What is membership medicine?
Membership medicine is a revolutionary model of medical practice that puts the patient at the center of the healthcare experience. By retaining the services of a specific physician for a predefined fee, the patient generally has more time and access to their physician, because their physician has a smaller patient panel. This allows the physician to know the patient extremely well, and to deliver the highest levels of primary care and service, as well as focus on a more individualized health and wellness plan of action.
What can I expect if I become a member?
You can expect a higher level of attention and more focus on prevention than you have ever experienced before because our service and attentiveness to your needs is unparalleled. You will understand the difference from the moment you walk in the door.
Are there family discounts on the membership fee and what does it cover?
Yes, discounts are available for additional family members. Ask your patient liaison for details. Your retainer fee entitles you to become a member of the practice. It affords you the program services and many other benefits as a result of your physician maintaining a significantly smaller patient panel. Traditional health insurance will still provide for any medically necessary services for diagnosis or treatment. You will continue to pay deductibles and co-payments as outlined by your insurance.
Do I have to pay the annual fee all at once?
No. In addition to paying the membership fee annually, you have the option of paying semi-annually or quarterly.
What does my health insurance cover?
A personalized healthcare program works seamlessly with most insurance providers including Medicare. In many cases, you pay insurance as you normally would, and we even offer an office visit option for out-of-network patients, priced comparably to a standard insurance co-pay amount. You are responsible for all deductibles and co-payments required by your insurance company. Your physician’s patient liaison will be happy to discuss your specific health plan with you.
*Please seek the advice of your plan administrator to confirm if your plan covers concierge medical fees.
Does my insurance cover the annual fee?
Most insurers view the preventive care services encompassed by the annual fee as non-covered services and, therefore, do not reimburse the annual fee. Nonetheless, some insurers may cover a small portion of the annual fee. Insurance plans vary greatly, so check with your benefit’s administrator for specific details in regards to your plan.
Do I still pay co-pay?
Yes. Patients are responsible for all deductibles and co-payments required by their insurance company.
How do I become a member?
Signing up is easy. Simply call your physician directly and a team member will answer your questions and assist you with completing the membership form.
What are the benefits?
- An annual, regardless of medical condition or necessity, medical examination or physical checkup (“Private Checkup”).
- Enhanced health guidance and electronic communication connection with your physician regarding your health information or data
- Assistance with using that data more effectively toward your achieving health goals identified based on your annual private checkup.
- Increased availablity including, in some cases, doctor's cell phone number and email address.
- Same-day or next-day appointments. House calls are also available when necessary.
- Minimal time in the waiting room.
- Appointments routinely start on time.
- Patient healthcare support regarding diet, nutrition and fitness goals that may not be covered by your plan.
How will I contact the doctor?
Once you are a member, you will be provided with your membership card that will contain all relevant contact information for both normal and after hours.
What happens if I need the doctor after hours or I am away from home?
Simply refer to your membership card for the appropriate contact number.
When does my physician make a house call or workplace visit?
These types of visits will be handled on a case-by-case basis. Your physician will evaluate whether such a visit is essential to your health and well-being. These visits are rarely necessary given the availability of the doctor for patients at the office. But don’t worry, if it makes sense, your physician will make it happen.
Can I first meet with the physician before I sign up?
Absolutely! Please contact us to schedule an informational visit at your convenience. It is encouraged that you to come in for a tour of the office, to meet the physician and staff, and to review the service with our patient liaison. The patient liasion is in the office to help our patients with all of their non-clinical concerns.
What do I do when I need to see a specialist?
Your physician is a completely independent physician and is free to select the best specialist for your needs and consults with a full spectrum of specialists. He/she is happy to coordinate your appointment for you and will closely monitor your progress while under a specialist’s care.
For whom is this type of practice most appropriate?
Anyone who is serious about maintaining their current health position or who desire to improve their overall health. Individuals who maintain a hectic schedule and need appointments that starts on time. Individuals who travel and desire the peace of mind to know that their physician is always just a phone call away. There a many reasons why patients find value in joining their physician's membership practice.
How does this work with my corporate benefits plan?
Each plan is different, but there is the possibility, though nothing is guaranteed, of using a pre-tax account to pay for some or the entire fee. Employer Section 125 plans may cover the annual fee (check with your Plan Administrator). Other potentially compatible accounts include:
- Flexible Spending Accounts (FSAs)
- Medical Savings Accounts (MSAs)
- Health Reimbursement Accounts (HRAs)
- Health Savings Accounts (HSAs)