Questions, answered.

At ZüpMed, concierge medicine means we provide an unmatched, highly personalized healthcare experience. But, we do not require an annual fee like traditional concierge practices; instead, we offer a value-based membership program or a la carte pricing. Our model allows us to spend more time with you, provide personalized care, and ensure you are completely satisfied from booking your exam room to finishing your prescription.

Our model allows us to keep pricing simple, transparent, and focused on patient care rather than spending our time navigating insurance rules and restrictions.

We want you to get the most value for your healthcare dollar. In some cases like labs or vaccines, insurance may still be utilized.

When you arrive, there is no waiting room. A concierge will greet you and take you directly to your private, beautifully appointed exam room featuring zero-gravity recliners. You'll then be seen promptly by our staff.

Our clinical team is scheduled throughout the day with other patients, so it may be difficult to speak to them at the time you call. The front desk can get a message to the clinical team and you should hear back from your request by the end of the day. If not urgent, however, the best way to reach your provider is through a portal message.

You may catch any of our pharmacists throughout the day in the lobby, but they reserve specific time to provide in-depth, genetically- or laboratory-guided supplement advice by appointment. The best way to optimize your medications including supplements is to schedule an appointment with them.

We'll check with the clinical team and do our best to accommodate you, but we may need to adjust your appointment. The exam room is reserved for you for the entire time slot. If you're going to be late, please let us know. We simply may not have as much time to spend together.

We match you with the right provider based on the type of visit you need:

- **Urgent Care visits** are seen by our Nurse Practitioners or Physicians - **IV Hydration Therapy** is administered by our experienced Nurse Practitioners - **Weight Loss visits** are overseen by Physicians, but you may see a combination of providers, including Nurse Practitioners and Clinical Pharmacists - **Annual exams, sports physicals and preoperative clearance exams** are performed by Nurse Practitioners or Physicians (you may request an MD if preferred) - **Medication management and ongoing therapy (including complex medication needs)** are handled by our Clinical Pharmacist team - **Genetic testing visits** are coordinated by our pharmacy team - **Hormone care visits** are managed by our Certified Menopause Providers, including both a PharmD and an OB/GYN - **Gut dysfunction or GI Map testing** is handled by one of our Pharmacists.

Our goal is to ensure you're paired with the provider best suited to your specific needs.

Yes, you can request to see a physician, subject to their availability. Our team includes both highly skilled physicians (Dr. Lloyd Finks, Dr. Michelle Sands, Dr. Hillary Hunt) and very experienced Nurse Practitioners under physician supervision.

Yes, a physician is available on most days and we're happy to check availability for you. If you prefer to see a physician specifically, please note that there is an additional surcharge for their time and expertise.

Yes, you can request to see a specific provider. For scheduling, you can visit our online booking platform at https://zupmed.com/schedule-appointment/. Some of our providers are not at the clinic every week day and as such, it may be helpful to call the front desk for scheduling when they are next available.

You can see most of our providers, including our nurse practitioners and pharmacists for medication issues. Dr. Michelle Sands has extensive experience in internal medicine and complex care for older adults.

Our Family Nurse Practitioners are equipped and trained to handle most minor childhood illnesses and injuries. Dr. Hillary Hunt is double boarded in internal medicine and pediatrics.

While your 17-year-old is old enough to drive him- or herself to the clinic, they must be 18 years of age or older to receive treatment without your approval. We'll ask for signed Consent to Treat on file by a parent or guardian for any minor. Please call our front desk for questions and assistance.

Once a patient turns 18, they are legally an adult. We must have a signed HIPAA release form on file from the patient in order to discuss their health information with parents.

The front desk is not allowed to provide specific medical advice. However, we advise you to hydrate and hold tight. We'll be able to see you as soon as possible

Please call the front desk and we can get you scheduled for a body scan. Our 3D body scanner appointments currently cannot be made through our online booking software.

Shannon's schedule is somewhat limited due to her administrative and university commitments. However, there are a small number of appointments available, and we'd be happy to submit a request for you to see her.

If you're needing to be seen sooner, we recommend scheduling with another provider on our team, as they may have more immediate availability.

We maintain a team of providers so that you always have access to care. If your primary provider is unavailable, another qualified member of our clinical team will be available to see you. We will always communicate any provider changes in advance and ensure continuity of your care.

Yes, we offer telehealth visits for appropriate concerns. Simple telehealth visits are $99, and more complex visits are $179 for guests. Members receive telehealth visits at no additional cost. Virtual care is a great option for follow-ups, medication questions, or minor illnesses where you prefer not to come in.

You can begin by completing a Membership Application (link available here): https://zupmed.com/Memberships/

The Membership Application helps us to understand your reasons for joining and match you with the right level of care. If ZüpMed is a good fit for you, we'll invite you to meet with our Member Services Specialist to begin your personalized Membership experience.

The Membership Application allows us to better understand your goals and reasons for joining, so we can match you with the most appropriate level of care. Because our model is designed to provide personalized access and a high standard of service, we may not be the best fit for every patient. The application process helps ensure that we can meet each Member's needs and deliver the level of care you deserve. We also limit the number of new Memberships we accept each year to maintain quality and access. If we are not currently accepting new Members, completed applications are automatically placed on our waiting list.

You may cancel your Membership at any time by emailing the Clinic at concierge@zupmed.com or lsmith@zupmed.com at least five (5) days prior to the end of the current billing cycle. Unless otherwise agreed, cancellation takes effect on the last day of the current billing cycle after the Clinic receives notice. No Membership fees will be charged after the effective cancellation date. The Clinic will retain payments received before that date.

Our Membership payments are managed through our electronic medical record system, which requires billing plans to renew every 12 months. When your renewal date arrives, we will create a new plan for you in the system. During this process, you may receive an automatic notification stating that your Membership has been "cancelled." Please note—this message is generated by the software and simply reflects the transition to your new plan. There is no interruption to your Membership, and you will continue to have full access to care as long as your payment plan remains active. If you have any questions or concerns, our front desk concierge team is always happy to assist you.

Health insurance is designed to pay for care after something goes wrong. In today's world, the high cost of medical care demands that you have some form of coverage in case of a catastrophic illness or injury. On the other hand, ZüpMed's Membership is designed to *keep* you healthy and give you direct access to medical professionals who know you. With insurance, you often face copays, deductibles, surprise bills, and prior authorizations. With ZüpMed, pricing is transparent, visits are unhurried, and you are never a stranger to your care team.

Yes. We believe that today's high cost of medical care demands that you have some form of coverage in the case of a catastrophic injury or illness. So, most of our Members have a separate health insurance plan that they use for hospitalizations, surgeries, or specialist care and use their ZüpMed Comprehensive or Urgent Care Memberships for primary, preventative, and acute care. The two work well together. We can also provide a Super Bill for any visit so you may seek out-of-network reimbursement from your insurer.

Yes, we can evaluate and treat cuts using stitches, staples, or medical adhesive, depending on what's most appropriate.

Yes, we offer testing for sexually transmitted infections. All testing is conducted in a private, confidential setting. Depending on your preferences, we can utilize cash-pay laboratory services that are not billed through insurance to help maintain additional privacy.

Yes, we can evaluate for thrush and other infections of the mouth that require swabbing, like Strep. This would be included in an Urgent Care Visit.

Yes, mold testing is offered if clinically appropriate. This is considered a Specialty Test.

We do not currently offer behavioral health counseling. We do work closely, however, with Memphis area counselors so that your treatment is coordinated. We do offer an integrative behavioral health visit and can offer pharmacogenomic testing to help ensure appropriate medication if needed for mental health reasons.

No, we do not. We believe in a food first approach, however, and will support and promote healthy eating behaviors. We have unique knowledge and experience in the gut microbiome and will use stool testing and laboratory data to help heal the gut when leaky gut is present.

We do not provide traditional psychiatric care or therapy, but we can take care of anxiety, depression, and ADHD. We also offer pharmacogenomic testing that can be transformative for patients. Our Mental Health Genetic Testing analyzes 26 genes to help identify which psychiatric medications are likely to be most effective and best tolerated for you specifically. This testing is particularly valuable for patients who have tried multiple medications without success or who wish to pre-emptively avoid the trial and error approach to mental health medications.

Yes. Comprehensive Health Members receive ongoing management of chronic conditions as part of their membership. This includes regular monitoring, medication optimization by our clinical pharmacist team, and proactive care to prevent complications. Many of our members with chronic conditions find that having a provider who truly knows their history — and has the time to address their concerns — leads to significantly better outcomes than the traditional model.

No, we use transparent cash pricing instead of billing insurance directly. ZüpMed does not accept or participate in any insurance contracts (including Medicare). By not accepting insurance, we significantly lower overhead costs, allowing us to spend more time with you and provide better value. However, we will provide you with a fully itemized statement ("Super Bill") after your visit that you can submit to your insurance carrier for potential out-of-network reimbursement.

Our model allows us to keep pricing simple, transparent, and focused on patient care rather than spending our time navigating insurance rules and restrictions. We do not bill insurance directly. You will pay at the time of service, and we can provide a "Super Bill" for you to submit to your insurance company for out-of-network reimbursement.

A "Super Bill" is a fully itemized statement of your visit that includes all the diagnostic codes and service details your insurance company needs to process an out-of-network claim. We provide this at your request after any visit. You then submit it directly to your insurance carrier. Reimbursement is not guaranteed, however, and depends on your specific plan.

At your request, we will provide you with a fully itemized statement, which we call a "Super Bill", at the end of your visit. You can submit this document directly to your insurance carrier. While we will help in any way we can, ZüpMed makes no promise as to what and how much will be reimbursed.

Yes, you may. And thanks to a law that was passed as of January 1, 2026, you can even use your HSA for Membership, too. Some HSA programs have restrictions on supplements, but if your supplement is included as a part of your medication plan, you may use your HSA card to cover its cost.

Yes! All of our services are self-pay (cash, credit, or HSA/FSA where applicable). We offer transparent, flat-rate pricing for all our services.

Blame our software! If you are in our Membership programs or Weight Loss program, our electronic medical record notes your Membership Fee as an outstanding balance. You do not owe this at one time! In fact, your Membership fee will be taken out monthly at the first of each month. The balance is what you would owe if you remain in our Membership program for the remainder of the year.

Simply call our front desk and one of our front desk concierges, our Member Services Specialist, or our Practice Manager will be happy to help.

Pharmacogenomics is the study of how your genes affect your response to medications. Your genetic makeup influences how your body absorbs, metabolizes, and responds to drugs — which is why the same medication can work beautifully for one person and cause side effects in another. Our pharmacogenomic testing helps your providers choose medications that are more likely to work for you and less likely to cause adverse effects. This is especially valuable for mental health medications, cardiovascular drugs, and pain management.

Genomind testing includes two required visits (an initial consultation and a follow-up to review results) plus the lab fee.

- Visits: $159 (CHM), $169 (UCM), or $179 (Guests) each - Lab fee: $399

Total cost typically ranges from **$717–$757**, depending on your Membership type.

This process ensures we not only obtain your genetic results, but also take the time to interpret them and guide any necessary changes to your treatment plan.

**Galleri testing** is a multi-cancer early detection blood test that screens for signals associated with more than 50 types of cancer—often before symptoms appear. It works by analyzing DNA fragments in the blood that may indicate the presence of cancer and can also help identify where in the body the signal is coming from.

It's important to note that Galleri is a screening tool, not a diagnostic test, so any positive result would require follow-up testing for confirmation.

The cost of Galleri testing at our clinic is **$849**.

No, fasting is not required.

This test is a micronutrient test that measures intracellular levels of vitamins and nutrients. ("Intracellular" means "inside the cells".) Results help evaluate how vitamins, minerals, and other micronutrients are actually functioning within your white blood cells, providing a more comprehensive and accurate assessment of your nutritional status than standard blood levels alone.

The **DUTCH test** (Dried Urine Test for Comprehensive Hormones) is a specialized hormone test that uses dried urine samples collected at home. It provides a detailed look at hormone levels and patterns, including cortisol, estrogen, progesterone, testosterone, and their metabolites. This allows providers to assess hormone balance, adrenal function, and how your body is processing hormones. It's commonly used to help evaluate concerns such as fatigue, stress, weight changes, mood issues, sleep disturbances, and hormonal imbalances. The test is ordered by a provider during your visit. The cost is $550, which includes the test itself and a follow-up visit to review your results and discuss next steps.

In traditional insurance-based medicine, a "wellness visit" is a specific billing code that often prevents your doctor from addressing your actual health concerns during the same appointment—which frustrates many patients. At ZüpMed, our comprehensive annual physical is a true "head-to-toe" assessment and exam. It includes a thorough review of your medical history, cardiovascular and metabolic screening, age-appropriate preventative recommendations, and a personalized plan focused on your long-term health and longevity. There are no insurance-imposed limits on what we discuss.

Yes. Proactive, preventive care is central to the ZüpMed philosophy. Beyond standard annual exams, we offer advanced diagnostics including micronutrient testing (SpectraCell), multi-cancer early detection screening (Galleri), pharmacogenomic testing, hormone optimization, and integrative gut health testing. Our Comprehensive Health Members work with the Member's dedicated Health Ambassador to build a long-term wellness plan.

No. We cannot fill outside prescriptions. You would need to establish care with us and join our Weight Loss Program for us to manage and dispense weight loss medications.

Prices vary by medication, but we offer them at highly competitive, transparent rates for our patients. ZüpMed medication prices are often less than the copay charged by pharmacies.

For safety and to comply with state guidelines, patients are typically required to have regular follow-up visits. The exact timing depends on the medication and your individual treatment plan, and your provider will let you know how often you need to be seen.

Yes, we can see you for a primary or urgent care visit to evaluate your condition and provide a bridge prescription if medically appropriate while you establish care with another provider.

If you've been exposed to the flu, you'll need to schedule a visit—either in person or via telehealth—so a provider can evaluate your risk and determine if medication like Xofluza or Tamiflu is appropriate.

GLP-1 medications are generally well tolerated, but like any treatment, they can come with side effects—especially as your body adjusts. You can read more about potential side effects (and their management) here: https://zupmed.com/weight-loss-shots-memphis/

At ZupMed, you're never navigating this alone. Our physician-led team and clinical pharmacists closely monitor your progress and tailor your dosing schedule to help minimize side effects while keeping you on track toward your goals. We also provide personalized nutrition guidance—especially around protein intake—to support muscle preservation and overall wellness during weight loss.

If side effects become more significant, we offer additional support, including IV therapy for patients experiencing severe nausea, vomiting, or dehydration. This allows us to quickly rehydrate you and help you feel better so you can safely continue your program.

Our approach is proactive, supportive, and always centered on your safety and long-term success.

That's a common question, and one of the most important conversations we have with our patients. It's a key part of how we work to help you achieve long-term success. Read about our approach and suggestions for success here: https://zupmed.com/weight-loss-shots-memphis/

Research shows that some weight regain can occur after stopping GLP-1 medications, especially if sustainable habits aren't in place. That's why, at ZupMed, we focus on much more than just prescribing medication. From day one, we're helping you build the nutrition, lifestyle, and behavioral strategies needed to support lasting results.

Our program places a strong emphasis on the transition into maintenance. For many patients, that doesn't mean simply stopping treatment—it may involve a different approach, such as a lower or less frequent dose, or a structured plan tailored to your body and goals.

Our goal is to help you not only lose weight, but keep it off in a way that's realistic, sustainable, and medically supported.

We offer the Styku 3D body scanner, a powerful tool that provides a detailed analysis of your body composition, including measurements, body fat percentage, and progress tracking over time—far beyond what a scale can show. Individual scans are available for $99 per session. Patients enrolled in our weight loss program receive four scans per year (one per quarter) to help monitor progress and guide their results.

In some cases, yes. We contract with some insurance providers for vaccinations. Your eligibility can be discussed with one of our front desk concierges.

We offer a variety of vaccines, including annual influenza (flu) vaccines, high-dose "senior" flu vaccines, TDaP (tetanus, diphtheria, pertussis), RSV, pneumonia, shingles, COVID, and polio boosters. Additional vaccines may be available based on your age, medical history, and individual needs.

Please speak with your provider to determine which vaccines are appropriate for you.

The shingles vaccine (Shingrix) is recommended for adults age 50 and older. It is given as a two-dose series, with the second dose administered 2 to 6 months after the first.

In some cases, it may be recommended earlier for individuals with certain medical conditions—your provider can help determine what's appropriate for you.

In some cases, yes. We offer travel consultations to help you prepare for your trip, including personalized recommendations based on your destination.

While we may not carry all travel vaccines, we can guide you as to where to receive any we might not have. We also provide prescriptions and travel packs tailored to your needs, such as medications for motion sickness, traveler's diarrhea, and other common travel concerns.

We provide prescriptions and travel packs tailored to your needs, such as medications for motion sickness, traveler's diarrhea, and other common travel concerns.