Vitality Concierge Medicine is a direct-pay medical practice. We do not bill insurance for visits.

However, patients may still use insurance for:

• Laboratory testing

• Imaging studies

• Prescriptions

• Specialist referrals when appropriate

This model allows us to provide longer visits, proactive care, and more personalized access without the limitations of insurance-based medicine.

Concierge medicine is a membership-based model that allows practitioners to care for a smaller number of patients. This provides more time, better access, and a more personalized relationship.

Instead of rushed visits and reactive care, concierge medicine focuses on prevention, early detection, and long-term health strategy.

Root-cause medicine looks upstream to understand why symptoms or health conditions develop.

Rather than focusing only on symptom management, we evaluate patterns involving:

• Metabolism

• Hormones

• Inflammation

• Gut health

• Sleep and stress physiology

This approach helps create personalized plans designed to improve daily wellbeing and reduce long-term risk.

Vitality Membership includes concierge primary care, a comprehensive health and risk assessment, same/next-day sick visits, direct messaging access, advanced laboratory testing through Function Health, specialist coordination, and ongoing hormone and metabolic care.

Yes. Vitality Membership includes the full scope of hormone and metabolic care offered in our Hormone & Metabolic Optimization Program.

This includes:

• Bioidentical hormone replacement therapy (BHRT)

• Testosterone replacement therapy (TRT)

• Perimenopause and menopause support

• Sexual wellness care

• Insulin resistance and metabolic health

• GLP-1 and weight-loss medications when appropriate

These services are fully integrated into your concierge care.

Vitality Members receive an initial Function Health laboratory membership, which includes testing of more than 100 biomarkers. Additional targeted lab testing is performed every six months.

These results help guide your personalized prevention and longevity strategy.

The complimentary discovery call is a 15-minute conversation with Dr. Perlman for individuals considering the Vitality Membership. It allows you to ask questions and determine whether the program is the right fit.

If you decide to move forward, our nurse will guide you through white-glove enrollment.

No. The 15 min discovery calls are for patients interested in the Vitality Concierge Membership. Functional Medicine Consultations and Hormone & Metabolic Optimization Program appointments are scheduled directly online.

The Functional Medicine Consultation is a one-time, focused consultation addressing a specific concern.

The Vitality Membership is a comprehensive concierge primary care program providing ongoing care, prevention, advanced testing, and direct access to your care team.

This is an in-depth consultation and ongoing medical management program for hormone balance, metabolism, weight optimization, and sexual wellness.

It includes a structured onboarding period and ongoing quarterly care.

Many services can be provided via telehealth. Some services may require in-person visits depending on clinical needs.

You can schedule online through our booking page.

Discovery calls are available for the Vitality Membership. Functional Medicine and Hormone Program appointments can be booked directly online.