Peak is a self-pay longevity program, which is what lets us spend real time on your care instead of what insurance is willing to reimburse. Your monthly membership isn't billed to insurance. That said, many of the pieces can still work with your existing coverage: prescribed medications can often run through your prescription drug plan, and certain follow-up labs or imaging can be billed to insurance if you prefer. Your bloodwork, doctor visits, and medications may also be HSA or FSA eligible. Your care team can help you sort out what applies to you.

Yes. Peak Essentials is month to month with no long-term contract. Cancel before your next billing date and you won't be charged again. Peak Performance is a prepaid annual program built around a full year of care, so it runs through the term you've paid for and then renews only if you choose to continue. There's never a cancellation fee.

Safety is the foundation of how Peak works. Every treatment is prescribed and monitored by a licensed doctor as part of an ongoing care relationship, with baseline labs, regular check-ins, and dosing tailored to you. Medications like hormone therapy and GLP-1s are prescribed within established clinical guidelines. Peptides are sourced only through licensed compounding pharmacies that meet FDA quality standards, never from gray-market sellers. If a treatment isn't right or appropriate for you, your doctor will tell you.

Your regular doctor is essential for acute issues, screenings, and anything billed through insurance, and we recommend keeping them. Peak does something different. A typical annual physical checks a handful of numbers once a year and sends you on your way. Peak measures hundreds of health markers, pairs you with a dedicated doctor focused on longevity and prevention, and updates your plan throughout the year. Think of it as the proactive, whole-picture care your insurance was never designed to cover.

It depends on what you're working on. Some people feel meaningful changes in energy, sleep, or focus within the first few weeks of starting a protocol. Other goals, like shifting body composition, balancing hormones, or moving key health markers, tend to show up over three to six months as your doctor adjusts your plan around your follow-up labs. Peak is built for lasting results over time, not a quick fix, and your doctor will set clear expectations for your specific situation.

That's completely fine, and it's exactly the kind of thing your Peak doctor wants to know. At your first visit, your doctor reviews everything you're currently taking, including any existing hormone therapy, so your longevity plan fits safely alongside it. In many cases Peak can take over managing your hormone therapy as part of your care, with regular monitoring and dose adjustments based on how your body responds. Nothing changes without your doctor walking you through it first.