We believe exceptional healthcare starts with a genuine relationship.
Enhanced Internal Medicine utilizes annual and follow-up comprehensive diagnostic exams paired with year-round communication support to deliver a superior healthcare experience designed to optimize your health. This style of primary care is has been practiced for more than a century—long before insurance plans were created—and was designed to focus on people’s overall health and longevity. And it still works very well for those willing to invest in a care model exceeding what healthcare insurance plans can fund or deliver—highly personal and connected ongoing care detached from Insurance restrictions. Our focus is solely on protecting and elevating long-term wellness. Our patient fees are designed to be pre-tax and employer fundable (HSA/HRA/FSA/MSA funds) to broaden the availability of this style of care and to enable institutional adoption.
Elevated care starts with a conversation. Share your details below to connect with our team.
Prefer to contact us directly? Email us at info@enhancedinternalmed.com or call (248) 609-1440 to begin your journey and setup a complimentary 30-minute meet-and-greet appointment.
Beginning late September 2025, we will be offering complimentary meet-and-greet appointments. This acts as an opportunity to discuss expectations, explore our approach, and ensure the practice is the right fit for your needs. Enhanced Internal Medicine will officially open its doors in October 2025.
About Dr. Elizabeth Paluga
Elizabeth Paluga, MD is a board-certified Internal Medicine physician and the founder of Enhanced Internal Medicine, a membership-based medical practice built on personalized, relationship-driven primary care. A Michigan native, she graduated from the University of Notre Dame, attended medical school at Oakland University William Beaumont School of Medicine, and completed her residency training at the University of Michigan. Prior to founding Enhanced Internal Medicine, she worked on faculty at Northwestern Medicine in Chicago and Michigan Medicine in Ann Arbor.
Away from her practice, Dr. Paluga enjoys an active life with her husband, Dan, and their three daughters. Now, returning back to suburban Detroit, she is proud to serve the community where her medical career began — offering thoughtful, connected healthcare that reflects the kind of care she would want for her own family.
Enhanced Internal Medicine delivers personalized, membership-based primary care.