Membership & Services

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‑Williams: 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 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.

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.

$129 per month  ·  $299 enrollment

Month‑to‑monthPanel 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 — available under Bloom Signature
Request a Consultation

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.

$5,400 per year  ·  or $495 per month

Hybrid membershipRetainer + PPO / MedicarePanel of 300–400

Access & Relationship

  • Same‑ or next‑day appointments
  • Extended 30–60 minute visits
  • Direct physician messaging and an after‑hours line
  • Telehealth anywhere, with continuity while traveling
  • 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
Request an Invitation

Twelve‑month agreements are standard. Visits are billed through PPO plans and Medicare as usual.

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 application Limited membership  ·  capped at approximately twenty‑five families

Cash‑payIncludes the full clinical menu

Elevated Access

  • The physician’s personal line — true 24/7
  • 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
Begin the Application

The value conversation comes first. Membership terms are discussed privately.

The Clinical Foundation

The complete practice, in both full‑practice memberships

Dr. Tully‑Williams’s clinical scope spans comprehensive primary care and the full breadth of women’s health — from routine screening to in‑office procedures to hormonal and metabolic medicine.

Preventive & Screening

The well‑woman foundation, on schedule.

  • Annual well‑woman exams
  • Pap smears / cervical cancer screening
  • HPV testing
  • Colposcopy
  • 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

Contraception & Family Planning

Counsel and procedures, in one office.

  • Contraceptive counseling
  • Oral contraceptive prescriptions
  • IUD insertion and removal
  • Contraceptive implant insertion and removal
  • Depo‑Provera injections
  • Preconception counseling

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

Metabolic Health & Weight

Anchored in The Weight Loss Reset.

  • Physician‑led weight and metabolic management
  • Annual physical with advanced labs
  • Chronic‑condition care

Reproductive Health

From planning to early care.

  • Pregnancy testing
  • Early prenatal care and referral

Infection & Symptom Management

Evaluated promptly, treated properly.

  • Vaginitis diagnosis and treatment
  • UTI diagnosis and treatment
  • Pelvic pain evaluation
  • Vulvar disorders

Questions, Answered

Membership, plainly explained

Is membership a replacement for health insurance?

No. Bloom Signature is a hybrid membership: the annual retainer covers the concierge relationship, and visits are billed through PPO plans and Medicare as usual. Bloom Reserve is a cash‑pay membership and does not bill insurance; members typically pair it with existing coverage for hospitalization, imaging, and specialty care.

What is billed separately from the membership fee?

Certain in‑office procedures, outside laboratory work and imaging, medications, and specialist care are billed separately — through insurance where applicable.

Is there a term commitment?

The full‑practice memberships are annual, and twelve‑month agreements are standard; Signature offers a monthly payment option. Bloom Metabolic is enrolled month‑to‑month.

How do same‑day access and physician messaging work?

Members reach the practice directly — by message during the day and through the after‑hours line beyond it — and are seen the same or next day. Visits run thirty to sixty minutes.

Can I be cared for while traveling?

Yes. Telehealth is available wherever you are, and your care continues uninterrupted when you are away from Los Angeles. 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 through the appointment page, and the practice will arrange a private conversation.

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.

Request an Invitation