If you have priced out concierge medicine cost and come away confused, that is normal. Some clinics charge a few hundred dollars a year for phone access to a doctor. Others charge thousands a month for a full concierge practice. At Bespoke Aesthetics in Gainesville, the model is narrower and more specific: a physician-led wellness membership that bundles recovery therapies, treatment access, and member pricing under Dr. Carolyn Indianos, MD. This post breaks down what is actually included, how the pricing works, and how it compares to paying per visit.
What to Know
- Bespoke’s memberships are wellness and recovery memberships, not concierge primary care and not insurance.
- The Longevity/Wellness membership is $250 per month and includes 15 recovery sessions per month.
- An Aesthetic membership track is also offered at $249 per month. Confirm the current track structure and what it includes at consultation.
- Men’s TRT memberships are offered in three tiers: Essential, Optimized, and Elite. Program length, cancellation terms, and full pricing are provided in writing at your consultation.
- A new patient consultation is complimentary.
- Pricing below is current as of publication. Confirm current pricing at consultation, since menus change.
What a Medical Wellness Membership at Bespoke Aesthetics Actually Includes
A membership here is built around consistent access to recovery and treatment, not a single visit. The wellness membership at Bespoke Aesthetics generally includes recurring access to recovery modalities such as infrared sauna, cold plunge, red light therapy, and halotherapy, plus member pricing on additional services. It is structured around a set number of sessions per month rather than an unlimited, all you can use model, which keeps the plan predictable for both the clinic and the patient.
This is different from a subscription that simply discounts a menu. Every membership sits under Dr. Indianos’s oversight, and treatment decisions are made in the context of an established patient relationship rather than a one-off transaction. That physician-led structure means every membership sits inside an ongoing patient relationship, but it is not concierge primary care and does not include primary care services.
Concierge Medicine Cost: How Membership Pricing Works
Concierge medicine cost nationally spans a wide range, from a few hundred dollars a year for a basic access fee to several thousand dollars a month for a full-service concierge primary care practice with unlimited visits and same-day access. Bespoke Aesthetics sits well below that ceiling because its memberships are scoped to wellness and recovery, not full primary care.
The current tracks are:
- Longevity/Wellness membership: $250 per month, 15 recovery sessions per month.
- Aesthetic membership: $249 per month.
- Men’s TRT memberships: three tiers (Essential, Optimized, Elite). Monthly rate, program length, and cancellation terms are set out in the membership agreement and confirmed at consultation.
New patients typically start with a consultation with Dr. Indianos. Because pricing structures change, confirm current pricing at your consultation before enrolling in any track.
Membership vs Paying A La Carte: Where the Math Changes
Recovery modalities are also available individually, without a membership. A la carte pricing runs $40 per sauna session, $35 per cold plunge session, $45 per red light session, and $45 per halotherapy session. A patient who uses recovery services two or three times a week will typically cross the break-even point on the $250 Longevity/Wellness membership well before the month is out, since that plan includes 15 sessions.
The math looks different for someone who wants occasional recovery sessions rather than a regular routine. A patient visiting once every week or two may find a la carte pricing simpler and cheaper overall. Membership value depends on frequency of use, not on the sticker price alone, which is worth working through with the clinic before committing to any track.
| Track | Monthly Cost | Commitment | What It Includes |
|---|---|---|---|
| Longevity/Wellness membership | $250/mo | Month to month | 15 recovery sessions per month across sauna, cold plunge, red light, halotherapy |
| Aesthetic membership | $249/mo | Month to month | Treatment access and member pricing on aesthetic services |
| Men’s TRT, Essential | Confirmed at consultation | See membership agreement | Entry level TRT program tier |
| Men’s TRT, Optimized | Confirmed at consultation | See membership agreement | Mid level TRT program tier |
| Men’s TRT, Elite | Confirmed at consultation | See membership agreement | Top tier TRT program with added program elements |
| A la carte sauna | $40/session | None | Single infrared sauna session |
| A la carte cold plunge | $35/session | None | Single cold plunge session |
| A la carte red light | $45/session | None | Single red light therapy session |
| A la carte halotherapy | $45/session | None | Single halotherapy session |
Pricing shown is current as of publication. Confirm current pricing at consultation, since menus are subject to change.
Direct Primary Care vs Concierge: How a Wellness Membership Differs from Both
It helps to be precise about categories here, because the terms get used loosely. Direct primary care, or DPC, is a primary care model where patients pay a flat monthly fee directly to a family physician’s practice in exchange for expanded access, and the practice typically does not bill insurance for visits at all. Concierge medicine usually layers a membership fee on top of a practice that still bills insurance, in exchange for extras like same-day appointments, longer visits, or direct physician contact. The American Academy of Family Physicians publishes a useful overview of the direct primary care model and how it differs from insurance-based practice.
Bespoke Aesthetics is neither of those. Its concierge-style wellness membership is not a substitute for a primary care relationship, and it is not insurance or an insurance replacement. It is a recurring plan for wellness, recovery, and aesthetic or hormone treatment access, delivered under Dr. Indianos’s oversight. Patients who need primary care, chronic disease management, or insurance-covered services should maintain a relationship with a primary care physician separately.
What Is Longevity Medicine, and Where Does a Wellness Membership Fit
Longevity medicine is a broad, still-evolving field focused on proactive health monitoring and habits intended to support healthy aging, rather than treating disease after it appears. In practice, that often includes recovery modalities, hormone evaluation and care, and consistent physician oversight over time, instead of episodic sick visits.
A wellness membership is one practical way a clinic delivers that kind of consistency. The Longevity/Wellness membership at Bespoke Aesthetics bundles the recovery side of that approach, sauna, cold plunge, red light, and halotherapy, into a predictable monthly plan with physician oversight, rather than requiring a patient to book and pay for each session separately. It is not a guarantee of any particular health outcome, and it is not a substitute for medical care aimed at diagnosing or treating a specific condition.
Who a Wellness Membership Suits
These memberships tend to make the most sense for patients who already want to use recovery services regularly, who are working with Dr. Indianos on an ongoing hormone or aesthetic program, or who prefer one predictable monthly cost over booking and paying per visit. Patients who only want an occasional session, or who are still deciding whether a given service is right for them, are usually better served starting with a consultation and a la carte visits before committing to a monthly or 12 month plan.
Frequently Asked Questions
Is a Bespoke Aesthetics membership the same as insurance?
No. Membership fees cover access to wellness, recovery, or treatment services at the clinic. They are not health insurance, and they do not replace insurance coverage for medical care.
Does a wellness membership replace my primary care doctor?
No. A wellness membership is not primary care and is not intended to replace an ongoing relationship with a primary care physician for chronic conditions, screenings, or insurance-based care.
Is there a consultation fee if I join a membership?
There is no consultation fee. The new patient consultation with Dr. Indianos is complimentary, whether or not you join a membership.
Can I switch between membership tracks?
Membership structures and terms can change, including tier availability and commitment length. Confirm current options and any switching terms directly with the clinic at consultation.
What are the commitment and cancellation terms?
Terms differ by track. The Longevity/Wellness membership runs month to month. The men’s TRT tiers are governed by a separate membership agreement that sets out program length and cancellation terms in writing. Review that agreement at your consultation before enrolling.
Medically reviewed by Dr. Carolyn Indianos, MD, Founder and Medical Director, Bespoke Aesthetics. Last updated September 2026.
The fastest way to get a real number is to book the consultation, because the consultation itself is thorough. You leave with the full written terms, the current pricing, and Dr. Indianos’s read on which track actually fits how you plan to use it. Call 352-450-1004 or visit the contact page.
