What Is Concierge Medicine?

Concierge medicine is a healthcare model where patients pay a membership fee for enhanced access to their doctor. This typically includes longer appointments, direct physician communication, same-day or next-day visits, and a more personalized approach to care. Unlike traditional insurance-based practices, concierge medicine often limits patient enrollment to ensure more time and attention per patient.

How does concierge medicine work?

• Membership-based: Patients pay an annual or monthly fee, which may cover routine visits and preventive care.
• More physician access: Direct phone or email communication with the doctor is often included.
• Out-of-pocket costs: Insurance may still be required for hospitalizations, specialists, and additional procedures.

What are the concerns?

Concierge medicine provides convenience and personalized care, but it may not be the right fit for everyone:

• Additional costs: The membership fee is out-of-pocket and does not replace insurance.
• Limited insurance billing: Some concierge practices do not accept insurance, meaning patients must submit claims themselves.
• Availability: Not all specialists or hospitals participate in concierge medicine, so external referrals may still be required.

How Solace can help

While concierge medicine offers greater access to care, navigating insurance coverage alongside a concierge model can be complicated. A Solace advocate can help patients determine what services their insurance will cover, coordinate care with specialists, and ensure medical records are properly shared between providers.

What to do next

If you’re considering concierge medicine but want to understand how it fits with your current healthcare coverage, find an advocate today.