Start here
Lab Clarity Visit
$199 one visit
Bring lab results from anywhere, including at-home and consumer lab panels. We review them together by video, and you leave with a written next-step plan.
Book a visitHealth ReExamined is root-cause care with one physician who knows you: prepaid telehealth plans, comprehensive root-cause testing, and 90-day programs for women and men over 40.
Jude A. Pierre, MD · Internal Medicine Physician · 23+ Years of Clinical Experience

Not a different clinician every visit. Dr. Pierre reviews your history, your labs and your plan.
Secure messaging and video visits, Monday through Friday.
Telehealth plans paid up front for 6 or 12 months. No monthly bills and no surprise visit fees.
Choose your path
Start with a single visit, get comprehensive root-cause testing, join a prepaid telehealth plan, or go deep with a 90-day program.
Start here
$199 one visit
Bring lab results from anywhere, including at-home and consumer lab panels. We review them together by video, and you leave with a written next-step plan.
Book a visitWomen 40+ · Autoimmune
$1,999 paid up front
Comprehensive NutrEval lab testing plus two one-on-one visits with Dr. Pierre within 4 weeks, ending with your personalized nutrition, supplement and lifestyle recommendations.
See the programEveryday telehealth care
From $354 for 6 months
Your own physician by video and secure message. Choose Essential or Concierge + Coaching, paid up front for 6 or 12 months. No monthly bills.
Compare plans90-day programs
Women 40+
By application · investment discussed on your discovery call
Twelve private weekly sessions, advanced functional testing and a written 6-Month Autoimmune Roadmap for women ready to address fatigue, pain and flares at the root.
Explore the programMen 40+
By application · investment discussed on your discovery call
For men with prediabetes or type 2 diabetes who want to lose weight and need fewer medications, with every medication change made safely by your physician.
Explore the programEmployer in the Tampa Bay area? Ask about telehealth plans for your team.
Telehealth membership
Choose a 6-month or 12-month term. The 12-month term costs less per month. Every visit is by video with Dr. Pierre.
Essential
Reliable access to your own physician for everyday care.
6 months
$354
about $59 a month
12 months
$590
about $49 a month · save $118
Concierge + Coaching
Everything in Essential, plus unlimited visits and monthly coaching.
6 months
$774
about $129 a month
12 months
$1,290
about $107.50 a month · save $258
Everything in Essential, plus:
Labs, medications, supplements, imaging and specialist visits are billed separately by those providers. All visits are by video. Telehealth plans serve patients physically located in Florida at the time of each visit. A plan is a direct care agreement, not health insurance.
The 12-month Concierge + Coaching plan
One payment of $1,290 covers 12 months: about $107.50 a month, $258 less than two 6-month terms. It's built for people who want continuity, quick access and steady progress on their health goals all year.
12 MD-led coaching sessions: one every month of your term.
Paying with an HSA?
Since January 1, 2026, federal rules let a qualifying direct primary care arrangement (up to $150 a month for one person, or $300 for a family) be paid from a health savings account without affecting your ability to contribute. The Essential plan is designed around those rules. Because Concierge + Coaching includes health coaching, which may not count as primary care under the rules, please check with your HSA administrator before paying for it with HSA funds. Source: IRS Notice 2026-5.
For women 40+ with autoimmune conditions · Florida
Comprehensive testing most primary care offices don't offer, reviewed with you by a physician, in two visits over four weeks.
Busy medical practices rarely have time to look for nutrient deficiencies, toxin exposure or metabolic dysfunction that may be feeding your pain and fatigue. This program does exactly that, without the commitment of a full 12-week program.
$1,999
Paid up front. Includes the NutrEval test, your blood draw at a partner location (no separate draw fee), two one-on-one visits with Dr. Pierre, and your written recommendations.
Enroll in Root-Cause Testing
What NutrEval looks at: more than 125 biomarkers from blood and urine, including nutrient and vitamin markers, amino acids, omega-3 and other fatty acids, oxidative stress, gut and detoxification markers, and toxic elements such as lead, mercury, arsenic and cadmium.
Test by Genova Diagnostics
STEP 1 · ENROLL
Complete your health intake. We order your NutrEval kit and ship it to your home.
STEP 2 · VISIT 1
A one-on-one video visit to review your history, records and symptoms, and start practical steps while your labs are processed.
STEP 3 · LAB DRAW
Blood draw at a partner location such as Any Lab Test Now, plus an at-home urine sample. Results take up to 3 weeks.
STEP 4 · VISIT 2
Dr. Pierre explains your results and the root causes they point to, with personalized nutrition, supplement and lifestyle recommendations.
Our 4-week promise
Your labs ordered and reviewed with you within 4 weeks of enrolling, provided your blood draw is completed within your first week.
There's no separate blood-draw fee. This program is health education and testing review; it does not replace the care of your treating physician. Want weekly support after your results? Ask about the 90-Day Autoimmune Program.
High-touch program · Women 40+ in Florida
For women who want more than test results: twelve weeks of private, physician-led coaching to uncover what's driving fatigue, pain, brain fog and flares, and a written plan to keep progress going after the program ends.
Autoimmune conditions are common, and more common in women. In a UK study of 22 million people, about 13% of women and 7% of men were living with at least one of 19 common autoimmune conditions.
Conrad et al., Lancet, 2023

STEP 1
Intake homework, then a one-on-one session to map your implementation pathway: the game plan, what you'll do, what we'll handle, and when we meet.
STEP 2
Advanced functional testing, including NutrEval and microbiome testing when indicated, then a personalized supplement and nutrition protocol.
STEP 3
Weekly sessions for accountability, education and adjustments, ending with your written 6-Month Autoimmune Roadmap.
Your take-home plan
A long-term maintenance plan, including how to prevent and manage flares, so your progress continues after the 90 days.
By application · investment discussed on your discovery call
Apply for the Autoimmune ProgramThe Autoimmune Program is a health coaching program and does not replace the care of your treating physician. Third-party costs (medications, supplements, imaging, specialists) are billed separately.
New · For men 40+ in Florida
For men with prediabetes or type 2 diabetes. If your doctor keeps adding prescriptions while the scale keeps climbing, this program is built to reverse that direction: lose weight, improve your numbers, and get to the fewest medications you safely need.
Safety first: when eating changes, some diabetes medicines can push blood sugar too low. In this program, only your physician adjusts medications, and only as your numbers support it.

What's inside
By application · investment discussed on your discovery call
What the research shows
58%
lower risk of developing type 2 diabetes with a lifestyle program (7% weight-loss goal, 150 minutes of activity a week) versus placebo, in adults with prediabetes.
Diabetes Prevention Program, NEJM, 2002
46%
were in diabetes remission at 12 months in a supervised weight-management program, versus 4% with usual care. Participants were within 6 years of diagnosis and not on insulin.
DiRECT trial, Lancet, 2018
0.89
point average A1c reduction with structured exercise of more than 150 minutes a week, across randomized trials.
Umpierre et al., JAMA, 2011
These are published study results, not a promise of individual results. Remission means an A1c below 6.5% for at least three months without glucose-lowering medication (ADA consensus, 2021) and requires ongoing monitoring.
How it works
Tell us what's going on through our contact form or a program application. We'll recommend the option that fits, even if that's a single visit.
Review your history and labs. Visits take place while you are located in Florida.
Message your physician through the secure portal, retest, and adjust as you improve.

Meet your physician
Internal Medicine Physician · 23+ Years of Clinical Experience
Over more than two decades in internal medicine, Dr. Pierre has seen that many patients improve when someone finally addresses the root causes behind their symptoms. Health ReExamined blends medical expertise with coaching, education and personalized care, so you can feel better, understand your body and take control of your health.
Patient reviews
Real reviews from patients, shown live from our review feed.
Worked with Dr. Pierre? Every honest review is welcome, positive or critical. Reviews are public, so share only what you're comfortable with; our replies never discuss your care.
Questions
No. Telehealth plans are paid up front for a 6-month term (Essential $354, Concierge + Coaching $774) or a 12-month term (Essential $590, Concierge + Coaching $1,290). The 12-month term costs less per month.
No. It is a direct care agreement with your physician, not insurance. Keep health insurance for hospital care, emergencies, specialists, imaging and prescriptions.
The Essential plan is designed around the IRS direct primary care rules that took effect January 1, 2026 (up to $150 a month for one person, $300 for a family). Concierge + Coaching includes health coaching, which may not qualify, so check with your HSA administrator first. Your administrator can confirm how any plan applies to your account.
Your NutrEval test, two one-on-one video visits with Dr. Pierre within 4 weeks, review of your results, and personalized nutrition, supplement and lifestyle recommendations. There is no separate blood-draw fee.
We ship the NutrEval kit to your home. You complete a blood draw at a partner location such as Any Lab Test Now and collect a urine sample at home, then ship the kit to Genova Diagnostics in the prepaid packaging. Results take up to 3 weeks.
Adults who are physically located in Florida at the time of each visit. More states are coming.
No one can promise that. The goal is the fewest medications you safely need. Many people can reduce medications as weight and blood sugar improve, and every change is made by your physician based on your numbers. Never stop or change a diabetes medication on your own.
No. They work alongside your existing care, and we're glad to coordinate with your specialists.
Third-party costs such as labs, medications, supplements, imaging and specialist visits are billed separately by those providers.
Contact us to get help choosing your plan.