Concierge Membership — Irena Y. Ghen, MSN, APRN-BC
Root-cause functional & integrative medicine 100% virtual · Florida 772-240-4693
Concierge membership

One clinician. Yours, for a year.

$1,200 a year — $100 a month — for unlimited access to a board-certified nurse practitioner who actually looks for the cause. Entirely virtual, anywhere in Florida.

Book your discovery call
$200 · credited to your membership if you join
See exactly what's included
100
Members. That's the cap.

Not a marketing device. It's the number where I can still answer the phone on a Sunday — so it's the number I stop at.

The obvious question

"How can unlimited access to a real clinician possibly cost $100 a month?"

It's a fair question, and the honest answer is short: there's no catch, there's a cap.

A conventional practice carries somewhere around two thousand patients. It has to — when insurance is paying, volume is the only way the arithmetic works. That's where your twelve-minute appointment comes from. Nobody in that room is a bad clinician. They're just doing what two thousand patients allows.

I don't bill insurance, so I don't need volume. I need one hundred people who want to be looked after properly. One hundred is the number where I can still pick up on a Sunday, still remember your history without opening a chart, and still spend an hour on your results instead of nine minutes.

At one hundred and one, I can't do those things. So I don't go to one hundred and one.

What $1,200 covers

Everything below, for twelve months.

Access

  • Unlimited — phone, text, email, or video
  • Same-day or next-day responses
  • Seven days a week
  • Ask anything: a new symptom, a medication concern, a lab result, a supplement question
  • No portal, no triage, no gatekeeping

Care

  • A 45–60 minute initial visit — history, concerns, goals
  • Virtual visits as often as you like
  • Your personalized plan, written down
  • A check-in at one month, then ongoing
  • Adjustments as your labs and symptoms change

Labs & prescriptions

  • I order bloodwork, X-rays, ultrasounds, mammograms, CT, MRI
  • All necessary diagnosis codes provided
  • Any LabCorp, Quest, BioReference, or imaging center your plan covers
  • Prescriptions and refills sent to your pharmacy
  • Mailed instead, when that's easier
Your initial workup

Not a CBC, a lipid panel, and a lonely TSH. Here's the actual panel.

Most people have never seen what a proper initial evaluation looks like, so here it is in full. Five areas that drive the majority of chronic illness and accelerated aging — plus the safety basics.

Cardiovascular & inflammation

Because "normal cholesterol" isn't the whole story

Lipid panel · Apo-B · Lp(a) · Oxidized LDL · hs-CRP · Homocysteine

Blood sugar & metabolic health

Where fatigue and stubborn weight usually start

HbA1c · Fasting glucose · Fasting insulin

Complete thyroid

The reason so many women are told they're fine

TSH · Free T4 · Free T3 · Reverse T3 · TPO antibodies · Tg antibodies

Adrenal & sex hormones

Sleep, mood, bone, brain, libido

Morning cortisol · DHEA-S · Pregnenolone · Estradiol · Progesterone · Total & free testosterone

Nutrient status

The fuel every cell in your body runs on

Vitamin D 25-OH · Ferritin · B12 · Folate · Magnesium RBC · Iodine

Screening & organ function

The basics, done properly

ANA with reflex · CBC · CMP

This isn't over-testing. It's the level of evaluation that executive physicals and the most sophisticated longevity clinics run as standard. The only difference is who's reading it — and how long they'll spend with you afterward.

The part nobody expects

You'll assume you're paying cash for all of that. Usually you're not.

This is the piece that surprises almost everyone. I don't participate with insurance plans — that's what buys us the time. But I hold a national NPI, which means I can write the order and your own insurance can pay for the testing.

01

I write the order, with the codes on it

Every test above, plus any imaging you need — X-ray, ultrasound, mammogram, CT, MRI. I provide all necessary ICD-10 diagnosis codes.

02

You take it wherever your plan is accepted

Any LabCorp, Quest, or BioReference. Any imaging center your insurance covers. You don't need a referral from me — you need the order, and you have it.

03

It runs through your insurance like any other lab

Same as if your primary care doctor had ordered it. Whether a particular test is covered is between you and your plan — I can't promise that, and I won't pretend otherwise. But most of my patients are surprised how much of this their insurance handles.

You're not replacing your insurance. You're replacing the twelve-minute appointment.

Getting started

Four steps, and none of them are rushed.

01

Your discovery call — $200

Forty-five to sixty minutes. Your goals, your full history, everything you've already tried, and the labs you already have — read against optimal ranges rather than conventional ones. We start shaping the plan on the call. If it isn't a fit, you leave with answers anyway and there's nothing more to pay.

02

You join — then I order your workup

The $200 is credited and the remaining $1,000 completes your year. That's when the full panel above goes out. I don't order it before you join — not to hold it back, but because a comprehensive workup without the year of support behind it leaves you with forty numbers and nobody to act on them. That's the situation you're already in.

03

Your results review

Usually one to two weeks after your draw. I walk you through every number — what it means, what needs correcting, and why. You leave with a written roadmap: nutrition, targeted supplements, bioidentical hormones where indicated, sleep, and stress resilience.

04

The rest of your year

A check-in at one month, then as often as you need. Text me. Call me. Root-cause work is measured in months, not visits — which is exactly why this is a membership and not a series of appointments.

No surprises

What isn't included.

I'd rather you know now than find out later.

  • This is a 100% virtual practice. I don't offer in-person exams or visits. Anything needing a hands-on examination is better handled by urgent care or a local provider.
  • I don't participate with insurance plans. That means I can't provide insurance-required referrals or handle prior authorizations. If a specialist or test requires an in-network referral, you'd obtain that separately.
  • Labs and imaging aren't part of the membership fee. I order them and provide the codes — you run them through your own insurance.
  • Specialty functional testing is an additional cost. Challenged urine toxic metals, salivary adrenal panels, comprehensive stool analysis and similar tests aren't typically covered by insurance and are billed separately. I'll always tell you the cost before ordering.
  • Supplements are separate. I'll tell you exactly what I'd want you on and why — you're never obligated to buy anything from me.

Most of my patients keep their regular health insurance for hospitalizations and specialists — and have me for everything else, seven days a week.

The numbers

Two payments. Nothing hidden behind either.

Start here
$200
DISCOVERY CALL · 45–60 MINUTES

A real clinical visit, not a sales call. If you join, it's credited to your membership in full.

  • Your goals and full history
  • Review of the labs you already have
  • A clear read on what's likely driving this
  • No obligation to continue
Book your discovery call
Then, if it's a fit
$1,000
COMPLETES YOUR $1,200 YEAR · $200 ALREADY CREDITED

Everything on this page, for twelve months.

  • Unlimited access, 7 days a week
  • Your comprehensive workup, ordered once you join
  • Visits as often as you need
  • Your written, personalized plan
  • Prescriptions, refills, labs and imaging ordered
  • One clinician, all year
Apply for membership

Limited to 100 members · Founding rate held for as long as you stay · Florida residents · 100% virtual
Labs, imaging, specialty functional testing and supplements are billed separately. Payment plans available on request, at no extra cost.

Before you ask

The questions everyone asks first.

Can I really text you on a Sunday?

Yes. That's not a loophole in the membership — it's the point of it. Phone, text, email, or video, seven days a week. A member texted me about a cough on a Sunday recently; we were on a call within minutes and she had her prescription within the hour. That isn't an exceptional day. That's the standard.

What happens when the 100 spots are full?

There's a waiting list, and I'll be honest with you about where you are on it. If you're already a member when the practice fills, nothing changes for you — and your rate is held for as long as you stay, whatever I charge new members later.

Does the $200 discovery call include my workup?

No. The discovery call is a full clinical conversation about what's likely going on and whether we're a good fit. The comprehensive panel is part of membership, and I order it once you've joined. Forty numbers with nobody to interpret them is the situation you're trying to get out of — I'm not going to put you back in it.

Can I split the payment?

Yes. If the $1,000 is easier over three or four months, just ask. I'll set it up at no extra cost — there's no interest, no financing company, and no difference in your care.

What if I want to leave?

Then you leave. I'd ask for a conversation first, because root-cause work often feels slowest right before it starts working — but nobody is trapped here. Membership is annual and doesn't auto-renew without you agreeing to it.

Do I have to be in Florida?

Yes, for membership — clinical licensure is state by state and I'm licensed in Florida. Visits are entirely virtual, so anywhere in the state works, and you never need to drive anywhere.

Can I keep my regular doctor?

Most of my patients do, and I'd encourage it. Keep your insurance and your local providers for hospitalizations, specialists, and anything needing a hands-on exam. I'm the one you call for everything else — and the one actually looking for the cause.

How quickly will I feel better?

I won't promise you a timeline, because anyone who does is guessing. Root-cause work is measured in months. What I will promise is that you'll understand what's happening and why — and you'll never be waiting three weeks for an answer.

Start with the call. Decide afterward.

Forty-five minutes, $200, and a real read on what's driving this. If we're not a fit, you'll still know more than you did — and I'll tell you so honestly.

Book your discovery call
Credited to your membership if you join · 100 members maximum