Your 6-Step Journey to
Heart Health.

This isn't a diet app or a symptom tracker. It's a personalized, data-driven journey to understand, and take control of, your cardiovascular health from the root cause up.

Step 1: Free Assessment & Score

Take Your Free Assessment

Answer a few questions. See your score. This is where everyone starts.

What happens in the assessment

Your journey begins with a short, free assessment, a few questions about your heart story: your history, your symptoms, your habits, and the risk factors that matter most.

The moment you finish, you'll see your initial Heart Health Score, a clear, single-number overview of your current cardiometabolic health that highlights the key areas worth focusing on. Then create your account so your score is saved and your journey has a home.

  • A few questions about your heart story
  • Your initial Heart Health Score, instantly
  • Create your account to save your score
  • Free, no commitment: everyone starts here
Coach Corwin
Step 2

Join the 3 Billion Beats Nation

Test. Don't guess.

In a landmark study across 52 countries, nine potentially modifiable risk factors accounted for about 90% of the population-level risk of a first heart attack in men and about 94% in women: a measure of risk across whole populations, not a guarantee that any one person’s heart attack can be prevented.1 The 3 Billion Beats Nation is one plan with everything included, from a family that takes care of you the way we take care of our own.

Everything included in your membership

Your annual comprehensive lab panel is included at our cost: advanced lipids, inflammation, clotting factors, hormones, liver and kidney function, thyroid health, immune activity, autoimmunity, and key vitamin and mineral status, all drawn at certified partner labs and physician-reviewed.

Your membership pays for everything around those labs: your annual physician chart review before any scan, with full heart scan concierge coordination, Corwin AI, personalized protocols, Heart Health Score tracking, text and voice coaching, live coaching with Betsy and Ben, tools to track your food, activity, sleep, and biometric data in one place, a full educational platform, and a community for camaraderie.

About 90% of first heart attack risk is linked to nine changeable factors.1

That's a population-level finding, not a promise about any one person, and it's the number our whole membership is built around. One plan, one family, one number worth fighting for.

About $89/month with Affirm: a 12-month, 15% APR example for the $990 membership. The optional $90 review is additional. Subject to eligibility; your provider confirms the terms at checkout. This is financing, not a monthly subscription.

$990/yr Membership: 3 Billion Beats, Inc.
$90/yr Annual Physician Chart Review: 3 Billion Beats Medical, P.A. A licensed physician reads your records every year to see which heart scan, if any, is right for you. OPTIONAL
HSA/FSA acceptedpay with pre-tax dollars: check your balance with our partner Plaid
3-day refund guarantee

Two ways in: a free 15-minute discovery call with Betsy, or start your free assessment.

*NY, NJ & RI members: an additional $371-a-year state lab fee applies, passed through at our exact cost.

3 Billion Beats app on iPhone, with Corwin on Apple Watch
Step 3: Tell Corwin Everything

Give Corwin All You've Got

Every recommendation starts with understanding you, and the more Corwin knows, the more personal your guidance becomes.

What to share with Corwin

Now that you're a member, it's time to tell your full story. Complete a comprehensive functional-medicine intake covering your medical history, medications, family history, current symptoms, and key risk factors. Then upload your records and connect your wearables for real-time insights. We seamlessly integrate records, labs and imaging results from your physician’s office and other lab-testing platforms, so you don’t have to start over, and we can build directly on the work that’s already been done and pick up where they left off.

  • Medical history, meds, family history & risk factors
  • Upload your full health history and records
  • Import labs & imaging from your doctor's office, national labs & more
  • Connect wearables for real-time insights
  • HIPAA-aligned, fully encrypted security
Direct Lab Connections
FUNCTION
NATIONAL LAB NETWORKS
Wearables & Sensors
Apple Watch
Oura
Garmin
Whoop
Fitbit
Step 4: Labs + Imaging

Get the Full Picture

A picture is worth a thousand words.

It starts with your annual comprehensive panel: 95+ biomarkers across 42 advanced lab tests, included at our cost, drawn at certified partner lab locations nationwide, and physician-reviewed. See every test in the panel.

Follow-up labs are additional. When you and your care team want to check a result or track progress between annual panels, those tests are billed separately at our negotiated cost, with no markup. Explore supplemental lab prices.

Lab work tells us about risk. Imaging shows us what's actually happening inside your arteries.

After a records-based chart review, you pick the heart scan you prefer: a heart CT angiogram (CCTA), a Plaque Map ultrasound (two ultrasounds, groin and neck, no radiation, no dye) or a calcium score (a quick, low-dose CT). Our physician network makes the final call after reviewing your case, and nothing is booked before that review. Our approach: CT angiogram or Plaque Map first, with the calcium score as a middle option.

Heart CT angiogram (CCTA): your chart review, your scan, and costs

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 Annual Physician Chart Review is an annual $90 fee, optional at checkout and available later inside the app. It covers the physician review of your chart plus a re-evaluation each year of which heart scan, if any, fits you. The review is provided by 3 Billion Beats Medical, P.A., the independent physician practice we contract with, and is itemized separately from your $990 membership.

A licensed physician personally reviews your chart (a records-based review, no appointment needed). When a heart scan is clinically appropriate, your physician orders it and the concierge handles cash-pay price comparison and booking, plus insurance coordination and prior-authorization advocacy for a heart CT angiogram. 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 CT angiogram itself ($399–$759 typical cash-pay). Your insurance may cover it, and HSA/FSA cards are accepted for the facility scan fee.

Plaque Map: an ultrasound of your groin and neck arteries

A radiation-free look for early plaque. The Plaque Map is two ultrasounds, the groin arteries first and then the neck, with no radiation and no dye. It finds early plaque (REACT study, NEJM 2026) and is great for younger adults and for tracking over time. It looks at different parts of your circulation than a heart CT angiogram does, so your physician may recommend both, even if you are already getting a CT angiogram.

Usually self-pay. Most plans don't cover screening. Insurance applies only if you have symptoms or a known artery condition, and our physician network checks that before any prior authorization. The concierge can help arrange the ultrasounds. The imaging center's radiologist reads them and sends the report and recommendations to you and to your primary care doctor. If anything urgent shows up, our physician network is alerted and messages you in the app. The imaging center bills separately, and you see its price when you choose a location: the groin and neck ultrasounds added together.

Calcium score: a quick, low-dose CT

A calcium score is a quick, low-dose CT with no dye and no IV, about 10 minutes. It shows hard (calcified) plaque and estimates your risk well, especially over about 45, and it is good if you can't have contrast dye. It can't see soft plaque, which drives most heart attacks, so our physician network usually prefers the CT angiogram.

A calcium score is self-pay only. Insurance almost never covers it, so plan on paying yourself; there is no insurance or prior-authorization step. The price is the location's posted cash price, paid to the location, and you see it when you choose a location.

  • Detailed view of your coronary arteries
  • Identifies the presence, amount, and type of plaque
  • Monitor progress objectively over time
  • Corwin AI helps coordinate your appointment
Inside the app

Heart scan finder

Heart CT angiogram finder preview: Google map and Berkshire Medical Center from our directory. Listed price $637, not recently verified. Verification date unknown.
Finder preview. Available at launch. Example prices may change.
Plaque Map and calcium score prices appear the same way, location by location. A Plaque Map price is the groin and neck ultrasounds added together.
Step 5: A Year of Care

Core Features and Tools

Everything you need for heart health, all under one roof.

The 3 Billion Beats app combines advanced diagnostics, AI-powered insights, and expert clinical guidance so you can finally understand and improve your health with clarity and confidence.

With 3BB, you can:

  • Get real-time AI coaching and personalized guidance from Corwin
  • Join weekly live group coaching and Q&A sessions with Ben and Betsy
  • Track food, activity, sleep, and key biometrics in one place
  • Build meal plans tailored to your health goals and lab results
  • Monitor labs, imaging, and longitudinal health trends over time
  • Connect wearable devices for continuous, real-world health insights
  • Learn from and engage with the 3BB community for ongoing support
  • Access education that explains the why behind your data, not just the numbers

No more fragmented care or scattered records - just one integrated platform designed to help you understand your body, reduce cardiovascular risk, and build lasting cardiometabolic health.

Core Features and Tools: 3 Billion Beats
Step 6: Go All In

Go All In

With the GAIN coaching program, you'll know what to do and how to do what you know.

Inside the 16-week GAIN program

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.

  • 16-Week Cohort Syllabus: Step-by-step guidance from biology to habits
  • Expert Health Education: Direct video tutorials from Betsy Shor
  • Mindset & Journaling: Unpack mental blockers and clarify your whys
  • Habit Engineering: Systematize lifestyle change with stacking cues
  • Biomarker Outcomes: Monitor ApoB, hs-CRP & insulin sensitivity

Phase 1: Head Start

Deconstruct mental blockers, clarify your personal reasons for change, and establish a bulletproof environment.

  • Week 01
    The Mind Game

    Action precedes motivation, shifting behavioral triggers.

  • Week 02
    Get Wise to Your Whys

    A deep emotional values audit to sustain habits on hard days.

  • Week 03
    Harness the Hard

    Redefining difficulty and overcoming daily health negotiation.

  • Week 04
    Go All In

    Making a formal commitment to improving your cardiometabolic health.

The GAIN films

Watch a few seconds of GAIN.

Corwin, the app's AI health coach, narrates a short film for GAIN weeks, built from Betsy's course. Here are previews of four. The full films are part of the membership, inside the app.

GAIN · Week 3 Harness the Hard Preview · 0:21 Preview transcript, Corwin speaking: This week, we harness the hard. Life gets harder when you try to avoid doing hard things. It gets easier when you stop looking for things to be easy. And yes, it will take more work than you want, and less than you fear. You've worked hard for your career, for your kids, for your schooling. Your health runs on the exact same muscle.
GAIN · Week 5 Movement as Medicine Preview · 0:19 Preview transcript, Corwin speaking: This is week five: movement as medicine. Betsy says you either work out because you love your body, or because you hate it. Choose love. And expect to feel awkward at first. That's normal, and it's okay. And remember: nobody has ever finished a workout and wished they hadn't.
GAIN · Week 6 Nutrition Psychology Preview · 0:22 Preview transcript, Corwin speaking: Welcome to Week 6: nutrition psychology. This week isn't about what's on your plate. It's about what's going on in your head when you look at it. Betsy Shor, who built this program, puts it in one line. Food is meant to fuel a fun life, not be the fun. Tickle your taste buds once in a while, and let your food get you to the life.
GAIN · Week 10 Goals & Habits Preview · 0:20 Preview transcript, Corwin speaking: This is week ten, and Betsy opens it with a line from the writer James Clear. You don't rise to the level of your goals. You fall to the level of your systems. So this week, we build systems. And habits become identity. So don't say, I'm trying to be healthier. Say, I'm someone who takes care of my heart.