Optimum Health

Optimum Health charges a simple flat monthly membership fee that covers comprehensive primary care services. The fee does not cover laboratory services, but the practice arranges discounted labs for members through Clinical Pathology Labs at 1008 Sidney Baker Street in Kerrville. This structure replaces traditional fee-for-service billing and gives members predictable, transparent costs.

Optimum Health schedules appointments of 30 to 60 minutes or more, with a typical visit running about 45 minutes. Dr. Miloy keeps his panel intentionally small so each visit happens in a relaxed setting without rushing. Same-day appointments are available for members.

Yes. Members contact Dr. Miloy directly by phone, text, or email. He provides 24/7 urgent access, so patients never have to navigate an after-hours answering service when something important comes up.

Yes, Optimum Health offers both telemedicine visits and house calls. These options give members flexibility when an in-office visit is not practical. Dr. Miloy serves patients throughout the Texas Hill Country and also sees patients from other states and countries.

Dr. Miloy performs a wide range of diagnostics right at the practice. In-office capabilities include EKG, 24-hour Holter heart rhythm monitoring, spirometry for lung function, DEXA bone density scanning, cryotherapy, and stroke, osteoporosis, and autonomic nervous system screening. The practice also integrates wearable health data and offers genetic and microbiome analysis.

Balance MD is a personalized, multi-phase weight loss and lifestyle coaching program that Dr. Miloy developed over more than 20 years of clinical practice. The program guides patients through nutrition, exercise, and relapse-response skills in a direct doctor-to-patient format. Members have seen significant results, including meaningful weight loss, blood pressure normalization, and cholesterol reduction.

The Table of Health is a wellness framework Dr. Miloy developed in 1998 during a patient conversation about lifestyle balance. It rests on four pillars: Nutrition, Aerobic Exercise, Mindfulness and Emotional Well-being, and Rest and Sleep. Dr. Miloy uses this model as a foundation for his functional and preventive medicine approach with every patient.

Optimum Health operates on a flat monthly membership model rather than insurance-based billing. The practice does not process insurance for membership fees. Members who carry insurance may still use it for outside services such as specialist referrals, hospitalizations, or prescriptions.

Contact the Optimum Health office and ask how to become a member. The staff will walk you through the enrollment process and schedule your initial extended Wellness Visit with Dr. Miloy. If you want to learn more before committing, Dr. Miloy offers a no-cost meet-and-greet at the clinic.

Optimum Health focuses on adult patients. Dr. Miloy specializes in internal medicine, which addresses the prevention, diagnosis, and management of conditions in adults 18 and older.