Manhattan has emerged as the global capital of premium longevity medicine, with more high-end healthspan practices per square mile than any other city. This comprehensive guide maps every tier of the market, from $5,000 entry-level programs to $200,000+ ultra-premium memberships serving family offices and billionaires seeking the most advanced health optimization available.
The concentration of wealth, medical expertise, and health-conscious consumers creates a unique ecosystem: Manhattan longevity patients expect access to cutting-edge protocols, world-class specialists, and white-glove service justifying premium pricing. Competition among practices drives continuous innovation while maintaining the high standards discerning clients demand.
Ultra-Premium Longevity Practices ($50,000-$200,000+/year)
Sollis Health
Sollis Health operates as 24/7 concierge emergency and primary care with longevity programming. Membership starts at $6,000 annually for emergency access, with comprehensive longevity programs reaching $50,000+. The company operates multiple Manhattan locations plus Hamptons, providing seamless coverage across client residences.
Distinguishing features include true 24/7 physician availability, in-home urgent care, and care coordination across specialties. Sollis serves as medical quarterback for ultra-high-net-worth clients requiring guaranteed access and seamless coordination.
Fountain Life NYC
Fountain Life, co-founded by Peter Diamandis, operates its flagship location in Manhattan. APEX membership programs start at $19,500 for comprehensive diagnostics, with ongoing memberships significantly higher. The facility offers full-body MRI, advanced cardiac imaging, and AI-powered health monitoring.
Positioning emphasizes technology-forward longevity medicine with venture-backed resources enabling investments in cutting-edge diagnostics. Clients receive detailed health dashboards and ongoing optimization recommendations based on comprehensive data analysis.
Private Physician Practices
Several Manhattan physicians operate ultra-premium longevity practices serving 25-75 patients at $75,000-200,000+ annually. These practices provide essentially private physician relationships with unlimited access, comprehensive coordination, and intensive health optimization protocols.
At this tier, patients receive quarterly comprehensive evaluations, monthly physician consultations, 24/7 direct physician access, and coordination with world-class specialists at institutions like Memorial Sloan Kettering, NewYork-Presbyterian, and Mount Sinai. The Concierge Medicine Pricing Guide details economics enabling these practice models.
Premium Longevity Programs ($15,000-$50,000/year)
Parsley Health
Parsley Health combines functional medicine approach with technology-enabled care delivery. Memberships range approximately $175/month ($2,100/year) for virtual care to higher tiers including in-person visits at Manhattan locations. The practice emphasizes root-cause medicine and lifestyle optimization.
Parsley’s physician-founded approach (Robin Berzin, MD) provides clinical credibility while technology platform enables efficient care delivery. Best suited for clients seeking functional medicine framework with accessible price points relative to ultra-premium alternatives.
The Lanby
The Lanby operates as modern membership medicine practice with longevity focus. Memberships reportedly run $3,500-6,500 annually, positioning between traditional concierge medicine and premium longevity clinics. The practice emphasizes hospitality-quality experience with evidence-based medical care.
Services include extended annual physicals, advanced diagnostics, care coordination, and direct physician access. The Lanby targets younger affluent clients (35-55) seeking premium primary care with longevity orientation.
Mount Sinai Executive Health
Mount Sinai’s Executive Health program offers comprehensive evaluations at $5,500-8,500 with optional ongoing memberships. The academic medical center brand provides access to specialist network and research-grade diagnostics unavailable at standalone practices.
Programs include full-day executive physicals with same-day results, cardiac imaging, cancer screening, and wellness consultations. The institutional model suits clients valuing academic medicine credentials and comprehensive specialist access.
NYU Langone Executive Health
NYU Langone operates competing executive health program with similar positioning to Mount Sinai. Comprehensive evaluations run $6,000-10,000; enhanced memberships provide ongoing physician access and care coordination. NYU’s reputation attracts clients seeking research-hospital caliber care.
Accessible Longevity Options ($2,000-$15,000/year)
Forward Health
Forward operates technology-forward primary care with monthly membership ($149/month, $1,788/year). The model combines AI-powered health monitoring with physician access and basic longevity metrics. Best suited for clients seeking modern primary care with health optimization orientation at accessible pricing.
One Medical
One Medical (now Amazon-owned) provides membership primary care at $199/year plus standard medical billing. While not specifically longevity-focused, the platform offers convenient access and technology integration appealing to busy professionals seeking baseline health management.
MDVIP Manhattan Practices
MDVIP physicians throughout Manhattan charge $1,800-2,200 annually for concierge primary care. The network model provides consistent service levels and nationwide coverage. Several MDVIP physicians incorporate longevity-oriented testing and protocols within standard memberships.
Function Health
Function Health, co-founded by Mark Hyman, MD, offers comprehensive blood testing ($499/year for 100+ biomarkers) without geographic constraints. While not Manhattan-specific, the platform serves as entry point for longevity-curious consumers seeking data-driven health insights at accessible pricing.
Specialized Longevity Services
Hormone Optimization Clinics
Manhattan supports numerous hormone optimization practices offering testosterone replacement, HRT, and peptide protocols. Pricing ranges from $3,000-15,000 annually depending on protocol complexity and service level. Leading practices include Hone Health, Marek Health affiliates, and physician-owned boutique practices.
Services typically include comprehensive hormone panels ($500-1,500), ongoing monitoring ($1,000-3,000 annually), and medication/peptide costs ($1,500-10,000 annually depending on protocols).
IV Therapy and Biohacking
IV therapy clinics proliferate throughout Manhattan, with sessions ranging $150-500 depending on formulation. Leading options include The Well, Restore Hyper Wellness, and boutique providers. NAD+ infusions command premium pricing ($500-1,500 per session) for cellular optimization protocols.
Cryotherapy, hyperbaric oxygen, red light therapy, and similar modalities available at $50-300 per session through various providers. Monthly memberships at biohacking facilities run $200-500 for unlimited or discounted access.
Longevity-Focused Dermatology
Several Manhattan dermatologists specialize in longevity-focused skin health, combining aesthetic treatments with skin cancer prevention and aging optimization. Comprehensive programs run $5,000-25,000 annually including advanced screening, preventive treatments, and aesthetic optimization.
Cognitive Optimization
Brain health practices offer cognitive assessment, optimization protocols, and neurofeedback training. Programs range from $2,500-15,000 depending on intensity. Services include comprehensive cognitive testing, personalized protocols, and ongoing monitoring for executives prioritizing mental performance.
Diagnostic Services and Testing
Advanced Imaging
Full-body MRI screening available through multiple Manhattan providers at $2,500-5,000. Prenuvo operates dedicated scanning facility; hospital-based options available through academic medical centers. Coronary CT calcium scoring runs $300-500 through various providers.
Genetic and Epigenetic Testing
Comprehensive genetic testing for disease risk and pharmacogenomics runs $500-3,000 depending on panel breadth. Epigenetic age testing (TruAge, DNAge) costs $300-500. Most longevity practices incorporate genetic testing within comprehensive programs.
Continuous Monitoring
Continuous glucose monitoring through Levels, Nutrisense, or physician prescription enables metabolic optimization. Costs run $200-400 monthly. Wearable integration (Oura, Whoop, Apple Watch) provides additional data streams for comprehensive health monitoring.
Case Studies: Manhattan Longevity Client Profiles
The Finance Executive ($25,000-50,000/year)
A 52-year-old hedge fund partner combines Sollis Health membership ($6,000) for emergency access with Fountain Life APEX diagnostics ($19,500) and ongoing hormone optimization ($5,000). Total annual investment of approximately $35,000 provides comprehensive coverage, advanced screening, and ongoing optimization.
The Tech Founder ($75,000-125,000/year)
A 45-year-old startup founder maintains ultra-premium physician relationship ($75,000) providing unlimited access and comprehensive coordination. Additional investments include quarterly NAD+ protocols ($6,000), annual imaging ($5,000), and biohacking memberships ($6,000). Total annual investment approaches $100,000 for truly comprehensive optimization.
The Entry-Level Optimizer ($5,000-10,000/year)
A 38-year-old professional combines Function Health testing ($499) with Forward membership ($1,788), periodic IV therapy ($2,000), and hormone panel optimization ($3,000). Total annual investment of approximately $7,500 provides data-driven health management at accessible pricing.
Frequently Asked Questions
What’s the minimum investment for meaningful longevity medicine?
Baseline longevity programming starts at $2,000-5,000 annually: comprehensive blood testing, basic concierge access, and periodic biohacking services. Meaningful optimization typically requires $10,000-25,000 annually for advanced diagnostics and ongoing protocols.
How do I choose between practices at similar price points?
Evaluate physician credentials and approach alignment, service model (technology-forward vs. high-touch), specialist network access, and convenience factors (location, hours, communication). Many practices offer consultations enabling fit assessment before commitment.
Are Manhattan longevity clinics worth the premium over other cities?
Manhattan offers unmatched concentration of expertise, specialist access, and service innovation. Premium pricing reflects real estate costs and competitive talent market. Clients valuing cutting-edge protocols and comprehensive specialist networks find Manhattan premium justified.
Can I combine services from multiple providers?
Many clients build custom programs combining elements from different providers: primary concierge physician for coordination, specialized clinic for diagnostics, boutique provider for specific protocols. Coordination complexity increases but enables optimized service selection.
What insurance coverage applies to longevity medicine?
Most longevity services fall outside traditional insurance coverage. Diagnostic testing may qualify for HSA/FSA reimbursement. Some executive health programs bill insurance for covered components (labs, imaging) while membership fees remain out-of-pocket. Consult practices directly regarding insurance coordination.
How do I evaluate longevity physician credentials?
Look for board certification in relevant specialties (internal medicine, endocrinology, cardiology), specialized training in longevity/functional medicine (A4M, IFM), and transparent protocols based on published research. Ask about outcome tracking and be wary of practices making extraordinary claims without evidence.
What’s the typical patient profile at ultra-premium practices?
Ultra-premium longevity patients typically include finance executives, tech founders, family office principals, and successful entrepreneurs aged 45-65 with net worth exceeding $10 million. These clients value comprehensive care coordination, guaranteed access, and cutting-edge protocols justifying premium investment.
How often should I expect to see my longevity physician?
Frequency varies by tier and protocol intensity. Entry-level programs typically include 2-4 annual visits. Premium programs provide monthly or bi-monthly consultations. Ultra-premium memberships enable unlimited access with quarterly comprehensive evaluations standard. Protocol adjustments may require additional touchpoints during optimization phases.
Related Resources
- Complete Index: Health Guru Net Worth Index
- Hamptons Guide: Hamptons Executive Wellness Guide
- Related Model: Longevity Clinic Membership Model
- Pricing Guide: Concierge Medicine Pricing
Sources
- Sollis Health. “Membership Information.” sollishealth.com
- Fountain Life. “APEX Membership.” fountainlife.com
- Mount Sinai. “Executive Health Program.” mountsinai.org
- Parsley Health. “Membership Plans.” parsleyhealth.com
- Function Health. “Testing Programs.” functionhealth.com