Care Plans

Bundles Built From Evidence, Not Guesswork.

Four evidence-tiered starting points, not a fixed menu. Every test inside is tagged with its evidence tier, so you understand exactly why it's included — scope and cost are confirmed together at your consultation.

Foundation
Scoped at consultation

A physician-led baseline for anyone starting fresh, or checking in after a health change.

  • Extended physician consultation & history review
  • Core metabolic & spirometry screening
  • Written action plan with clear, plain-language next steps
Start With Foundation
Cardiopulmonary Complete
Scoped at consultation

For anyone who wants an objective read on cardiopulmonary fitness and capacity.

  • Everything in Metabolic Core
  • Cardiopulmonary exercise test (VO₂ max)
  • Full pulmonary function assessment
  • Cardiac & body-composition imaging, referred & coordinated
Start With Complete
Elite
Scoped at consultation

For clients who want a standing, quarterly cadence of testing and direct physician access.

  • Everything in Cardiopulmonary Complete
  • Quarterly re-testing cadence & trend report
  • Priority scheduling & direct physician access
  • Personal quarterly report card, evidence-tiered
Start With Elite

Bundles are starting points, not fixed menus — most clients adjust theirs after a consultation. Individual tests, including DEXA and coronary calcium scoring, are available à la carte and coordinated with imaging partners as needed.

Reading Your Plan

What Belongs On Your Plan, And Why

Some results directly shift a decision — a diagnosis, a medication, a referral, or a treatment already underway. Others are worth following over months or years, since the value comes from the trend rather than a single number. And when a marker is newer or lower-yield, we're transparent about that too — available if you want it, never bundled in silently.

Good Faith Estimate. LUMENA is a cash- and credit-only practice — we do not bill insurance. Under the No Surprises Act, you'll receive a written Good Faith Estimate of expected costs before your visit. Ask us for one any time, even before scheduling.
Not Sure Where To Start?

Let's Build The Right Plan Together.

A short consultation is all it takes to match you to the right starting bundle.