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ConciergePrimary Care

Healthsteading

Quick Facts

Membership Price Range$2,500/yr (one-time payment) or $220/month (automatic draft, one-year agreement)
Practice TypeConcierge
LocationTyler, TX, East Texas
DoctorsJames McAndrew MD, Primary Care
Telehealth TypeText, email, FaceTime, phone
HousecallsYes
Telehealth AvailableYes

About

At Healthsteading, Dr. James McAndrew and Diana Patterson, PA-C deliver concierge primary care in Tyler, TX. The practice runs two distinct care paths: Concierge Care for Men under Dr. McAndrew and Concierge Care for Women under Diana Patterson. Each provider intentionally limits their patient panel. That limit keeps care thorough and relationship-focused.

Healthsteading operates outside the insurance system entirely. Providers meet patients at their homes, offices, or their own homes while working toward a fixed location. Membership includes a yearly in-depth physical exam, health coaching, hormone optimization, longevity planning, IV fluid treatments, house calls, and advanced diagnostics including VO2 Max and resting metabolic rate testing. Members also receive customized home medical kits and 24/7 access via text, email, FaceTime, or personal cell phone. Faith informs the practice's approach to healing and relationships, though care welcomes all patients regardless of background.

Details

Membership

$220/monthly ($2,500/annual)

Membership Details

Annual membership is $2,500 per year when paid as a one-time payment, or $220 per month with automatic draft and a one-year agreement.

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Frequently Asked Questions

Healthsteading charges $2,500 per year as a one-time annual payment, or $220 per month through automatic draft with a one-year agreement. The membership covers comprehensive primary care, an annual in-depth physical exam, health coaching, longevity planning, house calls, and much more. Separate costs may apply for advanced diagnostics or treatments not included in the base membership.

Membership includes comprehensive primary care, an annual in-depth physical exam, health coaching covering nutrition, exercise, sleep, and lifestyle, longevity forecasting, hormone optimization, minor surgical procedures, IV fluid treatments, and house calls. Members also receive a customized home medical kit with select medications, specialist coordination, hospital advocacy, and 24/7 provider access via text, email, FaceTime, or personal cell phone. Healthsteading also provides access to discounted supplements through Pure Encapsulations.

No. Healthsteading operates entirely outside the insurance system. The membership fee covers the full scope of primary care services. For lab work, Healthsteading maintains professional relationships with local labs that offer patients discounted rates, which helps keep out-of-pocket diagnostic costs reasonable.

Yes. Members have 24/7 access to their provider via text, email, FaceTime, or personal cell phone. Healthsteading designs this access so patients never have to wait weeks for answers to urgent questions. This direct line to your provider is a core part of the membership.

Yes. Healthsteading offers telehealth visits in addition to in-person care. Providers also make house calls to patients' homes or offices. The practice currently meets patients in flexible locations while working toward a fixed office.

Start by completing the intake form on the Healthsteading website. The team reviews your goals and contacts you to schedule a free consultation. That conversation, typically over coffee or tea, helps both sides determine whether Healthsteading is the right fit. Submitting the form does not commit you to membership.

Healthsteading has two care paths. Dr. James McAndrew, MD leads Concierge Care for Men. Diana Patterson, PA-C leads Concierge Care for Women. Each provider intentionally limits their patient panel to maintain continuity and depth of care.

Yes. Hormone evaluation and optimization are central to care at Healthsteading. Dr. McAndrew addresses testosterone concerns, metabolic shifts, and hormone imbalances for men. Diana Patterson specializes in perimenopause, menopause, and hormone replacement for women. Both providers use advanced lab panels to guide personalized hormone care.

Yes. Faith informs how both providers at Healthsteading approach healing and patient relationships. That said, the practice never makes medical care conditional on a patient's beliefs. All patients receive respectful, professional, evidence-based care regardless of their faith background.

Healthsteading offers VO2 Max testing, resting metabolic rate analysis, metabolic assessments, cardiovascular risk evaluations, hormone panels, and advanced lab work. The practice also provides mobile testing and acute diagnostic testing for illness and urgent concerns. Each test is ordered with a specific purpose and explained in full to the patient.

Practice last updated September 17, 2026