Are you considering switching to a concierge doctor but wondering if they take insurance? The answer is not straightforward, as it depends on the type of concierge service you choose. Generally, concierge doctors don't accept insurance, but they may offer a membership fee that covers routine care. Typically, the membership fee covers primary care services such as annual physicals, preventive care, and other routine visits.
However, you'll still need health insurance for hospitalizations and referrals to specialists.
To save money, you may want to switch to a high-deductible health plan and use your health savings account (HSA) or flexible spending account (FSA). It's important to consider why you're thinking of switching to concierge medicine. Is it because you want to increase your salary or because you want to spend more time with your patients and reduce the overhead and paperwork of insurance companies? Without having to worry about coding and billing, you can hire fewer staff, which will increase your profits. Plus, you don't have to worry about dealing with insurance companies, which could also eliminate another salary you have to pay.
Concierge medicine also allows you to tailor your office specifically to the needs of your patients and the community. You won't have any restrictions when it comes to the types of services you can provide.
However, direct primary care is no substitute for health insurance, especially if you need to see a specialist or have a condition that requires treatment that your primary care doctor cannot provide. It's very likely that you won't get rich by switching to a concierge medicine office model, but if you care about improving the health of your patient population, concierge medicine might be the right option for you.
Look for companies that promote the concierge service as low-cost health insurance. Switching to concierge medicine will inevitably result in the loss of patients, as not all patients want to separate themselves from traditional medical care. In conclusion, concierge doctors don't usually accept insurance but may offer a membership fee that covers routine care. You'll still need health insurance for hospitalizations and referrals to specialists.
Consider why you're thinking of switching to concierge medicine and whether it's worth it for you. It's important to remember that direct primary care is no substitute for health insurance.