confluxmed
Who we serve

A narrow practice, described plainly.

Better to find out now that we're not the right fit than after an intake visit. Here is who we take, what we treat, what we assess, and what stays with your PCP.

Eligibility

Four things have to be true.

01

Not currently on Medicare

We aren't able to see Medicare beneficiaries at this time, and we'd like to change that in the future. Age itself isn't the cutoff — plenty of people over 64 carry commercial insurance, and some under 64 have Medicare. Coverage is what decides it.

02

In a state where we're licensed

Telehealth requires a license in the state you are physically located in at the time of the visit. We're licensed in seven states and will confirm yours before you enroll. In another state? Reach out anyway — many states allow telehealth with minimal additional paperwork, and we consider expanding where there is enough interest.

03

You keep a primary care physician

We are a prevention and weight practice, not a replacement for primary care. Acute problems, procedures, and same-day needs stay with your PCP or urgent care.

04

You want the data

This works best for people who are willing to complete check-ins, get clinically appropriate labs, and work on nutrition, movement, sleep, and long-term maintenance alongside medication.

Where we're licensed
We can see you if you are physically located in one of these seven states at the time of your visit:
  • Florida
  • Georgia
  • Iowa
  • Minnesota
  • Nebraska
  • North Dakota
  • Tennessee
Live in another state? Reach out anyway — many states allow telehealth with minimal additional paperwork, and we consider expanding licensure where there is enough interest.
On Medicare
We can't accept Medicare beneficiaries at this point — a limitation of how the practice is currently structured, and one we'd like to remove in the future. There's no age cutoff behind it: people over 64 often carry commercial insurance, and some under 64 are on Medicare. In the meantime, your plan is the best source on what preventive services it already covers and who near you provides them.
No office visits
Care is delivered entirely by video — there is no in-person visit at any point, and no clinic to travel to. Lab work is the only testing we order, drawn at a lab near you. Imaging and procedures are pointed out for your PCP to arrange locally.
This is a weight-management practice
Membership is for adults seeking medical treatment of obesity or qualifying overweight. The initial assessment determines whether medication and this telehealth model are safe and appropriate for you.
What we treat

Weight care.

  • Obesity & qualifying overweight
    Comprehensive evaluation and long-term treatment of weight as a chronic disease
  • FDA-approved weight medication
    The only medication we prescribe — on-label selection, titration, and treatment of its side effects
  • Nutrition & activity
    Protein, food quality, resistance training, movement, sleep, and alcohol guidance
  • Muscle and bone protection
    A plan to limit lean-mass and bone loss during substantial or rapid weight reduction
  • Insurance support
    Prior authorizations and clinically appropriate appeals for weight medication
  • Long-term maintenance
    Plateau, continuation, transition, and weight-regain planning from the beginning
What we assess

A wider view.

  • Cardiovascular & heart-failure risk
    PREVENT 10- and 30-year scoring when the required inputs are available
  • CKM stage & metabolic syndrome
    A structured view of cardiovascular, kidney, and metabolic health
  • Kidney & liver risk
    eGFR, UACR when appropriate, FIB-4, and findings that warrant PCP or specialist follow-up
  • Sleep apnea & bone health
    Questionnaire-based risk screening; sleep studies and DEXA are pointed out for your PCP
  • Prevention care gaps
    A review of cancer screening and adult immunizations to discuss with your PCP
  • A written PCP handoff
    Prioritized findings and questions you can bring to the clinician responsible for that care
What your PCP manages

Out of scope.

  • General primary care and routine medication refills
    → Your primary care physician
  • Ongoing treatment of blood pressure, cholesterol, diabetes, kidney, or thyroid disease
    → Your PCP or the appropriate specialist
  • Cancer-screening procedures, vaccines, and unrelated preventive services
    → Your PCP, gynecologist, or local screening provider
  • Acute illness — colds, flu, sore throat, UTI, ear pain, rashes, skin infections
    → Urgent care or your primary care physician
  • Injuries, back pain, and musculoskeletal complaints
    → Your PCP, orthopedics, or urgent care
  • Mental health treatment, crisis care, and controlled substances for psychiatric conditions
    → A therapist or psychiatrist — or 988, the Suicide & Crisis Lifeline
  • Pregnancy, fertility, and contraception management
    → OB-GYN or your PCP
  • Pediatric care, under 18
    → A pediatrician
  • Anything needing an in-person exam, imaging on the spot, or a procedure
    → Your PCP or urgent care
  • Emergencies — chest pain, shortness of breath, stroke symptoms, thoughts of self-harm
    → Call 911 or go to the nearest emergency room
If this is an emergency

Telehealth is not equipped for emergencies. Chest pain, shortness of breath, stroke symptoms, severe bleeding, or thoughts of harming yourself — call 911 or go to the nearest emergency room. For a mental health crisis, call or text 988, the Suicide & Crisis Lifeline.

Why so narrow

The things we gave up are what make the rest possible.

A primary care panel absorbs an enormous amount of unscheduled work — the sore throats, the rashes, the forms, the same-day slots. It's necessary work, and it's the reason prevention gets fifteen rushed minutes once a year.

We focus on obesity treatment: medication, nutrition, activity, monitoring, and long-term maintenance. That focus makes room for careful follow-up without creating a second, overlapping primary-care plan.

Keep your PCP. We identify and explain broader risks, then give you a written handoff. Ongoing diagnosis and treatment outside weight care remain with them.

Sound like a fit?

See what membership includes, or go straight to an inquiry.

See membershipInquire

Not sure whether you qualify?

Send us a note. We'll tell you plainly, and if we're not the right practice we'll say so.

Start the conversation