Frequently Asked Questions
Clarity on the financial and operational structure of the partnership.
If you can’t find an answer here, please call us at (914) 292-0300 or email info@sqmed360.com
Common Questions — At a Glance
1. The Hybrid Financial Model
We believe in transparency and efficiency. Your membership fee covers the strategic gap—the unhurried time, data synthesis, and care coordination that insurance does not value. However, we remain pragmatic: we utilize your insurance for eligible labs, imaging, and external referrals to ensure your capital is deployed efficiently.
2. Direct, Not Distracted
Members have a direct line to Dr. Mathews via cell, text, and portal. We prioritize “responsive strategy” over “on-demand urgency.” While we are highly available for clinical guidance and peace of mind, Sequoia is a preventive health office, not an emergency room.
3. A Partnership, Not a Subscription
This is not a concierge service where you pay for “proximity.” It is a health asset management firm where you pay for “outcomes.” The model works best for individuals ready to engage in the data, execute the plan, and view their health as an active investment rather than a passive maintenance task.
See the complete picture. Read the consolidated Executive Brief.
Sequoia Medical 360 — At a Glance →
Membership & Enrollment
Do you accept insurance?
We remain in-network with Medicare and most private plans, and may utilize plans to cover certain diagnostic tools and occasionally some plan-covered medical services we think make sense to utilize, but the vast majority of our interactions and health optimizations will have nothing to do with how plans package and restrict healthcare services time, scope, and frequency. Our approach is largely if not entirely outside the plan-version of healthcare.
What does the membership retainer cover?
The retainer covers the availability of annual and follow-up diagnostic routine expansive exam services, aimed at prevention, diagnosis and treatment, supported by year-round ongoing communication connection, to optimize your health.
What makes Sequoia Medical 360 different?
This practice is designed for individuals seeking a proactive health partnership rather than episodic treatment.
It is ideal for Executives, Founders, and Business Leaders who require a specialist-led strategy to protect their long-term vitality.
How do I become a patient?
Requesting your partnership introduction is simple. Visit our Request Enrollment page to begin. Within one business day, our team will reach out to schedule your initial Exam Consultation and guide you through the enrollment process.
Can I enroll my spouse or family?
We strongly encourage it. Metabolic health, nutrition, and sleep architecture are often determined by the household environment. When couples or families optimize their health together, adherence improves and results compound.
While every membership remains an individual clinical partnership—because your metabolic and hormonal baselines are unique—we coordinate the Deep Discovery timelines for family members to ensure your household strategy is unified. If you intend to enroll as a family unit, please note this in your request so we can reserve the appropriate capacity in our cohort.
Is there a waitlist for membership?
Frequently, yes. To maintain the integrity of our Exam Services and ensuring unhurried availability for every member, we strictly cap our patient panel. We release membership spots in limited cohorts. If enrollment is currently closed, accepted applicants will be placed on a priority waitlist for the next available opening.
Care Experience
What happens during the initial consultation?
The initial consultation is the start of your 90-day Deep Discovery. It is a dedicated, 120-minute Exam Service session with Dr. Mathews focused entirely on your history, lifestyle, and metabolic goals. This time allows Dr. Mathews to build your clinical baseline before advanced testing begins.
How often will I see Dr. Mathews?
You typically have comprehensive Exam Service sessions every 3 to 4 months or sooner as needed. Between scheduled visits, you receive Expanded Communication Support via secure messaging or phone for guidance on your longevity plan.
What kind of testing or assessments are included?
Your membership fee covers specific Integrated Exam Services required to build your clinical baseline. This includes:
Metabolic Body Composition: Research-grade analysis (InBody) performed in-suite.
Physiological Performance: Initial and ongoing bi-annual VO₂ Max and strength assessments coordinated with our clinical partners.Nutritional Strategy: An initial evaluation and strategic series with our Registered Dietitian with three follow up sessions (as needed)
Note on Advanced Imaging: We also coordinate third-party diagnostics such as Whole Body MRI, Coronary CT Angiography, and Galleri® cancer screening. Because these are performed by external facilities, they are not included in the membership fee and are billed directly to you or your insurance by the imaging provider.
Can you coordinate care with my existing specialists?
Absolutely. Dr. Mathews oversees your Unified Treatment Strategy. We interface with your Primary Care Provider and/or specialists to ensure your metabolic and cardiovascular care is aligned with your broader health goals. When specialty intervention is required, we proactively connect you with our curated network of clinical collaborators.
Billing & Administrative
What payment options are available?
The annual retainer is $15,000, payable annually, quarterly or in monthly installments of $1,250. We accept ACH and major credit cards (a standard credit card processing fee applies).
Can my company or employer pay for my membership? Can I use my HSA or FSA funds?
Our services are designed to render patient subscription fees a “qualified medical expense” to enable employer and pre-tax demand options (HSA, HRA, FSA, and MSA). Self-employed patients fund patient fees on a deductible basis. Check with your tax expert and HRA/FSA/MSA plan coordinator to verify and confirm tax-advantaged funding options.
Are there any surprise or hidden fees?
No. The membership fee covers all Exam Services and integrated partner assessments listed in your agreement. Costs for external labs, imaging (MRI, CT), or specialty medications are billed to your insurance or paid directly by you.
How are medical emergencies handled?
For any medical emergency or time-sensitive situation, you must call 9-1-1 immediately or proceed to the nearest emergency room. Our practice focuses on long-term strategy and does not provide emergency medical services.
Still have questions? We’re happy to help.
Frequently Asked Questions
Clarity on the financial and operational structure of the partnership.
If you can’t find an answer here, please call us at (914) 292-0300 or email info@sqmed360.com
Common Questions — At a Glance
The Hybrid Financial Model
Direct, Not Distracted
A Partnership, Not a Subscription
Prefer a concise overview of the full experience? Explore Sequoia Medical 360 — At a Glance.
Membership & Enrollment
Do you accept insurance?
Yes. We remain in-network with Medicare and most major commercial insurers. We bill your insurance for medically necessary visits and standard labs, just as a typical practice would.
The Membership Fee: The annual fee covers your Exam Services—specifically the proactive longevity planning, integrated physiological assessments (such as VO2 Max and Nutrition strategy), and expanded communication support that insurance does not cover. .
What does the membership fee cover?
The Membership Fee: The annual fee covers your Exam Services—specifically the proactive longevity planning, integrated physiological assessments (such as VO2 Max and Nutrition strategy), and expanded communication support that insurance does not cover. .
What makes Sequoia Medical 360 different?
We provide a Unified Treatment Strategy focused on longevity and metabolic health. Rather than reactive care, we offer ample, scheduled exam time and a year-round focus on disease prevention, supported by advanced diagnostics that most traditional practices cannot offer.
Who is this practice designed for?
This practice is designed for individuals seeking a proactive health partnership rather than episodic treatment.
It is ideal for Executives, Founders, and Business Leaders who require a specialist-led strategy to protect their long-term vitality.
How do I become a patient?
Requesting your partnership introduction is simple. Visit our Request Enrollment page to begin. Within one business day, our team will reach out to schedule your initial Exam Consultation and guide you through the enrollment process.
Can I enroll my spouse or family?
We strongly encourage it. Metabolic health, nutrition, and sleep architecture are often determined by the household environment. When couples or families optimize their health together, adherence improves and results compound.
While every membership remains an individual clinical partnership—because your metabolic and hormonal baselines are unique—we coordinate the Deep Discovery timelines for family members to ensure your household strategy is unified. If you intend to enroll as a family unit, please note this in your request so we can reserve the appropriate capacity in our cohort.
Is there a waitlist for membership?
Frequently, yes. To maintain the integrity of our Exam Services and ensuring unhurried availability for every member, we strictly cap our patient panel. We release membership spots in limited cohorts. If enrollment is currently closed, accepted applicants will be placed on a priority waitlist for the next available opening.
Care Experience
What happens during the initial consultation?
The initial consultation is the start of your 90-day Deep Discovery. It is a dedicated, 120-minute Exam Service session with Dr. Mathews focused entirely on your history, lifestyle, and metabolic goals. This time allows Dr. Mathews to build your clinical baseline before advanced testing begins.
How often will I see Dr. Mathews?
You typically have comprehensive Exam Service sessions every 3 to 4 months. Between scheduled visits, you receive Expanded Communication Support via secure messaging or phone for guidance on your longevity plan.
What kind of testing or assessments are included?
Your membership fee covers specific Integrated Exam Services required to build your clinical baseline. This includes:
- Metabolic Body Composition: Research-grade analysis (InBody) performed in-suite.
- Physiological Performance: Initial and ongoing bi-annual VO₂ Max and strength assessments coordinated with our clinical partners.
- Nutritional Strategy: An initial evaluation and strategic series with our Registered Dietitian with three follow up sessions (as needed)
Note on Advanced Imaging: We also coordinate third-party diagnostics such as Whole Body MRI, Coronary CT Angiography, and Galleri® cancer screening. Because these are performed by external facilities, they are not included in the membership fee and are billed directly to you or your insurance by the imaging provider.
Can you coordinate care with my existing specialists?
Absolutely. Dr. Mathews oversees your Unified Treatment Strategy. We interface with your specialists at Columbia, NewYork-Presbyterian, or elsewhere to ensure your metabolic and cardiovascular care is aligned with your broader health goals.
When specialty intervention is required, we proactively connect you with our curated network of clinical collaborators.
Billing & Administrative
What payment options are available?
The annual fee is $15,000, payable annually, Quaterly or in monthly installments of $1,250. We accept ACH and major credit cards (a standard processing fee applies).
Can my company or employer pay for my membership?
Yes. Because our model focuses on proactive longevity, performance, and cardiovascular risk reduction, many members utilize Health Reimbursement Arrangements (HRA), executive wellness stipends, or direct employer funding to cover their Exam Services. If you are a business owner or executive, this may also qualify as a deductible business expense. We suggest reviewing your specific benefits package with your CFO or plan administrator.
For Business Owners: If you own a business, your membership may qualify as a fully tax-deductible business expense rather than a personal medical deduction. We recommend confirming specific eligibility and structure with your tax advisor or CFO.
Can I use my HSA or FSA funds?
In many cases, yes. The Services Fees are designed to qualify as eligible medical expenses because they fund specific Exam Services and preventative care. Many members successfully utilize Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) to pay for their membership. We recommend confirming eligibility with your tax professional, but we can provide a detailed letter of medical necessity upon request.
Are there any surprise or hidden fees?
No. The membership fee covers all Exam Services and integrated partner assessments listed in your agreement. Costs for external labs, imaging (MRI, CT), or specialty medications are billed to your insurance or paid directly by you.
How are medical emergencies handled?
For any medical emergency or time-sensitive situation, you must call 9-1-1 immediately or proceed to the nearest emergency room. Our practice focuses on long-term strategy and does not provide emergency medical services.