HealthspanSF

HealthspanSF offers the Healthspan program as a subscription or on a fee-per-visit basis. For patients working on complex issues that require more frequent visits or significant research time, a $500-per-hour rate covers all time spent, including visits, charting, research, and coordination with specialists. The practice does not accept insurance for membership or program fees, but it provides superbills after each visit for patients with PPO insurance to submit for potential reimbursement. Contact the practice directly for current subscription rates.

HealthspanSF does not accept insurance for its program fees. After each visit, the practice provides a superbill that PPO insurance holders can submit to their insurer. Labs, imaging, and other testing ordered through the program fall outside the practice fee; insurance typically covers those services as it does currently. Patients can ask their insurer what reimbursement to expect for an out-of-network 99215 internal medicine visit.

The virtual Healthspan program currently serves patients located in California or New York at the time of each visit. Dr. Sanger is considering expanding to Washington, Texas, and Florida. Patients in other states can fill out the contact form to request that their state be added.

The initial Healthspan visit runs 90 minutes. Subsequent visits range from 30 to 60 minutes each. The program includes 6 to 8 visits over the first year. Each visit focuses on one or two of the core healthspan topics, prioritized based on the patient's goals and needs established at the first appointment.

Dr. Sanger tailors testing to each patient's needs and budget. The program can include advanced lipoprotein panels, continuous glucose monitoring, DEXA body composition scans, VO2max testing, coronary CT angiography with Cleerly AI plaque analysis, whole genome sequencing, EEG-based at-home sleep studies, and 24-hour blood pressure monitoring patches. Most standard lab testing goes through insurance. Out-of-pocket costs for additional tests vary; for example, DEXA scans run about $60 and coronary calcium scans can be as low as $100.

Yes. Dr. Sanger prescribes medications when appropriate, including GLP-1 agonists, PCSK9 inhibitors, SGLT2 inhibitors, metformin, acarbose, rapamycin, estradiol, and DORAs. He also places referrals to cardiology, physical therapy, leading cancer centers, and providers offering ketamine-assisted psychotherapy or transcranial magnetic stimulation. Prescribing decisions are individualized based on each patient's data, risk tolerance, and goals.

The practice currently has a short waitlist, typically a few weeks. Prospective patients can schedule a free Meet & Greet visit or fill out the new patient inquiry form on the website. For the virtual Healthspan program, contact the practice by phone, text, or email. org.

The concierge primary care program serves San Francisco Bay Area patients in person and covers full-spectrum internal medicine, including acute illness, chronic disease management, vaccinations, and physical exams, with the Healthspan program included. The virtual Healthspan program focuses exclusively on the five core healthspan pillars and serves patients in California and New York via telemedicine. General primary care issues like coughs or injuries fall outside the virtual program's scope. Patients unsure which option fits their needs can schedule a complimentary Meet & Greet to discuss.

Dr. Sanger uses a custom-built tracking platform that interprets roughly 250 types of data, including labs, vital signs, DEXA values, raw CGM data, coronary and vascular imaging, strength and aerobic fitness metrics, diet, sleep, and wearable data. The platform calculates age-, ethnicity-, and sex-adjusted population percentiles based on published studies. Patients access the system between visits to input data and monitor progress through dashboards organized by healthspan domain.

Yes. Patients may cancel their subscription at any time by email or secure message, provided they give notice before the first day of the next billing cycle. The practice does not issue refunds for months in which a visit has already occurred.