Three programs. Six tiers total. Membership-based. HSA and FSA eligible. No surprise billing. The full cost of each membership is on this page.
30-minute call. We walk you through which program and which tier is the right fit before you commit.
Sano Longevity is HSA and FSA eligible. Receipts are provided for reimbursement documentation. There is no surprise billing. The full cost of each membership is on this page. No fine print, no hidden fees, no upsells at the appointment.
Membership means there is no set length to your appointment - appointments last as long as they need to, so Dr. Sweeney can spend 60 to 90 minutes with each patient at the roadmap appointment. She can run the testing that insurance does not cover, like VO2 max, body composition, resting metabolic rate, fasting insulin, and the Omega-3 index. She can build an individualized plan from the actual data, not from a formula. She can answer the questions that primary care does not have time to answer. The price of that model is on this page. The trade-off is that you get a board-certified surgeon who has spent more than a decade operating on the consequences of metabolic disease, not a 12-minute slot in a high-volume practice.
The average insurance-billed primary care appointment in the United States is 12 minutes. That is the operating constraint of insurance medicine. Reimbursement structures reward short, billable visits. They do not reward long appointments, individualized plans, or testing that prevents disease before it starts. Longevity medicine cannot be practiced in 12 minutes.
For patients who want to add years to their life and life to their years. Two tiers. Every tier includes the comprehensive longevity assessment, quarterly physician appointments with Dr. Sweeney, annual longevity lab panel, unlimited InBody scans, supplement evaluation, concierge access, 20% off IV and IM therapies, and medication prescribing and monitoring when indicated, including testosterone therapy at all levels if indicated. New patients receive 1 month of continuous glucose monitoring as part of onboarding.
| Tier | Gold $349/mo | MOST TRANSFORMATIONALElite $499/mo |
|---|---|---|
| Core longevity patient | Full support team | |
| Annual comprehensive longevity assessment | ✓ | ✓ |
| Quarterly physician appointments | ✓ | ✓ |
| Annual longevity biomarker panel | ✓ | ✓ |
| Unlimited InBody scans | ✓ | ✓ |
| Concierge access (text, email, phone) | ✓ | ✓ |
| 20% off IV and IM therapies | ✓ | ✓ |
| Supplement evaluation and recommendations | ✓ | ✓ |
| Medication prescribing and monitoring (GLP-1s, hormones, peptides, testosterone if indicated) | ✓ | ✓ |
| Monthly 1:1 coaching sessions | — | ✓ |
| Bi-annual registered dietitian sessions | — | ✓ |
| Bi-annual metabolic and VO2 max retesting | — | ✓ |
| Annual strength, mobility, and injury assessment | — | ✓ |
| Bone density scan | — | ✓ |
One-time onboarding and comprehensive assessment: $350. 12-month commitment. Onboarding fee waived for returning clients with no lapse in monthly payments.
Add-ons available to any tier: personal training, Alzheimer’s genetic testing, advanced cancer screening via EpiSeek.
For patients who want physician-supervised weight loss with real data, real accountability, and a muscle preservation protocol. Two tiers. Every tier includes the comprehensive metabolic assessment, 90-day CGM jumpstart, personalized plan, quarterly physician visits after onboarding, annual metabolic lab panel, unlimited InBody scans, concierge access, 20% off IV and IM therapies, and weight loss medication prescribing and monitoring when clinically indicated.
| Tier | Gold $349/mo | MOST TRANSFORMATIONALElite $499/mo |
|---|---|---|
| Core weight loss patient | Full support team | |
| Annual comprehensive metabolic assessment | ✓ | ✓ |
| 90-day jumpstart with continuous glucose monitoring | ✓ | ✓ |
| Personalized nutrition, exercise, supplement plan | ✓ | ✓ |
| Physician appointments (up to quarterly after onboarding) | ✓ | ✓ |
| Annual metabolic health lab panel | ✓ | ✓ |
| Unlimited InBody scans | ✓ | ✓ |
| Concierge access (text, email, phone) | ✓ | ✓ |
| 20% off IV and IM therapies | ✓ | ✓ |
| Weight loss medication prescribing and monitoring (case-by-case) | ✓ | ✓ |
| Monthly 1:1 coaching sessions | — | ✓ |
| Bi-annual registered dietitian sessions | — | ✓ |
| Bi-annual metabolic and VO2 max retesting | — | ✓ |
One-time onboarding and comprehensive assessment: $350. 12-month commitment.
Add-ons available to any tier: longevity coaching, dietitian consultations, personal training.
For women in perimenopause and menopause who want hormone therapy managed inside a practice that measures everything first. Two tiers. Every tier includes the comprehensive longevity assessment, the initial hormone panel, hormone replacement prescribing and adjusting by Dr. Sweeney, quarterly physician appointments, the annual longevity biomarker panel, unlimited InBody scans, supplement evaluation, concierge access, and 20% off IV and IM therapies.
| Tier | Platinum $399/mo | MOST TRANSFORMATIONALElite $499/mo |
|---|---|---|
| Guided hormonal & metabolic support | Full support team | |
| Comprehensive longevity assessment | ✓ | ✓ |
| Initial hormone panel | ✓ | ✓ |
| Hormone replacement prescribing and adjusting by Dr. Sweeney | ✓ | ✓ |
| Quarterly physician appointments with Dr. Sweeney | ✓ | ✓ |
| Annual longevity biomarker panel | ✓ | ✓ |
| Unlimited InBody body composition scans | ✓ | ✓ |
| Supplement evaluation and recommendations | ✓ | ✓ |
| Concierge access (text, email, phone) | ✓ | ✓ |
| 20% off IV and IM therapies | ✓ | ✓ |
| Monthly 1:1 coaching sessions (30 min) | — | ✓ |
| Bi-annual registered dietitian meetings | — | ✓ |
| Bi-annual metabolic and VO₂ max retesting | — | ✓ |
| Annual strength, mobility, and injury assessment | — | ✓ |
| Bone density scan | — | ✓ |
One-time onboarding and comprehensive assessment: $350. 12-month commitment. Cash-pay, HSA and FSA eligible. Medication and follow-up lab costs are patient responsibility.
Dr. Meredith Sweeney, MD, FACS. Board-certified bariatric surgeon. Member, A4M. Speaker, Longevity Fest 2025.
VO2 max test, InBody 580 body composition, resting metabolic rate on the PNOĒ platform, 46-marker longevity lab panel (subject to change) through Quest Diagnostics. Total time on-site: approximately 90 minutes.
Dr. Sweeney walks you through every result and presents your individualized plan.
with Dr. Sweeney throughout the membership.
Full 46-marker longevity lab panel (subject to change).
on the InBody 580.
by text, email, and phone.
for all members.
Receipts provided.
A limited number of standalone services are available to non-members. Membership patients get all of the testing and most of the services included in their tier.
VO2 max testing: $250 initial test (includes expert consultation) · $175 repeat test.
Metabolic (RMR) testing: $300 initial test (includes 1-hour expert consultation) · $225 repeat test.
InBody 580 body composition scan: $50.
IV therapy: $159 to $799 per infusion depending on formula. NAD+ starts at $599. Members receive 20% off all IV and IM therapies at every tier.
The following services can be added to any membership tier. Pricing discussed during the free consultation or with your care team.
Everything you might want to know about membership cost, insurance, and payment structure before booking a free consultation.
The Longevity Optimization Program starts at $349/mo (Gold) or $499/mo (Elite). The Weight Loss Program starts at $349/mo (Gold) or $499/mo (Elite). The Menopause 3.0 Program starts at $399/mo (Platinum) or $499/mo (Elite). All three programs are 12-month commitments. A one-time $350 onboarding and comprehensive assessment fee applies to every program.
No. Cash-pay only. HSA and FSA eligible. This model exists so Dr. Sweeney can spend 60 to 90 minutes with each patient instead of 12.
Insurance pays for short visits. Longevity medicine cannot be practiced in 12 minutes. The membership model lets Dr. Sweeney run the testing insurance does not cover and build individualized plans from real data this allows Dr. Sweeney to keep patient census manageable while giving every patient the individualized attention they deserve.
Yes. Receipts are provided for reimbursement documentation.
Within each program, the base tier is the core membership and Elite adds the full support team: monthly 1:1 coaching, bi-annual registered dietitian sessions, bi-annual metabolic and VO2 max retesting, and additional high-touch care. The Longevity Optimization and Weight Loss programs offer Gold and Elite. Menopause 3.0 offers Platinum and Elite, where Platinum adds hormone replacement prescribing and monitoring. Elite is the same $499/mo across all programs.
The $350 fee covers the comprehensive first-visit assessment (VO2 max, body composition, metabolic blood panel, resting metabolic rate), practice setup, and onboarding. Paid once at enrollment, does not recur.
Book a free consultation. We will walk you through both programs, all four tiers, and the right fit for your goals. No surprise billing. No upsells. The full cost of each membership is on this page.
Or call (502) 208-6476. We respond within 24 hours. No pitch. Just data.
By submitting this form you consent to being contacted about your inquiry. Your information is kept confidential and never shared.
Founder, Sano Longevity in Middletown, Louisville. Board-certified bariatric surgeon. Fellow of the American College of Surgeons (FACS) and formerly the American Society for Metabolic and Bariatric Surgery (FASMBS). Member, American Academy of Anti-Aging Medicine (A4M). Speaker, Longevity Fest 2025. More than ten years of metabolic medicine experience at Norton Healthcare before founding Sano Longevity in March 2025.
Sano Longevity
(502) 208-6476
