It depends on the service.

Midlife Primary Care and Health Coaching operate through a monthly membership model and do not bill insurance.

Psychiatric Mental Health Services are provided by our Psychiatric Mental Health Nurse Practitioner (PMHNP), who bills most major insurance plans.

Many primary care membership fees, coaching services, and related healthcare expenses may be eligible for HSA or FSA reimbursement. We recommend checking with your plan administrator to verify eligibility.

Our Midlife Health Clinic has intentionally chosen to remain outside most insurance networks so we can provide care that is:

• Focused on prevention, healthspan, and long-term health outcomes
• Flexible enough to address the whole person—not just a diagnosis code
• Designed around meaningful conversations, education, and behavior change support
• Built to help patients create sustainable health improvements, not simply manage disease during brief office visits

This model allows us to spend more time focusing on the factors that most influence future health, function, and independence.

Our Midlife Health Clinic is intentionally designed for a specific type of patient and is not the right fit for everyone.

The first step is completing an online screening questionnaire. This helps us understand your health goals, current challenges, readiness for change, and whether our team-based model is likely to be a good fit for your needs.

If it appears we may be a good match, we’ll invite you to schedule a consultation to learn more about the clinic, ask questions, and determine whether moving forward makes sense for both of us.

We believe healthcare works best when there is strong alignment between a patient’s goals and the services being offered. The screening process helps ensure that patients are investing in a model that is likely to serve them well.

This clinic is designed for adults who want a proactive approach to health and are interested in preserving function, independence, and quality of life as they age.

We are the best fit for people who are curious, thoughtful, and willing to engage in the process rather than searching for a quick fix. Our model works best for people who are open to learning, reflecting, experimenting, and making meaningful changes over time.

Our patients are often interested in:

• Improving metabolic health and reducing chronic disease risk
• Building strength, mobility, and cardiovascular fitness
• Optimizing healthspan, not just lifespan
• Understanding their individual risk factors and how they influence long-term health
• Creating sustainable lifestyle changes with support and accountability
• Taking an active role in their health rather than relying solely on medications or reactive care
• Building sustainable habits that support lifelong health, not just short-term results

This model works best for people who value prevention, partnership, and long-term thinking. Our role is to provide medical expertise, guidance, and support. Your role is to bring curiosity, honesty, and a willingness to engage in the process.

We don’t expect perfection—we expect partnership.

While we welcome people from many different backgrounds and health experiences, this clinic may not be the best fit for everyone.

Our model is likely not a good fit for people who:

• Are looking primarily for urgent care or same-day illness management
• Prefer a traditional healthcare model focused mainly on medication management and brief visits
• Are not interested in participating in a collaborative, team-based approach to care
• Are seeking highly specialized treatment for conditions that require expertise beyond our scope

At this time, we do not provide specialized eating disorder treatment. Individuals actively struggling with an eating disorder typically benefit from a dedicated team with expertise in eating disorder medicine, nutrition, and mental health. 

Our goal is not to be the right clinic for everyone. Our goal is to be the right clinic for the patients who are most likely to benefit from this model.

Our Midlife Health Clinic was intentionally designed as a team-based model because we believe preserving long-term health requires more than medical recommendations alone.

Many people already know they should exercise more, improve sleep, reduce stress, build strength, or improve their metabolic health. The challenge is often implementing those changes consistently while navigating busy schedules, competing priorities, stress, and the realities of everyday life.

That’s why our model brings together primary care, health coaching, and mental health support. Each team member serves a different role:

• Your Primary Care Provider helps identify risk factors, interpret data, develop a medical plan, and monitor your health over time.

• Your Health Coach helps translate recommendations into practical daily actions, troubleshoot barriers, and support long-term behavior change.

• Your Mental Health Professional helps address the emotional, psychological, and nervous system factors that can influence health behaviors and quality of life.

Not every patient will need the same level of support from every team member. Some people may need very little coaching or mental health support, while others benefit significantly from those services.

However, because our model is built around collaboration and partnership, we ask all patients to be open to working with the broader care team if challenges arise that would benefit from their expertise.

That’s completely fine.

If you already have a coach, therapist, counselor, or other mental health professional whom you trust and have an established relationship with, we do not expect you to leave that relationship to join our Midlife Health Clinic.

In fact, continuity of care and strong therapeutic relationships are often valuable parts of long-term health and wellbeing.

Because our model is team-based, we do ask patients to sign a Release of Information (ROI) so that we can communicate and coordinate care with members of your existing healthcare team when appropriate. This helps ensure that everyone is working toward the same goals and reduces the risk of fragmented or conflicting recommendations.

Our goal is not to replace providers who are already serving you well. Our goal is to create a coordinated approach that supports your health, function, and long-term wellbeing.

Our Midlife Health Clinic focuses on measuring and tracking factors that influence long-term health, function, and independence.

Some assessments—such as waist-to-hip ratio, blood pressure, body measurements, laboratory testing, and health history review—can be performed directly through our clinic.

Other assessments, including VO₂ max testing, strength evaluation, mobility assessment, and other specialized functional testing, may require equipment or expertise that we do not currently offer in-house.

When appropriate, we will refer you to trusted community partners who perform these assessments. The results are then shared with our team and incorporated into your personalized health plan and annual review.

Our goal is not to perform every test ourselves. Our goal is to gather meaningful data that helps us understand your current health trajectory and identify opportunities to improve long-term healthspan and function.

Yes.

While our Midlife Primary Care and Health Coaching memberships do not bill insurance, you may still use your health insurance for services outside of our clinic whenever those providers or facilities participate with your insurance plan.

Examples may include:

• Specialist consultations
• Imaging studies (X-rays, CT scans, MRI, ultrasound, etc.)
• Laboratory testing
• Physical therapy
• Hospital services
• Other healthcare providers outside our clinic

As with any healthcare service, coverage, deductibles, copays, and network requirements are determined by your insurance plan.

We encourage patients to contact their insurance company directly if they have questions about coverage for specific services.

Our goal is to help coordinate your care and provide recommendations, while allowing you to utilize your insurance benefits whenever available.