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 anyway.
Your Membership includes an initial block of 20 hours of dedicated physician time with Dr. Fraser for an upfront fee of $5,400, payable prior to your start date ($8,100 for couples for 30 hours). Your time includes all aspects of care: consultations, preparation, chart review, lab ordering and interpretation, care coordination, and messaging. Any additional physician time can be added in 10-hour increments at the current hourly rate. Time does not roll over except for purchased add-on blocks. Please note that prospective patients will be screened by Yvette Fraser our nutrition/lifestyle coach, and a complementary 30 minute session with Dr. Fraser to discuss and set expectations is available.
Nutrition Support is also available. Any nutrition consults with our trusted nutrition coach will be deducted at a rate of 0.25 hours from your physician time for each hour spent with the nutritionist. This allows you to get the dietary and lifestyle guidance needed to support longevity and prevention in a cost-effective way.
To make your care straightforward, we prescribe enough medication to last until your next recommended follow-up. If refills are needed outside of your scheduled care plan, it generally means you’re overdue for a visit — and we’ll get you in promptly. We do not routinely perform medication pre-authorizations, but if you’d like us to handle them, the time spent preparing paperwork, records, and forms will be deducted from your remaining membership hours. 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 reliable self-pay pricing. For example, we have helped patients get imaging that would have cost thousands through insurance done for a fraction 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 you to address meaningful, 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. Every hour you spend with her will deduct 0.25 hours from your included physician time — a cost-effective way to maximize your results.
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.
