We bill insurance, including Medicare, for everything they cover. However, insurance alone does not support the level of care we want to deliver.

Most patients tell us they feel rushed, unheard, and that doctors only treat symptoms with a pill instead of finding the root cause. We created our membership model so we can:

• Spend more time with you
• Dig deeper into underlying causes
• Offer longer visits and true continuity of care
• Provide advanced services that insurance typically doesn’t cover

This hybrid approach (insurance + membership) allows us to deliver concierge-level care at a more accessible price than pure cash-pay clinics.

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We completely understand why this question comes up — no one likes extra fees.

Here’s the honest reason: In the past, when we didn’t have this fee, we had a very high rate of no-shows and last-minute cancellations. Those empty appointment slots cost us significant time and money (we used to charge well over $500 per hour for new patient visits).

The $200 one-time setup fee serves two important purposes:

• It reserves dedicated time in our schedule for your comprehensive onboarding and first visit.
• It helps ensure that the patients who book with us are genuinely committed to showing up and investing in their health.

This approach actually saves most patients money compared to our previous fee structure, and it allows us to protect availability for people who are serious about getting better.

Special note for Medicare patients: If you have traditional Medicare (not Medicare Advantage), this $200 setup fee is waived.

We don’t take this lightly — we’ve found it necessary to run a sustainable practice that can deliver the high level of care we want to provide.

We completely understand this question — it’s natural to want to meet the doctor first before committing.

Here’s why we have this step:

We are not an urgent care or quick-fix clinic. We practice functional and integrative medicine focused on real, lasting improvement in your health and longevity. This kind of care is a process — it rarely happens in just 1 or 2 visits. It takes time to uncover root causes, create a personalized plan, and monitor progress.

The membership agreement simply establishes a mutual commitment for at least one year. This allows us to:

• Build a true relationship with you
• Invest the necessary time to dig deep into your health
• Provide consistent, ongoing support instead of fragmented care

We offer two membership levels so we can meet people where they are:

• REV Core — Our full comprehensive membership for patients who want deep work on complex or chronic issues.
• REV Access — A lighter membership designed for patients with more straightforward needs (such as thyroid management or hormone replacement) who want high-quality care but don’t need the full depth of REV Core.

This structure helps us deliver the right level of care for each person while protecting the clinic’s ability to provide exceptional service long-term.

Learn More About Our Memberships & Philosophy →

Yes. We bill Medicare and your supplemental insurance. You are only responsible for your membership fee + any services not covered by insurance (supplements, advanced testing, hormones, etc.).

We bill insurance for everything it covers and apply those payments. You are only responsible for the membership fee plus any truly non-covered services (certain supplements, advanced testing, hormones, peptides, etc.). The membership is what allows us to deliver the higher level of care that most patients tell us they’ve never experienced before.