Maximus prices at $150–$300 a month depending on protocol, plus separate lab work. The structural feature that makes its pricing hard to compare directly is that the medication is inside the monthly fee for most enclomiphene patients — where almost every competitor in the prescribing tier bills medication separately.
That inversion matters. A $150 Maximus month and a $150 month elsewhere are not the same purchase. This page separates the two.
The Verdict
Maximus cost — line by line
Read the medication row and the lab row together. The medication is usually in; the labs are always out. Most cost confusion about this platform comes from getting that pair backwards.
| Line item | Cost |
|---|---|
| Initial assessment (labs + physician review) | ~$200–$400 |
| Ongoing monthly membership | ~$150–$300/mo depending on protocol |
| Enclomiphene medication | Included in most protocols |
| TRT medication (if prescribed instead of or alongside enclomiphene) | ~$50–$150/mo |
| Follow-up labs (per protocol) | ~$100–$300 per panel |
| Ancillary medications outside the protocol | Billed separately |
| Draw logistics | Partner lab or mobile draw, varies by market |
| Realistic year-one out-of-pocket | $1,800–$3,600+ before labs |
| Year-one with three follow-up panels | $2,100–$4,500 |
| Year-two cost (stable protocol, two panels) | $2,000–$4,000 |
Year one versus year two
Year one includes the $200–$400 initial assessment and the heaviest lab schedule, because dose-finding is front-loaded. Expect three panels in the first year at $100–$300 each while the protocol is adjusted.
Year two drops the initial assessment and usually drops to two panels. Against that, year two carries twelve full months of membership rather than the eight or nine most members pay in the year they signed up. The two effects roughly cancel, which is why year two typically lands within a few hundred dollars of year one rather than meaningfully below it.
A member who switches protocols mid-year — enclomiphene to conventional TRT, or to a combined approach — resets the lab schedule and adds a separate medication line, which is the one scenario where year two exceeds year one.
What the membership includes, specifically
- Physician review of your labs and history at intake, and at each protocol adjustment.
- The enclomiphene protocol prescription, with the medication itself bundled into the monthly fee for most patients.
- Ongoing clinician access for dose adjustment between panels.
- Shipped medication where prescribed, delivered on a recurring schedule.
- Protocol alternatives where enclomiphene is not clinically appropriate, priced at their own tier.
What the membership does not include
- Initial or follow-up lab work. Every panel is billed separately at $100–$300.
- Medications outside the protocol. Conventional TRT alongside or instead of enclomiphene, and any ancillary, is a separate line.
- Broad biomarker coverage. The panel is hormone-focused. Metabolic, thyroid, and cardiovascular breadth sits outside this scope.
- Imaging. None at any tier.
- Coverage of a switch. Moving protocols means new labs and, often, a new medication cost.
How the price compares at similar scope
Listed alphabetically by platform: Hone Health, Lifeforce, and Marek Health alongside Maximus. All four include a prescription pathway. Note that only the Maximus row includes medication inside the quoted fee.
| Platform | Entry price | Realistic year one | Scope at that price |
|---|---|---|---|
| Hone Health | $45–$220/mo (~$540/yr at entry) | $540–$2,600 | Conventional TRT, at-home finger-prick test |
| Lifeforce | $349 first month, then ~$129/mo | $2,500–$4,500 | ~40 biomarkers, NP-led, broader than hormones alone |
| Marek Health | ~$99+/mo plus a la carte labs | $2,500–$6,000+ | Deep lab menu, ancillaries, 8–12 week titration |
| Maximus | ~$150–$300/mo | $1,800–$3,600+ before labs | Enclomiphene protocol with medication bundled in |
Against Hone Health, the monthly premium buys the enclomiphene specialization — which matters if fertility preservation is a requirement and is irrelevant if it is not. Against Lifeforce and Marek Health, the difference is scope: Maximus is hormone-focused where those two extend into metabolic, thyroid, and broader optimization work at comparable annual totals.
Insurance, HSA, and FSA
Insurance does not cover the membership. The medication situation is unusual for this category: because enclomiphene is used off-label here, it is rarely covered even when a prescription is routed to a retail pharmacy. Members on conventional TRT instead should ask whether the prescription can be sent to a pharmacy of their choice, since generic testosterone cypionate through insurance is often far cheaper than any bundled telehealth price.
HSA and FSA generally apply to the clinical fee, the labs, and the medication. Request an itemized receipt separating clinical services from the medication component, since a fee that bundles both can be harder for a plan administrator to process than two clean lines.
Frequently Asked Questions
How much does Maximus cost per year?
Realistic year-one all-in is $1,800–$3,600+ before follow-up labs, or roughly $2,100–$4,500 once three panels are included. Programs run $150–$300 a month depending on which protocol — enclomiphene alone, TRT alone, or combined — fits your labs.
Is enclomiphene included in the monthly cost?
Yes, in most Maximus enclomiphene protocols the medication is bundled into the monthly membership. That bundling is the main reason a $150–$300 monthly fee is not directly comparable to platforms where the fee excludes the drug. Confirm at signup, since protocol structures change.
Are labs included in the price?
No. Labs are billed separately at their own cost. Plan for a follow-up panel every 8–12 weeks during active protocol adjustment, at $100–$300 each — commonly $300–$900 in the first year.
What does Maximus cost in year two?
Typically $2,000–$4,000. The $200–$400 initial assessment does not repeat, but a stable protocol runs twelve months rather than the eight or nine most members pay for in year one, which offsets most of the saving. Retest frequency usually drops to two panels a year once dosing settles.
What are the hidden costs?
Lab work is the main one, since it is excluded from a fee that includes the medication — an easy assumption to get backwards. The second is protocol switching: if enclomiphene does not produce the response you want and the plan moves to conventional TRT, you add a separate $50–$150/mo medication line to a membership priced around the enclomiphene bundle.
Does insurance, HSA, or FSA apply?
Insurance does not cover the membership. Enclomiphene is prescribed off-label for this use and is rarely covered even at a retail pharmacy, so shopping the prescription elsewhere usually does not help the way it can with generic testosterone. HSA and FSA generally apply to both the clinical fee and the medication; confirm with your plan administrator.