Scheduled physician follow-upsFour 60-minute follow-ups per year in Signature/Pinnacle. Results review counts as the first visit, including the annual review on renewal; in person or virtual.
One 60-minute results review and care-plan visit
Four 60-minute visits annually, including the initial results review and care plan
Four 60-minute visits annually, including the initial results review and care plan
Additional physician visitsYear 1: Foundation has 2 physician visits; Signature 5; Pinnacle up to 9, including the initial assessment. Renewal: Signature 4; Pinnacle up to 8. Each follow-up is 60 minutes.
Separately purchased
Separately purchased
Up to four additional 60-minute visits per program year, based on need
Personalized care planA written plan connects laboratory findings, history and individual goals.
Included at results review
Included; refined at follow-ups
Included; refined at follow-ups
Direct physician contact numberDirect access in Signature and Pinnacle. Responses may take longer during vacation, travel or other absence.
Not included
Included
Included
Physical examination, measurements & sleep assessmentIncludes sleep history and selected questionnaires. Diagnostic sleep testing is an outside referral.
Included
Included
Included
Conditional ECG and cognitive assessmentECG availability and delivery arrangements will be confirmed before scheduling. Neither assessment is automatic.
Included when needed for the initial assessment
Included when clinically indicated
Included when clinically indicated
Laboratory testing
Laboratory testing: Foundation, Signature and Pinnacle
Additional labs when clinically neededSelected for your history or findings. See which tests are covered and which methods may cost extra.
Included when needed to complete the initial assessment
Included based on clinical need during the program year
Included based on clinical need during the program year
Follow-up labs selected for youAnnual testing plus selected repeat labs based on clinical need.
Testing beyond the initial assessment is separately purchased
Selected lab tests based on need are included
Selected lab tests based on need are included
Optional laboratory add-onsRBC omega-3 index remains optional and separately purchased. Fasting insulin/HOMA-IR is conditional, based on clinical need.
Optional; separately purchased
Optional; separately purchased
Optional; separately purchased
Genomics & cancer screening
Genomics & cancer screening: Foundation, Signature and Pinnacle
Service / benefit
Foundation
Signature
Pinnacle
Genetics with physician interpretationFoundation includes 3X4. Signature and Pinnacle include whole-genome sequencing.
3X4 Genetics
whole-genome sequencing
whole-genome sequencing
TruAge epigenetic-age assessmentAnnual TruAge included in Pinnacle. Foundation and Signature may purchase it separately.
Optional; separately purchased
Optional; separately purchased
Annual test with physician interpretation
Galleri multi-cancer early detectionIncludes collection, physician interpretation and next-step coordination. Outside diagnostic follow-up is separately billed; established cancer screening continues.
Optional; separately purchased
Optional; separately purchased
One test per program year when appropriate and elected
Imaging & performance
Imaging & performance: Foundation, Signature and Pinnacle
Service / benefit
Foundation
Signature
Pinnacle
Prenuvo whole-body MRI, including brainIncludes brain imaging, radiologist report and physician review each program year. Additional diagnostic imaging or procedures are separately billed.
Optional; separately purchased
Annual Prenuvo whole-body MRI
Annual Prenuvo whole-body MRI
DEXA body composition + bone density when dueRadiologist interpretation included. Body composition and dedicated hip/spine bone density use separate acquisitions; bone density is repeated when clinically due.
Optional; separately purchased
Annual body composition; bone density when clinically due
Annual body composition; bone density when clinically due
VO2 max testingMeasured with our equipment; repeat testing selected for ability, goals and clinical need. Included components are not separate orders.
Optional; separately purchased
Annual and as needed
Annual and as needed
Resting metabolic rateMeasured with our equipment using a separate resting protocol before exercise; clinically needed repeats included.
With the optional, separately purchased VO2 max + RMR add-on
Annual and as needed
Annual and as needed
Exercise heart-rate response, recovery and ventilatory thresholdsThese are components of the parent assessment, not separate orders.
With the optional, separately purchased VO2 max add-on
Included with VO2 testing, when measurable
Included with VO2 testing, when measurable
Movement & nutrition
Movement & nutrition: Foundation, Signature and Pinnacle
Service / benefit
Foundation
Signature
Pinnacle
DPT visits and written exercise planUsually about six months apart. Written exercise plan included. Extra DPT visits or personal training are separately purchased.
Optional; separately purchased
Two visits annually, including the initial assessment in Year 1
Two visits annually, including the initial assessment in Year 1
Selected strength, balance and mobility measuresGrip, chair stand, gait, Timed Up and Go, balance, mobility, strength/asymmetry and movement/injury review as appropriate. Muscle-power testing remains under review.
With the optional, separately purchased DPT assessment
Included within DPT visits
Included within DPT visits
Registered dietitian visitsVisits scheduled around need. Separate from DPT allowance; extra visits separately purchased. The same annual allowance continues at renewal.
Optional; separately purchased
Up to four visits annually, including the initial assessment in Year 1
Up to four visits annually, including the initial assessment in Year 1
Nutrition assessment and practical planReviews intake, protein, food preferences, supplements, laboratory findings, available body-composition/RMR results, training and recovery.
With the optional, separately purchased dietitian assessment
Included
Included
Personal support
Personal support: Foundation, Signature and Pinnacle
Service / benefit
Foundation
Signature
Pinnacle
Office phone and messagingUsual response within 1–2 business days. Complex questions may require an appointment. This is not an emergency service.
Assessment-related communication through completion of results review
Unlimited routine, nonurgent communication
Unlimited routine, nonurgent communication
Apple Watch trends through Heads Up HealthPatient supplies their own compatible Apple Watch. Trends reviewed during scheduled physician follow-ups; no continuous clinical or emergency monitoring.
Not included
Optional; separately purchased
Platform access included for the program year
Deeper lifestyle analysisPinnacle adds a structured review of sleep, activity, recovery, stress, daily routines and personal goals.
Routine assessment only
Routine assessment and follow-up
Included
Mindset & Well-Being CoachingOptional coaching focused on goals, habits, resilience and well-being. Not bundled into any tier; coaching arrangements and fees confirmed separately. Not psychotherapy or psychiatric care.
Optional; separately purchased
Optional; separately purchased
Optional; separately purchased
Drip Therapy benefitTherapy is separately purchased and subject to clinical suitability. Medications and GLP-1 treatment are not included in the program fee.
Separately purchased at standard pricing
Separately purchased at standard pricing
40% off eligible IV bag therapy
Care coordination
Care coordination: Foundation, Signature and Pinnacle
Service / benefit
Foundation
Signature
Pinnacle
Specialist Care CoordinationCardiology, dermatology and outside diagnostic sleep services as needed. Coordination is included; outside clinicians, tests and procedures are billed separately.
Assessment-related coordination
Ongoing coordination within program scope
Ongoing coordination within program scope
What is in the core panel?
CBC with differential; CMP; lipid panel; ApoB; lipoprotein(a); HbA1c; TSH, free T4 and free T3; ferritin and iron/TIBC/saturation; vitamin B12; 25-hydroxyvitamin D; homocysteine; cystatin C with combined eGFR when available; uric acid; and clinically selected total testosterone, SHBG, estradiol, FSH and LH.
Select for the complete organized list. Clinical selection still applies, particularly to hormone testing. Calculated results and panel components are not separately purchased tests.
Conditional testing and additional charges
Selected laboratory tests are included based on clinical need. For Foundation, this applies to completing the initial assessment. For Signature and Pinnacle, selected routine follow-up tests are included throughout the program year. Examples include indicated urine testing, urine albumin/creatinine, PSA and FIT. FIT is used only when appropriate and screening is due.
Specialized testing and services outside your program are separately priced, with any additional charges explained before ordering. Outside specialist investigations and genetic counseling may have separate charges. A test being clinically indicated does not automatically make every outside service part of the package.
Build on Foundation.
These are optional, separately purchased services: Prenuvo whole-body MRI, combined DEXA bone density and body composition, VO2 max with RMR, DPT evaluation and exercise plan, registered dietitian assessment, Galleri and TruAge. Included components, such as exercise heart-rate response and recovery, become available only when their parent add-on is purchased.
The initial DPT add-on is $350; the initial dietitian add-on is $150. Other add-on prices will be confirmed before booking. The Prenuvo add-on will match the retail price of the selected Prenuvo service. Additional allied-care visits, outside specialist care, medications and IV therapy are separately purchased.
Clear expectations.
Routine, nonurgent office calls and messages are usually answered within 1–2 business days. Signature and Pinnacle include direct physician contact, with reasonable use. You may send a message or leave voicemail anytime, but immediate or 24/7 responses are not promised. Responses may take longer during vacation, travel, illness or another absence; availability and alternative arrangements will be communicated. For urgent or emergency concerns, use an appropriate immediate-care service rather than waiting for a reply.
Apple Watch trends are reviewed during scheduled physician visits. Patients supply their own compatible watch. There is no promise of continuous clinical monitoring. Specialist care is coordinated when needed, with outside visits, tests and procedures billed separately.
Foundation: an initial assessment followed by a dedicated results review and care plan.
Signature: annual assessments, scheduled follow-ups and direct physician access, with a monthly membership.
Pinnacle: Signature care plus additional physician visits, advanced testing and lifestyle benefits.
The Initial Assessment & Program Fee includes Year 1 diagnostics. The Annual Program & Diagnostic Fee replaces it from Year 2; monthly membership continues.
Initial Assessment & Program Fee in Year 1. Annual Program & Diagnostic Fee begins in Year 2. Signature and Pinnacle also have $500 monthly membership.
Initial physician assessment
Foundation
90 minutes
Signature
90 minutes
Pinnacle
90 minutes
What this includes
Your physician connects your health history, current findings and personal goals.
History and priorities
Medical and family history
Available records and prior results
Medications and supplements
Your symptoms, health goals and priorities
Medical History & Physician Examination
Testing frequency: Initial physician assessment; selected reassessment at follow-up.
Physician physical examinationA focused examination that connects your symptoms, medical history, and test findings with the next steps in care.
Resting blood pressure and heart rateResting blood pressure and pulse provide baseline cardiovascular information; abnormal readings may need repeat or home measurements.
Height, weight and waist circumferenceHeight, weight, waist circumference, and BMI add context to body-composition findings. BMI alone cannot distinguish muscle from fat.
Sleep & Cognition
Testing frequency: Initial physician assessment; selected reassessment at follow-up.
Sleep assessment — history and questionnairesSleep history and selected questionnaires are included in your physician assessment. If indicated, we recommend diagnostic sleep testing through an outside provider. Questionnaires do not diagnose sleep apnea.
Sleep history and questionnaires are included. Diagnostic sleep studies are performed by outside providers when needed.
90-minute initial assessment in Year 1. Annual results reviews in later years count within scheduled follow-ups.
Scheduled physician follow-ups
Foundation
One 60-minute results review and care-plan visit
Signature
Four 60-minute visits annually, including the initial results review and care plan
Pinnacle
Four 60-minute visits annually, including the initial results review and care plan
What this includes
How visits are counted
The initial 90-minute physician assessment is additional in Year 1 only; it is separate from the follow-up allowance.
Foundation includes one 60-minute results-review and care-plan visit.
Signature and Pinnacle include four 60-minute visits annually. The results review, including the annual review on renewal, counts as one of these four.
Pinnacle also includes up to four additional 60-minute visits based on need.
Follow-ups may be in person or virtual and are scheduled around your needs.
Four 60-minute follow-ups per year in Signature/Pinnacle. Results review counts as the first visit, including the annual review on renewal; in person or virtual.
Additional physician visits
Foundation
Separately purchased
Signature
Separately purchased
Pinnacle
Up to four additional 60-minute visits per program year, based on need
What this includes
How visits are counted
The initial 90-minute physician assessment is additional in Year 1 only; it is separate from the follow-up allowance.
Foundation includes one 60-minute results-review and care-plan visit.
Signature and Pinnacle include four 60-minute visits annually. The results review, including the annual review on renewal, counts as one of these four.
Pinnacle also includes up to four additional 60-minute visits based on need.
Follow-ups may be in person or virtual and are scheduled around your needs.
Year 1: Foundation has 2 physician visits; Signature 5; Pinnacle up to 9, including the initial assessment. Renewal: Signature 4; Pinnacle up to 8. Each follow-up is 60 minutes.
Personalized care plan
Foundation
Included at results review
Signature
Included; refined at follow-ups
Pinnacle
Included; refined at follow-ups
What this includes
A personalized written plan
Connects your history, laboratory findings and individual goals.
Explains priorities and next steps after your results review.
Signature and Pinnacle plans are refined during scheduled follow-ups.
A written plan connects laboratory findings, history and individual goals.
Direct physician contact number
Foundation
Not included
Signature
Included
Pinnacle
Included
A direct connection to your physician
Signature and Pinnacle access
Your physician’s direct contact number.
Send a message or leave voicemail anytime within reasonable use.
Routine nonurgent responses usually within 1–2 business days; no immediate or 24/7 response is promised.
Responses may take longer during vacation, travel, illness or other absence. Availability and alternate arrangements will be communicated.
Do not wait for a reply about urgent concerns; this is not an emergency service.
Direct physician access in Signature and Pinnacle. Routine nonurgent responses usually within 1–2 business days; may take longer during vacation, travel, illness or absence. No immediate or 24/7 response guarantee.
Your physician connects your health history, current findings and personal goals.
Medical History & Physician Examination
Testing frequency: Initial physician assessment; selected reassessment at follow-up.
Physician physical examinationA focused examination that connects your symptoms, medical history, and test findings with the next steps in care.
Resting blood pressure and heart rateResting blood pressure and pulse provide baseline cardiovascular information; abnormal readings may need repeat or home measurements.
Height, weight and waist circumferenceHeight, weight, waist circumference, and BMI add context to body-composition findings. BMI alone cannot distinguish muscle from fat.
Sleep & Cognition
Testing frequency: Initial physician assessment; selected reassessment at follow-up.
Sleep assessment — history and questionnairesSleep history and selected questionnaires are included in your physician assessment. If indicated, we recommend diagnostic sleep testing through an outside provider. Questionnaires do not diagnose sleep apnea.
Sleep history and questionnaires are included. Diagnostic sleep studies are performed by outside providers when needed.
Includes sleep history and selected questionnaires. Diagnostic sleep testing is an outside referral.
Conditional ECG and cognitive assessment
Foundation
Included when needed for the initial assessment
Signature
Included when clinically indicated
Pinnacle
Included when clinically indicated
What this includes
These assessments are selected for a clinical reason rather than performed automatically for every patient.
Sleep & Cognition
Testing frequency: Only when clinically indicated; no automatic repeat schedule.
Structured cognitive assessmentWhen clinically indicated, a structured assessment of selected areas such as memory, attention, and executive function. Your physician interprets the findings and guides any follow-up.
Cardiovascular Evaluation
Testing frequency: Only when clinically indicated; no automatic repeat schedule.
Resting 12-lead ECGYour physician may request a 12-lead ECG to evaluate heart rhythm and conduction when clinically indicated. This is not a routine test in every package.
ECG availability and delivery arrangements will be confirmed before scheduling. Neither assessment is automatic.
Core blood & hormone testing
Foundation
Included at initial assessment
Signature
Included at initial assessment
Pinnacle
Included at initial assessment
What this includes
Every test and panel component in the initial core assessment is listed below. Your physician personalizes clinical selection, including hormone testing, and collection timing.
Complete blood count (CBC) with differential
Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
White blood cell count
Red blood cell count
Hemoglobin
Hematocrit
MCV
MCH
MCHC
RDW
Platelet count
Neutrophils — absolute count
Neutrophils — percentage
Lymphocytes — absolute count
Lymphocytes — percentage
Monocytes — absolute count
Monocytes — percentage
Eosinophils — absolute count
Eosinophils — percentage
Basophils — absolute count
Basophils — percentage
Comprehensive metabolic panel (CMP)
Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
Glucose
Sodium
Potassium
Chloride
Total CO2 / bicarbonate estimate
Blood urea nitrogen (BUN)
Creatinine
Calcium, total
Albumin
Total protein
AST
ALT
Alkaline phosphatase
Total bilirubin
eGFR — creatinine-based
Cholesterol, cardiovascular risk & inflammation
Total cholesterolTesting frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
HDL cholesterolTesting frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
TriglyceridesTesting frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
LDL cholesterolTesting frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
Non-HDL cholesterolTesting frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
Apolipoprotein B (ApoB)Testing frequency: Initial only; no scheduled annual repeat. Reorder only if a later clinical need arises.
Lipoprotein(a)Testing frequency: Initial only; no scheduled annual repeat. Reorder only if a later clinical need arises.
Blood sugar & insulin
Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
Hemoglobin A1c
Thyroid
Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
Thyroid-stimulating hormone (TSH)
Free T4
Free T3
Iron stores & iron studies
Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.
Ferritin
Serum iron
Total iron-binding capacity (TIBC)
Transferrin saturation
Nutrients & related markers
Vitamin B12Testing frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
25-hydroxyvitamin DTesting frequency: Initial in all tiers; annual in Signature/Pinnacle, with selected repeats as needed. Foundation later testing separately purchased.
HomocysteineTesting frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.
Kidney, liver & muscle markers
Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.
Cystatin C
eGFR — combined creatinine/cystatin C
Uric acid
Hormone assessment
Testing frequency: Initial assessment, selected as appropriate; repeat only as needed in Signature/Pinnacle. Foundation later testing separately purchased.
Total testosterone
Sex hormone-binding globulin (SHBG)
Estradiol
FSH
LH
CBC and CMP components stay together as panels. Calculated results such as eGFR and non-HDL cholesterol are not separate test purchases. Conditional tests, elective add-ons and genetic reports have their own details in the comparison.
Your physician personalizes test selection and collection. The list above shows the core panel; conditional and optional tests are explained separately.
Additional labs when clinically needed
Foundation
Included when needed to complete the initial assessment
Signature
Included based on clinical need during the program year
Pinnacle
Included based on clinical need during the program year
What this includes
These tests are selected for a specific need; they are not all ordered automatically. Routine tests below are included when needed within your program’s care period.
Cholesterol, cardiovascular risk & inflammation
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
High-sensitivity CRP (hs-CRP)
Blood sugar & insulin
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
Fasting insulin
HOMA-IR estimate
Thyroid
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
Thyroid peroxidase antibody (TPO Ab)
Nutrients & related markers
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
Methylmalonic acid (MMA)
Serum folate
Serum magnesium
Zinc
Parathyroid hormone (PTH)
Kidney, liver & muscle markers
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
Gamma-glutamyl transferase (GGT)
Creatine kinase (CK)
Hormone assessment
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
Free testosterone — validated calculation
Prolactin
DHEA-S
Pregnancy test (hCG)
Urine testing
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
Urinalysis with reflex microscopy when indicated
Urine albumin
Urine creatinine
Urine albumin-to-creatinine ratio
Prostate assessment
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
Total PSA
Free PSA
Selected infectious-disease screening
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
HIV fourth-generation Ag/Ab
Hepatitis C antibody with reflex RNA
Hepatitis C RNA — reflex
HBsAg
Anti-HBs
Total anti-HBc
Colorectal screening
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
Fecal immunochemical test (FIT)
Specialized methods: confirm any additional charge
The following are conditional options. Specialized methods or outside work-up are separately quoted before ordering.
Hormone assessment
Testing frequency: Conditional, based on clinical need; no automatic annual repeat.
Free testosterone — equilibrium dialysis
Cortisol — question-specific method
IGF-1
Foundation coverage applies to completing the initial assessment. Signature and Pinnacle include selected routine tests throughout the program year. FIT is used only when screening is appropriate and due; outside diagnostic follow-up is separately billed.
Conditional describes when testing is appropriate; it does not automatically mean an extra charge. Specialty assays outside the included scope are quoted before ordering.
Follow-up labs selected for you
Foundation
Testing beyond the initial assessment is separately purchased
Signature
Selected lab tests based on need are included
Pinnacle
Selected lab tests based on need are included
What this includes
Signature and Pinnacle include the annual tests below, plus selected routine repeat tests based on clinical need. The entire initial panel is not repeated automatically.
Included annually in Signature and Pinnacle
CBC with differential
Comprehensive metabolic panel (CMP)
Lipid panel
HbA1c
TSH, free T4 and free T3
Vitamin B12 and 25-hydroxyvitamin D
How coverage works
Signature and Pinnacle include selected follow-up labs based on need.
Foundation testing beyond the initial assessment is separately purchased.
ApoB and Lp(a) are initial only; other initial markers repeat only as needed.
hs-CRP, fasting insulin/HOMA-IR and other conditional tests remain based on clinical need.
Annual Prenuvo MRI and DEXA body composition are included in Signature/Pinnacle; bone density is included when clinically due.
Pinnacle includes annual TruAge and annual Galleri when appropriate. WGS is not automatically repeated.
Annual CBC, CMP, lipids, HbA1c, TSH/free T4/free T3, vitamin B12 and vitamin D. ApoB/Lp(a) initial only; other initial markers repeat as needed. Conditional tests remain conditional.
Optional laboratory add-ons
Foundation
Optional; separately purchased
Signature
Optional; separately purchased
Pinnacle
Optional; separately purchased
Optional tests
These tests are separately purchased in all three programs. Your physician helps decide whether they add useful information.
Nutrients & related markers
Testing frequency: Initial assessment if selected; repeat based on findings or treatment, not automatically at every follow-up.
RBC omega-3 index (EPA + DHA)
Fasting insulin/HOMA-IR is conditional, not a routine elective surcharge. HOMA-IR is calculated from fasting insulin and glucose, not a separate blood assay.
RBC omega-3 index remains optional and separately purchased. Fasting insulin/HOMA-IR is conditional, based on clinical need.
Genetics with physician interpretation
Foundation
3X4 Genetics
Signature
whole-genome sequencing
Pinnacle
whole-genome sequencing
Your genetic report, by program
One selected genetics approach is included. Signature and Pinnacle use WGS instead of routinely adding a second 3X4 test.
Foundation · 3X4 Genetics
3X4 Genetics
Testing frequency: Once initially; review existing findings when useful. No automatic annual resequencing or repeat kit.
3X4 Genetics test and patient reportExamines selected genetic variants and pathways related to nutrition, exercise, and wellness, then connects the report with your history and measured health. Supports understandable nutrition and lifestyle discussions; measured health and clinical findings guide the actual plan.
APOE variants / interpretationSelected APOE findings may inform a discussion of inherited risk. Disclosure and counseling are planned in advance; variants do not predict an individual's future with certainty.
MTHFR variants / interpretationProvides genetic context for folate metabolism. Common variants alone do not diagnose deficiency or establish a need for specific supplements.
Signature & Pinnacle · WGS
Whole-Genome Sequencing (WGS)
Testing frequency: Once initially; review existing findings when useful. No automatic annual resequencing or repeat kit.
Whole genome sequencing + Genomic Clinical ReportReads DNA across most of the genome and interprets selected, reportable findings. The planned WGS report brings inherited risk, medication response, and wellness information into a physician-led review.
Hereditary disease risk — including cancer & cardiovascularScreens for reportable inherited disease variants, including cancer predisposition and cardiovascular conditions. The published gene list includes BRCA1/BRCA2, LDLR and LMNA. These findings are part of the WGS report, not additional orders.
Carrier-status findingsIdentifies selected inherited variants that may matter for family planning or genetic counseling, even when the carrier is healthy. Findings are interpreted with history and clinical measurements to decide whether counseling or a care-plan change is warranted.
Pharmacogenomics / medication responseReports selected gene–medication relationships to help guide prescribing when a relevant medication decision arises. This is an included component of WGS; an additional assay is considered only for an unmet question or necessary confirmation.
Polygenic risk assessmentProvides genetic risk estimates for selected common diseases using multiple variants. This analysis is included in WGS; model applicability and ancestry remain important when interpreting a result.
Nutrition and wellness traitsAdds genetic context to nutrition, food response, and exercise discussions alongside actual diet, laboratory findings, and performance testing. Findings are interpreted with history and clinical measurements to decide whether counseling or a care-plan change is warranted.
Report scope and consent are confirmed before ordering. Reported findings and physician interpretation are included. Additional testing or outside genetic counseling is discussed and separately quoted if needed.
The WGS report includes reportable hereditary cancer/cardiovascular risk, pharmacogenomics, selected polygenic risk scores and wellness findings. One genetics approach; no routine duplicate 3X4 plus WGS. Any additional testing or outside genetic counseling is discussed and separately quoted if needed.
TruAge epigenetic-age assessment
Foundation
Optional; separately purchased
Signature
Optional; separately purchased
Pinnacle
Annual test with physician interpretation
What this includes
Includes annual TruAge testing with physician interpretation in Pinnacle. Foundation and Signature may purchase the test separately.
TruAge by TruDiagnostic
Testing frequency: Annual in Pinnacle. Foundation/Signature: separately purchased when elected.
TruAge biological age / pace-of-aging assessmentUses DNA methylation patterns to estimate biological age and pace of aging. TruAge reports include OMICmAge, SYMPHONYAge, and DunedinPACE. These are model-based estimates, not a prediction of your lifespan or proof that an intervention extends life. Used for an optional longitudinal discussion; a lower modeled age does not establish longer life or better organ function.
Report estimates
OMICmAge: estimated biological age
SYMPHONYAge: estimated system-specific ages
DunedinPACE: estimated pace of aging
Annual TruAge included in Pinnacle. Foundation and Signature may purchase it separately.
Galleri multi-cancer early detection
Foundation
Optional; separately purchased
Signature
Optional; separately purchased
Pinnacle
One test per program year when appropriate and elected
What this includes
Includes collection, physician interpretation and next-step coordination. It complements established cancer screening; outside diagnostic follow-up is separately billed.
Galleri by GRAIL
Testing frequency: Annual in Pinnacle when clinically appropriate and elected. Foundation/Signature: optional purchase.
Galleri multi-cancer early detection blood testLooks for cancer-associated DNA methylation signals in blood and may suggest their source. It assesses possible current cancer signals, not inherited cancer susceptibility, and does not replace WGS hereditary-risk reporting. A signal needs diagnostic follow-up; a negative result does not rule out cancer.
Includes collection, physician interpretation and next-step coordination. Outside diagnostic follow-up is separately billed; established cancer screening continues.
Prenuvo whole-body MRI, including brain
Foundation
Optional; separately purchased
Signature
Annual Prenuvo whole-body MRI
Pinnacle
Annual Prenuvo whole-body MRI
What this includes
Annual Prenuvo whole-body MRI, including brain imaging, with radiologist reporting and your physician’s review in Signature and Pinnacle.
Prenuvo Whole-Body MRI
Testing frequency: Annual whole-body MRI in Signature/Pinnacle, including brain. Foundation: optional, separately purchased.
Prenuvo whole-body MRI + physician reviewWhole-body MRI includes brain imaging and creates structural images without ionizing radiation. Your physician reviews the radiologist’s findings and recommended follow-up. Screening may find incidental abnormalities and cannot exclude all disease.
This is an optional, separately purchased add-on for Foundation. The scheduled program assessments are included in Signature and Pinnacle. Additional diagnostic imaging or outside follow-up is separately billed.
Includes brain imaging, radiologist report and physician review each program year. Additional diagnostic imaging or procedures are separately billed.
DEXA body composition + bone density when due
Foundation
Optional; separately purchased
Signature
Annual body composition; bone density when clinically due
Pinnacle
Annual body composition; bone density when clinically due
What this includes
Annual DEXA body composition in Signature and Pinnacle, with dedicated hip and lumbar-spine bone density included when clinically due. Radiologist interpretation included.
DEXA: Body Composition & Bone Density
DEXA body compositionWhole-body DEXA measures fat and lean tissue and their distribution. Dedicated hip/spine bone-density scans are included when clinically due, using separate acquisitions.Testing frequency: Annual body composition in Signature/Pinnacle. Foundation: optional, separately purchased.
DEXA bone mineral densityDedicated hip and lumbar-spine scans assess bone mineral density and inform fracture-risk assessment, with radiologist interpretation.Testing frequency: Baseline as appropriate; repeat bone density included when clinically due. No automatic annual bone-density scan.
This is an optional, separately purchased add-on for Foundation. The scheduled program assessments are included in Signature and Pinnacle. Additional diagnostic imaging or outside follow-up is separately billed.
Radiologist interpretation included. Body composition and dedicated hip/spine bone density use separate acquisitions; bone density is repeated when clinically due.
VO2 max testing
Foundation
Optional; separately purchased
Signature
Annual and as needed
Pinnacle
Annual and as needed
What this includes
Testing is selected for your abilities, goals and clinical suitability. Exercise-derived measures are reported when measurable.
VO₂ Max & Resting Metabolic Rate
Testing frequency: Annual and as needed in Signature/Pinnacle; components selected for clinical suitability. Foundation: optional, separately purchased add-on.
Measured VO2 max / VO2 peakMeasures oxygen use during graded exercise with a metabolic cart. It provides an objective assessment of cardiorespiratory fitness, rather than a wearable estimate.
Ventilatory thresholdsIdentifies changes in breathing during exercise, when measurable, to help guide individualized aerobic training intensity.
Exercise heart-rate response and recoveryTracks heart rate during exercise and standardized recovery. Medications, rhythm, and protocol affect interpretation.
Foundation receives these measures only through the optional, separately purchased performance-testing add-on. RMR uses a separate resting protocol before exercise. Signature and Pinnacle include VO2 max and RMR annually and as needed; component measures are reported when appropriate.
Measured with our equipment; repeat testing selected for ability, goals and clinical need. Included components are not separate orders.
Resting metabolic rate
Foundation
With the optional, separately purchased VO2 max + RMR add-on
Signature
Annual and as needed
Pinnacle
Annual and as needed
What this includes
Testing is selected for your abilities, goals and clinical suitability. Exercise-derived measures are reported when measurable.
VO₂ Max & Resting Metabolic Rate
Testing frequency: Annual and as needed in Signature/Pinnacle; components selected for clinical suitability. Foundation: optional, separately purchased add-on.
Resting metabolic rate by indirect calorimetryMeasures resting energy expenditure to inform your nutrition plan. Included alongside VO₂ max testing, using a separate resting assessment before exercise.
Foundation receives these measures only through the optional, separately purchased performance-testing add-on. RMR uses a separate resting protocol before exercise. Signature and Pinnacle include VO2 max and RMR annually and as needed; component measures are reported when appropriate.
Measured with our equipment using a separate resting protocol before exercise; clinically needed repeats included.
Exercise heart-rate response, recovery and ventilatory thresholds
Foundation
With the optional, separately purchased VO2 max add-on
Signature
Included with VO2 testing, when measurable
Pinnacle
Included with VO2 testing, when measurable
What this includes
Testing is selected for your abilities, goals and clinical suitability. Exercise-derived measures are reported when measurable.
VO₂ Max & Resting Metabolic Rate
Testing frequency: Annual and as needed in Signature/Pinnacle; components selected for clinical suitability. Foundation: optional, separately purchased add-on.
Ventilatory thresholdsIdentifies changes in breathing during exercise, when measurable, to help guide individualized aerobic training intensity.
Exercise heart-rate response and recoveryTracks heart rate during exercise and standardized recovery. Medications, rhythm, and protocol affect interpretation.
Foundation receives these measures only through the optional, separately purchased performance-testing add-on. RMR uses a separate resting protocol before exercise. Signature and Pinnacle include VO2 max and RMR annually and as needed; component measures are reported when appropriate.
These are components of the parent assessment, not separate orders.
DPT visits and written exercise plan
Foundation
Optional; separately purchased
Signature
Two visits annually, including the initial assessment in Year 1
Pinnacle
Two visits annually, including the initial assessment in Year 1
What this includes
Amanda, DPT, adapts the assessment to your abilities, goals and injury history. The measures below are selected within the assessment, not separate appointments.
DPT Evaluation: Strength, Balance & Mobility
Testing frequency: Two DPT visits per year in Signature/Pinnacle, including the initial assessment in Year 1; usually six months apart. Measures selected individually. Extra visits separately purchased.
Comprehensive DPT evaluationAn integrated assessment by a Doctor of Physical Therapy of function, limitations, injury history, and exercise needs.
Grip strengthA hand-held dynamometer measures grip force using consistent positioning and repeated trials.
30-second chair standCounts completed stands from a chair in 30 seconds to assess lower-body functional strength.
Usual gait speedMeasures walking speed over a defined distance to help track everyday mobility.
Timed Up and GoTimes standing up, walking, turning, and sitting down; useful when assessing functional mobility and fall-related limitations.
Four-stage balance assessmentMeasures the ability to maintain standardized standing positions, with appropriate guarding and support.
Joint range of motion and mobilityExamines selected joints and movements to identify restrictions that affect daily activity or training.
Lower-limb strength and asymmetryCompares strength between sides using appropriate equipment and tasks to identify targeted deficits.
Movement, pain and injury assessmentExamines how relevant tasks, symptoms, and past injuries affect movement and exercise choices.
Your plan and follow-through
A written exercise plan to follow independently or with a separately hired personal trainer.
Signature and Pinnacle: two DPT visits each year, including the initial assessment in Year 1, usually about six months apart.
Foundation DPT visits and any additional DPT visits are separately purchased.
Muscle-power testing remains under review and is not a promised inclusion.
Usually about six months apart. Written exercise plan included. Extra DPT visits or personal training are separately purchased.
Selected strength, balance and mobility measures
Foundation
With the optional, separately purchased DPT assessment
Signature
Included within DPT visits
Pinnacle
Included within DPT visits
What this includes
Amanda, DPT, adapts the assessment to your abilities, goals and injury history. The measures below are selected within the assessment, not separate appointments.
DPT Evaluation: Strength, Balance & Mobility
Testing frequency: Two DPT visits per year in Signature/Pinnacle, including the initial assessment in Year 1; usually six months apart. Measures selected individually. Extra visits separately purchased.
Comprehensive DPT evaluationAn integrated assessment by a Doctor of Physical Therapy of function, limitations, injury history, and exercise needs.
Grip strengthA hand-held dynamometer measures grip force using consistent positioning and repeated trials.
30-second chair standCounts completed stands from a chair in 30 seconds to assess lower-body functional strength.
Usual gait speedMeasures walking speed over a defined distance to help track everyday mobility.
Timed Up and GoTimes standing up, walking, turning, and sitting down; useful when assessing functional mobility and fall-related limitations.
Four-stage balance assessmentMeasures the ability to maintain standardized standing positions, with appropriate guarding and support.
Joint range of motion and mobilityExamines selected joints and movements to identify restrictions that affect daily activity or training.
Lower-limb strength and asymmetryCompares strength between sides using appropriate equipment and tasks to identify targeted deficits.
Movement, pain and injury assessmentExamines how relevant tasks, symptoms, and past injuries affect movement and exercise choices.
Your plan and follow-through
A written exercise plan to follow independently or with a separately hired personal trainer.
Signature and Pinnacle: two DPT visits each year, including the initial assessment in Year 1, usually about six months apart.
Foundation DPT visits and any additional DPT visits are separately purchased.
Muscle-power testing remains under review and is not a promised inclusion.
Grip, chair stand, gait, Timed Up and Go, balance, mobility, strength/asymmetry and movement/injury review as appropriate. Muscle-power testing remains under review.
Registered dietitian visits
Foundation
Optional; separately purchased
Signature
Up to four visits annually, including the initial assessment in Year 1
Pinnacle
Up to four visits annually, including the initial assessment in Year 1
What this includes
A registered dietitian translates your goals and available assessment results into a practical nutrition plan.
Nutrition assessment
Health goals, dietary patterns, food preferences and supplements
Food intake, energy needs, protein distribution and food quality
Relevant laboratory results and available body-composition and RMR findings
Activity, training, recovery and day-to-day eating habits
Visits and follow-up
Signature and Pinnacle: up to four dietitian visits each year, including the initial assessment in Year 1.
Follow-ups are scheduled around need and are separate from the DPT allowance.
Foundation nutrition visits and any additional visits are separately purchased.
A Foundation nutrition visit does not include separately purchased imaging or VO2 max/RMR testing.
Visits scheduled around need. Separate from DPT allowance; extra visits separately purchased. The same annual allowance continues at renewal.
Nutrition assessment and practical plan
Foundation
With the optional, separately purchased dietitian assessment
Signature
Included
Pinnacle
Included
What this includes
A registered dietitian translates your goals and available assessment results into a practical nutrition plan.
Nutrition assessment
Health goals, dietary patterns, food preferences and supplements
Food intake, energy needs, protein distribution and food quality
Relevant laboratory results and available body-composition and RMR findings
Activity, training, recovery and day-to-day eating habits
Visits and follow-up
Signature and Pinnacle: up to four dietitian visits each year, including the initial assessment in Year 1.
Follow-ups are scheduled around need and are separate from the DPT allowance.
Foundation nutrition visits and any additional visits are separately purchased.
A Foundation nutrition visit does not include separately purchased imaging or VO2 max/RMR testing.
Reviews intake, protein, food preferences, supplements, laboratory findings, available body-composition/RMR results, training and recovery.
Office phone and messaging
Foundation
Assessment-related communication through completion of results review
Signature
Unlimited routine, nonurgent communication
Pinnacle
Unlimited routine, nonurgent communication
What this includes
Office communication
Office phone calls and messages for routine, nonurgent questions.
Usual response within 1–2 business days.
Complex questions may need an appointment.
Foundation communication relates to the assessment through completion of the results review.
Signature and Pinnacle include unlimited routine, nonurgent communication during the program year.
This is not an emergency service.
Usual response within 1–2 business days. Complex questions may require an appointment. This is not an emergency service.
Apple Watch trends through Heads Up Health
Foundation
Not included
Signature
Optional; separately purchased
Pinnacle
Platform access included for the program year
What this includes
Apple Watch trends
Connect a compatible Apple Watch through Heads Up Health.
Patient supplies their own Apple Watch.
Pinnacle includes platform access for the program year; Signature may purchase it separately.
Trends are reviewed during scheduled physician follow-ups.
No continuous clinical monitoring or emergency monitoring is promised.
Patient supplies their own compatible Apple Watch. Trends reviewed during scheduled physician follow-ups; no continuous clinical or emergency monitoring.
Deeper lifestyle analysis
Foundation
Routine assessment only
Signature
Routine assessment and follow-up
Pinnacle
Included
What this includes
Foundation includes routine assessment; Signature includes routine assessment and follow-up. Pinnacle adds this structured lifestyle analysis.
Pinnacle’s deeper lifestyle review
Sleep
Activity and recovery
Stress and daily routines
Personal goals
Pinnacle adds a structured review of sleep, activity, recovery, stress, daily routines and personal goals.
Mindset & Well-Being Coaching
Foundation
Optional; separately purchased
Signature
Optional; separately purchased
Pinnacle
Optional; separately purchased
What this includes
Coaching focus
Goals and habits
Resilience and well-being
Optional and separately purchased in all tiers; number of visits and price confirmed separately
Coaching is not psychotherapy or psychiatric care.
Optional coaching focused on goals, habits, resilience and well-being. Not bundled into any tier; coaching arrangements and fees confirmed separately. Not psychotherapy or psychiatric care.
Drip Therapy benefit
Foundation
Separately purchased at standard pricing
Signature
Separately purchased at standard pricing
Pinnacle
40% off eligible IV bag therapy
What this includes
Drip Therapy benefit
Pinnacle receives 40% off eligible IV bag therapy.
Therapy is separately purchased and subject to clinical suitability.
Foundation and Signature use standard pricing.
Medications and GLP-1 treatment are not included in the program fee.
Therapy is separately purchased and subject to clinical suitability. Medications and GLP-1 treatment are not included in the program fee.
Specialist Care Coordination
Foundation
Assessment-related coordination
Signature
Ongoing coordination within program scope
Pinnacle
Ongoing coordination within program scope
Outside specialist care
OmniWell helps coordinate referrals when your assessment identifies a need. Outside providers select their tests and bill separately.
Specialist Care Coordination
Outside diagnostic sleep testing / sleep-apnea evaluationReferral to an outside sleep provider for diagnostic testing when indicated; the external provider selects home or laboratory testing.Testing frequency: External provider determines testing and follow-up.
Dermatology skin examinationExternal dermatologist assessment of skin findings, with specialist-directed follow-up.Testing frequency: External provider determines testing and follow-up.
Targeted dermoscopyExternal dermatologist assessment of selected lesions using dermoscopy when appropriate.Testing frequency: External provider determines testing and follow-up.
Photographic skin / mole mappingExternal dermatologist photography or mole mapping for selected patients when appropriate.Testing frequency: External provider determines testing and follow-up.
Cardiology referral and care coordinationCoordinate an outside cardiology assessment when history or findings warrant specialist care. The cardiologist decides whether further cardiac investigations are appropriate.Testing frequency: When clinically indicated; external cardiologist determines testing and follow-up.
Cardiology, dermatology and outside diagnostic sleep services as needed. Coordination is included; outside clinicians, tests and procedures are billed separately.