Foundations Membership
Move beyond "sick care" with year-round, proactive health management designed to keep you operating at your peak.
Year-Round, Proactive Longevity Care
Traditional medicine intervenes after disease has already taken hold. At Ikigai, we focus on acting earlier — identifying risk, tracking meaningful signals over time, and guiding decisions that reduce future disease burden while supporting how you want to live today.
Foundations is our core offering: a continuous medical partnership designed to manage your whole health over time to not only prevent illness but maximize your quality of life.
Foundations serves as your medical anchor — whether you are managing existing conditions, addressing emerging risks, or committed to aging well with clarity and intention.
Foundations Membership: A Better Approach To Your Health
A Dedicated Medical Team
You are supported by a medical team that knows your history, understands your trends, and works with you over years — not visits.
Proactive & Preventive Focus
Care is centered on reducing risk across cardiovascular disease, metabolic disease, cancer, and cognitive decline, while supporting physical capacity and hormonal health.
Individualized Care
Testing and interventions are based on your unique risk, not a standardized protocol.
Early Risk Identification
Foundations is designed to identify meaningful health risks earlier than traditional healthcare systems, often before symptoms develop or standard screening thresholds are met. By leveraging advanced diagnostics, longitudinal data, and clinical context, we are able to detect emerging risk at a stage where intervention is most effective — allowing for thoughtful risk reduction rather than reactive disease management.
Personalized, Modern Care
How Care Works in Foundations
Comprehensive Baseline Assessment
We establish a deep understanding of your health using advanced biomarkers and in-depth functional and structural assessments.
Ongoing Monitoring
We track trends — not snapshots — across key health domains such as glucose regulation, blood pressure, fitness, and body composition.
Interpretation & Guidance
We synthesize your results, explain what matters most, and help translate data into sustainable action based on rigorous medical science.
Ongoing Access & Follow-Up
Regular touchpoints, structured follow-ups, and summary reports ensure continuity and clarity.
Areas Addressed
Metabolic health and glucose regulation
Cardiovascular risk and vascular health
Cancer screening and prevention strategies
Cognitive and brain health risk mitigation
Hormonal health, when clinically indicated
Nutrition and exercise guidance
Physical capacity, including strength, mobility, and aerobic fitness
Advanced diagnostics (such as DEXA scans for body composition, VO₂ max testing, coronary calcium scoring, CT angiography, or whole-body MRI) may be incorporated when appropriate through shared decision-making.
Ikigai Foundations: Your Partner For Long-term Health
Foundations is for individuals who want a long-term, personal medical partnership grounded in prevention, evidence, and continuity.
Foundations is designed as a long-term medical partnership. Our members explicitly seek an ongoing relationship and view Ikigai’s Foundations as the place to build continuity and long-term vitality for life.
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We are a private, cash-pay practice and do not accept or bill health insurance for our membership or service fees. This model allows us to work directly for you—not an insurance company—ensuring your care is dictated by what you need, not what a plan covers.
However, you can still use your health insurance for medications at your pharmacy. In many cases, you may also be able to use your insurance for outside imaging or referrals, depending on your specific plan.
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Generally, membership fees are not eligible for HSA/FSA reimbursement because they are often classified as "access fees" rather than direct medical care.
However, specific medical expenses incurred during your program—such as specialized lab work, diagnostic testing, or imaging—may be eligible depending on your plan’s rules.
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No. We serve clients globally. Because we utilize advanced telemedicine and remote monitoring tools, the majority of your care, consultations, and lab reviews can be handled virtually from anywhere in the world.
However, we do require your initial evaluation to be in-person. To build a truly accurate roadmap for your health, you must visit our facility for your "Day One" testing (which may include DEXA scans, VO2 Max testing, and extensive blood panels). After that initial visit, your ongoing care can be entirely remote.
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Yes - if testing shows it may be medically beneficial. Health optimization is a core pillar of our practice and hormones are an important part of that. We don't just look for "normal" levels; we look for "optimal" levels. If clinically indicated, we may prescribe bioidentical hormone replacement (including Testosterone, Thyroid, Progesterone, and Estrogen) to restore your vitality and metabolic function.
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The Foundations Membership is a 12-month commitment.
True biological optimization and screening is not a quick fix or single test; it is a cumulative process. We work in annual cycles to ensure we have enough time to gather baseline data, implement interventions, and measure the actual physiological changes in your body over time.
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We act as the "Quarterback" for your health. If you need a cardiologist, orthopedic surgeon, or other specialist, we can leverage our network to get you to the best providers quickly or work with your existing providers. We then coordinate with them to ensure your care is seamless, rather than fragmented.m description
Frequently Asked Questions
Stop Guessing. Start Optimizing.
You have a strategy for your wealth and your career. It’s time to build a strategy for your health. Take the first step toward a longer, more vital life today.