Membership questions

Yes. We care for new medical concerns and ongoing conditions while working with you on prevention and longer-term health goals. Your primary care and your preventive plan belong in the same physician relationship. You do not need a referral.

Continuum is a private-pay membership practice and does not accept insurance payments. We can discuss fees and any separate costs when you get in touch.

Dr. Jonathan Schaaf, Continuum's Chief Medical Officer, sees members at our Charlottesville practice. He is board-certified in family medicine and addiction medicine.

We will talk about what you want from your care and help you understand what is possible at Continuum. We can explain the approach, membership options and costs. If you decide to join, we will guide you through enrollment and preparation for your first visit.

The initial assessment is comprehensive. Advanced bloodwork, a detailed medical history and examination, and measures of fitness and body composition build a broad picture of your health. We tailor the testing to your history, current health and goals. Allow about two to three hours for the initial visit. We confirm your testing schedule and preparation in advance. You return to review the findings with your physician and agree on a plan for your health goals, including how to measure progress.

Yes. You can work with us to understand your health risks, improve fitness or make a plan for aging well. Feeling well is a useful starting point for prevention. We also care for current medical concerns and ongoing conditions.

Our comprehensive assessment brings together advanced bloodwork and measures of fitness, metabolism and body composition. We also use genomic and microbiome testing, and imaging such as whole-body MRI, to build a more detailed understanding of your health. Your physician guides the testing around your history, findings and goals. Care combines medical treatment with practical guidance on nutrition, strength training, aerobic fitness and sleep. Depending on your needs, treatment may include medication, hormone therapy or selected peptide therapies. We discuss the evidence, risks and any separate costs before you proceed. Some testing and services are arranged through outside providers.

You and your physician decide what to work toward and how to follow it. Repeat measurements, symptoms and changes in daily function help show how you are responding. We use that information to refine treatment and revisit your goals. Follow-up timing depends on your medical needs.

We provide care at our Charlottesville office and through telehealth when appropriate. We do not routinely make house calls or hospital visits. If you are hospitalized, your physician can review available hospital records and coordinate with your care team.

Your physiology, circumstances and priorities are unique. We use medical research, detailed testing and your experience to choose a starting point, then follow how you respond. That individual response becomes part of the evidence guiding your care. The plan develops as we learn more about you and as medicine advances.

Advanced analytical tools allow us to work with larger, more detailed sets of health information. Combined with your physician’s thorough review, they help us understand you as an N of one. We consider your results alongside your history, current medical evidence and health goals. Your own response becomes part of the evidence guiding treatment, so your care develops with what we learn about you.

Yes. Ongoing support is part of membership. You can get in touch with a new concern or a question about your plan, with follow-up in the office or by telehealth when appropriate. We explain contact arrangements when you join.

Please use the inquiry form only for membership questions. Do not include symptoms, diagnoses, medications or test results. Current patients can contact the practice through the secure patient portal or by phone.