Wow..what a great new way to have personalized care!! Dr. Nussbaum is like a ringmaster with a vision for your overall health, he wrangles in all your healthcare providers and looks over the entire picture. He listens to your health goals and responds with a plan. AND...AND He's on call for YOU!! this is new medicine in an old fashioned way of knowing you and wanting the best care that is out there. Affordable monthly payments! Super way of working with the patient. We determined a way to work all of this out and I don't live in TPA full time.......this is the newest way to be taken care of and for us baby boomers we want to keep up with all of our activities (golf, travel, tennis, exercise, etc).