Full Concierge Primary Care Membership

$4,000 Per Year No Insurance Billing for Included Primary Care Visits

The Full Concierge Primary Care Membership is designed for patients who would like The IKANDY Method™ to serve as their comprehensive primary care practice through a simplified cash-pay model with unlimited included primary care visits, enhanced access, personalized medical management, and comprehensive care coordination.

The annual membership provides the highest level of access offered through The IKANDY Method™, while allowing members to maintain and independently utilize their health Insurance for outside services such as laboratory testing, imaging, medications, specialists, hospital services, and other eligible healthcare expenses when permitted by their individual health plan.

WHAT YOUR MEMBERSHIP INCLUDES

Comprehensive Primary Care Relationship

The IKANDY Method™ serves as the patient's primary care practice and provides comprehensive, longitudinal medical care within the scope of primary care.

Care may include:

• Preventive healthcare

• Acute primary care

• Chronic disease management

• Medication management

• Preventive heart health

• Weight and metabolic health

• Hormone health and medical management when clinically appropriate

• Preventive screening

• Laboratory and diagnostic coordination

• Specialist coordination

• Ongoing health planning

• Hospital and emergency care follow-up

UNLIMITED PRIMARY CARE VISITS

Full Concierge members receive unlimited primary care visits within the scope of the membership.

Visits may include:

• Routine primary care follow-up

• Preventive care

• Acute medical concerns

• Chronic disease management

• Medication management

• Preventive heart-health follow-up

• Weight and metabolic health management

• Hormone-related medical management

• Laboratory and diagnostic review

• Telehealth visits when clinically appropriate

• Follow-up after specialist, emergency department, or hospital care

Unlimited visits are intended to support medically appropriate comprehensive primary care.

Visit frequency, timing, duration, and modality are determined according to clinical need and practice availability.

ENHANCED CONCIERGE ACCESS

Full Concierge members receive the highest level of appointment access available through The IKANDY Method™,

This may include:

• Highest-priority appointment scheduling

• Same-day or next-business-day appointments when clinically appropriate and available

• Extended appointment time when appropriate

• Greater scheduling flexibility

• Enhanced availability for appointments outside standard office hours when available

• Telehealth access when clinically appropriate

• Enhanced direct communication with the practice

• More extensive between-visit care coordination

Appointment timing cannot be guaranteed and remains subject to clinical appropriateness and practice availability.

The membership does not provide 24/7 emergency medical services.

ENHANCED COMMUNICATION

Full Concierge members receive enhanced communication with the practice for appropriate medical questions, medication concerns, treatment-plan questions, results, and care coordination.

Enhanced communication is intended to improve continuity, convenience, and coordination of care.

Some medical concerns require an office or telehealth evaluation and cannot be appropriately managed through messaging alone.

Emergency medical concerns should always be directed to appropriate emergency services.

COMPREHENSIVE PREVENTIVE HEALTH PLANNING

Members receive individualized preventive health planning based upon their:

• Age

• Personal medical history

• Family history

• Current medical conditions

• Medications

• Lifestyle

• Individual risk factors

• Previous laboratory and diagnostic testing

• Preventive screening history

• Long-term health goals

The goal is to identify modifiable health risks, address concerns early, and develop an individualized strategy for prevention and long-term health.

ANNUAL COMPREHENSIVE HEALTH REVIEW

Full Concierge members may receive a dedicated comprehensive review of their health and prevention priorities.

The review may address:

• Current medical conditions

• Medications

• Preventive screenings

• Laboratory results

• Cardiovascular risk

• Metabolic health

• Weight and nutrition

• Hormone health when appropriate

• Lifestyle factors

• Family-history risks

• Long-term health goals

• Recommended testing

• Specialist care and coordination

PREVENTIVE HEART HEALTH

Preventive heart health is incorporated into the member's comprehensive primary care plan when appropriate.

Care may include:

• Blood pressure evaluation and management

• Cholesterol and lipid management

• Cardiovascular risk assessment

• Cardiovascular disease prevention and risk reduction

• Coronary artery calcium score review when applicable

• Review of relevant cardiovascular risk markers

• Medication management related to cardiovascular risk factors

• Nutrition, exercise, and lifestyle counseling

• Review of previously completed cardiovascular testing

• Coordination of appropriate cardiovascular testing

• Ongoing cardiovascular risk-factor monitoring

• Referral to and collaboration with a cardiologist when specialty cardiovascular evaluation or management is appropriate

The IKANDY Method™ is not a cardiology specialty practice.

When symptoms, medical history, examination findings, or diagnostic testing indicate that specialty cardiovascular evaluation or treatment is appropriate, referral to and/or collaboration with a cardiologist will be recommended.

CHRONIC CONDITION MANAGEMENT

Ongoing management of appropriate primary care conditions may include:

• Hypertension

• Hyperlipidemia

• Prediabetes and diabetes

• Weight and metabolic concerns

• Thyroid disorders

• Other chronic medical conditions appropriate for primary care management

Treatment may include medication management, laboratory monitoring, lifestyle recommendations, diagnostic evaluation, and specialist referral when appropriate.

ACUTE PRIMARY CARE

Full Concierge members may receive evaluation and management of appropriate acute medical concerns as part of their comprehensive primary care relationship.

The need for an office visit, telehealth visit, urgent care evaluation, emergency evaluation, or specialist referral will be determined according to the patient's individual clinical circumstances.

MEDICAL WEIGHT MANAGEMENT

Medical weight and metabolic health management may be incorporated into the Full Concierge member's comprehensive primary care plan when clinically appropriate.

This may include:

• Weight and metabolic health assessment

• Nutrition and lifestyle counseling

• Body-composition assessment when available

• Evaluation for prescription weight-management medication

• GLP-1/GIP and other appropriate medication management

• Medication titration

• Side-effect monitoring

• Relevant laboratory monitoring

• Ongoing weight-management follow-up

Professional primary care visits related to weight management are included within the membership.

Prescription medications, compounded medications, outside laboratory charges, and other separately provided products or services are not included unless specifically stated.

HORMONE HEALTH & MANAGEMENT

Hormone-related medical evaluation and management may be incorporated into the Full Concierge member's comprehensive primary care plan when clinically appropriate.

This may include:

• Menopause and perimenopause evaluation

• Male and female hormone assessment

• Symptom assessment

• Review of relevant laboratory testing

• Evaluation of treatment indications and contraindications

• Discussion of treatment risks, benefits, and alternatives

• Prescription hormone management when medically appropriate

• Ongoing symptom monitoring

• Laboratory monitoring

• Medication adjustment

• Referral to appropriate specialists when indicated

Prescription medications, compounded medications, specialty laboratory testing, and hormone procedures are priced separately unless specifically included as a membership benefit.

ONE COMPLIMENTARY HORMONE PELLET TREATMENT PER YEAR

One Complete Hormone Pellet Treatment Per Membership Year Full Concierge Primary Care members are eligible for one complete hormone pellet treatment per membership year.

The annual pellet benefit includes:

• Clinical assessment related to pellet treatment

• One hormone pellet treatment

• Hormone pellet product used for that treatment

• Pellet placement procedure

• Standard procedure-related supplies

The complimentary pellet treatment is available once during each active 12-month membership period when hormone pellet therapy is clinically appropriate.

Hormone pellet therapy is not guaranteed solely because a patient is a Full Concierge member. Treatment remains subject to appropriate medical evaluation, clinical indication, contraindication screening, informed consent, and the clinician's medical judgment.

The annual pellet benefit:

• Is limited to one complete pellet treatment per membership year

• Is non-transferable

• Has no cash value

• Cannot be exchanged for another service

• Does not roll over into a subsequent membership year if unused

• Does not entitle a member to pellet treatment when treatment is not clinically appropriate

Additional pellet treatments during the same membership year are priced separately and may qualify for the Full Concierge member discount when eligible.

MEDICATION MANAGEMENT

Membership includes comprehensive medication oversight as part of the patient's primary care relationship, including:

• Medication reconciliation

• Medication monitoring

• Review of potential adverse effects

• Appropriate prescription management

• Treatment adjustments when clinically indicated

• Coordination with specialists regarding medications when appropriate

Prescription and compounded medication costs are not included unless specifically identified as an included membership benefit.

LABORATORY & DIAGNOSTIC COORDINATION

The practice may order and coordinate clinically appropriate laboratory and diagnostic testing.

This may include:

• Routine laboratory testing

• Preventive laboratory testing

• Cardiometabolic testing

• Lipid and cardiovascular risk markers.

• Hormone-related testing when appropriate

• Weight-management monitoring

• Imaging

• Cardiovascular testing

• Other clinically indicated diagnostic studies

Laboratory, imaging, diagnostic facility, and third-party charges are not included in the annual membership fee unless specifically stated otherwise.

Members may use their health Insurance for eligible outside laboratory, imaging, diagnostic, and other healthcare services ‘subject to the terms of their individual Insurance plan.

PREVENTIVE SCREENING COORDINATION

The IKANDY Method™ helps members remain current with appropriate preventive screenings.

These may inctude:

• Mammography

• Cervical cancer screening

• Colorectal cancer screening

• Bone-density screening

• Cardiovascular risk assessment

• Diabetes screening

• Lipid screening

• Other age- and risk-appropriate preventive services

SPECIALIST & CARE COORDINATION

The IKANDY Method™ helps coordinate care with specialists and other members of the patient's healthcare team.

This may include:

• Specialist referral when appropriate

• Cardiology referral when appropriate

• Review of specialist recommendations

• Coordination of diagnostic testing

• Integration of specialist recommendations into the patient's overall primary care plan

• Assistance with continuity between multiple healthcare providers

Specialist professional fees and services are not included in the membership.

HOSPITAL & EMERGENCY CARE FOLLOW-UP

When a member receives care through an emergency department or hospital, The IKANDY Method™ may assist with appropriate follow-up and continuity of care.

This may include:

• Review of available hospital or emergency records

• Medication reconciliation

• Follow-up planning

• Coordination of recommended testing

• Specialist coordination

• Transition back to outpatient primary care

Hospital, emergency department, ambulance, and other outside facility services are not included in the membership.

15% FULL CONCIERGE MEMBER DISCOUNT

15% Discount on Eligible Cash-Pay Services Full Concierge Primary Care members receive a 15% discount on eligible cash-pay services.

Eligible services may include:

• Additional hormone pellet treatments

• Eligible hormone-related cash-pay services

• Personalized Wellness & Healthy Aging services

• Ultrasound-Guided Aesthetics

• Eligible cash-pay procedures

• Other eligible self-pay services provided directly by The IKANDY Method™

The member discount does not apply to outside laboratory or imaging charges, prescription medications, third-party products or services, or other excluded services unless specifically stated.

The complimentary annual pellet treatment is provided as a separate membership benefit and is not combined with the 15% discount.

USING HEALTH INSURANCE OUTSIDE THE PRACTICE

The IKANDY Method™ does not bill Insurance for primary care visits included within the Full Concierge membership.

Members may maintain health Insurance and may independently use their Insurance for eligible outside healthcare expenses according to the terms of their individual plan.

This may include:

• Prescription medications

• Laboratory testing

• Imaging

• Diagnostic testing

• Specialist care

• Cardiology care

• Emergency care

• Hospital services

• Other covered outside healthcare services

Coverage and patient financial responsibility are determined by the member's individual health plan.

WHAT IS NOT INCLUDED IN THE MEMBERSHIP FEE

Unless specifically identified as an included benefit, the annual membership fee does not include:

• Prescription medications

• Compounded medications

• Additional hormone pellet treatments beyond the one annual included treatment

• Laboratory facility charges

• Imaging facility charges

• Outside diagnostic testing

• Specialist professional fees

• Cardiology services

• Emergency department services

• Hospital services

• Ambulance services

• Urgent care services provided outside the practice

• Procedures not specifically included in the membership

• Aesthetic treatments

• Third-party products or services

Eligible services provided directly by The IKANDY Method™ may qualify for the 15% Full Concierge member discount.

FULL CONCIERGE MEMBERSHIP DOES NOT INCLUDE

The Full Concierge Primary Care Membership does not provide:

• 24/7 emergency medical services

• Guaranteed same-day appointments.

• Guaranteed appointments outside normal business hours

• Unlimited messaging or texting without clinical limitations

• Hospital care

• Emergency department care

• Specialist medical services

• Cardiology specialty services

• Outside laboratory, imaging, or diagnostic facility services

Members receive the highest level of access offered by the practice, but appointment timing and method remain subject to clinical appropriateness and practice availability.

MEMBERSHIP SUMMARY

Annual Membership: $4,000 per year

Primary Care: Comprehensive primary care relationship

Primary Care Visits: Unlimited included visits within the scope of membership

Insurance Billing by The IKANDY Method™: No Insurance billing for included primary care visits

Appointment Access: Highest-priority scheduling and enhanced availability

Outside-Hours Access: Enhanced availability when appropriate and scheduling permits

Communication: Enhanced direct communication and care coordination

Preventive Heart Health: Integrated into comprehensive primary care

Weight & Metabolic Health: Professional medical management included when clinically appropriate

Hormone Health: Professional medical management included when clinically appropriate

Annual Pellet Benefit: One complete hormone pellet treatment included per membership year when clinically appropriate

Specialist & Cardiology Coordination: Included as part of primary care coordination

Member Discount: 15% off eligible cash-pay services

IMPORTANT MEMBERSHIP NOTICE

The Full Concierge Primary Care membership is a cash-pay membership for the services and benefits specifically identified in the membership agreement.

The IKANDY Method™ does not bill Insurance for primary care professional services included within the Full Concierge membership.

Members may maintain health Insurance for prescription medications, laboratory testing, imaging, specialists, hospital care, emergency services, and other outside healthcare expenses according to the terms of their individual health plan.

The annual complimentary hormone pellet treatment is subject to clinical appropriateness, informed consent, and applicable prescribing and treatment requirements.

The final membership agreement, Medicare policies, Insurance arrangements, hormone therapy benefits, discounts, and definitions of included and excluded services should comply with applicable federal and state requirements, payer agreements, and professional scope-of-practice requirements.