Anyone have Conceirge Medicine Coverage?

Witchy Woman · ‎03-15-2010

I know it is expensive, but just curious if anyone has it and how it has worked for them.

Thanks in andvance.

Still Raining · ‎03-30-2014

Please ask about your insurance being covered and billed. Would also be good to understand what your plan will not pay for. Some practices have restrictions.

Witchy Woman · ‎03-15-2010

@Still Raining

Thanks. I know this.

I'm still interested in anyone's experience with this type of coverage.

kaydee50 · ‎02-07-2011

Years ago the PCP that I was seeing opened her "concierge" office. She sent me a letter explaining the benefits and costs.

If I had serious, chronic healthcare concerns, e.g, diabetes, heart disease, etc. and needed to see a doctor quickly, I might consider it.

Otherwise, see no need for it.

Snowpuppy · ‎03-09-2010

My PCP is now semi retired and has a colleague practicing concierge medicine.

He posts monthly or annual costs, provides early am/after hours pm in person or telehealth visits.

Neither my PCP nor the concierge medicine doctor accepts insurance up front. You pay first, then you fight with your own insurance company and wait for reimbursement.

Witchy Woman · ‎03-15-2010

@Snowpuppy

I'm operating on the assumption that most insurance will NOT pay anything towards such coverage.

Like so many things, this seems to be an area of you won't know until you try it...and it costs a lot to try.

I have Medicare and good health insurance, so I'm lucky I can afford those things without struggling. I know that is not the case for everyone.

Mz iMac · ‎07-26-2014

@Witchy Woman wrote:

I have Medicare and good health insurance, so I'm lucky I can afford those things without struggling. I know that is not the case for everyone.

@Witchy Woman Does that mean you read your policy & confirmed you are not covered for medical Conceirge services?

Mine does sort of. My insurance will pay for Conceirge "NURSING" services only. An RN is at my beck & call to make house calls if needed 24/7/365 days a year. He or She also does Zoom calls if you have any medical questions.

I am not sickly so not needed **at this time.**

"Never argue with a fool. Onlookers may not be able to tell the difference."

Witchy Woman · ‎03-15-2010

@Mz iMac

No, I have not fully reviewed my secondary coverage (a Federal employee health plan), to see if they have concierge nursing coverage. I'll have to check and/or call to ask.

Medicare is the primary coverage and my Federal plan is secondary. I'm assuming neither covers such speciality care, but I have not confirmed that in any way.

Carmie · ‎10-25-2010

I don't have it and I'm not interested in getting it.

I don't think it is bad for some people, but for many it is not a good choice.

If you only ever see one doctor for everything and see that doctor often, it might be fine, after you you are paying a great price for boutique health care.

If you see multiple doctors for different problems, a GYN, a Cardiologist,Ophthalmologist, an orthopedic doctor, a mental health provider, dermatologist, physical therapist, gastro doctor, ambulance company, etc. you would be wasting your money away.

Most people as they get older see a variety of different speciality doctors and prefer them to be in the same network. That way health care can be coordinated and all providers have access to all of your health records and tests results.

Mammograms and colonoscopies require a speciality doctor as well as radiologists who read x rays and dexa scans.

If you pay for concierge care upfront and very seldom use it, you would still be responsible for deductibles and coinsurances from your health care from your health care company for services preformed by others.

It is also a PIA to get paperwork for claims to file with your insurance company.

For me it would be a waste of money. It's way too expensive and wouldn't meet my needs.