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Dr. Nitza Alvarez walking

Prevention, Optimization and Personalized Support

Women’s Concierge Program

Women-first cardiology, with more time, more access and more prevention-focused support. NITZAMD is a physician-led, women-specific program designed for patients who want a higher-touch experience, deeper prevention planning and personalized cardiovascular optimization—especially during life stages like perimenopause and menopause.

Important billing note (please read):

Many core cardiology services may still be billed to your health insurance when covered and medically necessary. The NITZAMD program offers patient-paid services that are not billed to insurance. Some program elements may be tiered based on your insurance plan design (coverage rules, deductible status and benefits).

Dr. Nitza Alvarez walking

Prevention, Optimization and Personalized Support

Women’s Concierge Program

Women-first cardiology, with more time, more access and more prevention-focused support. NITZAMD is a physician-led, women-specific program designed for patients who want a higher-touch experience, deeper prevention planning and personalized cardiovascular optimization—especially during life stages like perimenopause and menopause.

Important billing note (please read):

Many core cardiology services may still be billed to your health insurance when covered and medically necessary. The NITZAMD program offers patient-paid services that are not billed to insurance. Some program elements may be tiered based on your insurance plan design (coverage rules, deductible status and benefits).

What the Program Is (and What it Isn’t)

What it is

A women-centered, prevention-forward experience that adds time, access, education, care coordination and optional wellness optimization around your cardiovascular care—so you can understand your risks, plan proactively and stay supported between visits.

What it isn’t

  • a replacement for emergency care (call 911 for urgent symptoms)
  • an insurance plan
  • a promise of outcomes

Who it’s for

This may be a fit for you if you want…

  • a proactive plan to reduce risk factors (blood pressure, cholesterol, weight, lifestyle)
  • more time for education, goal-setting and accountability
  • women-specific cardiovascular prevention support (life stages, stress load, family history, hormonal transitions)
  • streamlined access to your care team for guidance between visits
a man standing on top of a grass covered field
a man standing on top of a grass covered field

What the Program Is (and What it Isn’t)

What it is

A women-centered, prevention-forward experience that adds time, access, education, care coordination and optional wellness optimization around your cardiovascular care—so you can understand your risks, plan proactively and stay supported between visits.

What it isn’t

  • a replacement for emergency care (call 911 for urgent symptoms)
  • an insurance plan
  • a promise of outcomes

What it’s for

This may be for you if you want…

  • a proactive plan to reduce risk factors (blood pressure, cholesterol, weight, lifestyle)
  • more time for education, goal-setting and accountability
  • women-specific cardiovascular prevention support (life stages, stress load, family history, hormonal transitions)
  • streamlined access to your care team for guidance between visits
Dr. Nitza Alvarez having fun

What’s Included

Your exact inclusions are tailored after your consultation. If a service is covered by insurance and medically necessary, we bill insurance. If it’s a patient-paid, non-covered service (NITZAMD), it is paid by the patient and not billed to insurance.

Prevention and Risk Review

  • Comprehensive cardiovascular risk review and prevention roadmap
  • Lifestyle coaching and practical goal planning (nutrition, movement, sleep, stress)
  • Medication and supplement education (when appropriate)
  • Preventive screening planning and results review support (as clinically appropriate)

Enhanced Access and Coordination 

  • Cardiometabolic optimization planning (weight, insulin resistance, inflammation risk markers)
  • Hormone-health discussion and coordination with appropriate clinicians (program-dependent)
  • Advanced wellness labs and deeper prevention tracking (as selected)
  • Physician-directed IV nutrient support (where offered and appropriate)

Because each insurance plan is different, your available tier and out-of-pocket expectations may vary depending on benefits, coverage rules, and deductible status.
Program fees range between: ($2,400-$7,500 per year)
Enrollment: TBD
What insurance may still cover: office visits, diagnostic testing and medically necessary services (per your plan)
We provide a clear written summary of what is insurance-billable vs patient-paid before you enroll.

Dr. Nitza Alvarez having fun

What’s Included

Your exact inclusions are tailored after your consultation. If a service is covered by insurance and medically necessary, we bill insurance. If it’s a patient-paid, non-covered service (NITZAMD), it is paid by the patient and not billed to insurance.

Prevention and Risk Review

  • Comprehensive cardiovascular risk review and prevention roadmap
  • Lifestyle coaching and practical goal planning (nutrition, movement, sleep, stress)
  • Medication and supplement education (when appropriate)
  • Preventive screening planning and results review support (as clinically appropriate)

Prevention and Risk Review

  • Cardiometabolic optimization planning (weight, insulin resistance, inflammation risk markers)
  • Hormone-health discussion and coordination with appropriate clinicians (program-dependent)
  • Advanced wellness labs and deeper prevention tracking (as selected)
  • Physician-directed IV nutrient support (where offered and appropriate)

Because each insurance plan is different, your available tier and out-of-pocket expectations may vary depending on benefits, coverage rules, and deductible status.
Program fees range between: ($2,400-$7,500 per year)
Enrollment: TBD
What insurance may still cover: office visits, diagnostic testing and medically necessary services (per your plan)
We provide a clear written summary of what is insurance-billable vs patient-paid before you enroll.

Dr. Nitza Alvarez having fun

FAQs

No. This is a patient-paid, non-covered program (NITZAMD) that sits alongside your traditional medical care.

Yes, for covered medical services that your plan allows. NITZAMD services are not billed to insurance.

Insurance plans vary in coverage rules, deductibles and authorization requirements. Your tier may reflect what your plan covers vs what remains patient-paid.

Yes. The program is designed specifically around women’s cardiovascular prevention needs.

Not automatically. Testing is individualized and recommended after your evaluation, based on clinical appropriateness.

YES! We offer women-focused cardiovascular and hormone optimization discussions and may coordinate care when appropriate. Any testing or treatments are handled based on clinical appropriateness and applicable rules.

FAQs

No. This is a patient-paid, non-covered program (NITZAMD) that sits alongside your traditional medical care.

Yes, for covered medical services that your plan allows. NITZAMD services are not billed to insurance.

Insurance plans vary in coverage rules, deductibles and authorization requirements. Your tier may reflect what your plan covers vs what remains patient-paid.

Yes. The program is designed specifically around women’s cardiovascular prevention needs.

Not automatically. Testing is individualized and recommended after your evaluation, based on clinical appropriateness.

YES! We offer women-focused cardiovascular and hormone optimization discussions and may coordinate care when appropriate. Any testing or treatments are handled based on clinical appropriateness and applicable rules.

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