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CONCIERGE MEDICINE

FREQUENTLY ASKED QUESTIONS

Concierge medicine programs offer members convenience and a hassle-free patient experience. Through the concierge fees, concierge medicine programs are able to limit the number of members accepted into the program with attendant benefits that flow therefrom, such as prompt appointment scheduling, limited wait times, and 24/7 access to care delivered in a format convenient to members. Importantly, the concierge fee is not health insurance, and no part of the fee goes towards member payments for medical services, medications, or treatments. Members, individually or through insurance, remain responsible for paying for all medical services, medications, diagnostic testing, treatments, specialist care, hospitalizations, or other services.

In the vast majority of cases, insurance does not cover concierge membership fees. However, certain Health Savings Account (HSA) and Flexible Spending Account (FSA) plans may reimburse members for all or part of the concierge membership fee. Members should check with their human resources representative or HSA or FSA plan manager to find out.

Yes. Concierge medicine program members should retain their traditional health insurance to help pay for any medically necessary services, medications, or treatments. Concierge fees do not cover medical services, medications, or treatments, including services covered by insurance plans. Concierge medicine programs typically also bill to members’ health insurance plans, if applicable, for office visits. Members remain responsible for paying any deductible or co- payment, as dictated by their specific insurance plan, or, if members opt not to have health insurance, they remain responsible for the full cost of all medical services, medications, diagnostic testing, treatments, specialist care, hospitalizations, or other services.