FAQs
Membership & Getting Started
Do you accept insurance?
Back Nine Precision Health is a cash-pay practice. We do not bill insurance. This allows us to spend more time with you, offer therapies that insurance typically doesn’t cover, and focus on what actually moves the needle for your health — not what a payer approves.
What’s the difference between membership and fee-for-service?
Membership is designed for patients who want ongoing, proactive care — think hormone optimization, weight loss protocols, peptides, and longevity programs that require regular monitoring and adjustments. Members get priority access, discounted services, and a dedicated care relationship.
Fee-for-service is ideal for patients who want specific treatments without a recurring commitment — like IV therapy, a one-time aesthetic service, or an acute sick visit.
Why is there a 6-month minimum commitment for memberships?
Real results take time. Whether you’re optimizing hormones, losing weight, or rebuilding your health from the ground up, the first few months are calibration — labs, adjustments, and finding what works for your body. A 6-month commitment ensures we can actually deliver on the outcomes we promise, rather than stopping before the work is done.
About Our Practice
What is the difference between Back Nine and a regular primary care office, and do you see patients for primary care needs?
Back Nine can serve as your primary care practice, but we’re built around a different model. Traditional primary care plays a vital role in healthcare — and for patients managing complex conditions or requiring multiple specialist referrals, that relationship is important to maintain. What we add is depth, time, and access to therapies most offices don’t offer: hormone optimization, peptides, GLP-1 protocols, IV therapy, and longevity care. We look at the full picture and build plans around how you want to feel and function. If you want a practice that handles your health and helps you optimize it, that’s what Back Nine is.
Can I keep my current PCP and still use Back Nine?
Membership is designed for patients who want ongoing, proactive care — think hormone optimization, weight loss protocols, peptides, and longevity programs that require regular monitoring and adjustments. Members get priority access, discounted services, and a dedicated care relationship.
Fee-for-service is ideal for patients who want specific treatments without a recurring commitment — like IV therapy, a one-time aesthetic service, or an acute sick visit.
Treatments & Protocols
What is a 503A compounding pharmacy and why does Back Nine use one for peptides?
A 503A pharmacy is a state-licensed compounding pharmacy that creates customized medications for individual patients based on a valid prescription. Most peptides are not FDA-approved as standalone commercial drugs, which means they aren’t available at your standard retail pharmacy. A licensed 503A compounding pharmacy is the appropriate and compliant way to source them — allowing us to provide peptides that are tailored to your specific dose and protocol while maintaining quality, traceability, and regulatory standards. It’s how we ensure what you’re getting is legitimate, properly dosed, and sourced through a vetted channel — not the grey market.
Why does testosterone therapy require a membership?
Testosterone isn’t a set-it-and-forget-it prescription. Once you start TRT, your body’s hormonal feedback system shifts — estrogen, hematocrit, LH, FSH, and other markers all need to be monitored regularly. Without ongoing management, you risk side effects, suboptimal dosing, or long- term imbalances. A membership allows us to keep you dialed in safely and effectively, not just to prescribe and disappear.