Services and Pricing

Please note PrevMed does not accept insurance. You will be required to pay PrevMed by credit card in-advance of services.

New Patient-Directed Services

Congratulations on your decision to take control of your health.

Contrary to popular belief, heart attacks, strokes, dementia and many cancers are optional. It’s not easy to protect yourself against these top killers and disablers. But it’s definitely worth the effort and expense. We’ve got hundreds of references that will vouch to that. 


At PrevMed, we focus on heart attack, stroke, and cognitive decline. We serve patients who have already experienced an event as well as those who have not developed a diagnosis or event. Dr. Brewer is located in Lexington, KY and provides services via telemedicine or in person if you're in the Lexington area.  

Patient-Directed Care -  What is it?  You’ll hear the term when you work with us. Basically, we set up systems for you to learn what you need - and why you need it. Then we set up systems for you to get what you need. That includes labs, imaging, and consultations with Drs. Brewer and Derrickson, and other providers.  Don’t worry, we’ll teach you how.  Instead of “giving you a fish, we’ll teach you how to fish”.  That’s our methodology.  We think you’ll love it.  Most of our patients do.  John Lorscheider is our patient Peer Counselor. He’s created many programs that will to teach you how to access and control your medical care. 

RE: Prior Authorization for LABS, CIMT, and other diagnostic studies

This is the short story: 

  • PrevMed does not accept insurance. You will be required to pay PrevMed by credit card in-advance of services. 
  • We will provide you with requisitions for labs and imaging based on our recommendations.  These you will  take to the closest provider of these services in your area. (We are working on a new lab process which can be done totally out of your home. When that is ready we will provide details).
  • We will provide you with the diagnostic codes at the end of the process. These are the codes that your insurance company requires to process your claim and reimburse you. You will be required to file your own claims and work directly with your insurer to obtain reimbursement. We DO NOT file your claims for you.
  • We don’t provide Prior Authorization (Pre-Authorization) forms.  These forms typically request permission from your health insurance company before you can receive certain health care services such as specialized laboratory testing, imaging, etc. 

As an alternative for those who may be uninsured, or under insured, we can provide you with information on how to obtain our recommended labs and imaging via online Direct-to-Consumer lab providers, often at a reasonable cost to you.  You will be required to pay them directly by credit card.  You will then be provided requisitions from them that you will take to the service provider.  Please note that these Direct-to-Consumer will not accept your insurance as payment, nor will they file your claims with your insurer.

The COURSES - We have a new digital course on Cardiovascular Inflammation which is now available for purchase. This course and future courses will prepare you for Patient-Directed Care. Future courses are currently in development for Insulin Resistance (PreDiabetes or Metabolic Syndrome), cIMT, Dietary Management, exercise and other key topics. 

MoCA - The Montreal Cognitive Assessment is something I recommend for all patients.  The #1 cause of Alzheimer’s Disease is CV Inflammation.  Insulin Resistance is the major cause of CV Inflammation - and therefore cognitive decline.  According to a recent study by UCLA, over half of us (30 years & older) have insulin resistance.  By the time you’ve got noticeable cognitive decline, your biggest opportunity for prevention is gone.  So, get tested now.  Test - don’t guess.  And, yes, you can reverse cognitive decline, especially in the early stages. 


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