Our patients pay a yearly retainer, which covers a comprehensive history and annual physical as well as ongoing, as-needed medical care. As there are certain procedures and services not covered under this plan, patients also need to retain primary insurance or Medicare.
Yearly Retainer
Your yearly retainer covers an annual physical as well as ongoing medical support. Rates effective 10/14/19
Patient
Monthly Cost
Annual Cost
First Adult
$200
$2400
Spouse
$185
$2220
Children Under 25
$125
$1500
Comprehensive history and annual physical
A one-hour comprehensive history and physical launches the doctor-patient relationship. Patients will provide pertinent old medical records, a thorough family history, and a three-day nutrition diary one week prior to the appointment. The one-hour physical includes:
Prostate and well-woman exams
Nutrition and fitness assessment
Vision and audio testing
Screening for anxiety and/or depression
Lab tests, to potentially include comprehensive metabolic panel (CMP), complete blood counts (CBC), thyroid function test (TSH) for ages 35+, fasting lipid panel (FLP), cholesterol (HDL and LDL), glucose tests, PSA prostate cancer screening for ages 40+, urinalysis (UA), Microalbumin-Creatinine Ratio for artery-lining health, oxygen saturation, resting EKG and EKG stress test, spirometry, among others deemed necessary
Screenings for bone density, ankle-brachial index (ABI) for vascular health in the legs
Update routine immunizations. Tetanus and influenza vaccines are covered.
If not up-to-date, we coordinate and schedule mammogram for ages 40+ and colonoscopy for ages 50+.
Medical Support Services
Ongoing medical support is included under your yearly retainer and includes:
24/7 access to your personal physician by email, text, Skype, FaceTime, and/or personal cellphone
Telephone consultations
Same day/next day appointments with minimal to no wait times in office
Extended, relaxed office visits
After-hours and weekend office visits, if matters require more than telephone conversation
House calls if warranted
Heart attack and stroke prevention program
Online wellness program, discounted gym membership
Hospital visits to act as your advocate with hospital staff and specialists; prompt in-clinic after-care
Minor laceration repair, minor skin biopsies, and cryotherapy for skin lesions
Prompt referral, coordination of care with a strong network of specialists, follow-up to discuss care plan
Assistance in coordinating care with physicians in other cities if required while you’re traveling
Pre-operative medical consultations
Related Services and Costs
Membership in the FitForImpact online wellness program is complimentary.
Discounted gym memberships of $36.95/month + tax are available at Life Changing Fitness, which also offers one-on-one personal training and nutrition coaching options.
Up to 90% discount on lab tests not covered under your annual physical
Up to 50% discount on X-rays, mammograms, and CT scans
Services and procedures not covered
Patients will need to retain private insurance or Medicare to cover the following, as they are not covered under your yearly retainer:
Hospitalizations and emergency room visits
Prescription drugs
Lab work not covered under annual physical; X-rays, and pap smears pathology evaluation
Mammograms, MRI, and CT Scans, Echoes, Stress Echoes, Nuclear Stress Tests
Specialist care, outpatient and surgical procedures, or medical services provided outside our office
Non-routine immunizations, such as shingles, hepatitis, pneumonia, or meningitis vaccines
Workers compensation
Recommended/optional tests
Please note that these recommended tests are billed through the lab and are not covered under your yearly retainer.
Cardiac Arterial Wall Inflammatory markers
- F2 Isoprostanes: “lifestyle lie detector”
- HsCRP
- Microalbumin/Creatinine Ratio
- Fibrinogen
- Lp-PLA2
- Myeloperoxidase
Lipoprotein (a): advanced cholesterol test
Apolipoprotein B (Apo B): advanced cholesterol test
NT-Pro BNP for heart function evaluation
Cardiovascular Genetic Tests, recommended as once-in-a-lifetime
- 9P21 “the heart attack gene”
- KIF6
- ApoE gene
- Interleukin-1 gene
- Haptoglobin genotype (diabetics only)
Testosterone (men 40+) and other hormone testing as clinically indicated
CT Coronary Calcium Score
Carotid Intimal Thickness and Carotid Doppler
Dr. David Ball, MD
David W. Ball, M.D. received his medical degree from the University of Mississippi Medical Center. His internship and Internal Medicine residency was completed at the University of Tennessee in Chattanooga, TN.
His primary focus is functional fitness and wellness. He is the founder/CEO of 4-Ever Fit M.D., a science-based Wellness Company. He is also the co-founder of Tri-Fit, a non-profit organization that promotes wellness through exercise, nutrition, and accountability relationships. He enjoys mountain biking, weight lifting, scuba, working on his farm and spending time with his family.