Thrive Adult Memberships

New Patient Membership

The recommended starting point for new patients who want physician-guided functional medicine care — without the intensity of a full signature program.

Evolve Premier is built for new patients who are ready for a real, ongoing relationship with Dr. Pestana. It includes five physician visits — a comprehensive intake, a findings visit where your full picture comes together, and three follow-ups throughout the year — along with private health coaching, monthly digital check-ins, and seasonal wellness resources. This is the most complete entry point into ongoing PCW membership care.

Evolve Premier is available to new patients only. Returning patients and program graduates transition to Evolve, Optimize, or Maintain based on their ongoing needs.

The shift: from reactive sick care → to a proactive, physician-guided wellness relationship built around you.

Returning Patient & Program Graduate Membership

Your most comprehensive long-term wellness membership — for patients who have done the foundational work and want to keep going.

Evolve is for program graduates and returning patients who want high-touch annual continuity. Four physician visits per year, four private health coaching sessions, a functional lab credit, monthly check-ins, and priority portal access — all within a membership that evolves alongside you. This is not a maintenance plan. It is an ongoing optimization relationship with a physician who already knows your history and wants to keep building on it.

A legacy rate is available for returning PCW patients.

The shift: from completing a program → to sustaining and deepening your results year after year.

Mid-Tier Membership

Consistent physician support and accountability for patients maintaining their progress.

Optimize is for patients who have established their foundation and want regular check-ins, lab monitoring, and coaching support without the full investment of Evolve. Three to four physician visits per year, two private health coaching sessions, monthly digital check-ins, and ongoing portal access keep you connected and on track — without starting from scratch.

The shift: from results you've worked hard for → to results that hold.

Light-Touch Annual Membership

A light, ongoing connection with Dr. Pestana for patients who are already doing the work.

Maintain is designed for legacy patients who want a functional medicine perspective woven into their care, and for younger, generally healthy patients who want annual wellness oversight without a larger commitment. Two physician visits per year, monthly digital check-ins, seasonal wellness resources, and portal access keep you grounded and supported — without the overhead of a more intensive tier.

Maintain does not include health coaching. Patients who want coaching support between visits should consider Optimize or Evolve.

The shift: from going it alone → to staying connected to a physician who knows your history.