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
No payment now. We'll reach out personally when founding enrollment opens.
We'll be in touch personally when founding enrollment opens.
A complete picture across blood, imaging, and in-office assessment. The program fee covers the advanced diagnostics, imaging, and several in-office screenings; certain assessments such as the cognitive scan, ANS, balance, and glaucoma screening bill to your insurance when clinically indicated.
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
The program fee covers the advanced diagnostic panel, CGM, DEXA body composition scan, and coronary artery calcium score. The physician visits — the in-depth results review and mid-year check-in — bill to your insurance as standard clinical encounters, and the written prevention plan is the deliverable you leave that review with. Together they form one of the most thorough annual assessments available.
The program fee covers only services your insurance doesn't. Everything your insurance already covers continues to bill through your insurer — and if any panel test happens to be covered for you, we bill your insurance for it rather than charging the program fee. The program simply adds the layer beyond what insurance pays for.
| Service | Insurance covers | Program covers |
|---|---|---|
| INCLUDED IN YOUR PROGRAM — BILLED TO YOUR INSURANCE | ||
| Dedicated physician review — every result explained in person | ✓ | — |
| Written personalized prevention plan — the deliverable of your review | ✓ | — |
| Neural scan, ANS assessment, balance evaluation, glaucoma screen — when clinically indicated | ✓ | — |
| Mid-year follow-up with Dr. Javvaji | ✓ | — |
| ADVANCED DIAGNOSTICS — COVERED BY THE $3,500 PROGRAM FEE | ||
| Metabolic & insulin resistance — HOMA-IR, fasting insulin, DHEA-S, omega-3 index | — | ✦ |
| Vascular inflammation — IL-6, OxLDL, MPO, TMAO | — | ✦ |
| Advanced cardiovascular — ApoB, Lp(a), NMR lipid panel, homocysteine | — | ✦ |
| Pharmacogenomics — how your body processes your medications | — | ✦ |
| CGM — 2-week continuous glucose monitor | — | ✦ |
| In-office screenings — EKG, ankle-brachial index, hearing, vision | — | ✦ |
| Advanced imaging — DEXA body composition + coronary artery calcium (CAC) score | — | ✦ |
| ApoE4 genotyping — cognitive risk stratification (run once) | — | ✦ |
✓ Included in your program, billed to insurance · ✦ Included in the $3,500 annual program fee
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.
Each year runs across three appointments — a testing visit, your in-depth results review, and a mid-year follow-up — then repeats annually, so your results build into a trend instead of a one-time snapshot.
The $3,500 annual program fee covers the advanced diagnostic panel, CGM wear, DEXA body composition scan, and coronary artery calcium score — no separate patient payments for any of these. The in-depth results review and mid-year check-in bill to your insurance as standard clinical visits — and you leave that review with your written prevention plan in hand. The $3,500 annual fee is the same every year — no different tiers, no renewal surprises. Standard clinical visits and covered tests continue to bill through your insurance or Medicare as they always have.
No payment until enrollment opens and you've spoken with our team. Once enrolled, cancel within 30 days for a refund less the cost of any testing already completed.
Every result — including any that warrant attention — is reviewed with you in person at your dedicated physician review, not sent to a portal with a number and no context. 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. The annual physician review bills to your insurance as a comprehensive clinical visit. The two complement each other — your standard physical continues exactly as it always has.
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.
You come in fasting for your bloodwork and in-office assessments. No physician visit at this appointment — this is data collection so Dr. Javvaji has everything she needs before you sit down together. Results are processed and then you return for your dedicated 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 cost of any diagnostic testing already completed. 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
Join the waitlist. No payment required until enrollment opens and you've spoken with our team personally.
Standard clinical visits billed through your insurance · Program fee may be HSA · FSA eligible
No payment required. Have questions? Contact us here.
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.