February 27, 2007, 11:41 am

The Emergiblog Review: MDVIP – Beyond Concierge Medicine

mdvipI have been asked to review the website MDVIP/Beyond Concierge Medical Care/Preventative VIP Medicine.

I have received compensation for this review from MDVIP. They do not, however, know the contents of this review. They are seeing it for the first time, just as you are now.

******************************

An MDVIP physician is one who has chosen to limit their practice to no more than 600 patients in order to provide personalized service to each individual (a normal practice may have up to 2000).

They offer 24/7 access, often via private phone numbers, hospital care, same day or next day appointments, unhurried visits and some will even do house calls.

The focus is on preventative medicine and health, which according the website results in fewer hospital admissions.

It seems not every doctor who applies can become an MDVIP, only the best are chosen. And, if you are a physician with the usual 2000 patient practice, you must decrease your number to no more than 600 and MDVIP helps you find care for your patients with other local doctors.

Basically, by helping doctors practice medicine the way they’ve always wanted, they enjoy their private practice and are able to have a life outside of medicine. Surprisingly, they get very few after-hours calls from their patients!

*****

Patients receive personalized care, including a comprehensive yearly physical,

  • a personalized wellness plan,
  • a mini-CD with all their medical information on it (including EKG) that is playable on any CD (except vertical),
  • a personalized MDVIP website,
  • Travel Advantage (if you get sick while traveling and you are near an MDVIP doctor, you get the same personalized care),
  • the Medical Centers of Excellence program (in other words, they are hooked up with major medical facilities across the country and will assist you in obtaining appointments – your own insurance kicks in here and if it doesn’t cover, the patient is responsible for the charges), and
  • assistance with any insurance or prescription questions

Since the focus is on preventative care and healthy behaviors, the patients are assumed to be motivated and interested in living a healthy lifestyle based on their personal wellness plan.

*****

Now, MDVIP is not insurance. It is also not a free service. Patients pay a membership fee of $1500 – $1800 dollars a year (average) for access to the advantages of an MDVIP doctor.

Patients still need insurance – the membership fee covers the preventative tests that most insurances will not cover in a physical and it also pays for the increased access and time the MDVIP doctor is able to give their patients. The MDVIP plans work with most insurances and with Medicare.

*****

The site is one big advertisement, which isn’t necessarily a negative. One section is for physicians, the other for patients and still yet another for business executives (Executive Health Plus).

But it was very hard to find out the cost – I had to drop all the way to the bottom of the site and click on the “Press Room” link, then click the “About MDVIP” link on the left sidebar, then click on the “Corporate Fact Sheet” and then scroll down to “Patient Services” for the cost.

I would suggest putting the cost right up front after all the explanation of benefits in the “Patient” section.

Patients want to know. They don’t want to (1) have to send in for information or (2) download the brochure which said all the same things and never mentioned the cost!

In my own personal opinion, the cost is not excessive so there is no reason to make it so hard to find. By doing so, the site came across as a sort of “baiting” sales pitch and that left an initial negative first impression on me.

MDVIP needs to put ALL their information right up front on the pages their potential patients will see and that includes the cost of membership.

*****

So, would I sign up?

Heck yeah!

Except that I am extremely pleased with the physician I see now (who happens to be within walking distance from one of the MDVIP doctors, a local MD with a wonderful reputation, by the way).

If my primary ever goes the MDVIP route, I’ll pay. If he retires or closes his practice, I’ll see if the local MDVIP wants to take on a very opinionated ER nurse/patient!

Just get that cost up front on the website! It will change the look of the site from one of a sales pitch to an informative look at an alternative to primary care. First impressions are important. Don’t bait the readers – inform the readers.

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43 Comments

  • #1 Dinosaur
    #1 Dinosaur

    February 27, 2007 at 5:03 pm

    If I ever do give up, this might be the way to go. Thanks for pointing it out.


  • Sherri
    Sherri

    February 28, 2007 at 7:13 am

    I liked how your disclaimer states that the paying company has not seen your review until you posted it. And of course that this is a paid review.

    I sub to a site that posts a lot of gardening topics. They posted about a product, without going into detail, thar probably took months to complete. No admission of paid review, but it set all my red flags sky high. I felt a little creeped afterwards, because it reaked of paid review, but didn’t admit it anywhere.

    But your way of reviewing is up front and refreshing 8^)

    I’m going to add my 2cents about MDVIP:

    I had difficulties reading MDVIP’s site because I’ve configured my browser’s SMALLEST TEXT SIZE to larger than average. The paragraphs overlap when I viewed the ABOUT page.

    MDVIP should rewrite their site so that increasing text size doesn’t render MDVIP’s site unreadable to visually impaired viewers!


  • Linda
    Linda

    March 2, 2007 at 7:36 am

    What about the medical ethics of disproportionate access to medical care for the poor? Just because you can pay an extra 1500-1800 a year for increased service is that right? If all the “best doctors” are accepted and choose to go this route for providing care there is going to be an increase in the doctor shortage that is expected.

    Can the doctors in the area who “absorb” the patients of the doctors who choose to be an MDVIP provider provide the same service level to all patients even if they are now taking care of 2200 patients on average?

    I am not opposed to paying for and getting an increased level of medical care – but in this country it seems like a bad conversation when we have SO many people without any medical care. Is this just one more advantage of class?

    What do you think?


  • Rob
    Rob

    March 3, 2007 at 8:28 pm

    Ethical? Yes. It is their right to do this type of care as long as people will pay them.

    The problem with this is that if this type of practice catches on, it will destroy the medical system, creating a two-tiered system where people with perfectly good insurance will not be able to find physicians (someone from NYC posted on my blog that they had this very problem).

    The fact is, medical technology would allow physicians to do a lot of these types of services for most patients. This is part of the rationale of getting docs on computers and reporting their quality.

    The concept of having only this number of patients and charging a lot sounds attractive, but it is not a legacy I would want to leave.

    The key would be that the system needs to start paying for good care and prevention. The system presently penalizes docs for spending time on prevention and taking better care. It is this system that makes it necessary for people to have to shell out huge amounts of money for something they should take for granted.

    Rob


  • ConciergeDoc
    ConciergeDoc

    March 21, 2007 at 10:50 pm

    As a physician, I have the right to decide who I will treat. If I can treat highly motivated patients who wants someone to optimize their health as they get older, than I consider myself a very lucky physician. This, ultimately, is what we want all our patients to become.

    To specifically address one arguement, “Just because you can pay an extra 1500-1800 a year for increased service is that right?” The answer is absolutely yes in my mind. I understand her concerns about healthcare for all citizens. However, the goal should be to focus on raising the basic level of care for all citizens WITHOUT taking away that priviledge for those that can afford it.

    Would I use one for my parents? Absolutely. My parent’s PCP is ok for now, but his 30 patients a day ritual will not work for my patients who want to be educated about their chronic conditions, as well as how they can prevent futhur complications. Just as many seniors are taking financial planning more seriously now, many want to use those finaces to help their health planing.

    While I don’t propose this as a solution to raise all boats, if people take a close look at Dr. Vic Wood’s pilot medicAID project in West Virginia, we can all learn something with an open mind.

    http://www.myconciergedoc.com


  • Scott Bodenheimer
    Scott Bodenheimer

    August 4, 2007 at 9:21 am

    It’s ironic that there’s this specialized premium program that emphasizes preventative medicine, when preventative medicine should be the bedrock of any universal healthcare program.

    Every American citizen should have that MDVIP thorough physical exam at least every two years.

    Physicians have swum right along with the Health Insurance and Pharmaceutical companies all these years, and basically now since they’re getting the short end of the stick some of them want to carve out the profitable, unharried, and unhurried practice they wish they had. That’s understandable.

    But the battle for universal health care is going to come. And doctors and nurses and health technicians need to be on the right side of that battle – for the patients and for preventative health care, and not on the side of the Pharmaceutical Industry which loves nothing better than a chronically ill patient that needs scores of pills every day. And as far as the Health Insurance Industry, Physicians should be wholly ashamed that they ever colloborated with these rapacious thieves. Take away the costs drained by the Health Insurance Industry, and suddenly our spending on health care is commensurate with other industrialized nations, countries whose citizens have much higher life expectancies.


  • Kevinh76
    Kevinh76

    November 10, 2007 at 1:14 pm

    Ethical for doctors to charge for their services? I have yet to see my dentist, my lawyer or my vet blush when I am writing out a check for many hundreds of dollars. Rob, if you are not able to find a physician who accepts your perfectly good insurance, perhaps your insurance isn’t as perfectly good as you think it is. What about plastic surgeons? Do you think they give away their services for free? People are just going to have to get used to this. Doctors won’t be working for insurance companies or the government for too much longer.


  • ModernMed
    ModernMed

    December 19, 2007 at 1:17 pm

    After exhibiting at the recent SIMPD (Society for Innovative Medical Practice Design) conference in Washington D.C. we have found that many physicians are frustrated with current state of primary care. As of Jan. 1st Medicare will be cut another 10%. Where does this leave physicians that are already on roller skates with their patients? What will happen to these physicians when they cannot afford their overhead? Or worse, have the quality of their care hinder their exhaustion from seeing 40-55 patients a day.

    With not many positive options for PCP’s we are proud to be an educator and facilitator for the movement of “retainer” or “concierge” practice models.

    ModernMed is a forward-thinking health care service firm designed to create a better primary health care experience for patients, physicians, and businesses.

    Unlike the competition’s models, we offer two extremely flexible practice solutions for the physician. While working with the physician to design the new practice ModernMed can assist in pre-conversion, during conversion, and post-conversion processes. We also encourage our physicians to offer a percentage of their panel to scholar patients who might not have the resources to join the new practice.

    Please visit our website for more information: http://www.ModernMed.com


  • ReTodd
    ReTodd

    January 31, 2008 at 4:02 pm

    Sorry, but I will not be paying my doctor another $1500 a year to give me a physical. My doctor has lost all respect from me, and his other patients. I generally only see my doctor 1 to 2 times a year, so tell me how is this worth the extra $$$.


  • Jan
    Jan

    February 13, 2008 at 2:16 pm

    This January, my doctor announced he’s joining MDVIP. My decision of whether or not to stick with him was made easy by the fact that I trust the guy. I believe my doctor to be a gifted practitioner and caring human being. Everyone has to make their own evaluation but, for me, a doctor is something worth spending money on. The fee comes to $125 a month. Frankly, less than what I spend on my phone bill. I’ll make whatever cuts or adjustments I have to to make this work for as long as it makes sense to me. I’m in my late fifties and, knock on wood, very healthy. Let’s hope that lasts!


  • Carole Calvert-Baxter
    Carole Calvert-Baxter

    March 17, 2008 at 7:11 am

    Is there a directory that lists concierge physicians around the country?


  • Margie Parsons
    Margie Parsons

    April 24, 2008 at 6:50 pm

    This is a question more than a comment…My husband and I have Medicare and TriCare for Life. We do not pay for anything, whatever Medicare does not cover, TriCare pay the remainder. Why should we pay $1500-$1800 a piece, a year, when we now do not pay anything?
    I love my Dr. and have been going to him for 30 years, but we live on fixed income so this will be a hard sell for us.


  • kevinh76
    kevinh76

    April 24, 2008 at 7:28 pm

    Marjorie,

    MDVIP is not for everyone. That is by design. Your doctor will have to decrease his patient panel from 2000 or more to just 600. You obviously value free medical care over the enhanced services and access provided by MDVIP. Depending on where you live, you may have a hard time finding a new primary care physician that accepts Medicare since Medicare is cutting payments by 10% on July 1st.


  • brain21
    brain21

    April 29, 2008 at 9:09 pm

    My Dr. is becoming an MDVIP Dr. The way I look at it is like the school system.

    Why pay for private school when you can get a public school education for free? Well, in a private school you get much greater individualized attention that public school simply cannot give. Rather than a student trying in vain to keep up with pace, or being bored because the curriculum moves too slowly, a private school will cater to each individual students’ needs. And it costs money to go to private school above and beyond the portion of your taxes that go into the public school system regardless.

    It’s the same thing here.

    That being said, sometimes the public school is simply the best bet. There are times when students at certain public schools run into that “special” teacher that really affects them and what they do for the rest of their lives. That is the exception rather than the norm. It’s the other way around in private schools. So for some staying in public school is the best thing. For others it’s not. It’s an individual choice.

    And the tuition for private schools carry essentially the same “ethical concerns” as Linda was asking about. Linda (or anyone else of the same mindset), do you think it’s unethical for those with the extra money to be able to go private schools? THink about it like that and you might have a different answer or perspective!

    Also, this really is like having your own “private” doctor. I don’t mind long waits at Dr.s office, and I generally haven’t had a problem in getting appointments in a timely manner, so that is not an issue for me. However someone that takes the time to not just examine what is going on with you at the moment, but rather to look at the whole picture and history to better put your ailment in perspective, to me can potentially provide far better service than the rest, and in certain cases this can very well lead to a prolonged life!

    $1500 per person is a lot of money to me. My tax stimulus check will likely pay for the first 6 months, and I’ll use my FSA/HSA account next year to cover the rest. Even still, it seems worth it to me. It’s about the same amount of $$$ I spend on my cell phone or my cable+internet per year. My docter has a much better chance at helping my health than cable tv! :-) Knowing that he or she is available almost 24/7 is a tremendous piece of mind too, IMHO


  • Sevoflurane
    Sevoflurane

    June 18, 2008 at 2:35 pm

    I was recently abandoned by my physician of 15 years because the group he is with decided to switch over to this form of elitist healthcare. In this case, the greedy third party outsider that brought this all about is MDVIP. If I wanted to continue on with my physician, I would have to sign a contract and pay MDVIP $1,500.00 per year simply to have access to my doctor. My primary insurance company would still be forced to pay for all office visits, lab tests and any in-house procedures. In retrospect, I never needed a third party outsider to get quality care from my physician and I’m not about to line the pockets of some greed driven outsider who has absolutely no interest in my well being. This concept is very unethical and patients are the real losers under this particular business model. Medicare and all insurance companies should refuse reimbursing physicians who adopt this approach to patient care.


  • kevinh76
    kevinh76

    June 18, 2008 at 10:27 pm

    Sevoflurane,

    You are already lining the pockets of a greedy third party that has no regard for your wellbeing- it’s your insurance company. And don’t misrepresent the product. You are getting a comprehensive physical exam with all lab tests paid for the $1500 annual fee. Not just access. You were obviously not abandoned since you received ample notice and help finding a new primary care physician. You are too used to medical care being “free”. Now, most primary care types are having a hard time paying their bills in a time of declining payments from the greedy third parties and government. Hey, this is not for you. Don’t get so worked up about it just move on.


  • Leslie
    Leslie

    August 12, 2008 at 1:22 pm

    How do the doctors choose which patients to keep. Do the healthiest 600 get first choice? The ones that don’t call very often, only need to see the doc when they’ve got the flu or the once-a-year physical. How about patients like me, over 65, good insurance but has had quad bypass over 10 years ago, 3 stents, numerous angiograms, 4 angioplasties, high blood pressure, high cholesterol with allergies to ALL cholesterol meds, diabetic taking 5 shots of varying insulins every day, just to list the most important issues.

    Bet patients like me are just told the doc has lost his scruples and you must change docs?

    Won’t most insurance companies pay for these tests if done when symptoms suggest them?

    I think this whole trend just shows even more clearly that health care in the U.S. is going to H— in the proverbial handbasket. Just another case of those with get everything, while those with only some or without get screwed over.


  • Jack
    Jack

    November 4, 2008 at 7:35 am

    This business concept is starting to mirror what has already occurred in Europe and Australia. They have socialized medical service, yet people can pay for private one on one service.

    Overall, this could lead to better health care for everyone, in my humble opinion. Currently, a GP, Internist, Pediatrician, etc. need to see between 25 to 35 patients per day per doctor just to break even. This translates to seeing a doctor for just 11 minutes per visit. That is ridiculous! How can a patient participate in a preventative and wellness program?

    Insurance companies have been financially raping the doctors by sending them a notice indicating rates they are will pay but providing a period for discussion before actually implementing. Then the insurance companies disappear and implement their new rates without any discussion. Then add the insurance companies have high-school educated people acting as the gate keepers for deciding what treatments will be covered, we now have a health system that does not work.

    If this type of service actually helps the doctor get better admin support staff (which presently suck), move health care to the electronic medical record (which currently does not exist), reduce preventable medical errors (which are currently so high as to be a national embarrassment), and facilitate more patient doctor time, then I am for this type of service.


  • John Barrere
    John Barrere

    November 11, 2008 at 9:00 am

    What happens if you sign up with MDVIP & pay and then your doc becomes seriously ill, disabled, or dies?


  • Rogers
    Rogers

    December 8, 2008 at 12:36 pm

    On my retirement monies I can barely put food on my table. Where do I go to get the 3000 dollars I need to satisfy my doctor. I drive a 1985 auto and he comes to work in a new BMW. Never did care much about me just the monies. Are most doctors that blessed or unconcern and sold out to MDVIP. Good math 600X1500 = $900,000 plus what Med Care pays plus tax right off. Good income ???? Gives the Doc a enjoyable three day weekend ???


  • c. young
    c. young

    January 10, 2009 at 3:55 pm

    This week I received a letter addressed to my mother who died on April 18 in Winter Park Hospital. A physician who saw her ONCE several days before she died sent her a letter inviting her to an informational seminar about MDVIP hoping she would become one of his patients while extolling the “tremendous professional satisfaction” he derived from caring for her.

    Perhaps if the good doctor had taken the time to look beyond her insurance coverage he might have noticed that she indeed had died. Unless this physician has the medical skills to bring the dead back to life, my mother has no need for the services of this “caring” physician.

    IMO, just more marketing hype. Why should we pay more for what doctors should already be doing? My animals get better care from my vet and for a lot less money.


  • James
    James

    March 5, 2009 at 12:03 am

    My wife and I are a healthy young couple in our 30s. Today we just got a letter from out PCP that he is going MDVIP. Personally, I find this a bunch of BS. Since we started using an HSA 4 years ago, we have been much more proactive about health. We don’t just run to the Dr every time we have a sniffle or a sneeze. 95% of all minor illnesses sort themselves out, but we in the US have gotten so used to popping antibiotics for any little thing, that we now have superbugs that are antibiotic resistant. So, now we rarely EVER see our PCP, except for my yearly physical, or if a illness drags on over 2 weeks. Between the 2 of us, we probably see our PCP 2-3 times a year (wife’s yearly exams are a different type of doc).

    Will I pay this rape money? No way. Is it worth it? No way. Maybe if you are a lifer of the don’t fix it till it’s broke (pill for every ill) medical system, then you need this. I for one believe that preventative care starts at home, and is a lifestyle. I will miss my great PCP, but will be finding a new Dr that I rarely ever see anyway.

    Then again, maybe I am too young to understand. I guess that puts me in the class of those who will get the crappy doctors. MDVIP = Elitist


  • Jenny
    Jenny

    April 18, 2009 at 9:49 am

    This is healthcare for the wealthy, plain and simple. Yes, it is nice, but so are country clubs. $1500/year is hardly affordable for someone earning less than $30K/year before taxes. I really feel for those patients on fixed incomes who would benefit most from extended services but who will be left out in the cold.

    Humanitarian, it ain’t!


  • AJMD
    AJMD

    April 20, 2009 at 6:38 am

    I find the comments about the rich evil doctors humorous. If they ARE already doing the kind of thorough care MDVIP promotes, on their own, they most certainly will NOT be ‘driving a BMW’ – to do that kind of care under the regular insurance system yields an annual income of about $30,000 – I know, because I’ve done it that way. The question becomes how many corners can you cut, how many well-reimbursed things can you pretend need done that don’t, and how many poorly-reimbursed things which need done can you skip? The ETHICAL physician will either do the right thing and make $30,000 – or will join MDVIP. I know that whiny patients who forced to, or stupid enough to, sign up for health care through their employer, in exchange for $5.00 an hour less in wages, plus some ‘token’ monthly ammount deducted from the paycheck, will think they’ve “already paid for” their health care, but in truth they haven’t; they’ve been ripped off by the REAL greedy player – the insurance company. Insurance companies SAY they pay for quality care, but then reimburse $2 a minute for office care where their own paperwork burden has driven the overhead to $3 a minute. The ETHICAL physician really doesn’t have the option to stick with status quo; cash based or MDVIP type care may be their only ethical option. FYI the average primary care patient only generates about $422 in charges per year at their doctor’s office, so they SHOULD just pay for it directly; involving insurance for that makes about as much sense as expecting your homeowners insurance to cover your electric bill.


  • Rhonda Vioux
    Rhonda Vioux

    May 5, 2009 at 10:39 am

    I am leaving my doctor, Robert Osborne of almost 20 years because of this. I won’t see a doctor who is so unethical that they will push their medicare and poorer patients away. This is why government will take over health care one day. Until this happened, I wouldn’t have wanted it but now, I’m all for it. I hope Dr. Osborne and company enjoy the extra $900,000 yearly income they will see from this. I know some execs at local banks who have recently gone belly up that can help him spend the bonus he’s getting by fleecing the poor.


  • Kristine
    Kristine

    September 12, 2009 at 5:20 am

    I am curious. My 17 year old son received a letter of invitation for MDVIP. He has seen our physician 2 or 3 times. My husband and I, both patients for over 21 years, did not receive a letter of invitation. What is up with that? Is my primary, who I have always loved and respected, choosing only healthy patients to invite? My 17 year old son certainly would not sign up for something like this and we could probably come up with the money if push came to shove, but why bother? I don’t spend that kind of money on my cell phone or cable tv, it that is part of their sales pitch.


  • JoAnn
    JoAnn

    February 16, 2010 at 7:16 pm

    My husband attended our doctor’s information session this evening regarding his “switch” to MDVIP. I am quite simply, horrified. I find it absolutely outrageous that I am being asked to pay $3000 per year for the services of a physician I see for a flu shot and a physical once a year (thank god!) I see this as medicine’s equivalent to professional football teams Personal Seat License…actually, it is probably worse, since a PSL need only be paid once. It is absolutely unethical for a medical professional to turn away hundreds of patients that he has “cared” for for years if they are unable to pay these exorbitant fees. Like another poster, I suddenly see the merit in Universal Healthcare and will be contacting my legislators regarding the legality of such programs. Where is it written that doctors are entitled to be rich?


  • grlampton
    grlampton

    February 26, 2010 at 1:48 pm

    I am still exploring MDVIP, but have the following comments:

    My own doctor of about 20 years, age 63, recently tried to start an MDVIP practice which would have dropped his patient load from ~2300 to ~400. However, not enough patients signed up for service, so now he’s relegated to going back to his old form of practice, which is too bad, since now I have to find a new doctor, who will be MDVIP, since I am totally sold on the concept.

    I think the people who believe MDVIP doctors are greedy and that MDVIP is not worth the money are wrong. Here’s why:

    In my view, you have to look at it from the doctor’s point of view.

    Most doctors are small business owners, who are fed up with the “privatized socialized medicine” model of procticing medicine through HMOs and insurance companies. They have way too many patients, are not able to spend the time they need to on each patient, need to spend countless hours filling out endless paperwork to the satisfaction of some nimrod with the insuirance company, and, as a result, in many cases, hate what they used to enjoy: practicing medicine.

    Personally, I would prefer a doctor who has the time to spend on me and my issues, who is not buried in paperwork and who enjoys what he does.

    MDVIP is an application of basic marketing principles: In any business, 80% of the owner’s profit comes from the 20% of his clients who are his best customers. 80% of his problems come from the bottom 20%. So, the good business owner wants to focus most of time and attention on the top 20% who are his or her best customers, appreciate his or her services, and are willing to PAY EXTRA for those services. The good business owner basically wants to “fire” the bottom 20%, while the remainder can stay or go as they please as long as they do not require too much attention or effort from him (in the MDVIP model, I hope that means they go, since that means more of the doctor’s time and attention is available for me and others like me who are in the top 20%).

    If that seems cold and heartless, so be it: it is reality.

    As a customer who wants good service, my GOAL is to find the best service provider I can and then strive to become one of his best, and most valued, clients, since that way I will get even better service from someone who is already an excellent service provider.

    Does that make me elitist? I hope not, since that is what every good consumer should be trying to do with respect to every product or service he or she genuinely values.

    I still have some questions about MDVIP, like how many office visits are covered by the $1800 (I live in the LA area), what happens if the doctor wants to do a test or procedure but the insurance provider won’t cover it, are all insurance providers accepted, etc. However, as a consumer of medical services who does not like the HMO/”Mill” business model foisted on us by the big insurance companies, if MDVIP can help me to find a good doctor and then become one of his best and most valued customers, then it will be well worth the cost.


  • HappyMDVIP Patient
    HappyMDVIP Patient

    April 23, 2010 at 3:56 pm

    I’ve been a memeber for over 2 years now. I don’t believe your medical insurance changes at all. I have a chronic illness, the requires monthly Dr. visit, and blood work. I still have to pay my $15.00, and any amount billed by the lab. Paying the $1500/$1800 is for having “all access” to your doctor, their offices. My doctor was great before he changed to MDVIP. Same day 30 min appointments, same day email follow up, often less that 2-4hours. He now has the time to sit with me, review options for long term care. I have received great refferal that are not MDVIP doctors. If you are a healthy person, and honesly only go to doctors 2-3 times a year, this program may not be for you. For those of us not “born” healty, this is a great service for needed care.
    What ever choice you make, it must make you happy going forward.


  • potential client
    potential client

    June 4, 2010 at 9:31 pm

    I called mdvip today to see if a certain doctor was taking new patients. The receptionist was nice but was unable to give me this information and everyone in their office else was busy. She wanted my name/number to call me back. I can get that kind of service anywhere for free. If they are promoting better service, this was a bad start.


  • karen lovett
    karen lovett

    July 19, 2010 at 2:05 pm

    Does anyone realize that this MDVIP is 100% owned by Proctor and Gamble? Don’t you think that speaks for itself!


  • rashid
    rashid

    July 29, 2010 at 11:04 am

    $1500 per year? How much do you spend on cable? Cell phone? Liquor? A few bucks per day isn’t bad, if your health is in need of it. A 21 year old, no, but the older you get, the more you need it.


  • Paramedic
    Paramedic

    August 4, 2010 at 7:00 pm

    I Just got the letter today that my Dr. of 25+ years is going MDVIP. My feelings on this is I have lost all respect for the man. He has violated his oath as a Dr. to his patients and as a Christian by turning his back on his patients that can not afford the $1500.00 a year. I will agree that he is swamped by the number of patients he has, but I do not think going MDVIP is the answer. Bring in a nurse practitioner to ease the patient load not completely turn your back on all those fixed income elderly.


  • Bettina
    Bettina

    August 8, 2010 at 5:53 pm

    My mother got a letter from her doctor, she has been a patient of his for 30+ years. Personally I see it as a blessing in disguise ad I’ve wanted to get her away from that quack for years, now he has given me the tool to use to separate them forever, LOL!!!

    Having said that, I would never pay this fee for a doctor to do what he is supposed to be doing anyway. Thank goodness all of my doctor’s already take time to do these things and I don’t have to pay each of them an extra $1500 to do it, sorry.


  • Bettina
    Bettina

    August 8, 2010 at 6:01 pm

    I just read some of the other comments and I’m amazed. I will leave one final comment. If you feel your doctor doesn’t have time to explain things to you, answer your questions, etc. etc. LEAVE. The practice of medicine is a competitive business just like any other. If I get a doctor not suited for my needs I find another that is, and I don’t pay and extra 1500 – 1800 for him / her. They are like buses, there is one around every corner, keep trying you will find one you like and meet your needs sooner or later.


  • Alana
    Alana

    August 14, 2010 at 4:56 pm

    My wife and I have been with our Doctor for 30 years. We are in his office together for about 15 min. except when wants to talk about an unrealited subject.We are both on set incomes. If we could afford $3000.00 for the doctor we would pay it on our car loan which we are trying to pay out of our income now. We will be part of those that will be dropped.


  • Carolyn
    Carolyn

    August 18, 2010 at 9:53 pm

    After having been a patient of a doctor who waited for me to “diagnose” myself and who would just treat the symptoms, I finally found a doctor who was great, made me feel cared for and his inquisitive mind to find the basis for any problem was so reassuring. He found major health problems which had been ignored by other doctors and he treated them accordingly. I really trusted him and was his patient for 8 years. Lo and Behold, he decides to go MDVIP at 1500 a year. He has 600 patients. MDVIP receives $500 of the $1500 per year fee and he pockets $1000 for as many patients as he has enrolled. So, if he has 600 patients, he earns $600,000 a year. Rather than lose him as a physician (I am in my 60′s), I enrolled in MDVIP even though it was hard for me to pay and I had to cut corners on other living expenses. My husband refused to go MDVIP.
    The first year was great. Special waiting room with a little refrigerator stocked with cheeses, water, fruit, yogurt. Also a basket of nutritious snack bars, etc. The care was great–same day appointments, access to your Dr.’s cell phone on weekends and after hours if you were sick. I was not that impressed with the physical except for the hearing test and eye exam. The physical consisted of what I feel that a physical should entail. The second year I was MDVIP, the same day appts became “within 24 hours” for an appointment. The refrigerator was less stocked and the magazines got older. The third year I was MDVIP, the snacks disappeared along with the water and magazines and the waiting room for MDVIP was moved to a smaller room. One was crammed in there with sick people and sometimes the wait was 20 minutes opposed to the 3 minute wait the first year I joined.The only difference from the outer waiting room was that you were in close quarters to “MDVIP patient germs instead of nonMDVIP germs.” Also, the hearing and eye tests disappeared off of the physical and the appointments became usually the next dayate afternoon.
    Then he lowered the boom–I had BCBS HMO insurance and BCBS will not pay for services rendered by an MDVIP physician, feeling that all care should be equal. So–my doctor explained that he had been billing through another non-MDVIP doctor in the practice so the other doctor was receiving the benefit of my insurance. Since my copay was 15, he wanted me to pay him a copay of 50 to cover costs in addition to the 1500 a year that I was paying. I am on a fixed income, am an older parent who just finished college educating 3 children and simply could not afford a 50 dollar copay in addition to the 1500 a year.I had not yet told him that I was not able to participate in MDVIP and was 3 days late making the quarterly $375 payment when my online medical records from MDVIP were cut off and I was dumped like a piece of garbage in a can. It is all about the money. Sure–I can understand that it is hard being a physician but a practice can be limited without having to be MDVIP. I have noticed that many doctors who choose MDVIP look older so are they padding their retirement nest shortly before officially retiring? I don’t begrudge the doctor earning more since the insurance companies seem to shortchange them on the fees. But going MDVIP seems like a banking business rather than a service professional health care. I too was in a service oriented profession ==teaching. I also felt I was shortchanged financially but since I LIKED what I was doing, it was worth it.
    Now that Obama’s health plan (dread) has passed, how will that affect concierge medicine? Instead, shouldn’t the insurance companies be regulated rather than having the average income citizen be thrown aside for the “haves” to get top health care?


  • Pina
    Pina

    August 26, 2010 at 8:45 am

    With all due respect, I can assure you the claim that “only the best doctors” are in this program is false. My doctor has joined MDVIP which has finally forced me to find another physician. I’ve been wanting to, but since I rarely even see the doctor, I realy just never got around to it. Anyway! My doctor, the one of which I speak, is lazy, greedy, and just doesn’t give the care he should. Is he “one of the best” that MDVIP says they only have in their network? I sure as hell hope not.

    So thank you, MDVIP, for forcing me to do something I should have years ago. I’ll be getting a new doctor ASAP.


  • Dr. B
    Dr. B

    September 4, 2010 at 9:50 pm

    As a Chiropractic Physician (we have PCP rights in ORegon) this is very questionable. Clearly, this is a directive meant to improve the life of physicians and reduce their work load. As a doctor, this sounds like the best case scenario. It is getting tough to cover overhead with the coming drop in reimbursements from medicare and private insurance. It will only get worse. We will see various ideas like this crop up as long as the fundamental problem exists. Healthcare professionals (all of them) should be salaried. We should all be given enough time to see patients. If you have to wait, you will. If it’s urgent, you may not. But fundamentally, its a limited resource and unless we are all willing to level the playing field and give doctors pay security, this will continue to be a profit driven culture.


  • Undecided
    Undecided

    September 25, 2010 at 4:53 pm

    Like others here, I have recieved a letter from My Dr. of 25+ years, inviting me to a meeting to discuss MDVIP. So I went and looked up the program, have been reading forums, blogs, and the like. The appearance of this program looks good on the surface, but when I start to look at what is involved, it truly bothers me. I have no idea what his current patient load is, I do know that his practice is about 45% medicare patients. I know he recently bought out his partner in the practice because he was retireing. I know my Dr. owns the building he is in and has just completed doing major renovations. This takes alot of money. He must not be doing to bad if he can afford to do all this. So I went to our county assessor’s website and look him up. He also owns a 5000sq ft house valued at $1.2mil. (this is all public record by the way) His house payment alone is more that I make a month.

    To me, this MDVIP program provides him a way to cut his patient load, but still make the same amount of money. I consider myself lucky. My wife and I are still in our jobs. All though I have not had a raise in 2 years. My wife’s has had a 3% pay cut. Both of our portions of our insurance through our employers has gone up as well. Also over the last 6 years we have spent close to $90K on in & out of state colleges for our 2 sons, and we are not done yet. All with out any loans. All on a combined annual income of $130K (gross)
    So don’t let you Dr. complain and whine that he’s going broke because medicare payments have been cut again. Tell him to suck it up and take like the rest of the middle class the got him to where he is, and be thankful he has any patients at all. He’s not the only one having to make sacrifices for what good for the family. And start living within you means.


  • Alina
    Alina

    September 25, 2010 at 8:58 pm

    My doctor spends hours and hours with each of his patients, even Medicaid patients, and drives a nice car and takes 3 weeks vacation per year!! I have a very close relationship with him and if he can make it than any primary care doctor can do the same and maybe even get 3 1/2 weeks vacation!!


  • James
    James

    October 27, 2010 at 9:27 pm

    Sadly, the majority of concierge physicians have minimal understanding of the more sophisticated aspects of preventive care. It is unlikely that a patient will get advanced lipid testing, coronary calcium scans, virtual colonoscopy and other early detection tests.

    If an MDVIP doctor would actually practice what they preach (“…i am interested in early detection…blah, blah) and provide access to more sophisticated services, it might be worth the money.

    an M.D.


  • Lynn
    Lynn

    October 28, 2010 at 9:29 am

    If the MDVIP is owned by Proctor and Gamble, seems like MDs would get pushed to recommend their products rather than the right product to do the job.


About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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