Choose lasting
good health.
Licensed clinicians who look at your labs, know your whole story, and build a custom medical plan so you can live well.
- One membership at $299/month — comprehensive labs every 90 days (4 panels/year) included
- Personalized recommendations based on your actual lab results
- Ongoing clinical support from our licensed clinicians
I just reviewed your labs. Your thyroid and cortisol explain a lot. We recommend hormone optimization.
Your hormones are holding up. Looks like you're following the diet and working out hard.
I'm still not losing weight!
Your A1c is 7.8 — that's diabetic range. We're adding GLP-1 to your protocol.
The $299 Cardiometabolic Optimization Membership is direct primary care aimed at one thing: your Biomarker Audit every 90 days, and the two protocols it guides — branded FDA-approved Medical Weight Loss and Hormone Optimization, prescribed when your labs call for them. One flat monthly fee, one clinical focus.
Ongoing clinical care
A licensed clinician who owns your case — reviews your history, reads every lab personally, and adjusts your protocol as your biology changes. No copays, no per-visit fees.
Unhurried, lab-guided visits
An 18-minute scheduled visit delivers 5 to 8 minutes of clinician face time. Your visits are built around your bloodwork and your questions — not a billing code.
A Biomarker Audit every 90 days
Your clinician orders a full cardiometabolic panel every 90 days (4 per year) — included in the $299 membership. It is the diagnostic engine: every protocol decision is made against your panel, not against symptoms alone.
Clinical trials of these medications show 17–22.5% body weight loss.
In the 68-week SURMOUNT-1 trial of tirzepatide, participants lost an average of 21% (up to 22.5%) of their body weight. In the 68-week STEP-1 trial of semaglutide, participants lost an average of 14.9% (up to 17.4%).*† Both are covered at $299/mo with pharmacy-cost medication routing.
*Tirzepatide Once Weekly for the Treatment of Obesity, NEJM (2022) · †Once-Weekly Semaglutide in Adults with Overweight or Obesity, NEJM (2021)
Lasting good health or your first month back
If after your first month you feel GoodLife Health isn't right for you, we'll refund your membership in full. No questions asked.
Am I eligible?The rational alternative to insurance.
More than 130 million American adults now live with diabetes or prediabetes, and only 12% of adults are metabolically healthy. Insurance-driven primary care was not built for this: the average family plan now consumes $2,249 a month in premiums, an 18-minute scheduled visit delivers 5 to 8 minutes of clinician face time — our Medical Director spent 25 years inside that system — and the model reacts to disease instead of steering the biology that leads to it. We built GoodLife Health on a different premise: you pay your clinician directly, with no markup on the labs or medications you need. The relationship is the medicine. And it's the foundation that makes clinically guided medical weight loss and hormone optimization actually work.
- $571 of it taken straight from your paycheck; your employer pays the rest — money that would otherwise be part of your pay
- $1,886 average deductible before anything is covered
- Premiums rising 6% a year, faster than wages
- 5–8 minutes of clinician face time inside an 18-minute scheduled visit
- A reactive annual panel that misses cardiometabolic drift
- Labs may or may not be covered
- You are a billing code, not a patient
- Comprehensive cardiometabolic labs every 90 days (4 panels/year) — included
- Unhurried clinical conversations
- Clinician orders and reads your labs personally
- Branded FDA-approved medications at pharmacy cost — no markup
- Same flat fee whether the answer is a GLP-1, HRT, or a lifestyle protocol
- Your clinician works for you — not the insurance company
Precision Direct Primary Care isn't a replacement for health insurance, and it doesn't cover catastrophic, acute, or specialty care. It is the direct primary care relationship pointed at one domain — the clinical relationship insurance never gave you, narrowed deliberately so a real clinician can actually know you, read your Biomarker Audit every 90 days, and guide clinically indicated medical weight loss and hormone optimization: the two levers that actually move cardiometabolic disease.
The full clinical ladder.
Every member starts with Direct Primary Care. Additional clinical pathways are added based on your labs and your clinician's recommendation — never as a default upsell.
Cardiometabolic care in one flat monthly membership.
Comprehensive labs and ongoing clinical care included. Branded FDA-approved medications billed by the pharmacy at pharmacy cost. No tiers, no upcharges.
Two-month membership commitment · $598 today, then $299/month. Cancel anytime after.
- Comprehensive cardiometabolic labs every 90 days — 4 panels/year, included
- A clinician who orders your labs and reads them personally
- Branded FDA-approved medications at pharmacy cost — Wegovy, Zepbound, Mounjaro, Ozempic, HRT, thyroid, cardiometabolic
- Same flat fee whether the answer is a GLP-1, HRT, thyroid, or a lifestyle protocol — no molecule upcharge
- Monthly clinical check-ins, unlimited secure messaging
- Longitudinal health record you actually own, across visits and years
Cardiometabolic disease is the largest untreated chronic condition in American adults.
The reason a $299 cardiometabolic membership is priced where it is — above transactional GLP-1 platforms, well below concierge — is the scale and the complexity of the disease it is designed to treat. A single-molecule prescription is not the answer for a population where the underlying condition is multi-system by definition.
of American adults meet the clinical criteria for metabolic syndrome — abdominal weight that won't shift, insulin resistance building in the background, cholesterol drifting, blood pressure creeping. Nearly 4 in 10 people you know are carrying the same picture. Most of them have been told the labs are fine.
Trends and Prevalence of the Metabolic Syndrome Among US Adults, JAMA, December 2025
American adults living with the same underlying picture, undiagnosed at the protocol level. An 8-minute insurance appointment isn't enough to see the pattern, let alone treat it — which is why so many people leave their doctor feeling like something is wrong and no one will name it.
of adults with obesity are also managing insulin resistance, blood pressure, or cholesterol at the same time. This is the picture a single GLP-1 prescription can't resolve on its own — and why treating any one piece in isolation rarely holds.
The way out of this picture is a clinician who runs the right labs, reads them personally, and treats hormones, thyroid, insulin, lipids, inflammation, and weight as one connected system — because that's what they are. That's the work your $299 monthly membership pays for. It's the care you should have gotten from your last doctor.
What Makes GoodLife Health Different.
Telehealth has split into three traps: legacy platforms that mark branded medication up to $1,899 a month, compounding-only services selling copies under FDA scrutiny, and concierge clinics that bill by the year. GoodLife Health is the only one that combines labs, clinical care, and branded FDA-approved medications for cardiometabolic and hormone optimization — under one $299 monthly membership, with medications billed by the pharmacy at pharmacy cost and no markup.
| What you actually get | GoodLife Health | Legacy telehealth Hims · Ro | Compounding-only Henry Meds | Traditional concierge MDVIP |
|---|---|---|---|---|
| Clinician orders and reads your labs — no markup | ✓Billed direct via insurance or cash-pay | ✕Often not required or billed separately | ✕Only if you request them | –Annual physical labs only |
| Quarterly clinical re-evaluation by your clinician | ✓Bring updated labs as your protocol evolves | ✕Rarely offered | ✕Not included | –Often costs extra |
| A dedicated, licensed clinician who tracks your care | ✓Ongoing DPC relationship | –Async-only or randomly assigned | ✕Highly transactional | ✓ |
| Medication-neutral membership pricing | ✓Same $299/mo whether it's GLP-1, HRT, thyroid, or a lifestyle protocol | ✕Up to $1,899/mo for branded Zepbound or Mounjaro | ✕Tirzepatide upcharged to $449/mo | Doesn't typically prescribe GLP-1s |
| Comprehensive cardiometabolic labs every 90 days included | ✓4 panels per year included; additional labs billed by the lab | ✕Not offered or billed separately | ✕Not offered | –Annual physical only |
| Protects you from FDA compounding crackdowns | ✓Routes to branded meds via LillyDirect / TrumpRx | ✕Relies on compounded GLP-1 under FDA scrutiny | ✕Sells essentially-copy compounded drugs | Not applicable |
| Hormones and GLP-1 managed safely together | ✓Full metabolic oversight | ✕Treated in isolation | ✕Handled as separate programs | –Sometimes |
| True monthly cost — labs + care + branded medication | $299 + pharmacy cost Quarterly labs (4/yr) included; meds at pharmacy cost, no markup | Up to $2,048 $149 membership + $1,899 meds | $300–$500 compounded only, no labs | $1,800–$5,000/yr plus insurance & meds |
Competitor pricing and capability compiled from publicly advertised rates, May 2026 (Hims.com, Ro.co, HenryMeds.com, MDVIP.com). Figures are estimates and subject to change.
Go deeper into the model.
Aligned Medicine: How Zero-Markup Healthcare Actually Works
One flat fee for the doctor, zero markup on the medicine — and why most telehealth is built on the opposite economics.
Read the guide →DPC TelehealthBiomarker Audits vs Standard Blood Tests
ApoB, Lp(a), hs-CRP, and full hormone panels every 90 days — the markers your annual physical skips.
Read the guide →DPC TelehealthClinician-Owned Healthcare: Why Who Owns Your Doctor Matters
The most important fact about a healthcare company is one almost no patient checks: who owns it.
Read the guide →Metabolic HealthThe True Monthly Cost of GLP-1 Telehealth: An Honest Comparison
The advertised membership is never the number you pay. An honest all-in comparison, platform by platform.
Read the guide →Metabolic HealthCardiometabolic Optimization: The Definitive Guide
What the category means, and why weight, hormones, thyroid, blood sugar, lipids, and inflammation are one biological system.
Read the guide →One flat fee for the doctor. Zero markup on the medicine.
We make money when you get healthier, not when your dose gets stronger.
Meet the team behind your care.
Dr. Kristin Makinajyan, FNP, DNP
Medical Director · AZ, CA
Kim Fahle, FNP
Family Nurse Practitioner
Kim Endean, RN
Registered Nurse
Makayla Stepnowski, LVN
Licensed Vocational Nurse
The relationship is the medicine
"I finally feel like I have a real doctor again."
After years of having a PCP who was attentive and truly knew me, he retired. … What a relief to find Dr. K and her team. They actually get to know you. They are attentive, thorough, and genuinely care. I finally feel like I have a real doctor again. Thank you!
"Dr. K really listened to my concerns."
Dr. K was amazing, she really listened to my concerns and gave me the knowledge I needed and was so caring. So happy I found an amazing provider.
"An exceptional family doctor who truly cares."
Dr. Kristin is an exceptional family doctor who truly cares for her patients. She takes the time to listen, explains everything clearly, and always makes me feel comfortable and supported. Her compassion, professionalism, and dedication are unmatched. I feel grateful to have her as my doctor and highly recommend her to anyone looking for excellent care.
"Kristin helped me get my life back."
Kristin helped me greatly get my life back on track and control of my weight loss journey.
Verified reviews of Kristin Makinajyan, DNP, FNP-BC, written by patients of her clinical practice — not of the GoodLife Health membership. Excerpted verbatim; “…” marks omitted text.
Direct answers from your clinical team
- Your $299/month Cardiometabolic Optimization Membership covers a comprehensive Biomarker Audit every 90 days — 4 per year, included in the membership, not billed separately — ongoing access to your clinician and the broader clinical team, monthly clinician check-ins, your cardiometabolic protocol, unlimited secure messaging with the clinical team, and scheduled telehealth visits. When medication is clinically indicated — a branded GLP-1, FDA-approved HRT, thyroid, or a cardiometabolic protocol — the prescription routes to the pharmacy and the pharmacy bills you at pharmacy cost. GoodLife Health takes no pharmacy margin.
- Something more specific, deliberately. GoodLife Health is precision Direct Primary Care: the direct primary care relationship — a named clinician, unhurried time, no insurance in the middle — applied to one clinical domain, cardiometabolic optimization. Your weight, blood sugar and insulin, hormones, thyroid, lipids, and inflammation are treated as one connected system, guided by a comprehensive Biomarker Audit every 90 days. The two protocols that come out of it are clinically guided GLP-1 medical weight loss and FDA-approved hormone optimization, prescribed only when your labs call for them. What sits outside the membership: acute illness and injury, urgent care, pediatrics, hospitalization, and specialty referrals. Most members keep a high-deductible insurance plan for those and use GoodLife Health for the cardiometabolic work insurance-based primary care never had time to do.
- No. Direct Primary Care is not a replacement for health insurance, and it does not cover catastrophic care, hospitalization, or specialty care. It is the everyday clinical relationship that insurance never gave you — the foundation that lets a real clinician actually know you, watch your labs, and guide what works. Most members keep a high-deductible insurance plan for catastrophic coverage and use GoodLife Health Direct Primary Care for their everyday clinical relationship.
- The average family health plan now costs $2,249 a month in premiums (KFF 2025 Employer Health Benefits Survey) — $571 of it taken straight from your paycheck, with your employer paying the rest — money that would otherwise be part of your pay — plus a $1,886 average deductible before care counts, for a scheduled visit that delivers 5 to 8 minutes of clinician face time. We built GoodLife Health on a different premise: you pay your clinician directly, with no markup on the labs or medications you need. The $299 is the flat clinical fee. The relationship is the medicine.
- Hims and Ro are legacy telehealth platforms that prescribe through anonymous or async-assigned providers and rely heavily on compounded GLP-1 medications under FDA scrutiny. Henry Meds is compounding-only and upcharges tirzepatide. MDVIP is a traditional in-person concierge model that bills by the year and rarely prescribes GLP-1s. GoodLife Health is the only platform that combines medical weight loss, hormone optimization, and ongoing Direct Primary Care under a single named licensed clinician — with transparent, direct-to-pharmacy billing on FDA-approved branded medications, and no markup on labs or medications.
- Two-month commitment at signup. The first charge is $598 (two months × $299), then $299/month month-to-month with no contract. The two months exist so month one covers your comprehensive cardiometabolic labs and first clinical visit, and month two lets your clinician write and begin your protocol.
- Yes, after your initial two-month commitment. From month three onward, membership is month-to-month with no contract. Cancel any time and billing stops at the next cycle.
- No, and that is intentional. Insurance billing is the reason a primary care visit delivers only 5 to 8 minutes of clinician face time. Direct Primary Care means you pay the clinician directly, the clinician works for you, and the relationship is the product. Many members pay with HSA or FSA dollars. Labs, hormone therapy, and GLP-1 medications can be billed to insurance directly by the pharmacy or lab — that transaction is between the member, the pharmacy or lab, and their insurer.
- Yes. Many members pay the monthly membership fee using pre-tax HSA or FSA dollars. Direct Primary Care memberships are generally considered eligible medical expenses; confirm with your HSA or FSA administrator for your specific plan.
- Yes. Your comprehensive cardiometabolic lab panel — hormones, thyroid, insulin, metabolic markers, lipids, inflammation, nutrient status — is included in the $299 monthly membership fee, not billed separately. This is the diagnostic foundation your clinician uses to design your protocol.
- GoodLife Health serves all 50 U.S. states. Our clinicians practice independently in Arizona and California, with the remaining states served through collaborating physician partnerships. The eligibility check confirms availability in your state.
- Every member is assigned a named, licensed clinician from the GoodLife Health clinical team — led by Medical Director Kristin Makinajyan, DNP, FNP-BC. You see the same clinician for monthly check-ins, lab reviews, and protocol adjustments. The relationship is the product.
- Within the first month, your clinician orders your comprehensive cardiometabolic lab panel (included in the membership), reviews your medical history, and runs your first telehealth visit. From the labs and conversation, your clinician writes your protocol — which may include FDA-approved hormone therapy, a branded GLP-1 like Wegovy or Zepbound, thyroid, or a lifestyle-first plan, depending entirely on what your biology actually shows. The $299 membership fee is the same regardless of what's prescribed.
