Grand Health

About Grand Health

What is Grand Health?

Grand Health is a longevity medicine practice at 1230 N Fall Creek Rd in Wilson, Wyoming. It opened in 2025. Tobin Dennis, MD, is the medical director, and Katy Kearns, FNP-BC, is a family nurse practitioner. Both are listed as prescribers.

Its four main services are longevity medicine, hormone optimization, performance testing, and DXA scans with bone health. Hormone therapy covers hormone replacement therapy with estrogen, progesterone and testosterone for men and women, plus testosterone replacement therapy. It serves Teton County, including Jackson, Teton Village, Alpine and Driggs. In its own words: "Treatment is only initiated after appropriate lab testing and medical evaluation."

What does it cost?

The hormone plan is $1500 for 6 months. It includes a 60-minute initial consultation with Katy Kearns, FNP-BC, lab testing as needed, and HRT prescribing when appropriate. It also includes 30-minute follow-ups at 3 and 6 months, with follow-up labs and secure portal access between visits. It does not say whether medication is included in that price.

Other prices are published. The Foundation Health Assessment is a one-time payment of $2,250. VO2 max and DEXA body composition are $200 each, and RMR is $100 on its own or $50 added to a VO2 max or DEXA scan. Lab testing with a consultation is $499. Performance packages are $2,500, $3,000 or $5,000 for 3 months. Memberships are $1,250, $3,750 or $6,250 a quarter, for the Essentials, Elite and Executive plans. A free consultation can be booked. It does not say whether it accepts insurance.

What should you ask before you book?

Ask whether Dr. Dennis or Katy Kearns will sign each prescription. The hormone plan says "HRT prescribing when appropriate," so ask what decides when it is appropriate.

Ask whether the $1500 covers the medication and, if not, what a month of it costs. It mentions a bioidentical hormone discussion but does not say whether the medication is brand-name or compounded, so ask which it is. Ask what lab work and follow-up beyond the plan will cost.

Ask whether visits can be done by video, since it does not say. It does not list hours, so ask for them. It also does not describe how to cancel a membership or whether it accepts insurance. Get both answers before you pay.

Who is it a good fit for?

This is a good fit if you live in or near Teton County, want hormone therapy with a nurse practitioner at the first visit and a physician as medical director, and are ready to get the medication cost, the cancellation terms and the visit format confirmed before you pay.

Sources: mygrandhealth.com, mygrandhealth.com/hormone-optimization, mygrandhealth.com/contact, mygrandhealth.com/pricing-guide, mygrandhealth.com/about

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