The 12th Invest in ME Research Conference June, 2017, Part 2
MEMum presents the second article in a series of three about the recent 12th Invest In ME International Conference (IIMEC12) in London.
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Hybrid concierge medical practice that takes Medicare

Discussion in 'ME/CFS Doctors' started by Mary, Nov 6, 2017.

  1. Mary

    Mary Senior Member

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    I just came across this today for the first time. I've heard of concierge practices where patients pay a monthly fee for premium service in addition to the charges for office visits, etc. though I never knew one could enroll if you were on Medicare (although I couldn't afford it anyways)

    However, today I discovered a practice that has 2 doctors: one has something called a "hybrid insurance subscription practice" where you pay $150 month subscription fee - it's a concierge practice, like the concierge practices, but the other doctor has something called a "hybrid insurance surcharge" practice. There is no monthly fee for this one, but you are charged something called a "holistic surcharge fee" - so for a doctor visit less than 20 minutes, you pay $75 + Medicare or insurance copays and for extended visits, the charge is $150 plus any copays.

    Ordinarily to see a doctor like this would cost around $500 + for the initial visit. It's an integrative/functional medicine practice, they're both D.O.s and do regular medical care as well as nutritional IVs and other things. I'm seriously considering making an appointment with the insurance surcharge doctor. I would like to get more testing done and have been unable to find a doctor who takes Medicare who knows anything about ME/CFS.

    I think it's a pretty creative solution. I rarely go see doctors - so I'm thinking I could handle just a few visits a year with this practice.
     
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  2. CJB

    CJB Senior Member

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    I was under the impression that they have to accept Medicare reimbursement as payment in full. I would jump on something like this.

    Good luck.
     
  3. Mary

    Mary Senior Member

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    I thought the same thing re Medicare, and most of these doctors don't take Medicare for that reason. So I was very surprised to find this., It could be they're skating around regulations by the use of the term "hybrid insurance surcharge", I don't really know. I probably will give it a try.
     

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