Premium Health Management

Health management for every decade of your life.

Comprehensive care designed around what you actually need at each stage. Real physicians, advanced testing, ongoing relationships. Choose the tier that fits you — or talk to us if you're not sure.

Physician-led. Powered by Longevity Health.

Three tiers

Care that matches the decade you're in.

Each tier is designed around what most people actually need at that stage of life. Ages are guidelines — choose the tier that fits you.

30s

Foundation

Establish your baseline. Catch what others miss.

$5,000/year
  • Comprehensive bloodwork (2x/year)
  • DEXA scan (1x/year)
  • CGM (1x/year, 2-week wear)
  • VO2 Max assessment (1x/year)
  • Physician consults (2x/year)
  • Ongoing messaging access to your medical team

Best for

Adults who want to know their baseline, catch issues early, and build the foundation for the next decades.

Typical age range: 25–40

Start with Foundation
Most Popular

40s

Optimization

Active optimization as your body begins to shift.

$11,000/year
  • Everything in Foundation
  • Quarterly bloodwork (4x/year)
  • Quarterly DEXA scans (4x/year)
  • Quarterly physician consults (4x/year)
  • Hormone optimization (HRT, TRT, where indicated)
  • Peptide therapy management
  • GLP-1 management (where clinically appropriate)
  • Body composition protocol design
  • Access to nutrition, exercise, and strength coaches

Best for

Adults experiencing hormonal shifts, metabolic changes, or who want active management of their body composition and health.

Typical age range: 38–58

Start Optimization

50s

Prevention

Catch the diseases that matter before they catch you.

$15,000Year 1 / $12,000 thereafter
  • Everything in Optimization
  • Full body MRI (every 2–3 years)
  • Galleri multi-cancer screening (every 2–3 years)
  • Cleerly cardiac imaging (every 3 years)
  • Coordinated interpretation and follow-up of advanced screening

Year 1 typically includes Galleri + Cleerly

Year 2 typically includes Full Body MRI

Year 3 typically includes Galleri

Best for

Adults entering the age window where cardiovascular events and cancer become more likely. We help you stay ahead of them.

Typical age range: 48–65

Start Prevention

Another path

Looking for comprehensive primary care?

Decades focuses on optimization and advanced screening. If you're primarily looking for a comprehensive primary care relationship — a doctor who knows you, manages your conditions, and is available when you need them — our Concierge program at Longevity Health may be a better fit.

Learn about Longevity Health Concierge

Add-on

Want us to be your primary care doctor?

Any tier can be combined with our primary care add-on — we become your medical home. Replace your PCP entirely, with 24/7 access, urgent care through our Sollis partnership, and full specialist coordination.

+$10,000

/year

Add Primary Care

Guidance

Not sure which tier fits you?

Ages are guidelines, not rules. A 38-year-old with shifting hormones may fit our 40s tier. A 52-year-old in great health may be happy in our 30s tier. Book a free 15-minute consult and we'll help you figure out what makes sense.

Book a Free Consult

The approach

Not another health subscription.

01

Real physicians, not pill mills

Other services prescribe within minutes. We start with comprehensive testing and design a protocol around your actual numbers.

02

Tiered by life stage

You don't pay for what you don't need. Your tier matches where you are — and changes as your needs change.

03

Integrated care, not a la carte

Bloodwork, advanced imaging, hormone management, and ongoing physician relationship — all coordinated by one team.

Your care team

Led by physicians who specialize in this work.

Dr. Jahan Fahimi, MD, MPH

Dr. Jahan Fahimi, MD, MPH

Clinical Lead

Board-certified in Emergency Medicine with a Harvard MPH. 40+ publications in emergency care, population health, and risk detection. Focused on preventive health, diagnostics strategy, and systems optimization.

Dr. Raveena Rihal, MD

Dr. Raveena Rihal, MD

Longevity Physician

Board-certified in Internal Medicine. Focused on women's health, metabolic health, and lifestyle medicine — prevention-first care, sustainable change, and long-term optimization.

Dr. Daniel Singer, MD

Dr. Daniel Singer, MD

Longevity Physician

Board-certified in Emergency Medicine. Uses VO₂ max, DEXA, sleep analysis, and CGM to guide precision diagnostics, metabolic health, and performance optimization.

Dr. Jason Valadao, MD

Dr. Jason Valadao, MD

Longevity Physician

Board-certified in Family & Sports Medicine and former flight surgeon. Focused on performance medicine, recovery, sleep, stress optimization, and long-term physical performance.

Our clinical team trained at Harvard, UCSF, NYU, Stanford, Johns Hopkins, and Yale.

FAQ

Questions, answered.

Each tier is designed around what most people need at that stage of life. The 30s tier focuses on baseline and prevention. The 40s tier adds active optimization of hormones and metabolism. The 50s tier adds advanced cancer and cardiovascular screening. The 60s tier adds the coordination and management complexity that comes with age. You can choose any tier — the ages are guidelines.

Yes. As your needs change, your tier can change. Many patients move from the 40s to the 50s tier in their late 40s when they want to start advanced screening. We'll guide that decision based on what your labs and goals show.

Cancel anytime. We'll refund the unused portion of your annual fee on a prorated basis. No questions asked.

No. We prescribe medications, but they're billed through your insurance or sourced direct from manufacturers. Most patients pay $0–400/month for medications depending on their insurance.

Concierge medicine traditionally focuses on primary care — having a doctor who knows you and is available when you need them. Decades focuses on optimization, advanced testing, and prevention. They're complementary, not competing. If you want both, our Primary Care add-on combines them. If you want primary care alone without the advanced screening Decades includes, our Concierge program at Longevity Health is designed for that.

Get started

Choose the decade that fits you.

Or book a free 15-minute consult and we'll help you decide.