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Add up to 7 years to your life with a healthier heart.

Lower your heart attack risk & add years to your life while getting treated like a VIP. No insurance required.

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Join hundreds of people who’ve achieved a healthy blood pressure, lower heart attack risk, and longer lives.

Frequently Asked Questions

What's included with the program?
  • Group chat with your own personal health coach, pharmacist, and doctor anytime you need
  • Video appointments with your care team to create and manage your personalized plan
  • Evidence-backed program designed by doctors and behavioral scientists to make it easy to reach your goals
  • A free connected blood pressure cuff and app that makes it easy to track your progress, along with a full welcome kit
What's NOT included?

Right now, medications and lab tests are not included due to variance in insurance coverage. These are typically $5-10 per month for medications, and $20-50 for lab tests (once or twice a year). They're affordable whether you have insurance or not.

Soon, we'll offer an option to get these bundled in your Riva membership for a single price. Your blood pressure cuff and welcome kit are delivered to your home for free, but right now medications are called into your preferred pharmacy, rather than mailed to your home.

What results can I expect?

Over 98% of people on the program reached their blood pressure goal, and the average person did so in under 3 weeks. That said, it could take you a little longer. Cholesterol tends to improve quickly on the right medications, though a lab test is required to measure these, so the timeframe to assess can vary. Everyone's health is different, so your care team will set the right expectations for you based on your unique health situation and history.

Most importantly, you should expect to have a great experience and feel like your care team is really there for you. If you're not happy with doctor, pharmacist, and coach or the results you're getting, ask for a refund and you'll get it. No questions asked.

What benefits can I expect from the program?

If you have high blood pressure or cholesterol, getting these to a healthy range can add several years to your life (up to 7 in previous studies). Maintaining a healthy heart can also reduce your risk of heart attack, heart failure, or stroke by 50% or more. The specific amount you'll benefit will vary based on your starting point, overall health situation, and other factors. Your doctor can help you understand what to expect while taking your personal situation into account.

Losing weight, improving your diet, and becoming more active will improve your blood pressure and heart health as well. Typically, ~2-2.5 lbs of weight lost will drop the top blood pressure number by 1.Improving your heart health can also make you feel more energetic, help you become more resilient to stress, and improve other health conditions (if you have them).

Do I need to have insurance?

Insurance is not required. The Riva program isn't covered by insurance, but could be covered by your HSA/FSA, depending on your health plan.If you do have insurance, this can make medications and lab tests a little cheaper, but sometimes paying out-of-pocket is actually less overall. Your coach or pharmacist can help you figure out how to get the most bang for your buck.

Who will be on my care team?

Your care team will typically involve:

  • A concierge cardiologist or cardiology-specialized nurse practitioner (similar to a doctor)
  • A pharmacist specialized in heart health, cholesterol, and weight loss medications
  • A health coach, who will have a background in nutrition, fitness, psychology, or similar expertise
How often can I expect to chat my care team?

You can send a message to your care team anytime, 24/7. Someone will generally respond within 24 hours during the work week.

You'll have a video call with each care team member early in your experience, typically two weeks of starting with Riva. During the program, you should expect a message almost every day from your coach. You can work out a schedule with your care team, but calls with your coach every 1 or 2 weeks is normal while you're working on your goal. After hitting your goal, you will have calls as often as you and your coach align on.

Calls with your concierge doctor, nurse practitioner, or pharmacist are usually only required for when you are starting a new medication (or making changes to your care plan).Messaging your care team is not appropriate for medical emergencies, and for that scenario, you should always call 911 immediately.

What if I don't reach my health goals or don't enjoy the experience?

The vast majority of people on the program reach their health goals and report having a great experience with their care team. That said, if you don't, we will refund you 100% of the cost of your Riva subscription. The costs of medications, lab tests, and things outside of Riva are unfortunately not refundable, since they go through other companies.

100% no-questions-asked refund if you're not happy with the program

Don’t put off something that could save or lengthen your life

Going from a high blood pressure to a healthier one can cut your risk of heart attack and stroke by 50% or more.