2015: Typical Services Offered Across The Country and In Most Concierge Clinics.

Typical Services Offered Across The Country and In Most Concierge Clinics.

By Staff Writers, Research Department, Concierge Medicine Today

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Learn more about Concierge Medicine, Myths, FAQs, Insurance, HSAs, Medicare and more … On Sale Now in our Bookstore

Last Updated: May 17, 2015 – Concierge Medicine patients skew upper middle class, with typical household earnings between $125,000 and $250,000 a year. They also tend to be Baby Boomers, generally in their 50s to 80s, according to doctors interviewed.

  • Annual fees at most Concierge practices vary from $101-$225 per month. Patients prefer to pay annually vs. monthly.
  • A greater breadth of primary care services covered by an annual retainer contract fee structure.

Many concierge doctors also bill insurance or Medicare for actual medical visits, as the monthly “access fee” is only for “non-covered” services. This results in two subscriptions paid by patients — the concierge medicine fee, and the insurance premium. Importantly, a few concierge practices do not bill insurance for medical visits, as the monthly fees cover both access and primary care visits.

 

 

cmt recommend 2015Direct Primary Care (DPC) is primary and preventative care, urgent care; chronic disease management and wellness support through a monthly care fee, which a patient (or an employer) pay to cover the specific primary care preventative care services.

When signed up and using a Direct Primary Care Doctor of Doctor’s Office which a monthly, quarterly or annual membership plan, most practices will provide all patients with:

  • Unlimited Access to your doctor or doctor’s office.
  • Many DPC doctors and offices can provide same or next-day care for urgent medical issues such as sprains, respiratory illnesses, cuts requiring stitches, urinary tract infections, fractures, and more.  If you are not sure whether your condition is something your particular DPC doctor/office can take care of, we recommend you call and they will help direct you to the best place to get it addressed.
  • Unhurried Appointments with doctors who focus completely on your health and well-being.
  • Your visits may include extended consultations and personalized coaching to create positive lifestyle changes such as weight loss, smoking cessation, and stress management.
  • LAB TESTS – Many DPC doctors/offices offer some basic onsite laboratory testing at no additional charge (such as pregnancy testing, strep throat testing, HIV screening, and others).  For other tests, your DPC doctor/office may send samples to their partner laboratories for processing or refer you to a local laboratory for testing, many times at a significantly reduced/discounted rate.  If you would like to use your insurance to pay for your tests, many DPC doctors will forward your information to the laboratory to be billed directly to your plan.  Check with your DPC doctor/office and ask if they provide this service. IMPORTANT: If you would like to take advantage of discounted cash pricing, many DPC doctors/office often pre-negotiate discounts of up to 75% off of regular pricing for specific tests. Ask your physician/office about this. All testing and any associated costs should be discussed with you prior to ordering and processing any tests.
  • Receive health care support in person, by phone, or by email.
  • In the case of serious illness requiring emergency or hospital care, your DPC doctor can typically communicate with the hospital, send over any relevant records, and coordinate your care during and after discharge.  If you have a serious emergency requiring immediate medical attention, call 911 and then either call your DPC doctors/office or have the hospital personnel call them to let them know so they can participate in your care while staying at the hospital.  Most DPC doctors/offices can coordinate hospital and emergency care remotely, working with other doctors and care providers over the phone and touching base with you and/or your family members.  Some DPC doctors maintain hospital privileges and provide direct, bedside care and coordination at the local hospitals in and around their local practice. Check with your physician as to which hospital he/she may admit you to in the future.
  • Should you need to see a specialist, your DPC provider may coordinate your referral, communicate with your specialist, and work with you to make decisions about and follow through with your care plan.
  • No co-payments, co-insurance, or deductibles (Note: There are many practice/delivery models used by physicians at these offices. Please check with your physician/doctor’s office and ask them about this.)
  • Help in monitoring and managing chronic conditions such as high blood pressure, diabetes, high cholesterol, asthma, arthritis, etc.
  • No long-term contracts when joining
  • No restrictions based on age or pre-existing conditions—everyone is welcome

researchOverall Benefits Also Include:

  • Focus on personalized, high-quality primary care
  • Convenient in clinic, phone and electronic access
  • Qualified doctors, nurses, and medical teams providing comprehensive primary care services

NOTE: Each patient should check with their physician to find out what services are included in their individual membership. These are only examples of some of the services typically offered. Your physician practice and membership may or may not include some or all of these types of services.

Some of the other most common services offered in the Membership Medicine marketplace include:

  • On call 24/7
  • House calls
  • No waiting
  • Unlimited appointments for your membership fee
  • “Executive physical exams” that include a full body scan, screening for 200 diseases, blood tests for rare conditions and time spent with a physician going over every aspect of your medical history. These comprehensive exams can cost well into the thousands through traditional channels.
  • Lab tests
  • X-rays
  • Coordination of care if you become ill while traveling
  • Well-baby checks
  • Acute care visits
  • Online access to medical records
  • Home delivery of medications
  • Hospital visits from the doctor
  • Transportation to appointments
  • Coordinated care with specialists during travel
  • Hotel reservations for family during a medical crisis
  • Wellness, fitness and lifestyle screenings
  • Weight management
  • Nutritional counseling

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