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, 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 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.

$6,000 per year  ·  or $550 per month  ·  annual prepayment $5,400

Cash-pay membershipCash-pay — no insurance billedPanel of 250–300

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. 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 application Limited membership  ·  capped at approximately twenty‑five families

Cash‑payIncludes the full clinical menu

Elevated Access

  • Direct phone, text and email access to Dr. Tully, with extended messaging to 11:00 PM daily
  • 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’s clinical scope spans comprehensive primary care and the full breadth of women’s health — from routine screening to hormonal, menopausal, and metabolic medicine.

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

Contraception & Family Planning

Counseling and prescribing, in one office.

  • Contraceptive counseling
  • Oral contraceptive prescriptions
  • 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

Pregnancy testing — prenatal care is handled by an OB‑GYN practice.

  • Pregnancy testing

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. 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. Members typically pair membership with their own health 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

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.