Case study · LifestyleRx
8.6x more completed onboardings, at the same cost per onboarding
How JetAds scaled a Canadian virtual health program from about $8K to $67K a month on Meta, with cost per completed onboarding no higher than when we started.
- Healthcare
- Virtual care
Meta Ads
Google Ads
- Client
- LifestyleRx
- Industry
- Virtual care for type 2 diabetes and metabolic health (Y Combinator S23)
- Location
- White Rock, BC, serving BC, Alberta and Ontario
- Channels
- Meta, Google
- Engagement
- September 2023 – present
- Website
- lifestylerx.io ↗
8.6x
Completed onboardings per quarter
Q4 2023 → Q3 2026 (1,018 → 8,730) · Meta
31,678
Completed onboardings from Meta in 2025
$7.74
Cost per onboarding at the best stretch
May–Jul 2025 · Meta
CAD $1.53M
Managed across Meta and Google
Sep 2023 – Oct 2026
The challenge
LifestyleRx offers insurance-covered virtual care.
A click isn't a result. A sign-up isn't either.
The goal is a completed onboarding into the program.
In the first full quarter (Q4 2023), Meta produced 1,018 completed onboardings at $24.33 each.
Google was spread across Search, Display and Video, with very different costs per result.
What we did
- 01
Optimized to the real outcome
Meta optimizes for completed onboardings, not cheaper sign-ups.
- 02
Province-by-province campaigns
Separate BC, Alberta and Ontario campaigns.
- 03
Message testing
Lifestyle-medicine, brand, partner-led and retargeting campaigns, with always-on creative tests.
- 04
Rebuilt Google
Search by province and theme, plus province-level branded campaigns to capture brand searches as Meta scaled.
- 05
Cut what didn't work
Display and Video were converting at $112 per onboarding on average versus $3.71 for branded search, so they were cut.
The results
Meta, by quarter
Quarterly completed onboardings from Meta grew 8.6x (Q4 2023: 1,018 → Q3 2026: 8,730) as monthly spend scaled about 8x, and cost per onboarding held flat ($24.33 → $23.11).
2024 → 2025: 4.3x more onboardings from Meta (7,451 → 31,678) at 37% lower cost each ($18.14 → $11.36).
Best stretch: 8,841 completed onboardings at $7.74 each (May–July 2025).
In 2026, as monthly Meta spend scaled to $48K–$80K, cost per onboarding rose to about $23 by Q3, back where the engagement started, at about 8.6x the volume.
On Google, monthly onboardings more than doubled (690 → 1,485) at 36% lower cost each (Nov 2023–Jan 2024 vs Jul–Sep 2026). Branded search drove most of it: 77% of Q3 2026 Google conversions.
“The team is great to work with, and have driven excellent improvements for us!”
PRE-STANDARD. Platform-reported by Meta and Google Ads, September 2023 – October 26, 2026, in CAD. "Completed onboarding" is LifestyleRx's tracked onboarding-completion event. Platforms attribute conversions independently. No health-outcome claims are made or implied.
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