{"id":227862,"date":"2024-06-04T01:15:43","date_gmt":"2024-06-04T01:15:43","guid":{"rendered":"https:\/\/michigandigitalnews.com\/index.php\/2024\/06\/04\/does-medicare-cover-concierge-medicine\/"},"modified":"2025-06-25T17:17:56","modified_gmt":"2025-06-25T17:17:56","slug":"does-medicare-cover-concierge-medicine","status":"publish","type":"post","link":"https:\/\/michigandigitalnews.com\/index.php\/2024\/06\/04\/does-medicare-cover-concierge-medicine\/","title":{"rendered":"Does Medicare cover concierge medicine?"},"content":{"rendered":"<p> [ad_1]<br \/>\n<br \/><img decoding=\"async\" src=\"https:\/\/fortune.com\/img-assets\/wp-content\/uploads\/2024\/06\/GettyImages-2096299689-e1717453016479.jpg?w=2048\" \/><\/p>\n<p>Many of us have experienced the frustration of trying to find a physician who\u2019s accepting new patients, waiting a long time to see a doctor, and rushed appointments. Enter concierge medicine.<\/p>\n<div>\n<p>\u201cConcierge medicine is when people pay an annual membership fee for a more personalized approach to their health care,\u201d says Bret Jorgensen, CEO of<a href=\"https:\/\/www.mdvip.com\/\" target=\"_blank\" aria-label=\"Go to https:\/\/www.mdvip.com\/\" rel=\"noopener\" class=\"sc-424e8006-0 lagCOr\"> MDVIP<\/a>, the largest network of concierge providers, with over 1,100 affiliated primary care physicians.<\/p>\n<p>Given the rise in chronic diseases and the rapid growth in the older adult population, there\u2019s an increased need for healthcare services. <a href=\"https:\/\/www.linkedin.com\/pulse\/concierge-medicine-market-poised-substantial-growth-expected-kawade-obayf\/\" target=\"_blank\" aria-label=\"Go to https:\/\/www.linkedin.com\/pulse\/concierge-medicine-market-poised-substantial-growth-expected-kawade-obayf\/\" rel=\"noopener\" class=\"sc-424e8006-0 lagCOr\">As a result, the global concierge medicine market is booming, with North America leading the way.<\/a><\/p>\n<p>While there is no national registry of physicians using a concierge model,<a href=\"https:\/\/ccphp.net\/blog\/want-a-deeper-relationship-with-your-doctor-why-more-patients-are-choosing-concierge-medicine\" target=\"_blank\" aria-label=\"Go to https:\/\/ccphp.net\/blog\/want-a-deeper-relationship-with-your-doctor-why-more-patients-are-choosing-concierge-medicine\" rel=\"noopener\" class=\"sc-424e8006-0 lagCOr\"> one industry publication<\/a> estimates there are between 12,000 and 13,000 physicians in the U.S. offering a subscription-based medical program.<\/p>\n<p>That\u2019s a drop in the bucket compared to the<a href=\"https:\/\/www.kff.org\/other\/state-indicator\/total-active-physicians\/?currentTimeframe=0&amp;sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\" target=\"_blank\" aria-label=\"Go to https:\/\/www.kff.org\/other\/state-indicator\/total-active-physicians\/?currentTimeframe=0&amp;sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D\" rel=\"noopener\" class=\"sc-424e8006-0 lagCOr\"> over 500,000 primary care physicians in the U.S.<\/a>, but the number of concierge physicians is growing at a rate of<a href=\"https:\/\/ccphp.net\/blog\/want-a-deeper-relationship-with-your-doctor-why-more-patients-are-choosing-concierge-medicine\" target=\"_blank\" aria-label=\"Go to https:\/\/ccphp.net\/blog\/want-a-deeper-relationship-with-your-doctor-why-more-patients-are-choosing-concierge-medicine\" rel=\"noopener\" class=\"sc-424e8006-0 lagCOr\"> 3% to 5% annually.<\/a><\/p>\n<h2 class=\"wp-block-heading\">Concierge medicine: <strong>A growing option for older patients<\/strong><\/h2>\n<p>\u201cMost of our members are aged 50 to 80, and are more focused on their health trajectory,\u201d says Jorgensen. \u201cThey want to get a more personalized relationship with their doctor and delay or avoid chronic illnesses, or manage them better.\u201d<\/p>\n<p>All of MDVIP\u2019s concierge physicians accept Medicare, and over half of its 400,000 members are on Medicare.\u00a0<\/p>\n<h2 class=\"wp-block-heading\"><strong>How much does a concierge membership cost?<\/strong><\/h2>\n<p>The<a href=\"https:\/\/www.partnermd.com\/blog\/concierge-medicine-costs-factors-considerations\" target=\"_blank\" aria-label=\"Go to https:\/\/www.partnermd.com\/blog\/concierge-medicine-costs-factors-considerations\" rel=\"noopener\" class=\"sc-424e8006-0 lagCOr\"> average cost of an annual concierge membership<\/a> ranges from $2,000 to $5,000 per year. This allows concierge doctors to<a href=\"https:\/\/www.amjmed.com\/article\/S0002-9343(17)30358-3\/pdf\" target=\"_blank\" aria-label=\"Go to https:\/\/www.amjmed.com\/article\/S0002-9343(17)30358-3\/pdf\" rel=\"noopener\" class=\"sc-424e8006-0 lagCOr\"> serve a smaller number of patients<\/a>, generally ranging from 400 to 600, compared with 2,000-3,000 in a traditional primary care practice.<\/p>\n<h2 class=\"wp-block-heading\">What <strong>services are included<\/strong> in a concierge membership?<\/h2>\n<p>According to Jorgensen, the membership fee typically covers:<\/p>\n<ul>\n<li>Same-day or next-day appointments (in person or virtually)<\/li>\n<li>Same-day answers to questions<\/li>\n<li>Longer visits,<a href=\"https:\/\/www.amjmed.com\/article\/S0002-9343(17)30358-3\/pdf\" target=\"_blank\" aria-label=\"Go to https:\/\/www.amjmed.com\/article\/S0002-9343(17)30358-3\/pdf\" rel=\"noopener\" class=\"sc-424e8006-0 lagCOr\"> sometimes 30 minutes or more<\/a><\/li>\n<li>Annual personalized wellness plans<\/li>\n<\/ul>\n<p>Some concierge medicine doctors also include these benefits as part of the membership fee:<\/p>\n<ul>\n<li>Direct access to your concierge physician, by email and phone<\/li>\n<li>Enhanced blood work<\/li>\n<li>The ability to visit other in-network concierge doctors while traveling<\/li>\n<li>Coverage of young adults in the household<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\"><strong>What Medicare covers<\/strong><\/h2>\n<p>Just like any medical provider, concierge doctors may or may not choose to accept insurance, including Medicare.<\/p>\n<p>\u201cIf a concierge doctor accepts Medicare, then the doctor must accept the Medicare-approvedcharge for all covered services to Medicare patients,\u201d \u00a0says Diane Omdahl, author of <em>Medicare for You<\/em> and cofounder of the Medicare advisory firm<a href=\"https:\/\/www.65-incorporated.com\/\" target=\"_blank\" aria-label=\"Go to https:\/\/www.65-incorporated.com\/\" rel=\"noopener\" class=\"sc-424e8006-0 lagCOr\"> 65 Incorporated<\/a>. Medicare deductibles and co-pays will also apply.<\/p>\n<p>Typical services covered under Medicare include blood tests associated with a diagnosis, MRIs and x-rays, and same-day surgery, says Omdahl.<\/p>\n<p>\u201cMembership fees charged by concierge doctors are not covered by either Medicare or <a href=\"https:\/\/fortune.com\/well\/2023\/08\/09\/pros-cons-of-medicare-advantage-plans\/\" target=\"_self\" aria-label=\"Go to https:\/\/fortune.com\/well\/2023\/08\/09\/pros-cons-of-medicare-advantage-plans\/\" data-type=\"link\" data-id=\"https:\/\/fortune.com\/well\/2023\/08\/09\/pros-cons-of-medicare-advantage-plans\/\" class=\"sc-424e8006-0 lagCOr\" rel=\"noopener\">Medicare Advantage<\/a>,\u201d says Omdahl.<\/p>\n<p>If the doctors have contracts with Medicare Advantage plans, services and payments are based on the plans\u2019 coverage criteria, deductibles, and co-pays, says Omdahl.<\/p>\n<\/div>\n<p>[ad_2]<br \/>\n<br \/><a href=\"https:\/\/fortune.com\/well\/article\/does-medicare-cover-concierge-medicine\/\">Source link <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>[ad_1] Many of us have experienced the frustration of trying to find a physician who\u2019s accepting new patients, waiting a long time to see a<\/p>\n","protected":false},"author":1,"featured_media":227863,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[149],"tags":[],"_links":{"self":[{"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/posts\/227862"}],"collection":[{"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/comments?post=227862"}],"version-history":[{"count":0,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/posts\/227862\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/media\/227863"}],"wp:attachment":[{"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/media?parent=227862"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/categories?post=227862"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/michigandigitalnews.com\/index.php\/wp-json\/wp\/v2\/tags?post=227862"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}