
Concierge Medicine
Healthcare the way it should be.
Concierge medicine at Precision is membership-based primary care designed for proactive prevention, longer visits, and fast access—built for busy professionals who want clarity and continuity.
✓ Extended appointments for deeper assessment and planning
✓ Same-day or next-day availability when something feels off
✓ Proactive lab strategy by membership level (without overpromising)
✓ Longevity-forward approach focused on healthspan and prevention
✓ Physician-led care with consistent follow-up
Precision Primary Care & Wellness is based in Fishers, IN, serving patients across Carmel, Westfield, Noblesville, Geist, and the Indianapolis area.
Is Precision Concierge Right for You?
Precision Primary Care & Wellness is designed for individuals who recognize that their health is their most valuable asset and are ready to invest in it accordingly.
You're an ideal fit if you:
-
Value your time as much as your health.
-
Want a physician who truly knows you.
-
Believe in prevention over reaction.
-
Expect premium service.
-
Are frustrated with the insurance-driven model.
-
Take ownership of your health.
If this sounds like you, welcome home. Precision offers the healthcare experience you've been looking for—where your health goals become our shared mission, and your physician is accessible, attentive, and invested in your long-term wellness.

Longevity Tiers
Three tiers defined by depth of optimization, frequency of wellness technology, and breadth of lab insight. Wellness tools escalate clearly at each level.

1
Longevity Core
$150/month
Better access. A clear baseline. No more reactive care.
Primary care access
-
Same/next-day appointments
-
Extended visits (45–60 min)
-
Up to 2-hr annual physical
-
Direct messaging with Dr. Milien
Labs & tracking
-
Foundational metabolic & cardiovascular labs
-
Quarterly Menla full-body scan
-
Physician review of all results
Wellness
-
Member pricing on all wellness services
-
Insurance used for labs, imaging & Rx
Best for: individuals who want better access and a clearer picture of their health.
2
Longevity Plus
$250/per month
Active optimization — for people serious about long-term performance.
Everything in Core, plus:
-
Advanced hormone, inflammation & cardiovascular labs
-
Menla scan every 6 weeks↑ from quarterly
-
Priority scheduling
-
Min. 2-hr annual physical
Included wellness
-
Weekly red-light therapy
-
2x IV hydration per year
-
Ongoing wellness & performance planning
Deliverable
-
Annual personalized longevity report
Best for: busy professionals who want measurable progress and an intentional long-term health strategy.
3
Longevity Elite
$375/per month
Full optimization suite — for executives who treat health as a competitive edge.
Everything in Plus, plus:
-
Expanded longevity & epigenetic marker labs
-
Monthly Menla scan↑ from 6-week
-
Executive physical up to 4 hrs
-
Highest scheduling priority
Included wellness
-
Unlimited red-light therapy
-
Quarterly IV hydration
-
1x microcurrent session/monthnew
Add-on (clinical recommendation)
-
Shockwave therapy at member pricing when indicated
Deliverable
-
Bi-annual longevity strategy review
Best for: executives and high performers seeking the deepest level of insight, integration, and continuity.
Medical Plus
$600/per month
Never face the healthcare system alone again. Dr. Milien is your physician, your advocate, and your medical quarterback.
Medical Plus exists for patients who need more than optimization. They need a physician who is genuinely in the weeds with them — managing multiple conditions, navigating specialist systems, reviewing medications, and reachable when something doesn't feel right.
Dr. Milien spent over a decade as a hospitalist, which means he understands how the healthcare system works from the inside, where the gaps are, and how to prevent the hospitalizations that most primary care physicians only learn about after the fact. That background is the foundation of Medical Plus.
Clinical core
-
24/7 direct access to Dr. Milien
-
Unlimited same/next-day visits
-
Executive physical up to 4 hrs
-
Comprehensive chronic condition management**
-
Medication review & optimization**
-
Specialist referral coordination & follow-up**
-
Hospital advocacy & discharge planning **
-
Advanced diagnostic lab panels
-
Insurance used for labs, imaging & Rx
Wellness (supporting role)
-
Quarterly Menla scan
-
2x IV hydration per year
-
Member pricing on all wellness services
Add-ons (clinical recommendation)
-
Shockwave therapy at member pricingwhen indicated
-
Microcurrent at member pricingwhen indicated
Who this is for: Chronic conditions · Complex medications · Post-hospitalization · Anyone who wants a physician deeply managing their care — not just available for it.

Precision Packages Comparison

What is concierge medicine?
Concierge medicine is a healthcare model where patients pay a membership fee for enhanced access to their physician. This includes longer appointments, same-day or next-day scheduling, direct communication with your doctor, and comprehensive preventive care. It's designed to prioritize quality over quantity. Serving Fishers, Carmel, Westfield, Noblesville, Geist, and the Indianapolis area.
How much does concierge primary care cost?
Membership fees vary based on the level of service and access you choose. At Precision our services start at $150/month. Schedule a consultation to discuss pricing and find the membership tier that fits your health goals and needs.
Do you accept insurance?
Concierge membership fees are generally paid directly and are separate from insurance. In some cases, certain services (labs, imaging, outside services) may still be billed through insurance depending on the situation. We aim to keep the process transparent and straightforward.
Direct Primary Care (DPC) vs Concierge — What’s the Difference?
Many people search for “Direct Primary Care” (DPC) when they really want membership-based primary care with better access. DPC typically uses a monthly membership model and often does not bill insurance. Concierge medicine is similar in spirit, but can include more structured access, preventive planning, and service integration depending on the practice. At Precision, our concierge model is built around: ✓ Longer visits + proactive prevention ✓ Longevity-focused strategy ✓ Clear membership tiers and inclusions ✓ Integrated wellness support when appropriate
Why Longer Primary Care Visits Improve Outcomes
Longer visits lead to better outcomes because they create space for root-cause thinking, better education, and a clear plan—not rushed symptom management. With extended visits, we can: ✓ Identify patterns (sleep, stress, metabolic trends) before they become diagnoses ✓ Personalize prevention using labs and longitudinal tracking ✓ Build a plan you can actually follow ✓ Adjust strategy based on response over time
Where can I get diagnostic tools for health monitoring in Fishers, IN?
If you’re looking for health monitoring in Fishers, IN, Precision provides physician-guided testing and wellness monitoring through targeted lab work and Menla scanning—so you can track trends and adjust your plan based on real data.
What diagnostic tools are used for health optimization at Precision?
Health optimization relies on measuring what matters: baseline health markers, trend tracking, and response to interventions. Precision uses precision lab panels and Menla wellness scanning (130+ physiological points) to establish a baseline and monitor progress over time.
Is concierge medicine only for wealthy people?
No. Concierge care is for anyone who values prevention, wants better access to their physician, and prioritizes long-term health. Many patients find the investment pays for itself through fewer specialist visits, ER trips, and medications. At Precision, we make concierge services very affordable for members of our community. Serving Fishers, Carmel, Westfield, Noblesville, Geist, and the Indianapolis area.
What areas do you serve?
We serve patients in Fishers, Carmel, Noblesville, Westfield, Indianapolis, and the greater Indianapolis area.
What makes Precision different from other primary care practices?
Dr. Milien brings over 10 years of hospitalist experience, giving him unique insight into preventing hospitalizations. We combine evidence-based medicine with natural healing approaches, extended visit times, direct physician access, and integrated wellness services—all focused on keeping you healthy and thriving.
What's included in a concierge membership at Precision?
Membership includes extended appointment times (45-60 minutes), Extended annual physical up to 4 hours, same or next-day scheduling, 24/7 direct access to Dr. Milien, comprehensive preventive care, personalized health plans, and proactive monitoring of your health trends. Serving Fishers, Carmel, Westfield, Noblesville, Geist, and the Indianapolis area.
How do I get started?
Schedule your initial consultation with Dr. Milien to discuss your health goals, learn about membership options, and determine if Precision is the right fit for you.