Your 6-Step Journey to
Heart Health.

When indicated and desired, a coronary CT angiogram (CCTA) can provide a detailed look at the hard and soft plaque inside your coronary arteries, helping to further refine your cardiovascular risk. By identifying the presence, amount, and type of plaque, you and your care team gain valuable insight into your current heart health and future risk.

This information can help guide decisions about lifestyle changes, nutraceuticals, and medications, while also providing an objective way to monitor progress over time. Ultimately, imaging offers critical feedback on whether your interventions are working, so you can move beyond assumptions and make decisions based on data.

The CCTA Concierge is covered by a one-time $90 fee, optional at checkout and available later inside the app. You pay it once, ever, and it covers your first Physician Chart Review plus a re-evaluation of your CCTA candidacy every membership year, for as long as your membership is active. The review is provided by 3 Billion Beats Medical, P.A., the independent physician practice we contract with, and is itemized separately from your $900 membership.

A licensed physician personally reviews your chart (a records-based review, no appointment needed). When a CCTA is clinically appropriate, your physician orders it and the concierge handles insurance coordination and prior-authorization advocacy, cash-pay price comparison, and booking. If it isn't indicated this year, your physician explains why and what we'll watch in your labs and symptoms.

You pay the imaging facility directly for the scan itself ($399–$759 typical cash-pay). Your insurance may cover it, and HSA/FSA cards are accepted for the facility scan fee.

CIMT and CCTA can provide complementary views of your artery health. A CCTA looks for plaque in the coronary arteries supplying your heart. A carotid intima-media thickness ultrasound (CIMT) measures the walls of the arteries in your neck, and the carotid ultrasound can also include an assessment for plaque. They examine different parts of your circulation, so your physician may recommend both, even if you are already getting a CT angiogram.

A radiation-free look at artery-wall health, including earlier in life. CIMT uses no radiation or contrast. For younger adults with cardiovascular risk factors or a strong family history, it can be worth discussing whether assessing early artery-wall changes would help guide care. Your physician helps you decide whether CIMT, a carotid plaque assessment, CCTA, or a combination would add useful information for you. The concierge can help arrange the ultrasound and your physician reviews the report; the imaging facility bills separately (typically $150–$350 cash-pay).

The GAIN (Go All In) Program is a transformative 16 week course designed to educate, inspire, and empower you to take control of your health. GAIN teaches participants how to understand the root causes of metabolic dysfunction - including obesity, hypertension, high cholesterol, prediabetes, diabetes, and fatty liver disease - while providing practical, actionable strategies to create lasting change.

Combining the best of functional medicine, nutrition science, behavior change psychology, and health coaching, GAIN delivers far more than information - it creates transformation. Our goal is to help you become your own best advocate: informed, empowered, and equipped with the tools to improve your health trajectory for decades to come. Whether your goal is to lose weight, increase energy, prevent chronic disease, or simply feel like yourself again, GAIN provides the knowledge, support, and structure to help you succeed.

Previously offered through Betsy's private practice, the Health is Wealth Institute, this course carried a standalone value of $2,500. Today, GAIN is included as a core component of the 3 Billion Beats journey because we believe everyone deserves access to the education, coaching, and community needed to create lifelong health.