Contact us at: 972-393-1699
Annual Wellness Program · Coppell, TX

Most people hospitalized for heart disease had
LDL within the normal range.1

PrimeMD Plus is an annual wellness program in Coppell, TX that runs the advanced diagnostics a standard physical leaves out — metabolic, cardiovascular, and inflammation markers that surface risk years before symptoms — then reviews every result with you in person and sends you home with a written prevention plan.

Reviewed with Dr. Divya Javvaji, MD — double board-certified in Internal Medicine & Geriatric Medicine

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No payment now. We'll reach out personally when founding enrollment opens.

We'll reach out personally — not with an automated email.

You're on the list.

We'll be in touch personally when founding enrollment opens.

Heart
Advanced cardiovascular particle testing, vascular inflammation markers, coronary artery calcium score, EKG, ankle-brachial index
Metabolism
Insulin-resistance markers, a 2-week continuous glucose monitor, longevity and hormonal aging markers
Brain
Cognitive baseline screening, autonomic nervous system assessment, balance & fall-risk evaluation, ApoE4 genotyping
Body
DEXA body composition, omega-3 index, pharmacogenomics, hearing, vision, and glaucoma screening

A complete picture across blood, imaging, and in-office assessment — all run as screening under the flat program fee. If a genuine medical problem is found, it's handled separately as ordinary care billed to insurance.

Unless you have already had this panel, there are specific things you do not yet know: whether your body is insulin resistant. Whether your omega-3 levels are in a range associated with cardiac protection. Whether your vascular inflammation markers are elevated.

None of these have symptoms. None show up on a standard physical. This program is designed to help identify each of them.

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 help identify insulin resistance years before blood sugar levels become abnormal are not on that list.

This program tests those gaps. Not because the tests are experimental — they are commercially available and were selected because they are clinically validated and can flag risk earlier than standard medicine typically does. They are screening and risk-stratification tools, not stand-alone diagnoses — a concerning result is the start of a conversation, reviewed with Dr. Javvaji in depth. What sets this apart is that most practices haven't built a model to run these, explain every result, and produce a written plan around them.

In a national study of nearly 137,000 patients hospitalized for coronary artery disease, roughly 75% had LDL cholesterol within guideline targets at the time of admission.1

What the program delivers

What the program
actually covers.

The flat $3,500 membership fee covers the whole program — the advanced diagnostic panel, CGM, DEXA body composition scan, coronary artery calcium score, and all three physician visits (the initial ordering visit, the in-depth results review, and the mid-year check-in), which are wellness and screening encounters included in your membership and not billed to insurance. The written prevention plan is the deliverable you leave the results review with. If a genuine, unrelated medical problem comes up, it's handled separately as ordinary care billed to your insurance — never folded into the membership fee.

01
Advanced diagnostics — included
A curated panel insurance doesn't cover — metabolic and insulin-resistance markers, advanced cardiovascular particle testing, vascular inflammation markers, pharmacogenomics, a 2-week continuous glucose monitor, plus DEXA body composition and a coronary artery calcium score. All included in the program fee. Ordered at your physician visit and run before your results review, so Dr. Javvaji has everything she needs when you sit down together.
Included in the $3,500 program fee · No separate payments
02
A written personalized prevention plan
You leave the annual review with a written plan — not a printout of normal ranges. 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 at your next visit. A document that tells you what to do, in order of importance, and why.
The deliverable of your results review · Specific to you
03
A dedicated physician review — every result, explained.
Dr. Javvaji reviews every result with you in person. She walks through what each number means in the context of your full history, what has changed from prior years, and what she recommends. A wellness and screening encounter included in your membership — not billed to insurance.
Included in the $3,500 membership fee · Not billed to insurance
04
A mid-year check-in
Dr. Javvaji schedules a dedicated mid-year follow-up. She reviews what has changed, whether the recommendations from your prevention plan are producing results, and whether anything warrants attention before your next annual visit. A wellness and screening encounter included in your membership. Most wellness programs end at the annual visit. This one continues.
Included in the $3,500 membership fee · Mid-year follow-up
What's included

Everything your program
puts on the table.

One comprehensive annual panel across heart, metabolism, brain, and body — the advanced diagnostics a standard physical doesn't run, plus imaging and in-office assessments.

Cardiovascular
  • ApoB
  • Lp(a)
  • NMR lipid panel
  • Homocysteine
  • Coronary artery calcium (CAC) score
  • Ankle-brachial index & EKG
Metabolic
  • HOMA-IR & fasting insulin
  • DHEA-S
  • Omega-3 index
  • 2-week continuous glucose monitor
  • DEXA body composition
Inflammation
  • IL-6
  • Oxidized LDL (OxLDL)
  • Myeloperoxidase (MPO)
  • TMAO
Cognitive & neurologic
  • ApoE4 genotyping (run once)
  • Cognitive baseline screening
  • Autonomic nervous system assessment
  • Balance & fall-risk evaluation
Personalized medicine
  • Pharmacogenomic profiling (how you process medications)
Physician & plan
  • In-depth physician review of every result
  • Written personalized prevention plan
  • Mid-year follow-up
  • Hearing, vision & glaucoma screening

What you pay: one flat $3,500 annual membership fee covers the whole program — the advanced diagnostic panel, CGM, imaging, in-office screenings, and all three physician visits. The program is not insurance; these are non-covered wellness and screening services you elect to purchase, and none of them are billed to your insurance.

How billing works

The $3,500 is a flat annual fee for membership in the program as a whole — the comprehensive screening panel, the three physician visits, your prevention plan, and the coordination among them. It's the same $3,500 for everyone and doesn't move based on your insurance.

Your physician visits — the visit where Dr. Javvaji reviews your history and orders your testing, your results review, and your mid-year follow-up — are wellness and screening encounters included in your membership. They are not billed to your insurance.

If a genuine, unrelated medical problem comes up, that's handled separately as ordinary care — a regular office visit billed to your insurance, kept entirely apart from the program. The two never overlap, so you're never charged twice and a covered problem is never absorbed into the membership fee.

Most internists run a physical.
Dr. Javvaji is also a geriatrician.

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 40s, 50s, and 60s, that perspective changes what you look for, what you measure, and what you do about it — and the earlier you establish a baseline, the more years of trajectory data you have to act on.

Cognitive baseline as standard practice
Most internists don't establish a cognitive baseline until there is a concern. Dr. Javvaji screens at enrollment and annually — because a baseline established now is the only reference point for detecting meaningful change over time.
Trajectory over snapshots
A single lab result tells you where you are. Three years of annual panels tell you where you are going and whether anything you have done has changed the direction. Geriatric training centers this longitudinal view.
The intersection of aging and risk
How chronic conditions behave, how medication metabolism changes with age, how cardiovascular and cognitive risk interact — this is the clinical territory geriatric training covers and standard internal medicine often does not reach until a diagnosis prompts it.
How the program works

A clear sequence.
One continuous relationship.

Your year begins with the physician, so your full panel is ordered with your history in view — then results are reviewed in depth, with a mid-year follow-up to keep you on track.

01
Physician visit
You start with Dr. Javvaji for a wellness visit — she reviews your history, examines you, and orders your full diagnostic panel. This visit is part of your membership and is not billed to insurance.
02
Testing
Come in fasting for your bloodwork, CGM placement, imaging, and in-office assessments — run against the orders from your visit. This appointment is data collection, so everything is ready before you sit back down with Dr. Javvaji.
03
Results review
A dedicated appointment where Dr. Javvaji walks through every result — what the numbers mean, what's changed, what she recommends. You leave with your written prevention plan. This visit is part of your membership and is not billed to insurance.
04
Mid-year follow-up, then repeat
A mid-year check-in with Dr. Javvaji (included in your membership) reviews progress on your plan. The following year the cycle repeats with a streamlined monitoring panel — year-over-year trends are where the clinical value compounds.

Advanced diagnostics, in depth.
$3,500 a year.

The $3,500 is a flat annual fee for membership in the whole program — the advanced diagnostic panel, CGM, DEXA body composition scan, coronary artery calcium score, your prevention plan, and all three physician visits (the initial evaluation, the in-depth results review, and the mid-year check-in). The visits are wellness and screening encounters included in your membership and are not billed to insurance. The fee is the same $3,500 for everyone and does not change based on what your insurance covers.

Annual program fee · Founding member rate
$3,500
Full diagnostic panel · CGM · DEXA · CAC score
All three physician visits and the full screening panel are included in your membership and are not billed to insurance
The $3,500 is a flat annual fee and does not change based on what your insurance covers
Program fee may be HSA · FSA · HRA eligible — confirm with your plan administrator

No payment until enrollment opens and you've spoken with our team. Once enrolled, cancel within 30 days for a refund less the actual cost of any testing, imaging, and genetic testing already performed.


Join the Waitlist
Questions

Everything you want to know.

Every result — including any that warrant attention — is reviewed with you in person at your dedicated physician review. If a result requires follow-up, Dr. Javvaji discusses what it means, what the next step is, and helps coordinate any referrals or additional testing so it doesn't get overlooked.

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 and produces a written prevention plan, and its physician visits are wellness and screening encounters included in your membership — not billed to insurance. The two complement each other — your standard physical continues exactly as it always has, billed to insurance as always.

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.

Your program begins with a visit to Dr. Javvaji, who reviews your history and orders your testing. You then come in fasting for your bloodwork, CGM placement, imaging, and in-office assessments — run against those orders. This testing appointment is data collection, so your results are ready when you return for your dedicated results review.

No. There's a single flat annual fee of $3,500 — the same every year, with no separate tiers and no per-test charges. Some baseline tests such as ApoE4 genotyping are run once at enrollment and don't repeat, so later years use a streamlined monitoring panel, but the annual fee doesn't change from year to year. As the membership agreement explains, the practice may adjust the fee for future program years with at least 60 days' advance written notice, and your fee for the current year is confirmed in writing before any payment.

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.

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 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.

You can cancel within 30 days of enrollment for a refund of the program fee, less the actual cost of any testing, imaging, and genetic testing already performed. And nothing is due until enrollment opens and you've spoken with our team personally — joining the waitlist is not a payment or a commitment.

"I want to make patients look and feel like they are in their Prime."

— Dr. Divya Javvaji, MD  ·  Double Board-Certified Internal Medicine & Geriatric Medicine

This program is how she makes that happen.

Join the waitlist. No payment required until enrollment opens and you've spoken with our team personally.

$3,500
/ year · founding member rate

All physician visits and screening included in your membership · Not insurance · Program fee may be HSA · FSA eligible

No payment required. Have questions? Contact us here.

You're on the list.
We'll be in touch personally when enrollment opens.
Important information
Program scope
The $3,500 is a flat annual membership fee for the program as a whole — the advanced diagnostic panel, CGM, DEXA, CAC score, the in-office screenings, all three physician visits, and the prevention plan. The program is not insurance. These are non-covered wellness and screening services the patient elects to purchase; no portion of the fee is billed to, or reimbursable by, insurance, Medicare, or Medicaid, and the three physician visits are wellness and screening encounters included in the membership and not billed to insurance. The fee is the same amount for every patient and does not change based on insurance coverage. Genuine, unrelated medical problems are handled separately as ordinary care billed to insurance, kept distinct from the program. Standard clinical visits, copayments, deductibles, and any service billed to a health plan are not part of the membership.
Diagnostic tests are screening tools
The advanced tests in this program are screening and risk-stratification tools — not diagnostic tests. A concerning result requires follow-up evaluation to confirm or rule out a diagnosis. Genetic and cognitive-risk tests (such as ApoE4 genotyping) carry their own considerations — including emotional impact and family implications — which are explained, and consented to, before any such test is run. All results are reviewed with Dr. Javvaji at a dedicated appointment.
Insurance & Medicare
The program is a bundle of non-covered wellness and screening services. No portion of the membership fee is submitted to or reimbursable by Medicare, and enrollment is never a condition of receiving Medicare-covered care from Dr. Javvaji. The program visits are kept separate from the Medicare Annual Wellness Visit and any covered care, which continue to bill through insurance or Medicare as they always have. Medicare beneficiaries should contact our office before enrolling.
Clinical standards & emergencies
Every patient receives the same standard of clinical care from Dr. Javvaji regardless of program enrollment. This program is not intended for medical emergencies — call 911. Adult patients only (18+). Dr. Javvaji is licensed to practice medicine in the State of Texas.

¹ Fonarow GC et al. Lipid levels in patients hospitalized with coronary artery disease. American Heart Journal, 2009. National study of 136,905 patients hospitalized for coronary artery disease across 541 U.S. hospitals. Nearly 75% had LDL cholesterol within guideline targets at time of admission.

Join the Waitlist — $3,500 / year
No payment now · We'll reach out personally