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The Optima Membership is designed for you to benefit from improved access to your medical team, develop a trusted relationship with your doctor, and address the root causes of your symptoms or risk factors to achieve and sustain optimal health.

Why join the Optima Membership?

Because you:

  • Want to look and feel your best.
  • Prefer to be seen the same or next day by a provider when you are not feeling well.
  • Have symptoms that you want to heal, not suppress with a pill or procedure.
  • Deserve more than 15 minutes with your doctor.
  • Seek a proactive, not just reactive, approach to your health.
  • Appreciate a doctor who listens to you.
  • Want to feel energized and strong as you age.

The Optima Membership includes a range of services to support your well-being.

  • All primary care visits with our functional and integrative medicine providers (in-person, telehealth, and phone appointments)
  • Longer appointments than traditional primary care
  • Same- and next-day acute care visits for urgent needs
  • In-depth Annual Preventive Exam with tailored recommendations for a proactive approach
  • Personalized recommendations for advanced testing and labs (additional fees may apply)
  • 24/7 concierge phone line to reach a PALM Health medical provider day or night
  • Your medical provider’s cell phone
  • Ongoing support from our team of Navigators to guide you through our selection of services and providers
  • On-site lab draws
  • A choice of 6 wellness services from our Choice Pack options
    • Acupuncture, chiropractic care, nutrition, massages, facials, personal training, and more
  • A choice of 12 Vitality Sessions
    • Cryotherapy; salt room; infrared sauna and steam room; BioMat; PEMF mat; Sound Focus; fitness, recovery, and meditation classes
  • Access to the PALM Café for nutritious meals, snacks, and beverages
  • A la carte access to best-in-class wellness services and providers

For an additional fee, integrate services for mind-body recovery into your weekly routine for a complete approach to your well-being.

  • Unlimited Vitality Sessions (salt room, cryotherapy, infrared sauna, steam room, fitness and meditation classes, PEMF mat, BioMat, Sound Focus)
  • Unlimited fitness, recovery, and meditation classes
  • Access to PALM’s boutique fitness center for your workouts
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Schedule an introductory call with one of our wellness-trained advisers to learn more about the Optima Membership.

“I felt better within a few weeks of working with my medical team at PALM.”

Amanda is a team player — in fact, all the professionals here work as a team. They really concentrate on getting to the root cause: what’s going on behind the scenes that’s causing the problem. They do an excellent job of that in my estimation.

– Rebecca P. · Optima Member · St. Louis, Missouri

Meet Our Optima Membership Providers

Henri Roca

Henri Roca, MD, IFMCP

Concierge Primary Care Physician and Functional Medicine Specialist

Dr. Roca is a board-certified Family Medicine Physician and Functional Medicine Specialist dedicated to the principles of whole-person health and integrative medicine. Following his medical education and training, Dr. Roca created multiple Integrative Medicine programs and Whole Health programs across the nation. His experience has affirmed his belief that total health and well-being are the outcomes to which every medical encounter should lead. In conjunction with treating patients, Dr. Roca has also served as faculty at LSU School of Medicine, Yale School of Medicine, University of Arkansas for Medical Sciences, and the University of Maryland’s Institute for Graduate Studies.

Jane Gelfand

Jane Gelfand, DO

Concierge Primary Care Physician and Functional Medicine Specialist

A board-certified Family Medicine Physician, Dr. Jane Gelfand earned her medical degree from Midwestern University – Chicago College of Osteopathic Medicine. She then went on to complete her residency at MacNeal Hospital in Chicago and has been practicing at BJC/Washington University. Dr. Gelfand has extensive training in osteopathic medicine and nutrition, and has spent time working in family medicine in both private practice and hospital settings. Through her experience, she has developed her interest in patient advocacy and education. She aims to help guide her patients to understand not only their own health but also the healthcare system and how to navigate their experience in it.

Karrie Hohn

Karrie Hohn, MD, IFMCP

Concierge Primary Care Physician and Functional Medicine Specialist

Dr. Catherine (Karrie) Hohn graduated from the University of Missouri-Columbia Medical School in 1996 and completed residency in Family Medicine at Mercy Hospital Saint Louis in 1999. After practicing community Family Medicine for 18 years, Dr. Hohn shifted the focus of her practice toward functional medicine. Dr. Hohn partners with patients to treat the underlying causes of disease and promotes wellness by addressing each individual patient’s biology, genetics, and lifestyle factors that influence health and wellness. Dr. Hohn practices proactive, predictive, personalized medicine and encourages patients to take an active role in their own healthcare. She is an Institute for Functional Medicine Certified Practitioner.

Jeff Kreher

Jeff Kreher, MD, FAAP, IFMCP

Concierge Primary Care Physician and Functional Medicine Specialist

Dr. Jeff Kreher is a board-certified internist and functional medicine provider committed to helping patients optimize their longevity by removing obstacles to their current and future health. Having spent many years practicing at Massachusetts General Hospital, Dr. Kreher has developed a rich and extensive background in medicine. His specializations and training have made him a leading voice in functional and integrative medicine, and he has a special interest in treating hormone conditions; cardiometabolic diseases such as diabetes, heart disease, and lipid disorders; and musculoskeletal health such as joint conditions and injuries.

Amanda Lober

Amanda Lober, NP-C, IFMCP

Family Nurse Practitioner

Amanda received her Bachelor’s of Science in Nursing from St. John’s College in Springfield, Illinois and later went on to obtain her Master’s of Science in Nursing from Southern Illinois University Edwardsville. During her 13 years working in Emergency Departments, she became skilled in a wide variety of simple and complex ailments, treatments, and procedures. With an approach focused on patient education and collaboration, Amanda is passionate about developing and fostering a trusting relationship between patient and provider. She uses her expertise to aid members in reaching their goals, avoiding preventable illness, and achieving well-being.

Sarah Bird

Sarah Bird, DNP, IFMCP

Functional Medicine Nurse Practitioner

With a strong foundation in integrative person-centered care, Sarah works to support her patients’ innate capacity for healing. She enjoys using a variety of tools including functional medicine, mind-body practices, coaching, and integrative therapies to empower patients. Sarah earned her doctorate in Integrative Health and Healing at the University of Minnesota’s Center for Spirituality for Healing, where her doctoral project entailed building programs to help patients build resilience and well-being. Sarah is certified in functional medicine  through the Institute of Functional Medicine and is trained as a Well-Being Coach through the Anthropedia Foundation.

Jenn McFarland

Jenn McFarland, NP, IFMCP

Functional Medicine Nurse Practitioner

Jenn McFarland is a board-certified Family Nurse Practitioner and Functional Medicine Specialist dedicated to providing both acute and preventive care to all of her patients. Born and raised in St. Louis, Jenn received her Bachelors of Health Science from the University of Missouri – Columbia, then her Bachelors of Science in Nursing from Barnes Jewish Goldfarb School of Nursing. She later went on to obtain her Masters of Science in Nursing from Maryville University. In her six years of experience working in Urgent Care and Emergency Departments, Jenn has treated a wide range of ailments in patients of all ages, from simple to complex and multi-system.

Not sure if the Optima Membership is right for you?

Compare our functional medicine-based membership plans to find the right fit.

Optima Membership

Optima Membership
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Achieve and sustain optimal health with concierge medicine featuring functional and integrative medicine experts.

Executive Membership

Executive Membership

From preventive medicine, to stress management, to proactive concierge care, high-level executive health starts here.

Get a complete breakdown of each of our membership plans.

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