Optimal Health Program
If you want to get healthy, get younger, or have 24 / 7 access, then Yes!
RestoraHealth was created for anyone and everyone who is frustrated with the lack of access and control within the health care system that wasn’t working to get you healthier. Even if you have insurance or a Primary Care Provider, but you want more access, better health, control and savings, then RestoraHealth is for you.
Our goal is for all of our members to achieve what we call the ‘5 + 2 Normals’. By achieving the 5 + 2 Normals, you will be 12 years younger and save 33% to 50% on health care costs!
We do this by our ‘Restora Health Plan Process’ that works with you and uses a health coach to achieve these wonderful goals.
All our Physicians are Board-Certified and will give you excellent advice and care via a secure telehealth environment. And we have all specialists available as well or lifestyle-based physicians; i.e., those that understand a vegan or gluten-free diet. But besides the 24 / 7 access of a Board-Certified Physician, you also get a Nurse for Advice and to help set goals and a personal health coach to help you reach your goals (hours are limited).
Restora Health is not health insurance. We are a ‘virtual’ Direct Primary Care practice. And we call ourselves ‘Proactive’ because we are a Primary Care practice that works to make you healthier with your Personal Health Plan and your own health coach. We are ‘Virtual’, in that we have no clinic for you to walk in to. Your home or any location with your phone, PC, or tablet is our office – now, isn’t that nice? If you are healthy, then about 90% of all medical care you need can be done over the phone, PC, or tablet. Many people use Restora Health in conjunction with their health insurance, and even if they have an existing Primary Care Provider (but can never find the time to see him or her), but since we operate like a DPC (Direct Primary Care) practice, we do not bill insurance (but we will help you weed through the jungle of insurance paperwork with our Medical Concierge service).
In regards to insurance, we do offer very low-cost Indemnity Insurance through licensed agents as a separate item from the Restora Health Program, and we do highly recommend Health Sharing as an amazing alternative to the high-cost of traditional health insurance options, of which these same agents can help you with that as well.
Not much. In fact, you only ‘NEED’ a phone. It can even be an old-fashioned, wall-secured, corded phone. But you will have the best experience if you have a smart-phone, or tablet, or PC. Sometimes, you may want a rash evaluated or the doctor may just want to see ‘how you look’ and so being able to see you is a good thing. As well, you may want to go to your local Walgreens and purchase an automated blood pressure cuff, a pulse oximeter, and a thermometer. This may help us when you call in.
Primary Care is the broadest of all medical categories. In our definition, it means a trusting relationship with your medical team to get you healthy, keep you healthy, and steer you in the right direction to the right specialists or tests in case you need more specialized care.
A lot of good primary care is communication and education. Our health goal is to get you to the 5 + 2 Normals of good health within 365 days:
- Normal blood pressure
- Normal blood sugar
- Normal triglycerides
- Normal weight
- No Tobacco (which is a ‘Normal‘)
and (the + 2)
- Manage your stress
- Reduce / Eliminate Inflammation
By doing this, you can avoid about 85% of all diseases in America today, and eliminate 33% to 66% of all current and future health costs. Not only that, but if you achieve the 5 + 2 Normals, you will look and feel great, have more energy and BE IN CONTROL of your life. Achieving the 5 + 2 Normals offers hope and happiness!
We are your advocate to good health and wellness. If you have questions or concerns, our model is set up for you to get an answer right away – within 24 hours at the longest. We want you to be in control, to be in the best health of your life, and to be the best you possibly can be.
Some insurance companies do cover and some do not. You will have to contact your insurance company to see what is and what is not covered, but typically, insurance companies do not cover monthly membership fees for medical services.
Restora Health has 2 programs. 1 – Our 24/7 Care + Benefits monthly program at $19.95 per month plus a $19.95 set-up fee (link) and 2 – Our Primary Care Optimal Health monthly program at only $59.00 per month for twelve months for a single person plus an annual enrollment fee of $50. A couple is only $89.00 per month plus enrollment fee of $100 and a family of any size is just $109.00 per month and a $45 enrollment fee (yes, you could have 10 children!) fee for everyone over 18.
Single moms and their children are all covered and all priced as a single person, even if you have 4 children!
All memberships include our 24/7 Care + Benefits package (link) at no additional cost. For our Primary Care Optimal Health program we always strive to give you: same-day phone call appointments, and our Nurse call and same-day video chat appointments, plus a Health Assessment Profile, Health Goal setting, a Personal Health Plan, and Health coaching,
Individual is just $59.00 plus one time $50 enrollment fee
- Single moms are $59.00 plus $50 enrollment fee but all children are included for free.
- Couples are just $89.00 plus one time $100 enrollment fee
- Families (unlimited size) is just $109.00 a month plus enrollment fee of $45 for everyone over 18 years.
The $50 enrollment fee covers an on-line lifestyle and health assessment, and an initial encounter with a Registered Nurse, a review of your records by a Doctor or Physician Assistant, and then the compilation of your Personal Health Plan, which is an exhaustive individualized plan based on the Health Assessment Profile and labs you provided (labs fees extra – see FAQs section on Are Labs Covered?).
This also sets your health goals for you and assigns you a health coach. Beyond this, if you so choose, there are additional fees to access additional health coaching sessions or our Chronic Disease Management Team. This can be discussed with your Nurse if you think this applies to you. However, over 90% of our members need no additional services.
Some of our members have insurance that covers labs and some members do not. Therefore, to alleviate separate, and confusing, pricing structures, we lowered our enrollment fee and ask all members to either have new base labs drawn, or provide us with the results of their base labs if they have been drawn in the last 9 months. The base labs we rely on at Restora Health are: CBC (Complete Blood Count), CMP (Comprehensive Metabolic Panel), or Chemistry Panel, Lipid Profile (Cholesterol), and CRP (C-Reactive Protein). We are contracted with Quest labs and these labs run about $65 – our member services staff person will schedule that blood draw for you.
It is not required for the 24 / 7 Care + Benefits program, but Yes it is required for the Optimal Health program. The reason for this is to maintain your ‘Continuity of Care’ and to get you to the 5 + 2 Normals. We are set up to get you healthy, get you younger, and keep you healthy. One can’t do that if you are in and out of membership every few months. Our model is set up so that you are known by our health team. Every member has a team of 3 nurses and a Physician Assistant that directly work with you. Our in-house Medical Doctor also reviews your information and makes recommendations. We use MDLIVE 24 / 7 Physician Services for our 24/7 Care + Benefits program and they are not part of the Primary Care Optimal Health program except that all our Primary Care members receive the 24/7 Care + Benefits program at no additional cost. Your Primary Care is managed by you, your Nursing team, and Physician Assistant, and Docs when necessary (but not by MDLIVE). This is how we keep our prices so low and give you all the time you need.
Your monthly membership allows you four coaching sessions per year. Typically, we find a health coach is used right away after your goals are set and then maybe twice in the next two months, then whenever you want to schedule the remaining session. But you have access to your coach via e-mail and log-in capabilities as often as you like.
Many members realize what the studies prove: A health coach will help you achieve your goals faster. So, Yes, you can schedule as many sessions as you feel you need beyond the four you receive with your membership, and you will be charged a non-refundable fee of $40 per session that is paid up-front.
Yes. In most cases, the monthly membership fee can be reimbursed by flexible spending accounts (FSAs), medical savings accounts (MSAs), health reimbursement accounts (HRAs), and health savings accounts (HSAs). If requested, RestoraHealth will provide you with a statement of services to present to your benefits administrator as reimbursement may be sought through the FSA claim submission process. Please note that the fee cannot be paid using an FSA debit or credit card (you will have to manually submit your claim).
We are very similar to a clinical Direct Primary Care practice, but we are over the smart-phone, tablet, or PC. Most traditional concierge doctors charge between $2,000 and $5,000 per year and are set up to see patients in-person at their office. RestoraHealth is much more low-cost and our RestoraHealth staff members are fully-geared to efficiently communicate with patients via phone, text, and video chat. Also, our RestoraHealth Medical Concierge team works with you to choose the right doctor that is specifically suited to you and your specific need – and it may be the same doctor you have seen before.
Over 80% of disease is caused by poor lifestyle habits (and some say over 90%). Studies have proven that using certified health coaches improves health, achieves goals, and significantly reduces medical costs. Our Certified Health Coach’s focus is on your lifestyle habits and works with you to help you achieve your goals and our goals around the 5 + 2 Normals, and alter your ‘bad habits’ so that you are more fully in control of your life and your costs. Our goals are to keep you off medications if you are not on any, and to get you so healthy that you can get off medications if you are on any.
At Restora Health, our goal is to get everyone to the 5 + 2 Normals. These are from Dr. Michael Roizen who came up with these and proved that if one achieves the 5 + 2 Normals, then they will be 12 years younger (than those who don’t have them), and will save 33% to 66% on current and future health care costs.
Here are the “5 Normals”:
- Blood pressure below 125 / 85
- LDL Cholesterol below 130 without CVD (cardiovascular disease) and below 100 if you do have CVD
- Hemoglobin A1C below 5.7 or Fasting blood glucose below 106
- BMI below 30 or Waist to Height Ratio of less than 0.5
- Zero level of Cotenine in Urine – i.e., No evidence of tobacco
And the “+ 2” is to
1) Manage Stress and,
2) Reduce / Eliminate Inflammation. (C-RP < 1.0) We all have stress, but how you manage it is very important as it is the second leading risk of a heart attack (an MI). And inflammation is the precursor to most all diseases. A blood test called C-Reactive Protein can measure stress under the right conditions, but it can also show up as a false positive. The C-RP test is relatively expensive as well, and so we work with our members to use diet, exercise and some supplements to reduce or eliminate inflammation instead of spending the money on an expensive test. By achieving the 5 Normals and managing your stress and reducing or eliminating inflammation (the + 2), you will be in control of your life, your health, and your costs. In good health, you find your greatest wealth.
Of course. The entire Restora Health IT and Tele-platform is secure and HIPAA compliant (Health Insurance Portability and Accountability Act) so all of your communications with the Restora Health staff and any subcontracted staff of New Benefits and MDLIVE are also HIPAA compliant and secure. As well, all your conversations with any Restora Health staff or the teams of MDLIVE or New Benefits staff are completely confidential. We take extraordinary means to assure your security and privacy.
Your Continuity of Care is very important to us at Restora Health, and that is why you will have the same nurse(s) assigned to you. Each member will have three Nurses assigned to that member so that you will have a team approach to your care and health goals and so that one is always available to you and will know all about your care. We find that Nurses can give more time to you than a doctor and will be able to do more research and find the right physician for your care. If you need research done by a Physician, you simply e-mail a specialist through eDoc America (through 24/7 Care + Benefits) and you will have an answer in 24 hours or less.
Those on-demand doctor services are generally not setup to allow patients to form long-lasting relationships like you form with the staff of Restora Health in our Primary Care Optimal Health program. With those other services, you have no coach, you cannot pick your doctor, there is no ‘staff doctor’ or ‘staff Physician Assistant’ and no ‘staff nurse’, and you have no Medical Concierge Advice Team Nurse that you have as a member with Restora Health. Typically, when you use an on-demand doctor app you are paired with a random doctor who does not know you or your complete medical history. In contrast, with Restora Health’s Primary Care Optimal Health program, you are always connected with the same nurse, Physician Assistant, Health Coach and Doctor who really knows you and the specific issues that are relevant to your care. As well, the 24/7 Care + Benefits program, which is included in your Primary Care Optimal Health program, does provide you with the on-demand doctor services that other companies offer. So you get both Primary Care doctor and an on-demand doctor with the Restora Health Primary Care Optimal Health program.
We use an EMR (Electronic Medical Record) system called Charm and you will have access to all your records via their personal and secure portal. You will be given your own log-in access on your initial encounter when you first join.
Our Restora Health doctor is yours through the Primary Care Optimal Health program, but you will not always have access to that doctors due to time and scheduling issues. If you call the MDLIVE 24 / 7 doctor (through 24/7 Care + Benefits), then perhaps you can have the same doctor each time through MDLIVE. You have the ability to ‘select’ the doctor you wish to visit with. Your schedule will depend upon who you see. Because we want YOU to be in control of your access, we do not assign one doctor to you through MDLIVE, but you will have the same doctor with our Primary Care Optimal Health program. You can always talk to a doctor 24 / 7 through MDLIVE and if you are requesting a specific doctor at MDLIVE, then you may have to wait until that doctor is available. More importantly however, is that you will have the same Nursing team to work with you to maintain your Continuity of Care when you enroll in our Primary Care Optimal Health program.
All visits with any of our doctors is completely through secure text, phone, and video-chat. If, for whatever reason, you need to be seen in person by a Specialist or a walk-in clinic Provider, you can be directed by the Medical Concierge team to a proper specialist, or you can go to a Walgreens Walk-in Clinic (through 24/7 Care+ Benefits) where we have contracted services at a discount for you.