Your standard physical tests what insurance pays for.
PrimeMD Plus is a structured annual wellness program — advanced diagnostics insurance doesn't cover, reviewed in depth with a double board-certified internist and geriatrician at a dedicated annual visit.
No payment now. We'll reach out personally when founding enrollment opens.
We'll be in touch personally when founding enrollment opens.
Standard medicine is designed to respond to symptoms. It tests what insurance reimburses — a defined, limited list developed for populations, not for you. Advanced aging and inflammation markers like IL-6 and OxLDL are not on that list. The metabolic markers that may identify insulin resistance years before diabetes are not on that list.
This program tests those gaps. Not because the tests are experimental — they are commercially available and clinically validated. But because most practices have not built a model to run them, explain every result in depth, and produce a written plan around them. That is what this program is designed to help address.
The program fee covers two things insurance does not: the advanced diagnostic panel and the written prevention plan. The physician visits — the annual review and the mid-year check-in — bill to your insurance as standard clinical encounters. Together they form a complete annual assessment.
The program is built entirely around services insurance doesn't cover. Everything your insurance already covers continues to bill through your insurer — the program adds the layer beyond it.
| Service | Insurance covers | Program covers |
|---|---|---|
| Clinical services — billed to your insurance | ||
| Annual physician review — dedicated visit, every result explained | ✓ | — |
| Neural cognitive scan | ✓ | — |
| ANS autonomic nervous system assessment | ✓ | — |
| Balance & fall risk assessment | ✓ | — |
| Glaucoma screening | ✓ | — |
| Cognitive assessment (MoCA) — included in Medicare Annual Wellness Visit | ✓ | — |
| Standard preventive labs — lipid panel, metabolic panel, CBC | ✓ | — |
| Advanced diagnostics — covered by the program fee · Not covered by insurance under any indication | ||
| Metabolic risk panel — HOMA-IR, fasting insulin | — | ✦ |
| DHEA-S — longevity and hormonal aging marker | — | ✦ |
| Omega-3 index — cardiovascular and cognitive protection marker | — | ✦ |
| IL-6 — systemic inflammation and aging velocity | — | ✦ |
| Oxidized LDL (OxLDL) — arterial wall damage marker | — | ✦ |
| Myeloperoxidase (MPO) — vascular inflammation and plaque vulnerability | — | ✦ |
| TMAO — gut microbiome-derived cardiovascular risk marker | — | ✦ |
| ApoE4 genotyping — cognitive risk stratification (run once) | — | ✦ |
| Program deliverables — included | ||
| Written personalized prevention plan | — | ✦ |
| Mid-year check-in with Dr. Javvaji | ✓ | — |
✓ Billed to your insurance or Medicare as standard clinical services, when clinically indicated · ✦ Covered by the annual program fee
Each test in this panel was selected because it meets three criteria: clinically validated evidence, directly informs physician decisions, and confirmed not covered by Medicare or standard insurance under any indication. Tests with any coverage pathway have been excluded — this panel covers only the genuine gaps.
All tests are run as part of a single fasting blood draw prior to your annual review. Tests already covered by your insurance are excluded from the program fee and billed to your insurer separately. ApoE4 genotyping is run once at enrollment and does not need repeating.
Geriatric medicine is the specialty built around long-term health trajectories — not just treating what is wrong today, but understanding what is coming and how to change its course. Applied in your 50s and 60s, that perspective changes what you look for, what you measure, and what you do about it.
The program runs across two touchpoints each year — a comprehensive annual assessment and a mid-year follow-up. You leave both with something actionable.
The program fee covers two things insurance does not: the advanced diagnostic panel and the written prevention plan. The annual physician review and mid-year check-in both bill to your insurance as standard clinical visits — neither is funded by the program fee. The $1,500 annual fee is the same every year — no different tiers, no renewal surprises. Standard clinical visits and covered tests continue to bill through your insurance or Medicare as they always have.
Come in fasting for your bloodwork and in-office assessments — neural scan, ANS assessment, balance evaluation, glaucoma screen, EKG, hearing, and vision. No physician visit at this appointment. Results are processed and then you return for your dedicated physician review with Dr. Javvaji.
Every result — including any that warrant attention — is reviewed with you in person at your dedicated physician review, not sent to a portal with a number and no context. If a result requires follow-up, Dr. Javvaji discusses what it means, what the next step is, and personally coordinates any referrals or additional testing. Nothing falls through the cracks.
The plan is specific to you — not a generic printout. It covers Dr. Javvaji's interpretation of your results, the areas of highest priority based on your risk profile, specific recommendations for the year ahead, and a baseline to compare against at your next annual visit. You leave with a document that tells you what to do, in order of importance, and why.
Your standard annual physical is a clinical visit covered by insurance — it addresses your active medical concerns and includes the tests insurance reimburses. The Wellness Program runs advanced diagnostics insurance does not cover under any indication and produces a written prevention plan. The dedicated physician review bills to your insurance as a comprehensive clinical visit. The two complement each other — your standard physical continues exactly as it always has.
The program is open to both current patients of Dr. Javvaji and new patients. Founding spots are limited by design. Joining the waitlist secures your place in the founding cohort. We reach out personally to confirm availability and next steps before any payment is involved.
No. The program is entirely optional and has no effect on your standard clinical care. Your appointments, insurance billing, and physician relationship continue exactly as they always have. Choosing not to enroll changes nothing about how Dr. Javvaji cares for you.
The program fee covers services that are not covered by Medicare. No portion of the program fee will be submitted to Medicare for reimbursement, and enrollment in the program is not a condition of receiving Medicare-covered services from Dr. Javvaji. Medicare patients should contact our office before enrolling to understand how the program works alongside their coverage.
The Wellness Program fee may be eligible for reimbursement through HSA, FSA, or HRA accounts depending on your specific plan. Eligibility is not guaranteed — confirm with your plan administrator and tax advisor. The fee is not reimbursable by Medicare or Medicaid.
No. The program fee is $1,500 annually — the same every year. Some baseline tests such as ApoE4 genotyping are run once at enrollment and don't repeat, but the annual fee stays flat. No different tiers, no renewal surprises. The founding member rate is locked at enrollment for as long as you remain enrolled.
The founding rate is available during the initial launch period and is available to all patients regardless of insurance status. Members who enroll during the founding period have their rate confirmed in the membership agreement before any payment is required. Full terms are provided before enrollment.
Join the waitlist. No payment required until enrollment opens and you've spoken with our team personally.
All physician visits billed through insurance separately · Program fee may be HSA · FSA eligible
No payment required. Have questions? Contact us here.