drawpoker wrote: ↑
Miriam2 wrote: ↑
My doctor recently retired and his office mate is now concierge at $2,000 per year. I use my general physician once or twice a year, other doctor visits are specialists (dermatologist, etc). This means I will be paying either $1,000 or $2,000 per visit to my general physician
Seems like the only way this can work is if the patient is a high doctor-use patient (perhaps with a heart condition, diabetes, etc).
Don't know what your age group is Miriam2 (I am on Medicare) but what springs to mind - just because you now see your G.P. only once or twice a year - that could change in a heartbeat (no pun intended) So that $2,000 per year could easily be broken down divisible by four, six, eight, ten, twelve To look at it realistically, right? . . .
My age group is Medicare
and you - and other posters - have made a good point about this. Although I have only seen my GP once or twice a year, that will change - if I get older
- and will need more medical care.
drawpoker wrote: ↑
Don't know just what type of concierge model your G.P. went to (?) Maybe their's is diff from the MD-Vip business model.
With MD-Vip, the docs agree to limit their practice to no more than 600 patients. The sales hook being, of course, that by restricting the practice, the doc will be able to devote more time and attention to each patient. . . . Miriam2, that $2,000 per year you quoted. How is it paid? Directly to the doc, or to a 3rd party org like MDVip?
It does make a difference. At least with the MD-Vip affiliation agreement, patient pays the vendor directly, they take their cut ($500) and send the rest on to the doc.
-- My GP's concierge model is not MDVip or any other such medical vendor or company. It is "private concierge," I'm not sure what the model would be called. The payment goes directly to the doctor. The price for my new doctor is $2,000/yr and the other doctor charges $2,500/yr. (A friend has concierge with a different doctor at $2,250/yr individual or $3,500 for a couple). We live in South Florida.
-- This concierge practice is only for their Medicare patients. My millennial kids can use them as their doctor without going concierge. They accept most insurance plans, and if not, then it would be considered out-of-network for the insurance company; the doctor would file with the insurance company the same as always.
-- My concierge payment covers the "gap" between what Medicare pays the doctor and what the doctor charges. The doctor files with Medicare and with my secondary insurance (Blue Cross) and accepts what they pay them. The doctor does not bill me for the remainder of the charges - this is covered by the concierge retainer. Thus, the retainer is a "pre-payment" for those "gap" costs.
-- Labs & tests - I'm not clear on this, but my notes say the concierge fee covers labs, echo-grams, outside labs, etc, although unusual lab tests may be different.
-- Injections - covers all injections covered by Medicare, but not vaccines not covered by Medicare (such as the new Shingles vaccine). The doctor provides references for labs & clinics that would give these uncovered vaccines and their prices. As a practical matter, I have sometimes needed vaccines that my doctor did not stock, so I'm used to going to our Department of Health for these vaccines.
-- Hospitalization - if I'm hospitalized, the doctor would be listed as the physician of choice and would coordinate care (and/or emergency room care) with the hospital. One problem is that my doctor does not have privileges at all local hospitals, but this has always been a problem for us and many people we know.
On a personal finance note - I agree with previous posters that this concierge model with the yearly retainer can be seen as "insurance" to cover most otherwise-uncovered-expenses - and that "whether the value matches the cost is personal."