FAQ
Common questions. Direct answers.
The questions sophisticated buyers ask before considering a relationship like this one. Answered directly.
Scope and fit
Does this take insurance?
No. The practice does not bill insurance. The model is direct-pay. Patients may submit a superbill to their insurer for out-of-network reimbursement at their own initiative; the practice does not pursue or guarantee it.
Is this primary care?
No. The practice is performance medicine — built around cardiometabolic risk, performance physiology, cancer prevention, hormones, and the integration of training and longevity. Routine acute care and full primary care continue to belong with a primary care physician. The practice augments primary care; it does not replace it.
What if my issue is acute or urgent?
True acute emergencies go to the emergency department first. Urgent issues outside the practice's scope go to urgent care or the patient's primary care physician. The practice coordinates after the fact, integrating findings into the longitudinal record. Acute issues that affect training or fall within scope are handled directly.
Do I have to live near the practice?
No. The relationship runs largely on telehealth, with the option of in-person if you live close or prefer it. Once per year, the patient travels to the clinical suite for the Annual Comprehensive Day — three to four hours of hands-on physical assessment, the MSK functional battery, and gait observation. Patients at distance are accepted with that expectation set in advance.
The relationship
How often do I see the physician?
At Longitudinal Care: one in-person Annual Comprehensive Day, four quarterly Arc-Review visits (sixty to ninety minutes each), one annual goal-setting visit, and ad-hoc clinical visits as findings warrant. Plus direct messaging at a one-business-day response, same-day access for urgent in-scope questions, Open Afternoon Office Hours (1–5 PM weekdays, drop-in), and continuous monitoring of biomarker and wearable data.
Will my coach or dietitian be involved?
When the patient works with a coach or dietitian, the physician sets the constraints and targets within which they program. One clinical voice setting the boundaries. The practice does not write daily training programs or meal plans — those belong with the coach or dietitian.
What if I want to leave?
Patients leave when the relationship is no longer the right fit. The full clinical record is exported on request. There is no penalty for departure and no retention contract beyond the annual term.
Can my spouse or partner join?
Yes. The Family Layer can extend across a household — a spouse, partner, or multiple family members can each be enrolled at the same tier. Each gets the full corresponding-tier relationship: their own Diagnostic Assessment, their own Annual Comprehensive Day, their own longitudinal record. Not a discount, not a shared offering.
The practice
Is there a cap on the practice?
Yes — deliberately. The practice will be capped at a small number of active patients to protect the depth of the relationship. Published, real, enforced. The practice does not grow past that line.
Is there an app or dashboard?
There will be a secure portal where the longitudinal record lives. The patient is not paying for a UI. What is paid for is the relationship, the report, and the multi-year clinical record.
When does the practice open?
Founding patients will be accepted in phases. Pricing and the application process will be communicated to subscribers when the interest list opens. The newsletter and reference materials are the front door for now.
Still curious
Read deeper. Follow what comes next.
Founding patients have not been accepted yet. Subscribers are notified first when the interest list opens.
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