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Frequently Asked Questions
About LifeSpan Health Optimization
LifeSpan Health Optimization is a physician-led health optimization service designed to help patients better understand their health, risks, goals, and next steps. Each evaluation brings together medical review, prevention, lifestyle analysis, recovery support, and personalized health planning into one comprehensive process designed around the individual.
No. LifeSpan Health Optimization is not a replacement for primary care, urgent care, emergency care, or specialist care. It is designed to complement your existing healthcare by helping organize the bigger picture, clarify priorities, and create a personalized strategy for prevention, optimization, and long-term health.
LifeSpan Health is best for people who want more time, depth, and synthesis than a traditional visit can usually provide. Patients often come seeking prevention, clarity around labs and imaging, supplement guidance, lifestyle strategy, recovery support, nervous system balance, or a more organized health plan.
No. Many patients come to LifeSpan Health because they want to optimize their health before major problems develop. Others come with existing symptoms, risk factors, medications, family history, or prior testing that they want reviewed in a more complete and integrated way.
The Evaluation Process
You begin by selecting either an Individual Evaluation or a Couples Evaluation. After your request is submitted, it is reviewed before acceptance. If your request is accepted, we will coordinate next steps for your intake process and in-home physician evaluation.
The evaluation includes an in-home physician visit, comprehensive health review, personalized LifeSpan Blueprint, selected integrated domains based on your needs, included educational resources, one follow-up appointment, and one year of ReliefRx access.
Your physician reviews your medical history, medications, supplements, family history, lifestyle, sleep, stress, movement, goals, and current health concerns. When appropriate, the visit may also include a physical examination, vital signs, body composition review, HRV discussion, and planning for laboratory testing or imaging.
Yes. Couples may complete the LifeSpan Health evaluation together. Each person receives an individualized review and a personalized LifeSpan Blueprint, while also gaining a shared framework for health priorities, prevention, lifestyle, and next steps.
Home Visits & Follow-Up
LifeSpan Health currently serves patients in the San Francisco Bay Area. In-home visits are available within service areas. Follow-up appointments may be completed virtually when appropriate.
Please provide a clean, quiet space with a chair and a flat surface. Your physician will bring the tools needed for the evaluation.
Labs, Imaging, Prescriptions, & Supplements
No. Laboratory testing is billed separately. When appropriate, labs may be ordered through standard laboratory channels and may be submitted to insurance depending on the test, indication, and coverage.
No. Imaging is billed separately. LifeSpan Health may recommend diagnostic, preventive, or elective imaging based on your history, symptoms, risk profile, and goals.
Yes, when clinically appropriate. Prescriptions may be sent to your pharmacy of choice after physician review. Prescription costs are billed separately through the pharmacy.
Yes. Supplement review is an important part of many evaluations. The goal is to improve quality, dosing, safety, and purpose while reducing unnecessary overlap, excessive supplement burden, and non-specific stacking.
No. Supplements are purchased separately. When supplements are recommended, LifeSpan Health may help guide patients toward high-quality options and trusted vendors when appropriate.
Insurance & Reimbursement
No. LifeSpan Health Optimization is a self-pay service. We do not bill insurance directly for the evaluation.
HSA or FSA funds may be eligible for certain medical expenses related to LifeSpan Health, depending on your plan and administrator. We recommend confirming eligibility directly with your HSA or FSA provider. You can likely use your HSA or FSA associated credit card to book your personal or couples evaluation(s).
Yes. When appropriate, we can provide itemized receipts or documentation that may support HSA/FSA use or possible out-of-network reimbursement. Coverage and reimbursement are not guaranteed.
The LifeSpan Blueprint
The LifeSpan Blueprint is your personalized written health strategy. It organizes your health history, risks, laboratory data, lifestyle patterns, imaging considerations, recovery needs, and goals into a clear plan designed to help you understand what matters most and how to move forward.
No. Each Blueprint is built individually after physician review of your intake, visit findings, health history, goals, and available data. The emphasis varies from patient to patient based on what is most relevant to their health and stage of life.
Yes. Patients receive a printed and bound copy of their LifeSpan Blueprint. A digital copy may also be provided when appropriate.
Your evaluation includes one follow-up appointment that can be used to review and clarify your LifeSpan Blueprint, or saved for a future time when new questions, concerns, or health decisions arise.
Integrated Domains & Included Resources
The integrated domains are the areas of care and education that may be incorporated into your Blueprint when appropriate. These may include medical evaluation and clinical strategy, health navigation, imaging and prevention, supplement and nutritional strategy, movement and recovery, and aligned whole-person health.
Not exactly. LifeSpan Health is not designed as a menu of separate programs. Your Blueprint is personalized based on your health history, goals, risks, labs, lifestyle, and preferences. The domains that matter most are integrated into your plan as indicated.
HealthNav is a physician-created guide designed to help patients move through the healthcare system with more clarity and confidence. It supports better preparation, communication, and decision-making before and after medical visits.
Aligned Health is a physician-created publication focused on nervous system balance, energetic health, coherence, recovery, and whole-person wellness. Most patients receive this publication unless energetic health is not aligned with their interests or preferences.
Member Support
Member Support gives established LifeSpan patients a way to stay connected with Dr. Grammy after their initial evaluation. It is designed for focused medical questions, new concerns, guidance related to your LifeSpan Blueprint, and periodic reassessment.
Member Support is not a replacement for primary care, emergency care, or ongoing management by your existing specialists.
Yes. Your initial LifeSpan Health evaluation includes one year of Member Support access, as well as the follow-up visit included with your evaluation.During that year, additional services can be scheduled as needed.
Acute Telemedicine Visit | $150A focused virtual medical visit for a new or time-sensitive health concern that can appropriately be evaluated through telemedicine.
Blueprint Guidance Visit | $250A dedicated follow-up visit for questions, changing health priorities, new test results, treatment decisions, or further guidance related to your LifeSpan Blueprint.These visits are available to established LifeSpan patients and can be scheduled when needed.
At the end of your first year, you can choose the level of continued support that best fits your needs.Member Support Renewal | $300/yearContinued access to LifeSpan for acute telemedicine support. Individual visits are billed separately when used.LifeSpan Blueprint Update | $1,000A comprehensive reevaluation of your health, progress, priorities, and recommendations, including an updated LifeSpan Blueprint and another year of Member Support access.There is no requirement to renew.
No. LifeSpan Health is designed to complement, not replace, your primary care physician and other established medical professionals.
Member Support provides an additional physician resource for focused concerns, interpretation, health optimization, and guidance within the context of your LifeSpan evaluation.
Privacy, Safety & Documentation
Yes. Patient information is handled with privacy and care. Records are not shared without appropriate consent.
Yes. Patients may receive copies of their Blueprint, lab results, imaging reports, recommendations, and other relevant records when available and appropriate.
Have Questions Before You Begin?
Share a little about your goals and questions. This form is for prospective patients who want more information before purchasing an evaluation.
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