PROGRAMS & PRICING

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PROGRAMS

The first thing to understand about working with me is that I always aim to treat the root cause of health issues, not just the symptoms. 

Before designing your customized treatment plan, my first goal will be to figure out what underlying issues are causing or exacerbating your symptoms. I encourage you to read the following to familiarize yourself with my process and your options. Throughout the process I will act as your medical consultant, detective and health educator in order to empower you in your quest for optimal health. Whatever the causes of your health concerns, together you will seek to identify and correct them so that you can achieve your health goals.

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Initial Evaluation (2 hours, in person)

The initial evaluation is the first step for all patients. This appointment is primarily an information gathering and sharing session to make sure I have all the pieces needed to gain a comprehensive understanding of the many factors that may be affecting your health. Prior to coming in for this appointment you will be asked to register for my patient portal and fill out several health questionnaires, as well as upload any prior medical records/lab results that may be relevant to your case. In your initial evaluation, we will: 

  • Discuss and review your health story, current symptoms and primary medical concerns

  • Review your current lifestyle including: eating behaviors, nutrition, activity level, stress levels and sleep habits

  • Discuss your health and wellness goals

  • Measure your body composition (muscle mass and body fat) using a bioelectrical impedance scale

  • Discuss potential approaches to improve your health

You will leave this appointment with recommendations for initial lab tests (conventional as well as specialized) specifically tailored to your case as well some preliminary treatment recommendations to start implementing. However, further customization of your plan will be provided at your first follow-up visit, after lab results have been received and there has been time to thoughtfully consider all aspects of your case.

 
 
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Treatment Programs (Level 1, 2 or 3)

Each of my three treatment programs (Level 1, 2 or 3) include a Review of Findings appointment (your first follow-up) and a comprehensive package of services designed to help you achieve your health goals. The programs include the same core benefits (listed below) but differ in the number of follow-up consultations with me. At the end of your initial evaluation, we will discuss which program makes the most sense for you based on my analysis of the complexity of the condition(s) you may be facing. Though I will make my recommendation, you are always in the driver seat and can pick the program you feel most comfortable committing to.

Review of Findings Appointment & Initial Treatment Recommendations (60 min)

Your treatment program begins with the Review of Findings Appointment which will be scheduled 4-6 weeks after your initial evaluation. Your lab results will be reviewed with you in detail in this visit and we will discuss any underlying imbalances or impediments to optimal health revealed by these tests. In this appointment, I will outline my suggested treatment plan, including dietary and lifestyle recommendations (you will also receive a copy of my recommendations in the Patient Portal after your appointment).

Additional Core Benefits of each treatment program: 

•    Follow-up visits with me (50 min each): In your follow-up visits we will review and discuss your progress implementing your treatment recommendations, make enhancements or adjustments as needed (based on follow-up lab work, progress, symptoms, etc.) and allow time for any questions you may have. 

•    Action plan with things for you to do between visits: Following each visit you will receive a detailed action plan of steps to take, things to think about and consider, and resources to explore before your next appointment. You will implement and report back with what is working and what needs adjustment. While I will challenge you to reach outside of your comfort zone, we will work together to figure out what steps and timeline are most realistic and effective for you.

•    Nutrition plan: Food is medicine. Learning to incorporate foods that nourish and support both body and brain is just part of your nutrition prescription; the other is identifying and avoiding foods that may be causing you harm. Everyone is unique, and a diet that is right for one may be completely wrong for another. We will work to figure out the right approach for you. 

•    Customized, efficient exercise/movement program: We will develop this together based on your fitness goals, schedule, and the types of activities you enjoy. 

•    Stress management/reduction techniques. Excessive stress has a negative effect on your health. I will help you learn to better recognize and manage stress and recommend specific strategies to help you push the "pause button" and unwind.

•    Track your progress: We will ensure that all of the changes to your nutrition, exercise and lifestyle are leading to the desired effect on your body. We will carefully track your progress via follow-up lab testing (as needed) and additional body composition measurements. 

•    Plan for weaning off prescription medications (if appropriate): Medications rarely address the cause of your condition - they usually just treat the symptoms and cause unwanted side effects. We will aim to wean you partially or totally off of them whenever feasible.

•    Secure Messaging via patient portal: Any communication that requires clinical decision-making will best be addressed in a follow-up visit, however, I am available to you via my patient portal to answer simple questions so that you never feel confused or stuck. 

•    Customized supplement plan: Based on your lab test results and designed to correct any imbalances, I’ll prescribe only what your body needs and nothing more.

 
 

PRICING

Phase 1 is the starting point for all new patients. At the end of Phase 1, you have the option to pick one of my Phase 2 treatment programs (Level 1, 2 or 3). The exact length of each program will depend on the spacing of appointments (generally 4 to 6 weeks). Payment programs starting at $500 a month are available.

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INITIAL EVALUATION

Case review, research and preparation

Initial Evaluation with Dr. Rich (2 hours, in person)

Body composition measurement

Lab test recommendations

Initial diet and lifestyle recommendations

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LEVEL 1

Review of Findings appointment with Dr. Rich (60 min)

2 follow up appointments with Dr. Rich (50 min)

35% discount on supplements via Fullscript

All core benefits listed above

Program length: aprox. 3 months

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LEVEL 2

Review of Findings appointment with Dr. Rich (60 min)

4 follow up appointments with Dr. Rich (50 min)

35% discount on supplements via Fullscript

All core benefits listed above

Program length: aprox. 6 months

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LEVEL 3

Review of Findings appointment with Dr. Rich (60min)

8 follow up appointments with Dr. Rich (50 min)

35% discount on supplements via Fullscript

All core benefits listed above

Program length: aprox. 12 months

 

Insurance Policy

Live Fit Medicine operates as a self-pay medical practice. This means that we do not accept health insurance, we are not a participating provider with Medicare or Medicaid and we will not file insurance paperwork on your behalf. We can provide you with a detailed statement (Superbill) that contains diagnosis and procedure codes to assist you with possible insurance reimbursement, however, we cannot assure you that any of our services will be reimbursed. For more information on the rationale behind our insurance policy, please click here.

 

Supplements and Laboratory Testing

The above fees are only for Dr. Rich’s professional services and do not include the cost of any recommended supplements or laboratory testing. Please note, he is generally on the conservative end of the spectrum with his recommendations for both.

You will receive a 35% discount on supplements and pay the lowest cost available on laboratory testing because we do not make any profits from supplements or laboratory testing.


Questions on Programs & Pricing

 

Why do you offer programs instead of a la carte services?

I have chosen to work with new patients exclusively on a program basis and only accept a limited number of new patients each month so that I can give each patient the time, attention and individualized care they deserve.

The work I do with patients is designed to be transformational and to help restore and foster long term optimal health, not just temporary relief from symptoms. It is difficult to provide this type of care on an “a la carte” basis.  My experience has shown that the patients who get the best results are the ones who are fully invested in reaching their health goals, are willing to commit the time and effort to it takes to achieve them and follow up on a regular basis. Being consistent with your care is important because it allows me to continually modify, fine-tune, research and troubleshoot your treatment plan. My programs are also designed to provide you with resources, support and access to me outside of your appointments so that you have continual support as you implement your treatment recommendations.

 

How do I know which program is right for me?

At the end of your initial evaluation, we will discuss which of programs makes the most sense for you based on my analysis of the complexity of the condition(s) you may be facing as well as how much time and effort it will take to start to see positive changes in your health. Though I will make my recommendation, you are always in the driver seat and can pick the program you feel most comfortable committing to.

 

What happens at the end of my program?

At the end of any treatment program, I offer a membership program that includes a range of services and “a la carte” pricing for follow-up appointments. At the end of your program we will discuss what makes the most sense for you.

 


Ready to take charge of your health?

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