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Concierge Doctor

BBBG

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Doctors work for the insurance companies and not the patients. Has anyone gone with a "concierge" doctor that charges a monthly/annual fee but isn't covered under insurance. I was thinking of changing my health insurance to a higher deductible to just cover bigger ticket issues and then using the savings to pay for a truly private doctor that isn't bound by the insurance company billing codes. From what I understand, it's a much better level of practice. The doctor actually has time to visit with you and discuss your health, rather than treating you like a number.
 

AlexDavis43

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Doctors work for the insurance companies and not the patients. Has anyone gone with a "concierge" doctor that charges a monthly/annual fee but isn't covered under insurance. I was thinking of changing my health insurance to a higher deductible to just cover bigger ticket issues and then using the savings to pay for a truly private doctor that isn't bound by the insurance company billing codes. From what I understand, it's a much better level of practice. The doctor actually has time to visit with you and discuss your health, rather than treating you like a number.

I thought that was only in the movies but I guess if you have enough money... but licensed to prescribe medication in USA? Seems complicated.
 

BBBG

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I thought that was only in the movies but I guess if you have enough money... but licensed to prescribe medication in USA? Seems complicated.
It's not as expensive as you would think. They operate more the way doctors use to operate when we were kids... before Obamacare and before the health insurance companies fucked us all. Instead of billing coding everything, the practices charge a monthly fee (similar to a high end gym). They function the same way as your GP does but they actually take more time, discuss things, offer real solutions, as opposed to following the flowchart that insurance confines them to.
 

calist181

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I did a quick search for my area. From the FAQs says for that particular service group that came up, it's a charge of $10,000 a year. You get assigned a personal doctor that's available to you 24/7. You pay that doctor's fee but any procedures get taken care of by your insurance. If I had the money, I wonder if those fees are tax deductable like paying for insurance with pretax dollars.
 

BBBG

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I did a quick search for my area. From the FAQs says for that particular service group that came up, it's a charge of $10,000 a year. You get assigned a personal doctor that's available to you 24/7. You pay that doctor's fee but any procedures get taken care of by your insurance. If I had the money, I wonder if those fees are tax deductable like paying for insurance with pretax dollars.
Yes. From what I understand, you can pay with FSA/HSA. Rogan had a chick doctor on a couple months ago. They likened it to having automotive insurance for the BIG things but you pay the mechanic out of pocket for the little routine things.

$10,000 is a bit higher than what you’d spend on health insurance premiums though. I was hoping it’d be closer to being a wash.
 

calist181

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The price was definitely high. The first one that came up that I clicked on happened to be for one of the top hospitals in the country.

I can see this working. Obviously not at that price point since that's beyond my finances. I'm buy from UGLs for God's sake. But having a real personal family doctor that you can contact anytime and not having to worry about making an appointment, especially when there's times you call for an appointment and there's not 1 available for months. It seems like the way to go.
 

MachuFuku

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Doctors work for the insurance companies and not the patients. Has anyone gone with a "concierge" doctor that charges a monthly/annual fee but isn't covered under insurance. I was thinking of changing my health insurance to a higher deductible to just cover bigger ticket issues and then using the savings to pay for a truly private doctor that isn't bound by the insurance company billing codes. From what I understand, it's a much better level of practice. The doctor actually has time to visit with you and discuss your health, rather than treating you like a number.
I have several family members that have a concierge doctor but he accepts their insurance. But they pay a monthly premium for the concierge service. I believe it's about $170 a month. He will do home visits and telehealth as well. If I didn't have two kids, a wife with an Amazon addiction, a dog, fish, and a hamster to provide medical care for...I would be in. 🤣 But for now I'm stuck with PPO.
 

AlexDavis43

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170 a month is doable.

If I understood Mr Fuku correctly, it is $170 per month for the concierge service *in addition to* to monthly insurance costs.

Not *instead of* which is what I thought BBBG was talking about.

I have several family members that have a concierge doctor but he accepts their insurance. But they pay a monthly premium for the concierge service. I believe it's about $170 a month. He will do home visits and telehealth as well.
 

calist181

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If I understood Mr Fuku correctly, it is $170 per month for the concierge service *in addition to* to monthly insurance costs.

Not *instead of* which is what I thought BBBG was talking about.
I did a search in different states. Some sites include certain services like labs and X-rays while others don't. Some list their fees and some don't. Some sites are well explained and some others... well you have to call them. From what I gathered, different concierge firms offer different packages. It's not the same thing offered across the board. I guess it's like searching for sources. Look in your area and see which fits best for your needs. At the end of the day, you still need personal insurance. A concierge dr fee isn't going to cover an MRI, surgery or a visit to the emergency room.
 

Ryeguy

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I'm considering the same thing. I've had terrible experiences with doctors who literally do nothing other than follow the guidelines from insurance companies so you could see 10 different doctors and they're all going to give you the same exact treatment.

Another option is a Health Share Plan where you pay in a small amount each month and all it does is cover you if you have a catastrophic/high cost medical event. A big advantage to this kind of plan is that it's technically not insurance so you get cheaper prices from healthcare providers (a lot of people aren't aware of this but most healthcare providers charge a lot less for people who don't have insurance. Xrays, MRIs, other testing etc. The fact these places don't have flat consistent prices for their services is criminal though) I have a friend that swears by his health share plan but you can also read online from people who got denied coverage when the catastrophic event happened so it's hard to trust them, they're a lot less regulated than insurance companies and you have less recourse if they deny you. A lot of them also require you to be a practicing Christian, no smoking, no drinking which I guess is good because it means everyone on the plan is generally healthy, but I could see steroid use as an excuse for them to deny a claim.

I'm leaning towards just finding a health insurance plan that has good coverage for catastrophic events but do everything else out of pocket with doctors of my choosing.
 

thebsac

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Doctors work for the insurance companies and not the patients. Has anyone gone with a "concierge" doctor that charges a monthly/annual fee but isn't covered under insurance. I was thinking of changing my health insurance to a higher deductible to just cover bigger ticket issues and then using the savings to pay for a truly private doctor that isn't bound by the insurance company billing codes. From what I understand, it's a much better level of practice. The doctor actually has time to visit with you and discuss your health, rather than treating you like a number.
You're thinking of Direct Primary Care. DPC you pay a monthly/annual fee that covers routine medical care and services provided by your physician without any insurance involvement.

Concierge medicine you pay a yearly fee for what essentially amounts to more face time with your physician but insurance is still involved.
 

uslex888

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DPC sounds like what most of us actually want: less red tape, more real care.
 

BBBG

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Until you break a bone... "a broken arm in New York can cost up to $16,000 or more if surgery is required"

View attachment 6935
You pay the smaller premium for a healthcare plan with a higher deductible. Everyone goes for the “best” plan so that your stupid useless doctor visits “only” cost $20 to $40 copay. But that’s still a waste of money when they toss you antibiotics for the sniffles, or a SSRI script for anything mental health related. It’s worth paying slightly more to get a doctor that’s not confined to the insurance billing code flowchart.
 

lifter6973

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I'm not a fan of generalized statements like 'doctors work for the insurance companies and not the patients.'

If that is someone's experience or opinion, whatever, its just not true for everyone and I'm one that has experienced doctors that directly contradict that above statement.

It takes a while to find a good doctor for sure. Individuals should never settle for shit docs.

Concierge doc? No opinion on it. I don't have issues with my current doc that would force me to look for something else like that.

My doc/medical institution and my covered individuals docs/medical institutions always go to bat for us against insurance when they have to even if it takes a while if/when we are denied adequate coverage for a procedure/device/medication/therapy/etc... In the end, we don't settle, we get what we need and it gets covered.
 
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BBBG

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You're thinking of Direct Primary Care. DPC you pay a monthly/annual fee that covers routine medical care and services provided by your physician without any insurance involvement.

Concierge medicine you pay a yearly fee for what essentially amounts to more face time with your physician but insurance is still involved.
Thank you. This was very helpful and the reason I asked. I’ll look into DPCs.
 
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