The objection is fair, so here is what $299 a month buys over 24 months, stated as the whole number. Twenty-four months inside the Cardiometabolic Optimization Membership is $7,176. That is $598 covering the first two months plus 22 months at $299. Inside that number sit eight full Biomarker Audits and a clinical relationship that covers messaging and video visits with physicians licensed in all fifty states. Every prescription passes through at pharmacy cost with zero markup. Whether that number is expensive depends entirely on what it replaces. This page does that arithmetic in full so you can judge it against your own last two years of medical spending.
We publish the 24-month math because the fee only makes sense at the horizon it is designed for. Cardiometabolic optimization is a multi-year project. The quarterly audit exists to turn isolated lab values into trends and trends need time. Here is the full breakdown.
- 24 months in the membership is $7,176 total: $598 for the first two months plus 22 months at $299.
- That total includes eight full Biomarker Audits, four per year, with ApoB, Lp(a), hs-CRP, HbA1c and full hormone and thyroid panels.
- The fee never changes with dose or prescription because medication is billed separately by the pharmacy at pharmacy cost with zero markup.
- The membership is month to month from month three and cancel anytime. The 24-month number is what we build trust toward, never a commitment you are bound to.
The total, line by line
| Component | Amount | What it includes |
|---|---|---|
| First charge | $598 | First two months together: the first Biomarker Audit, the clinical intake visit, month two of clinical care and platform costs |
| Months 3 through 24 | $6,578 | 22 months at $299 each |
| 24-month total | $7,176 | Eight Biomarker Audits, the clinical relationship, messaging and video visits |
| Medication | Separate | Billed by the pharmacy you choose at pharmacy cost, zero markup, no molecule upcharge, no dose upcharge |
The medication line is worth pausing on, because it is where the honest answer lives. The $7,176 never includes medicine and never pretends to. If a branded GLP-1 or hormone therapy is clinically indicated, the pharmacy bills it separately at its own price and we take nothing from that transaction. The $299 is the same whether your protocol is minimal or demanding, which is the whole point: our clinical guidance has no profit motive in your dose.
What the same two years usually costs in the standard system
Run your own comparison against the last two years of your own care. For most people with the symptoms that bring them here, the standard version of two years includes an annual physical that orders a basic panel, specialist visits for the symptoms nobody connected, cash-pay advanced labs bought one at a time when the standard panel came back normal and a per-visit fee schedule that discourages the follow-up conversations the results needed. Add a deductible that never quite gets met and the number is rarely small.
The honest comparison is not membership against zero. It is membership against what incomplete care already costs, spread across the same 24 months, with the difference being whether anyone was reading the whole panel and accountable for the plan. For readers benchmarking the broader market, the testing-only services are worth naming precisely: Function Health runs $365 a year for about 160 lab tests across two draws with clinician review, which is a strong value if what you want is an annual picture without an ongoing clinical relationship. Fountain Life's APEX program is commonly reported around $19,500 to $23,500 a year for advanced diagnostics. Those are different purchases from a membership that includes the prescribing relationship and the differences matter more than the prices.
Why the fee stays flat
The flat structure is the product. In most of this market, revenue grows when the dose grows, because the platform earns its margin on the medication and prices it per milligram. In our model the fee is $299 whatever the dose and medication passes through at pharmacy cost. That removes the industry's central conflict. We make money when you get healthier, not when your dose gets stronger. The clinical goal is the least medicine that achieves the most result and the quarterly audit is the evidence that drives those decisions rather than a subscription's renewal clock.
This is also why the fee has no tiers. A membership that prices depth of care as an upgrade is selling the same conflict in a different costume. One fee, one standard of care, four panels a year, cancel anytime after the two-month start.
The commitment question, answered straight
The only commitment is two months. The $598 first charge covers the first two months together and is held at sign-up, charged only once a clinician accepts you into care. If the clinician cannot accept you, the hold is released and you are never charged. Once accepted, the first two months are charged and non-refundable and from month three the membership is month to month with cancellation anytime.
The 24-month number is not a contract. It is the horizon the clinical model is built for and it is what we build trust toward rather than what we lock you into. If the model earns it, the panels become more valuable each year as the trends lengthen. If it does not, you cancel and the trend data, all of it, is yours to take.
The membership is $299 a month with a two-month start: $598 for the first two months, held at sign-up and charged only once a clinician accepts you. From month three it is month to month, cancel anytime. Twenty-four months is $7,176 with eight Biomarker Audits included. Medication is billed separately by the pharmacy at pharmacy cost with zero markup.
Who this is for and who it is not for
This is for the reader who does the math before the sign-up and who wants the full 24-month number rather than a monthly teaser. It suits the person whose clinical goal is measured in years and who wants a care model priced to match rather than one that reprices as the dose climbs.
It is not for someone who wants a single month of care, because a single audit cannot produce a trend and a trend is the product. It is not for anyone outside the United States, because our clinicians are licensed in the fifty states. And it is not insurance. The membership pairs with insurance for catastrophic coverage and replaces the primary-care relationship, not the policy.
FAQ
How much does the membership cost over 24 months?
$7,176 total: $598 for the first two months plus 22 months at $299. That includes eight full Biomarker Audits, four per year and the ongoing clinical relationship. Medication is billed separately by the pharmacy at pharmacy cost with zero markup.
What does the $598 first charge cover?
The first two months together: the first Biomarker Audit, the clinical intake visit, month two of clinical care and platform costs. It is held at sign-up and charged only once a clinician accepts you into care. If the clinician cannot accept you, the hold is released and you are never charged.
Can I cancel before 24 months?
Yes, anytime from month three. The only commitment is the first two months, which are charged and non-refundable once you are accepted. The 24-month total describes the clinical horizon, never a contract.
Does the price change if my dose increases?
No. The fee is $299 a month whatever is prescribed and whatever the dose, because medication is billed separately by the pharmacy at pharmacy cost and we take nothing from that transaction. There is no molecule upcharge and no dose upcharge.
What does the 24 months include besides the labs?
The clinical relationship itself: asynchronous messaging with the care team, video visits, every result in your hands and clinicians licensed in all fifty states. The labs anchor it, but the relationship is what acts on them.
How does this compare with testing-only services?
Function Health runs $365 a year for about 160 lab tests across two draws with clinician review, which is a strong value for an annual picture without an ongoing prescribing relationship. Fountain Life's APEX program is commonly reported around $19,500 to $23,500 a year for advanced diagnostics. Those are different purchases and the membership is the only one of the three built around continuous treatment with prescribing.
Is this available outside the United States?
No. Our clinicians are licensed to practice in the fifty states and the membership serves United States residents only.
One last thing
Most people can name what they spent on healthcare in the last two years but not what they got for it. The membership is designed so the second question has a specific answer: eight audits, a trend you can read and a clinician who read them with you. If that is the version of the math you wanted, the eligibility check is free, takes a few minutes and never results in a charge unless a clinician accepts you into care.
Related Guides
- What $299 a month buys over 24 months: the full breakdown
- What the $598 first charge covers
- The real ROI of a $299 month health membership
- Why does my GLP-1 dose keep climbing?
- Cardiometabolic Optimization: the definitive guide
References
- Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1). 2022. pubmed.ncbi.nlm.nih.gov/35658024/
- Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1). 2021. pubmed.ncbi.nlm.nih.gov/33567185/