Two tracks. Five tiers total. Cash-pay only. HSA and FSA eligible. No surprise billing. The full cost of each membership is on this page.
30-minute call. We walk you through which track and which tier are the right fit before you commit.
Reviewed by Dr. Meredith Sweeney, MD, FACS, FASMBS | Board-certified bariatric surgeon, A4M member, founder of Sano Longevity in Middletown. Last updated April 2026.
The average insurance-billed primary care appointment in the United States is 12 minutes. That is the operating constraint of insurance medicine. Reimbursement structures reward short, billable visits. They do not reward long appointments, individualized plans, or testing that prevents disease before it starts.
Longevity medicine cannot be practiced in 12 minutes.
“Your primary care doctor calculates your metabolic rate from a formula. We measure it.” Dr. Meredith Sweeney, MD, FACS, FASMBS
Sano Longevity is HSA and FSA eligible. Receipts are provided for reimbursement documentation. There is no surprise billing. The full cost of each membership is on this page. No fine print, no hidden fees, no upsells at the appointment.
The Longevity Track is a 12-month commitment for patients who want to add years to their life and life to their years. Three tiers are available. Every tier includes the foundation: comprehensive longevity assessment, quarterly physician appointments with Dr. Sweeney, annual labs, unlimited body composition retesting, concierge access, 1 month of CGM, and a State of the Union review at year one.
⚠ Final pricing pending delivery from Dr. Sweeney. Architecture shown below; numbers will be replaced the same day they are delivered.
| Gold | Platinum | Executive | |
|---|---|---|---|
| Monthly cost | $TBD | $TBD | $TBD |
| One-time enrollment fee | $TBD | $TBD | $TBD |
| Minimum commitment | 12 months | 12 months | 12 months |
| Comprehensive longevity assessment | ✓ | ✓ | ✓ |
| Quarterly physician appointments | ✓ | ✓ | ✓ |
| Annual lab panel | ✓ | ✓ | ✓ |
| Unlimited body composition scans | ✓ | ✓ | ✓ |
| Concierge access (text, email, phone) | ✓ | ✓ | ✓ |
| 1 month of CGM | ✓ | ✓ | ✓ |
| 20% off IV and IM therapies | ✓ | ✓ | ✓ |
| Hormone Replacement Program | — | ✓ | ✓ |
| Peptide protocols (year one for new hormone patients) | — | ✓ | ✓ |
| Quarterly longevity coach sessions | — | — | ✓ |
| Bi-annual registered dietitian meetings | — | — | ✓ |
| Annual strength and mobility screen at Sargent Wellness | — | — | ✓ |
| Bi-annual VO2 max retesting | — | — | ✓ |
| Bi-annual metabolic retesting | — | — | ✓ |
See the full Longevity Track page → /longevity/
The Weight Loss Track is a 6-month commitment for patients who want physician-supervised weight loss with body composition data and a muscle preservation protocol. Two tiers are available. Every tier includes the full first-visit assessment, the 90-day CGM protocol, the personalized plan, quarterly physician visits, annual labs, unlimited body composition scans, and physician-supervised GLP-1 prescribing when clinically appropriate.
⚠ Final pricing pending delivery from Dr. Sweeney.
| Gold | Executive | |
|---|---|---|
| Monthly cost | $TBD | $TBD |
| One-time enrollment fee | $TBD | $TBD |
| Minimum commitment | 6 months | 6 months |
| Comprehensive longevity assessment | ✓ | ✓ |
| 90-day CGM protocol | ✓ | ✓ |
| Personalized nutrition, exercise, and supplement plan | ✓ | ✓ |
| Quarterly physician appointments | ✓ | ✓ |
| Annual lab panel | ✓ | ✓ |
| Unlimited body composition scans | ✓ | ✓ |
| Concierge access (text, email, phone) | ✓ | ✓ |
| 20% off IV and IM therapies | ✓ | ✓ |
| Physician-supervised GLP-1 prescribing | ✓ | ✓ |
| Quarterly weight loss coach meetings | — | ✓ |
| Bi-annual registered dietitian sessions | — | ✓ |
| Bi-annual VO2 max retesting | — | ✓ |
| Bi-annual metabolic retesting | — | ✓ |
See the full Weight Loss Track page → /weight-loss/
A limited number of standalone services are available to non-members. Membership-track patients get all of the testing and most of the services included in their tier.
⚠ Final à la carte pricing pending delivery from Dr. Sweeney.
Everything you might want to know about membership cost, insurance, and payment structure before booking a free consultation.
Sano Longevity offers two membership tracks. The Longevity Track is a 12-month commitment with three tiers (Gold, Platinum, Executive). The Weight Loss Track is a 6-month commitment with two tiers (Gold, Executive). A one-time enrollment fee applies to both tracks. Sano Longevity is cash-pay only and HSA and FSA eligible. See the pricing tables on this page for current monthly rates and enrollment fees.
Sano Longevity is cash-pay only. Insurance is not accepted. The practice is HSA and FSA eligible. This model exists so Dr. Meredith Sweeney can spend 60 to 90 minutes with each patient, instead of the 12 minutes a typical insurance-billed visit allows. Book a free consultation to walk through the right fit.
Insurance reimbursement structures pay physicians for short, billable visits. The average insurance-billed primary care appointment in the United States is 12 minutes. Longevity medicine cannot be practiced in 12 minutes. Sano Longevity is cash-pay so Dr. Sweeney can run the testing insurance does not cover (VO2 max, body composition, fasting insulin, Omega-3 index) and build an individualized plan from real data.
Yes. Sano Longevity is HSA and FSA eligible. Patients can pay membership fees, enrollment fees, and à la carte services with HSA or FSA funds. Receipts are provided for reimbursement documentation.
Sano Longevity membership tracks are minimum-commitment programs because patient outcomes require time to compound. Patients who quit at three months have a 100% failure rate. Specific refund and pause policies are reviewed at the consultation. Book a free consultation to discuss the policy details before committing.
The one-time enrollment fee covers practice setup, intake processing, and onboarding into the Sano Longevity electronic health record and concierge system. It is paid once at the start of the membership and does not recur.
Book a free consultation. We will walk you through both tracks, all five tiers, and the right fit for your goals. No surprise billing. No upsells. The full cost of each membership is on this page.
Or call (502) 208-6476. We respond within 24 hours. No pitch. Just data.
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Reviewed by
Founder, Sano Longevity in Middletown, Louisville. Board-certified bariatric surgeon. Fellow of the American College of Surgeons (FACS) and the American Society for Metabolic and Bariatric Surgery (FASMBS). Member, American Academy of Anti-Aging Medicine (A4M). Speaker, Longevity Fest 2025. More than ten years of metabolic medicine experience at Norton Healthcare before founding Sano Longevity in March 2025.
Sano Longevity
(502) 208-6476