Opt Health is a physician-led telehealth optimization program: a 55-plus marker panel, at-home phlebotomy, prescriptions covering hormones, peptides, GLP-1s, and supplements, and reassessment every 3 to 4 months, at roughly $3,000 a year. Eight other platforms overlap with some part of that description, and none of them overlaps with all of it.
All nine are listed alphabetically below and measured against the same criteria — price, panel scope, prescriber type, prescription scope, reassessment cadence, and fit. They span $249 for a single test to $19,500 a year for an in-person program with imaging. The largest split is not price: it is whether a clinician who can prescribe is included at all.
The Verdict
Why people compare these platforms
Five reasons come up repeatedly, and each points at a different shortlist.
- Price band. The clinician-led options here span roughly $540 to $19,500 a year before medications. That is a wide enough range that budget alone eliminates most of the list.
- Scope mismatch. Someone who only wants testosterone managed is paying for markers and prescription categories they will never use on a broad-scope program. The reverse is also true — a hormone-scoped program will not cover metabolic or cardiovascular optimization.
- Prescriber type. Physician, nurse practitioner, or physician plus a non-clinical coach. Scope of practice differs, availability differs, and price tracks it closely.
- Reassessment cadence. Every 8 weeks at the fastest, semi-annual at the slowest. Early in a protocol, cadence is the variable that most affects how quickly you land on a working dose.
- What the panel misses. No blood panel detects a solid tumor, an aneurysm, or coronary plaque. If that is the underlying worry, the answer is imaging rather than more markers.
Every option, compared
Listed alphabetically by platform name. Prices are entry-level and exclude medications, which are billed separately on every clinician-led program here except Fountain Life.
| Platform | Annual price | Panel | Clinician | Prescription scope | Reassessment | Public litigation | Fits |
|---|---|---|---|---|---|---|---|
| Fountain Life | $19,500+/yr | 200+ markers plus whole-body MRI and coronary CT | Physician, in person | Broad | Quarterly, assigned care team | Yes — physician clinic suit (Jul 2023); source | Structural screening alongside bloodwork |
| Function Health | $499/yr | 100+ markers | Add-on only | None included | Semi-annual draws | Yes — plaintiff vs Superpower (Jan 2026); source | A broad data snapshot without a prescriber |
| Hone Health | ~$540–$2,640/yr | Hormone-focused panel | Physician or NP, telehealth | Testosterone therapy and ancillaries | Roughly quarterly on therapy | None publicly identified | A hormone-specific question |
| InsideTracker | $249–$589 per test | ~48 markers | None | None included | Whenever you buy a test | None publicly identified | A single owned snapshot, no membership |
| Lifeforce | ~$1,900/yr | ~40 markers plus hormones | Nurse practitioner, telehealth | Hormones, peptides, GLP-1s | Semi-annual by default | None publicly identified | Broad optimization at a lower price point |
| Marek Health | $2,500–$6,000/yr all-in | A la carte — you choose | Physician plus a coach | Hormones, peptides, ancillaries | Every 8–12 weeks | None publicly identified | Fast iteration and self-directed panel design |
| Maximus | ~$1,800–$3,600/yr plus labs | Protocol-specific panel | Physician, telehealth | Enclomiphene, testosterone, adjacent protocols | Tied to protocol, typically quarterly | None publicly identified | Raising testosterone while preserving fertility |
| Opt Health | ~$3,000/yr | 55+ markers | Physician, telehealth | Hormones, peptides, GLP-1s, supplements | Every 3–4 months | None publicly identified | Broad optimization with a physician prescriber |
| Superpower | $499/yr | 100+ markers | Add-on only | None included | Semi-annual draws | Yes — defendant vs Function (Jan 2026); source | A broad data snapshot in a consumer app |
What each one does differently
Fountain Life
The only option here that includes imaging. Whole-body MRI and coronary CT accompany a 200-plus marker panel, delivered across in-person clinic days with an assigned care team and quarterly reassessment. At $19,500 and up, the premium over the mid-band programs buys the imaging and the in-person access rather than more blood markers. Worth noting before booking: whole-body MRI carries a meaningful incidental-finding rate, and some of those findings lead to follow-up procedures that resolve as benign.
Function Health
Diagnostic-only, $499 a year, 100-plus markers across two draws, with physician review sold as an add-on. Broader on marker count than most clinician-led programs and narrower on what happens next — no prescriptions, no dose management, no protocol. Suits someone who wants a wide baseline to take to their own physician.
Hone Health
Hormone-scoped telehealth with a testosterone therapy pathway for candidates and roughly quarterly monitoring on treatment. Pricing runs $540 to $2,640 a year because the assessment and the ongoing therapy program are priced separately. The narrow panel is deliberate: you are not buying broad metabolic coverage, and you are not paying for it either.
InsideTracker
Per-test rather than membership: $249 to $589 for roughly 48 markers, with a research-backed recommendation engine producing dietary and supplement guidance. No clinician, no prescriptions. Suits someone who retests once or twice a year and wants results they own outright, with no ongoing commitment.
Lifeforce
Nurse-practitioner-led telehealth, roughly 40 markers plus hormones, at-home phlebotomy, and prescriptions covering hormones, peptides, and GLP-1s, at about $1,900 a year. Default reassessment is semi-annual — the longest cadence among the clinician-led programs here. That fits a stable protocol and constrains a new one. Head-to-head: Opt Health vs Lifeforce.
Marek Health
Physician plus a non-clinical coach, working from an a la carte lab menu you configure yourself. Reassessment every 8 to 12 weeks, the tightest cadence in this set. All-in cost runs $2,500 to $6,000 a year, wide because you control lab volume. Suits someone who already knows which markers they want tracked; harder to budget for someone who does not. Head-to-head: Opt Health vs Marek Health.
Maximus
Organized around named protocols rather than a general panel. The enclomiphene-based testosterone protocol is the best known: enclomiphene works upstream on the pituitary, raising endogenous testosterone without suppressing sperm production the way exogenous testosterone does. That mechanism is the whole fit. Physician-led telehealth at roughly $1,800–$3,600 a year plus labs. Head-to-head: Opt Health vs Maximus.
Opt Health
Physician-led telehealth with a 55-plus marker panel, at-home phlebotomy, and prescription scope covering hormones, peptides, GLP-1s, and supplements. Reassessment every 3 to 4 months. Membership near $3,000 a year, medications billed separately. Sits in the same band as Marek Health, with a fixed panel rather than a configurable one, and above Lifeforce with a physician rather than an NP as prescriber.
Superpower
Diagnostic-only, $499 a year, 100-plus markers, semi-annual draws, physician consult as an add-on. Comparable in coverage to Function Health at the same price; the difference is interface, onboarding, and release pace. No prescriber included. Head-to-head: Opt Health vs Superpower.
How to pick
- Data or treatment? Data only: Function Health, InsideTracker, or Superpower. Treatment: Fountain Life, Hone Health, Lifeforce, Marek Health, Maximus, or Opt Health.
- Narrow or broad scope? Hormone-only narrows it to Hone Health and Maximus. Broad optimization leaves Fountain Life, Lifeforce, Marek Health, and Opt Health.
- Physician, NP, or physician plus coach? Physician: Fountain Life, Maximus, Opt Health. NP: Lifeforce. Physician plus coach: Marek Health. Hone Health uses either a physician or an NP depending on state.
- How fast do you need to iterate? Marek Health every 8–12 weeks; Opt Health every 3–4 months; Fountain Life, Hone Health, and Maximus roughly quarterly; Lifeforce semi-annually.
- Imaging or not? Only Fountain Life includes it. Standalone whole-body MRI through Prenuvo or Ezra runs $500 to $2,500 per scan and can be paired with any program here.
Which option fits which situation
| Your situation | Where to look | Why |
|---|---|---|
| "I want the same scope for less." | Lifeforce | Roughly $1,900 a year for a comparable prescription scope. You trade a physician prescriber for a nurse practitioner and a 3–4 month retest cycle for a semi-annual one. |
| "I only care about testosterone." | Hone Health or Maximus (alphabetical) | Both are hormone-scoped, so you are not paying for a broad metabolic panel you did not ask for. |
| "I want testosterone up but I am still planning a family." | Maximus | Enclomiphene acts on the pituitary rather than replacing testosterone directly, so it does not suppress sperm production. Exogenous testosterone does. |
| "I want to retest every eight weeks while dialing in a dose." | Marek Health | The tightest published cadence in this set, with an a la carte lab menu so you can retest only the markers that are moving. |
| "I want imaging, not just labs." | Fountain Life | The only option here that bundles whole-body MRI and coronary CT with in-person clinician days. |
| "I decided I only want the numbers." | Function Health, InsideTracker, or Superpower (alphabetical) | All three are diagnostic-only. None includes a prescriber, which is the reason they cost a fraction of the clinician-led programs. |
| "I want an assigned clinician, not whoever is on shift." | Fountain Life or Marek Health (alphabetical) | Both are built around a named clinician or care team. Ask any program directly — pooled models are common and rarely advertised. |
| "My budget is under $1,000 a year." | Function Health, InsideTracker, or Superpower (alphabetical) | No program with a bundled prescriber sits in that band. A diagnostic platform plus a visit to your own physician is the realistic route. |
What is not a substitute
- A standard annual physical. An insurance-covered wellness draw typically runs a lipid panel, CMP, and CBC without ApoB, Lp(a), fasting insulin, hs-CRP, or a full hormone panel. Useful, and not equivalent.
- A supplement subscription with testing attached. If the panel exists to justify a product recommendation, check whether you can export the raw results and take them elsewhere.
- A genetic test. Genotype describes predisposition, not current state. It answers a different question and does not replace a blood panel.
- Buying testosterone without a monitoring plan. Therapy without scheduled hematocrit, estradiol, and PSA monitoring is the failure mode this entire category exists to avoid. Any program you choose should name its monitoring schedule up front.
Frequently Asked Questions
Which alternative is closest on scope and price?
Lifeforce sits nearest on shape: a bundled clinician, a prescription pathway covering hormones, peptides, and GLP-1s, and at-home phlebotomy, at roughly $1,900 a year. The two operational differences are the prescriber type — nurse practitioner rather than physician — and the default reassessment cadence, which is semi-annual rather than every 3 to 4 months.
Which of these is cheapest?
Among programs that include a prescriber, Hone Health starts lowest at roughly $540 a year for the entry configuration, though the hormone therapy program pushes it toward $2,640. Among diagnostic-only options, InsideTracker at $249 for a single test is the cheapest way to get a broad panel, and Function Health and Superpower are $499 a year each. None of the $249–$499 options includes a clinician who can prescribe.
Which is the most expensive, and what does the money buy?
Fountain Life, at $19,500 a year and up. The step up is imaging — whole-body MRI and coronary CT — plus in-person clinic days and an assigned care team. It is not a deeper blood panel in any way that changes management. If your concern is structural disease rather than hormones or metabolic health, that is what the premium buys.
Do I need a diagnostic platform alongside a clinician-led program?
Usually not, and running both duplicates most of the panel. The case for pairing them is narrow: you want a one-time broad baseline of 100-plus markers that your clinician-led program does not cover, and you want to own that result independently. After the baseline, the clinician-led panel is what drives decisions.
How do I compare panel depth accurately across these?
Ask each program for the actual marker list rather than the count. Counts are inflated inconsistently — a comprehensive metabolic panel can be reported as one marker or fourteen. Check for the ones that change management: ApoB, Lp(a) once, fasting insulin, HbA1c, hs-CRP, free T3 and free T4 with TSH, and for hormones, total and free testosterone with SHBG, sensitive estradiol, LH, and FSH.
What happens to my lab history if I switch programs?
Ask before you sign up, not after. Some programs export results as PDF or CSV; others display them only in-app. Beyond the export question, different labs use different assays, so hormone, thyroid, and vitamin D values can shift meaningfully on the same blood. Treat a switch as a new baseline for those markers rather than a continuous trend line.
Can I keep my prescription if I leave a program?
Not automatically. Prescriptions are written by that program's clinician, and continuity requires a new prescriber to take over — which means new labs, a new evaluation, and often a gap. This matters most on testosterone therapy, where an unplanned stop after months on treatment has real consequences. Line up the next clinician before you cancel.