Memberships
Two paths. One philosophy.
Pick the membership that matches the care you actually need.
Every new patient starts with a one-time $300 Initial Consultation. Once you're established, choose the membership that fits your goals.
Boutique-Style Membership · Primary + Metabolic + Hormone Care
Flourish Elevate
One in-person visit per year required
Membership only. Lab/diagnostic services and medications are billed separately, allowing you the flexibility to use your insurance or opt for transparent, cash-pay pricing—whichever best fits your needs.
- Comprehensive primary care (acute, chronic, preventive)
- Visits when you need them
- Same/next-day appointments when needed
- Personalized lab ordering and review
- Direct, ongoing provider access between visits — portal, text, or phone call
- Metabolic health & weight management
- Hormone optimization — HRT, TRT, perimenopause care
- Nutrition and behavioral coaching
- Body composition analysis with Seca Bioelectrical Impedance Analysis (BIA) (in-person only)
- In-office point-of-care testing
- Coordination with specialists when referred
Active Metabolic + Hormonal Care
Flourish Foundation
100% telehealth available
Membership only. Lab/diagnostic services and medications are billed separately, allowing you the flexibility to use your insurance or opt for transparent, cash-pay pricing—whichever best fits your needs.
- Follow-up visits (telehealth or in-person)
- Personalized lab ordering and review
- Direct, ongoing provider access between visits — portal, text, or phone call
- Metabolic health & weight management
- Hormone optimization — HRT, TRT, perimenopause care
- Nutrition and behavioral coaching
- Body composition analysis with Seca Bioelectrical Impedance Analysis (BIA) (in-person only)
- Requires a separate primary care provider
Tier-specific questions
Flourish Elevate
Is Elevate a replacement for my primary care?
Yes. Elevate is designed to serve as your primary medical home. That said, recognizing when additional expertise is an important part of high-quality care. When concerns fall outside her scope or warrant specialist involvement, Mackenzie will facilitate appropriate referral and coordination of care.
How often will I see Mackenzie?
As often as needed. There are no visit caps, and same/next-day appointments are available when clinically needed.
Is the initial consultation included?
No — the one-time $300 Initial Consultation is required for both memberships, separate from the monthly fee. It also covers your first month of membership.
Can I receive care if I travel or live outside Indiana?
Possibly. Telehealth follow-up visits may be available outside Indiana, subject to state regulations. Because Elevate serves as your primary care home, an annual in-person physical exam is required in Indiana.
Do you prescribe opioids?
No — opioid medications are not prescribed at Flourish. Our practice is dedicated to metabolic health, hormone optimization, and root-cause care.
Flourish Foundation
Is the initial consultation included?
No — the one-time $300 Initial Consultation is required for both memberships, separate from the monthly fee. It also covers your first month of membership.
Can I do everything from home?
Yes — Foundation is fully telehealth in Indiana. Outside of Indiana, care is available subject to Mackenzie's licensure and state telemedicine regulations.
Why do I need a separate PCP?
Foundation focuses on metabolic and hormonal care. Routine primary care lives with your existing PCP. You may upgrade to Elevate to make Mackenzie your primary care home at any time.
What if I want to upgrade later?
You can move from Foundation to Elevate at any time with a brief transition visit.
Can I join from outside Indiana?
Possibly. Foundation's telehealth visits may be able to accommodate patients residing or traveling outside Indiana, subject to state telemedicine regulations.
All new patients begin with a one-time $300 comprehensive Initial Consultation, which also covers your first month of membership. Labs and medications are not included in the consultation or membership pricing — they are billed separately so you can choose cash pay or use your insurance.