Health & Wellness Coach
Coach clients on healthy lifestyle, behavior change, and sustainable wellness habits
Overview
Health coaches charge $75-$250 per hour or $600-$3,000 for packages.
Coaching 15-30 clients generates $90,000-$450,000 annually with 80-90% margins.
In 2025, people managing chronic conditions, weight, or seeking healthier lifestyles hire coaches for accountability and behavior change support.
Services include creating sustainable healthy habits, nutrition and meal planning guidance (not meal plans - that's dietitian), exercise and movement accountability, stress management and sleep, supporting weight management goals, managing chronic condition behaviors, connecting mind-body-spirit wellness, and providing accountability and support.
Successful health coaches get certification (NBHWC-approved programs), understand behavior change science, work within scope (coaching not medical advice), help clients create personalized wellness plans, and partner with medical providers when appropriate.
Many specialize by focus (weight loss, chronic disease management, corporate wellness, menopause, autoimmune).
Note: health coaches do not diagnose, treat, or provide meal plans (dietitian scope).
Virtual coaching via Zoom standard.
Insurance sometimes reimburses.
Marketing through health and wellness content.
Required Skills
- Health & Wellness Knowledge
- Behavior Change
- Motivational Interviewing
- Accountability
- Holistic Thinking
- Empathy
Pros and Cons
Pros
- Growing wellness industry and health awareness
- Can specialize in many health niches
- Some insurance reimbursement for certified coaches
- Rewarding work improving health outcomes
- Can partner with medical practices
Cons
- Must stay within scope (not medical advice)
- Need approved certification for insurance reimbursement
- Clients may have unrealistic timeline expectations
- Liability considerations with health recommendations
- Competition from fitness trainers and nutritionists
How to Get Started
- Get NBHWC-approved health coaching certification
- Choose health coaching specialization
- Understand scope and boundaries of health coaching
- Create behavior change-focused coaching packages
- Build partnerships with healthcare providers
- Market through health and wellness content
- Get liability insurance for health coaching
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