We begin with a comprehensive intake process that includes:

• A physician-led review of prior medical history, lifestyle factors, and goals
• Advanced biomarkers and metabolic testing
• DEXA body composition and VO2 max analysis
• Functional fitness, strength, and movement assessments
• Cognitive, emotional, sleep, hormonal, and genetic evaluations

All findings are synthesized into your Vitality Report, a structured and contextualized profile of your health. This becomes your personalized “health dashboard,” updated annually, and discussed in detail during your initial physician debrief.

Informed by your Vitality Report, your physician leads the development of a Performance Plan, which includes:

• Prioritized goals and key actions
• Training prescriptions and behavioral strategies
• Therapeutic plans, medications, and supplements
• Referrals for additional diagnostics or expert consultation
• Tools, technologies, and tracking methods
• Support systems and execution guidance

Yes. At VIM, we serve as your full-scope, first-contact, long-term physician. We manage your preventive screenings, diagnostics, prescriptions, urgent care needs, and health records just like a traditional primary care provider. But unlike traditional models, our care is proactive, integrated, and personalized over time.

Most primary care models—concierge or not—are reactive and transactional. They focus on managing illness and providing access. At VIM, we go further. We focus on health strategy, performance capacity, and lifespan planning. We integrate your diagnostics, goals, behaviors, and risks into a personalized plan and we partner with you to execute it.

Concierge medicine provides faster and easier access to your physician. This, in turn, facilitates more personalized care and attention from your doctor, who generally is caring for a smaller number of patients. The fundamental philosophy and practice of most concierge medicine, however, is still largely reactive in nature. The focus is on medicine to treat disease, which is only part of your holistic wellbeing.

Health Management Medicine is a modern medical discipline grounded in continuity, data-informed decision-making, proactive screening, lifestyle integration, and long-term physician partnership. It’s for people who want dedicated health stewardship to help strategically manage their health as a vital asset (which it is!).

Not at all. We care for individuals and families across all life stages. What our members share is a commitment to living with intention and a desire for care that evolves with them, whether they’re optimizing, recovering, parenting, aging, or transitioning.

You’ll have a formal strategy session with your physician each quarter, plus additional visits as needed—virtually or in-person. Communication between visits is continuous and available via secure messaging, phone, or video.

While VIM provides full-scope primary care and long-term health leadership, there are some services we intentionally do not provide in-house.

VIM Medicine does not offer:

• Same-day, in-office sick visits for acute infections
• Routine vaccinations (e.g., flu, shingles, travel immunizations)
• In-office diagnostics such as X-rays, strep tests, or urinalysis
• Office-based procedures like sutures, skin biopsies, or wart removal
• Wound or burn care
• Obstetric and procedural gynecological care

Why not?

These services are episodic and infrastructure-intensive. Health Management Medicine is designed around proactive, longitudinal care, not walk-ins or procedural throughput. We maintain strong partnerships with urgent care centers and specialists to ensure you receive the right care when needed.

What we do instead:

• Coordinate and refer you to trusted providers
• Share relevant diagnostics and history to support continuity
• Follow up with you and integrate external care back into your health plan

Your VIM physician remains your primary point of care and long-term strategist even when procedures happen outside the office.

VIM operates outside of traditional insurance billing so we can deliver longer visits, deeper relationships, and physician-led planning without administrative constraints.

That said, we do our best to help you maximize your insurance benefits when possible. Many lab tests, imaging studies, prescriptions, and referrals we order can be processed through your insurance, and we’ll work with you to ensure that happens whenever appropriate.

Yes. We strongly recommend that you maintain insurance. Medical insurance is designed for unpredictable, expensive events that affects your health, such as surgery, emergency care, and hospitalization. Insurance provides important financial protection should any of these unforeseen scenarios arise.

Certainly. We have opted-out Medicare, which means neither our practice nor the member can submit a claim to Medicare for reimbursement for primary care. Due to national regulations those who are enrolled in Medicare are required to sign a yearly contract with VIM Medicine stating they will not bill Medicare for any Performance Medicine services. Of course, a Medicare recipient would still be free to use their Medicare insurance to pay for services from other doctors, such as specialists.