Tier1 Optimal
Questions? Call Ava our 24/7 AI concierge · (289) 434-0509
Book Your Free Consultation
Pick a slot that works for you. No credit card required for the free consultation with Brett.
Pricing · Six Plans · No Hidden Costs
Same clinician. Same clinical care. Pick the cadence that fits your life. Membership is separate from medication — and your prescription may be covered up to 100% by your workplace insurance.
Same clinician · Every plan
Tier1 Optimal, Pro, Flex, or the Couples Plan — every patient at Tier1 Optimal sees Crystal Troup, NP. 15+ years of clinical experience, comprehensive bloodwork review, and the same clinician at every follow-up. The plan changes the cadence and perks — never the clinician.
What Your Membership Includes
Structured, fast, and built around you. Your membership covers the complete concierge experience:
Your first month is collected at booking. It covers your onboarding consultation with Brett, your initial clinical assessment with Crystal, and your first month of membership.
Membership fees are separate from medication costs. Many prescription medications, including testosterone and hormone replacement therapy, may be covered up to 100% by your workplace insurance provider.
All prices subject to applicable taxes (HST).
Individual Plans
Month-to-month. No commitment. Same clinical care as Optimal.
Reduced rate for members committed to the 12-month journey.
Annual commitment. Best value.
Claim Your SpotMonthly consultations. Closer oversight. Priority scheduling.
Save More Together
One upfront payment · 12 months
BETTER TOGETHER — and way better than couples therapy.
Couples Optimal
Quarterly with Crystal
Couples Optimal
Quarterly with Crystal
Couples Flex
Month-to-month
Couples Pro
Monthly with Crystal
Saving families, marriages, and relationships every day.
Enroll as a CoupleOne upfront payment · 12 months
Auto-renews with 30 days' notice. Tier1 Flex is month-to-month only — no annual option, by design.
The Value Recap
Premium clinical care. Pharmaceutical-grade medication. Personalized protocols. A clinician who actually knows you. 24/7 AI concierge support. Insurance guidance. Real results.
All of this. From $3.77/day on Tier1 Optimal Annual.
Your time matters. So does Crystal's. We ask members to provide 24 hours' notice for cancellations or rescheduling. Missed appointments and last-minute cancellations are subject to a fee covering the reserved clinical time. Full details in our Cancellation Policy.
What You're Actually Getting
Managing on Your Own
No dedicated clinician. You're on your own.
Tier1 Optimal
Crystal Troup, NP — same clinician, every visit. 15+ years.
Managing on Your Own
Most people skip it or get basic panels.
Tier1 Optimal
Comprehensive bloodwork panel every quarter. Crystal reviews every result.
Managing on Your Own
Unknown sources. Unknown purity. Unknown dosing.
Tier1 Optimal
Pharmaceutical-grade, pharmacy-dispensed, clinician-dosed.
Managing on Your Own
None. No one is tracking your health.
Tier1 Optimal
Structured 90-day cycles. Crystal monitors, adjusts, and follows up.
Managing on Your Own
Questionable online orders.
Tier1 Optimal
Mailed discreetly to your door. Including controlled substances.
Managing on Your Own
You probably don't even know it's covered.
Tier1 Optimal
We help you find out. Often covered up to 100% by workplace insurance.
Managing on Your Own
$200–400+ for medication alone, no oversight.
Tier1 Optimal
From $125/mo for the complete clinical experience.
Managing on Your Own
Tier1 Optimal
Clinician
No dedicated clinician. You're on your own.
Crystal Troup, NP — same clinician, every visit. 15+ years.
Bloodwork
Most people skip it or get basic panels.
Comprehensive bloodwork panel every quarter. Crystal reviews every result.
Medication Quality
Unknown sources. Unknown purity. Unknown dosing.
Pharmaceutical-grade, pharmacy-dispensed, clinician-dosed.
Monitoring
None. No one is tracking your health.
Structured 90-day cycles. Crystal monitors, adjusts, and follows up.
Delivery
Questionable online orders.
Mailed discreetly to your door. Including controlled substances.
Insurance
You probably don't even know it's covered.
We help you find out. Often covered up to 100% by workplace insurance.
Monthly Cost
$200–400+ for medication alone, no oversight.
From $125/mo for the complete clinical experience.
The whole protocol
Q1
Q2
Q3
Q4
Comprehensive panel including but not limited to: hormones, metabolic, thyroid, liver, kidney, CBC, and PSA where indicated. Crystal reviews every result.
Always available
Questions about pricing, scheduling, or insurance? Call or text any time — I'll connect you with Brett or Crystal as needed.
Radical Honesty
Tier1 Optimal is not for everyone — and we are fine with that.
This is NOT for you if:
This IS for you if:
If that sounds like you, this is a no-brainer. Choose your plan and let Crystal build your protocol.
Customer Experience
We know what it's like to deal with healthcare providers who don't call back, clinics that make you wait months, and customer service that feels like an afterthought. That's exactly why we built Tier1 Optimal differently. From the moment you reach out, every interaction is designed to be fast, personal, and genuinely helpful. Brett answers the phone. Crystal knows your name. Your medication shows up on time. Questions get answered the same day. This is what healthcare should feel like.
Common questions
Same excellent clinical care across all three. Tier1 Flex ($199/month) is month-to-month with quarterly consultations and bloodwork — maximum flexibility. Tier1 Optimal ($125/month) is our most popular plan at a reduced rate with quarterly consultations and bloodwork — best value if you're committed to the journey. Tier1 Pro ($299/month) offers monthly consultations and bloodwork for faster protocol adjustments and priority scheduling — ideal if you want maximum optimization.
Tier1 Optimal is reduced because it carries an annual commitment. The lower rate is our thank-you for choosing the 12-month journey — Flex stays month-to-month with full flexibility.
Same plan, two ways to pay. Monthly is billed $125 each month. Annual upfront ($1,375 + HST) saves you a month — you pay for 11 and get month 12 free.
Two adults in the same household enrolled together at a reduced rate per person: Couples Optimal $119/mo each, Couples Flex $159/mo each, Couples Pro $239/mo each. Each person gets the full clinical experience.
Ideally yes, but if your partner enrolls within 30 days of you, we'll apply the couples rate retroactively. Talk to Brett to coordinate.
The Couples Plan applies to any two adults in the same household — married, common-law, or partnered.
Sharing the same residential address. We may ask for confirmation at enrollment.
Yes. One of you can be on Couples Optimal and the other on Couples Pro, for example. Brett will set it up so each plan reflects the correct tier.
Consultations with Crystal, bloodwork ordering and review, personalized protocols, insurance guidance, 24/7 AI concierge access (Ava), scheduling coordination, and pharmacy follow-through.
No. Medication is billed separately by the pharmacy. Many prescriptions — including testosterone and HRT — may be covered up to 100% by workplace insurance.
Crystal orders and reviews comprehensive bloodwork as part of your membership. Lab draw fees, where applicable, are billed separately by the lab.
No. Your first month is your first month of membership. It covers your onboarding with Brett, your clinical assessment with Crystal, and 30 days of ongoing concierge support — no separate consultation fees on top.
Brett handles the non-clinical side — plan selection, intake forms, scheduling, and what to expect. Crystal handles the clinical side — medical history, goals, symptoms, bloodwork orders, and protocol design.
We coordinate everything — scheduling, lab requisitions, pharmacy follow-through, refills, appointment reminders, insurance navigation. You aren't chasing anything on your own.
Yes. Reach out through Ava or Brett and we'll route clinical questions to Crystal directly.
No. All listed prices are pre-tax. HST is added at checkout as applicable.
Securely on file at booking. Monthly plans auto-bill on the same date each month. Annual plans are a single upfront charge.
Many of our members reimburse through Health Spending Accounts (HSAs) or workplace wellness benefits. We provide itemized receipts to make it straightforward.
It confirms your enrollment and reserves Crystal's clinical time for your initial assessment. Your membership starts the day you book — no sign-up fee on top.
No. Membership is your listed plan rate plus HST. Medication is billed separately by the pharmacy. The only additional cost would be late-cancellation or missed-appointment fees per our Cancellation Policy.
Ava will reach out so you can update payment without disruption. Your appointments and protocol continue as scheduled while we sort it out.
Yes. You can switch at any monthly billing cycle. Just message Ava or Brett.
Yes. You can convert to annual at any time and we'll prorate the remainder.
Your rate is locked for the duration of your active plan. We provide 30 days' notice ahead of any renewal that would carry a different rate.
Ava answers first — 24/7 — and routes clinical questions to Crystal and operational questions to Brett.
Ready when you are
Whether you choose Tier1 Optimal, Pro, Flex, or the Couples Plan — Crystal Troup, NP is your dedicated clinician across all options.
Book Your Free Consultation
Pick a slot that works for you. No credit card required for the free consultation with Brett.
