Insurance and fees
What concierge medicine costs: a concierge fee, plus your insurance.
Legacy Medical is a concierge practice that still works with insurance. The concierge fee pays for access and time. Your insurance pays for visits and tests, as it does now.
The concierge fee
Members pay an annual fee directly to the practice. It covers what insurance does not pay for: a limited patient panel, same or next-business-day appointments, extended visits, 24/7 phone access and Dr. Shtern’s time coordinating your care.
The fee is not published online yet. Call (561) 834-9280 or ask at your tour and the office will go through it with you.
What insurance still pays for
Office visits, lab work, ECGs and other covered services are billed to your health insurance. Plans the practice works with include Medicare, Aetna, Cigna and BlueCross BlueShield. Coverage, copays and deductibles depend on your plan, so check with the office before your first visit.
Keep your insurance. The membership does not cover hospital care, specialists, imaging, emergency care or prescriptions.
Medicare
Medicare does not pay concierge fees. If you have Medicare, the fee is separate, and covered services at your visits are billed to Medicare under its usual rules. Ask the office how this works for your plan, including any Medicare Advantage or supplemental coverage.
FAQ
Insurance and fee questions
How much does concierge medicine cost here?
The annual concierge fee is not published online yet. Call the office at (561) 834-9280 or ask at your meet and greet and we will go through it. Office visits, labs and covered tests are billed to your insurance separately, as they are today.
How does concierge medicine work with insurance?
The concierge fee is paid directly to the practice and covers access and time. Office visits, lab work, ECGs and other covered services are billed to your health insurance, including Medicare, under your plan’s usual rules.
Does insurance cover the concierge fee?
No. Health insurance, including Medicare, does not pay the concierge fee. It does pay for covered services at your visits.
Can I use an HSA or FSA for the fee?
Rules on using health savings or flexible spending accounts for concierge fees are not settled and depend on your plan. Ask your plan administrator or tax adviser before you count on it.
Is the concierge fee tax deductible?
That depends on your situation. A tax adviser can tell you whether it counts as a deductible medical expense for you.
Which insurance plans do you accept?
The practice works with Medicare, Aetna, Cigna and BlueCross BlueShield, among others. Plans change, so call the office to confirm yours.
Next step
Ask us about the fee in person.
We would rather explain the fee in person than post a number without context. Call the office, or come in for a meet and greet and ask.