Three ways to belong. One standard of care.
Bloom Medical is built on a clear structure, all under the exclusive direction of Dr. Patrice Tully, M.D.: a focused metabolic program, and two full‑practice memberships that share one clinical foundation.
Choose the depth of care and access that fits — from medically supervised weight management to comprehensive concierge women’s health and primary care.
The memberships
Metabolic, Signature, and Reserve.
Bloom Metabolic
A focused, physician‑led metabolic program
For members whose primary goal is medically supervised weight management and metabolic health.
$129per month$299 enrollment
- Month‑to‑month
- Panel of 250
What is included
- 45‑minute initial consultation, including lab orders
- Monthly 30‑minute follow‑up visits, including medication management
- Quarterly laboratory studies when clinically indicated
- Physician‑directed nutrition and behavioral protocol
What is not included
- Prescription medications, dispensed and billed by an outside pharmacy
- Laboratory, imaging, and pathology fees billed by outside facilities
- Primary care, well‑woman, and preventive services, including contraception counseling — available under Bloom Signature
Month‑to‑month enrollment. Medications are prescribed and filled by an outside pharmacy, and billed separately by that pharmacy.
Bloom Signature
The women’s‑health‑led core of the practice
Unhurried primary care and comprehensive women’s health, with a physician who knows you.
$6,000per yearor $550 per month · annual prepayment $5,400
- Cash‑pay — no insurance billed
- Panel of 250–300
Access & relationship
- Same‑ or next‑day appointments
- Extended 30–60 minute visits
- Direct physician messaging
- Telehealth anywhere in California, with continuity of care when you travel
- Priority specialist coordination through Apex
Primary care & metabolic
- Full preventive and chronic‑condition care
- Annual physical with advanced labs
- Physician‑led weight & metabolic management
- Supplement and pharmacy discounts
Membership is cash‑pay — no insurance is billed.
Bloom Reserve
Everything in Signature, plus bespoke
A categorically different relationship: a small panel, the freedom of cash‑pay, longevity‑grade diagnostics, and white‑glove discretion.
By applicationLimited membership · capped at approximately twenty‑five families
- Cash‑pay
- Includes the full clinical menu
Elevated access
- Direct phone, text and email access to Dr. Tully
- Unlimited visits, with no per‑visit fees
- House calls and in‑residence visits
- Global on‑call and travel‑medicine planning
Longevity & precision diagnostics
- Multi‑hour annual evaluation
- Full‑body MRI; coronary CT with calcium scoring
- DEXA body composition and VO₂ max testing
- 100–200+ biomarkers and epigenetic age
- CGM, wearable integration, and genomics
Privacy, discretion & advocacy
- Care that never appears on a public schedule
- Private entrances and off‑hours scheduling
- NDAs and dedicated points of contact
- Personal navigation, second opinions, and specialist introductions
- Hospital, procedure, and family coordination
The value conversation comes first. Membership terms are discussed privately.
The clinical foundation
The complete practice, in both full‑practice memberships.
Dr. Tully’s clinical scope spans comprehensive primary care and the full breadth of women’s health — from routine screening to hormonal, menopausal, and metabolic medicine.
The complete clinical menu below is the shared foundation of the two full‑practice memberships, Bloom Signature and Bloom Reserve. Bloom Metabolic is a focused, stand‑alone program. Reserve does not gate clinical care — it adds elevated access, longevity‑grade diagnostics, privacy, and advocacy on top of that foundation.
01
Preventive & Screening
The well‑woman foundation, on schedule.
- Annual well‑woman exams
- Pap smears / cervical cancer screening
- HPV testing
- Pelvic exams and clinical breast exams
- STI / STD testing and screening
- Bone‑density (DEXA) screening referrals
- Osteoporosis prevention counseling
- Breast‑health counseling and mammogram referrals
02
Contraception & Family Planning
Counseling and prescribing, in one office.
- Contraceptive counseling
- Oral contraceptive prescriptions
- Preconception counseling
03
Menstrual & Hormonal Health
Evaluation, management, and prescribing.
- Evaluation of abnormal uterine bleeding
- Amenorrhea workup
- Dysmenorrhea management
- PCOS evaluation and management
- Perimenopause and menopause management
- Hormone replacement therapy (HRT) counseling and prescribing
04
Metabolic Health & Weight
Anchored in The Weight Loss Reset.
- Physician‑led weight and metabolic management
- Annual physical with advanced labs
- Chronic‑condition care
05
Reproductive Health
Pregnancy testing — prenatal care is handled by an OB‑GYN practice.
- Pregnancy testing
06
Infection & Symptom Management
Evaluated promptly, treated properly.
- Vaginitis diagnosis and treatment
- UTI diagnosis and treatment
- Pelvic pain evaluation
- Vulvar disorders
Is membership a replacement for health insurance?
No. A Bloom membership is not insurance, and it is not billed to insurance — every tier is cash‑pay. What you are paying for is the concierge relationship with Dr. Tully. Separately, Dr. Tully also sees patients through Apex Multispecialty Medical Group, and those visits are billed to insurance in the usual way — that is a different arrangement, booked separately, and it is not part of membership. Apex can confirm whether your plan is in network: call (310) 873-3312 or email reception@apexdoctors.org. Members typically pair membership with their own health coverage for hospitalization, imaging, and specialty care.
What is billed separately from the membership fee?
Outside laboratory work and imaging, medications, and specialist care are billed separately — through insurance where applicable.
Is there a term commitment?
Bloom Metabolic is enrolled month‑to‑month, and Signature offers a monthly payment option. For the full‑practice memberships, the specifics — notice, cancellation, and how any prepaid fees are treated — are set out in your Membership Agreement, which you can read in full before you sign anything.
How do same‑day access and physician messaging work?
Members reach the practice directly by message and are seen the same or next day. Visits run thirty to sixty minutes. No specific response time is guaranteed.
Can I be cared for while traveling?
Yes. Telehealth is available anywhere in California, so your care continues when you are away from Los Angeles. Outside the state, Dr. Tully remains your physician and helps coordinate care where you are. Reserve extends this further, with global on‑call coverage and travel‑medicine planning.
How does the Reserve application work?
Reserve is extended by application, with membership capped at approximately twenty‑five families. Begin with a request, and the practice will arrange a private conversation.
Begin
Begin with a conversation.
Membership starts with an introduction, not a form. Tell us a little about what you’re looking for in a physician.
- Visit
- 600 S San Vicente Blvd Ste 101,
Los Angeles, CA 90048 - Call
- (310) 905-5755
- Hours
- Mon 12–4 · Wed 12–3:30
Fri 12–5 · Sat 9–11
Important disclosures
In an emergency, call 911
The messaging service is for non-emergency concerns only. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department. Do not use the messaging service, text, or email to report an emergency.
Response time
Messages are returned by Dr. Tully as soon as she is able. No specific response time is guaranteed.
Membership is not insurance
Membership fees pay for enhanced access and non-covered amenities and services. They are not insurance, not a substitute for insurance, and not prepayment for any covered medical service. Members are strongly encouraged to maintain separate health insurance.
Cash-pay practice
All memberships are cash-pay. No insurance is billed for membership or for services rendered under membership. Superbills are provided on request. Membership is terminable by the member on written notice with a pro-rata refund of unearned prepaid fees.