Last updated: May 2026
Medical Disclaimer: This article is informational. Service inclusions vary by practice. Verify directly before joining.
Affiliate Disclosure: Concierge MD Finder may earn a referral fee from some partners listed here. Editorial picks are independent.
Concierge fees on the entry tier ($2,000-$5,000/year) buy access to services that insurance-based primary care can't reasonably deliver (PartnerMD, 2026). The U.S. now counts about 12,000 concierge physicians as of 2024. That's up from roughly 150 in 2005, with practices climbing 83% between 2018 and 2023 (Concierge Medicine Today, 2026).
What you get for the fee varies wildly. Some practices include a 90-minute executive physical and travel medicine. Others cap services at 24/7 access and same-day visits.
The list below ranks the 10 most common services by value-per-dollar. Notes cover what's typically included by tier and how each compares to an insurance equivalent.
Service Comparison Table
| Rank | Service | Standard vs Premium | Value | Verdict |
|---|---|---|---|---|
| 1 | 24/7 Phone/Text to MD | All tiers | $$$$ | The reason most join |
| 2 | Same-Day/Next-Day Appointments | All tiers | $$$$ | Time saved per visit ~3 hrs |
| 3 | Annual Executive Physical | Standard 60-min, Premium full-day | $$$$ | Replaces $2K-$5K external program |
| 4 | Specialist Network/Referral Concierge | Premium+ | $$$ | 3x faster specialist access |
| 5 | Home Visits / House Calls | Mid-tier+ | $$$ | Worth it for kids and elderly parents |
| 6 | Travel Medicine + Global Coverage | Premium+ | $$ | Essential for frequent international travel |
| 7 | Wellness Coaching | Mid-tier+ | $$$ | Real ROI if you actually use it |
| 8 | Lab/Imaging Coordination + Discounts | Most tiers | $$ | Saves $400-$1,200/year on labs |
| 9 | Medical Records Concierge | Premium+ | $$$ | Critical for complex diagnoses |
| 10 | Telehealth + Video Visits | All tiers | $$$ | Now table-stakes, growing 13% CAGR |
Pricing and inclusions reflect May 2026 public data. Confirm with each practice before joining.
1. 24/7 Phone/Text Access to MD (Verdict: The reason most patients join)
Direct, after-hours access to your actual physician is the foundational concierge service. Not a triage nurse. Not an answering service.
PartnerMD guarantees 24/7/365 access to a PartnerMD physician, never an outside provider (PartnerMD, 2026). Castle Connolly Private Health Partners and Specialdocs run similar setups for their member networks.
Typical tier offered: Every tier from entry concierge ($1,800/year) to ultra-premium ($40,000+).
Real value: In an insurance practice, calling your doctor after hours routes you to a triage nurse. They can't prescribe. They can't diagnose. They almost always say "go to the ER." That ER visit costs $1,200-$2,500. One avoided ER visit covers most of an entry concierge fee.
What's NOT included: Surgery, or emergencies that need imaging or IV interventions. Your concierge MD will still send you to the ER for chest pain or a broken bone.
Vs insurance equivalent: No equivalent. Insurance practices physically cannot offer this. Panel sizes of 2,000-3,000 patients per doctor make it impossible.
2. Same-Day/Next-Day Appointments (Verdict: Time saved per visit averages 3 hours)
In a 2025 PartnerMD survey, over 96% of concierge members reported being seen within a few days or less (PartnerMD, 2026). Compare that to the national average wait of 26 days for a new primary care visit.
Typical tier offered: Every concierge tier. Same-day is standard. Some practices guarantee within 24 hours.
Real value: Sollis Health offers same-day visits with no wait at its centers in New York, LA, the Hamptons, Miami, and Palm Beach (Sollis Health, 2026). For working parents, the time savings compound. A sick kid no longer means a half-day at urgent care.
What's NOT included: Specialist same-day access (that's a separate service, see #4). Lab results may still take 1-3 days without an on-site lab.
Vs insurance equivalent: Urgent care visits cost $150-$300 plus 2-4 hours of waiting. Concierge same-day visits average 45 minutes door-to-door.
3. Annual Executive Physical (Verdict: Replaces a $2K-$5K external program)
The executive physical is concierge medicine's signature deliverable. Programs offer scope that ranges from a 60-90 minute exam to a full-day workup. PartnerMD packages two versions — Enhanced (half-day) and Signature (full-day) (PartnerMD vs MDVIP, 2026).
The gold standard is Cleveland Clinic Executive Health. It runs single-visit comprehensive evaluations with access to specialists, nutritionists, and exercise physiologists on the same day (Cleveland Clinic, 2026).
Typical tier offered: Standard tier gets the 60-90 minute version. Premium tier gets the full-day version with extended diagnostics.
Real value: Standalone executive physicals at Cleveland Clinic or Mayo run $2,500-$5,500. When bundled into a $3,000 concierge membership, the math gets very favorable. Early disease detection is the actual ROI.
What's NOT included: Advanced imaging like whole-body MRI or calcium scoring is typically extra at the standard tier. Premium tiers often include it.
Vs insurance equivalent: Insurance pays for a 15-minute "wellness visit." The Medicare AWV is a checklist, not an exam. There is no real equivalent.
4. Specialist Network/Referral Concierge (Verdict: 3x faster specialist access)
Concierge doctors don't just write a referral. They give a warm introduction, brief the specialist on your history, and stay in the loop on your treatment plan (WorldClinic, 2026). Sollis advertises 3x-faster specialist referrals with top doctors as a core member benefit (Sollis Health, 2026).
Typical tier offered: All concierge tiers include some referral coordination. Premium tiers and advocacy services extend this to chief-of-department introductions.
Real value: The standard wait for a dermatologist or orthopedist in major US metros runs 4-8 weeks. With a concierge referral, that drops to days. For a suspicious mole, post-injury MRI, or cardiac workup, that compression matters.
What's NOT included: Specialist fees. Those still go through insurance. The concierge value is the scheduling lever, not the bill.
Vs insurance equivalent: You can ask your insurance PCP for a referral. Whether the specialist's office calls you back in 2 days or 2 weeks is a coin flip.
5. Home Visits / House Calls (Verdict: Worth it for kids and elderly parents)
Concierge home visits cover routine exams, urgent needs, and follow-ups at home (Home Based Medicine, 2026). MD2 and Private Medical include unlimited house calls in the $24K+/year membership. Sollis Platinum includes house calls across NYC, LA, the Hamptons, and South Florida.
Typical tier offered: Mid-tier ($5,000+) and above. Some entry-tier practices include 1-2 house calls per year. Ultra-premium tiers include unlimited.
Real value: A house call with a sick toddler, a homebound elderly parent, or a post-surgical patient saves the entire production of the doctor visit. Mobile visits remove travel and waiting-room time entirely.
What's NOT included: Procedures that need imaging or specialized equipment. Stitches yes. An MRI obviously no.
Vs insurance equivalent: House calls under insurance are functionally extinct outside Medicare home health. The few practices that offer them charge $300-$500 cash per visit.
6. Travel Medicine + Global Coverage (Verdict: Essential for frequent international travel)
SignatureMD partnered with MyAbroadMDs to connect patients with English-speaking doctors anywhere in the world (SignatureMD MyAbroadMDs, 2026). Travel medicine consults cover pre-trip vaccinations, malaria prophylaxis, altitude planning, and emergency contacts at your destination (Signature Healthcare Travel Medicine, 2026).
Typical tier offered: Premium and above. Entry-tier concierge typically excludes international coverage. Ultra-premium tiers like MD2 and Private Medical include on-call global support.
Real value: For executives traveling 30+ days a year, the value of a doctor who answers your text from Singapore at 4 AM is hard to overstate. One avoided medical evacuation pays for a decade of memberships.
What's NOT included: International emergency evacuation insurance. Buy separately from MedjetAssist or International SOS. Vaccines are usually billed at cost.
Vs insurance equivalent: US insurance typically does not cover care outside the US except in narrow emergencies. Travel clinics charge $200-$400 per pre-trip consult.
7. Wellness Coaching / Health Optimization (Verdict: Real ROI if you actually use it)
Premium concierge programs include personalized coaching for nutrition, exercise, and mental well-being. Cleveland Clinic's Premier Executive Health arranges meetings with nutritionists, life coaches, and exercise physiologists (Cleveland Clinic Premier, 2026). Extended 30-60 minute appointments enable thorough lifestyle reviews.
Typical tier offered: Standard concierge usually includes 1-2 wellness coaching sessions per year. Mid-tier and above include quarterly or monthly access.
Real value: A coaching relationship that lasts 12+ months drives outcomes that 15-minute insurance visits cannot. Weight loss, A1C reduction, sleep gains — the data points lift when a coach checks in monthly.
What's NOT included: Registered dietitian sessions for medical nutrition therapy bill through insurance separately. Personal training. Mental health therapy needs a separate referral.
Vs insurance equivalent: Insurance covers 2-3 nutritionist visits per year for diagnosed conditions like diabetes. Wellness coaching as a category does not exist in insurance billing codes.
8. Lab/Imaging Coordination + Discounts (Verdict: Saves $400-$1,200/year on labs)
Most concierge practices coordinate labs and imaging at negotiated cash rates that often beat insurance copays. Practices route to LabCorp or Quest at wholesale rates. Some have in-house labs. Sollis features state-of-the-art on-site labs and advanced radiology equipment at its NYC, LA, Miami, and Hamptons centers (Sollis Health, 2026).
Typical tier offered: All tiers. Most practices include basic labs as part of the annual physical. Premium tiers extend to advanced biomarkers like ApoB, Lp(a), and advanced hormones.
Real value: Insurance copays for routine annual labs run $100-$300 even after the deductible. Cash-rate negotiated labs at concierge practices often run $40-$120 for the same panel. Frequent testers save the most.
What's NOT included: Specialty pathology like biopsies or genomics. Advanced imaging like cardiac CT, whole-body MRI, or PET scans is usually billed separately.
Vs insurance equivalent: Insurance covers what your plan covers, with copays, deductibles, and surprise bills. Concierge cash rates are predictable and often lower.
9. Medical Records Concierge / Advocacy (Verdict: Critical for complex diagnoses)
PinnacleCare provides medical records concierge as its core function. That includes second-opinion coordination, top-specialist matching, and treatment plan review (PinnacleCare, 2026). For a complex diagnosis, a single team that holds the chart matters more than 24/7 access.
Typical tier offered: Premium concierge ($10K+) and standalone advocacy services. PinnacleCare-style retainers run $15K-$55K/year.
Real value: When patients call about a suspicious mammogram, advocacy services call the chief of breast surgery at MSK directly. They get them in within 72 hours. A nurse navigator manages the paperwork.
What's NOT included: The advocacy fee doesn't pay for treatment. Specialist fees, surgery, hospitalization, and chemo all bill through insurance.
Vs insurance equivalent: No insurance product covers advocacy. Hospitals offer patient navigators for cancer patients. But only after diagnosis, and only at that hospital.
10. Telehealth + Video Visits (Verdict: Now table-stakes, growing 13% CAGR)
Televisits became standard during the pandemic and have stuck. Physician usage rose from 43% pre-pandemic to 88% afterward (Concierge Medicine Today, 2026). SignatureMD offers telehealth where patients consult with a provider from home or work (SignatureMD Telehealth, 2026). Virtual-only concierge models are forecasted to grow at a 13.32% CAGR through 2031 (Mordor Intelligence, 2026).
Typical tier offered: Every tier. Telehealth has gone from premium feature to floor service in three years.
Real value: Rx refills, rash diagnoses, sore-throat workups, mental health check-ins, and chronic disease follow-ups all work fine over video. For a busy professional, that's 60-70% of routine primary care visits off the calendar.
What's NOT included: Anything that needs a physical exam, lab draw, or imaging. Routine vitals like BP and weight need home equipment to log accurately.
Vs insurance equivalent: Insurance now covers telehealth almost universally, but the experience differs. Concierge telehealth is your doctor on a Zoom call. Insurance telehealth is whichever provider is on shift in the network app.
How We Ranked
Our concierge-medicine rankings draw on three independent sources, never one alone:
- Verified clinical credentials: ABMS board certifications, state medical-license status, NPI registry, hospital affiliations, AAPP / MDVIP / SignatureMD network membership. Pulled from the relevant primary registry each time we update a profile.
- Patient-reported outcomes: Vitals, Healthgrades, and Google reviews from the past 24 months. We weight verified-visit reviews more than anonymous ones and flag any practice with a pattern of access complaints, billing surprises, or refusal-to-treat reports.
- First-hand intake testing: editorial calls to each practice asking the same five questions (annual retainer, what's included, how same-day visits actually work, telemedicine policy, what happens if I cancel). We document responses.
What we never accept: paid placement, sponsored "best of" slots, retainer-fee discounts in exchange for coverage. Disclosure: some practices listed have affiliate referral programs; we use those links only on the practice page, never as a ranking factor.
Update cadence: at minimum quarterly per niche; faster on any pricing change, network defection, or licensing issue. Last-updated date is at the top. To report an inaccuracy or claim a profile, email research@conciergemdfinder.com — corrections processed within 72 business hours.
Frequently Asked Questions
Q: Which concierge service has the highest ROI for a healthy adult? A: 24/7 phone/text access and same-day visits. One avoided ER trip ($1,200-$2,500) covers most of a $2,000-$3,500 entry-tier fee.
Q: Are executive physicals worth paying extra for at the premium tier? A: If you're under 50 and healthy, the standard 60-90 minute physical covers most needs. The full-day Cleveland Clinic-style program adds value for patients with family history of cardiac, cancer, or metabolic disease.
Q: Does concierge medicine replace my insurance? A: No. Concierge fees cover access. Insurance still pays for labs, imaging, specialists, prescriptions, and hospitalization. Going cash-only is risky for any major medical event.
Q: How do I evaluate which services my concierge practice actually includes? A: Ask for the membership agreement before joining. The contract should list specific services, frequency caps, and what's billed separately. Verify 24/7 access goes to your actual physician.
Q: Are home visits and travel medicine included at the entry tier? A: Usually not. Entry-tier concierge typically covers 24/7 access, same-day visits, and an annual physical. House calls and travel medicine kick in at the mid-tier ($5,000+) and become unlimited at ultra-premium tiers.
Related Reading: Compare practices and pricing further with Top 10 Concierge Medicine Companies Compared, Top 10 Concierge Medicine Membership Tiers Compared, How Concierge Medicine Pricing Works in 2026, and DPC vs Concierge Medicine: Which Costs Less.
-- The Concierge MD Finder Team