Insurance Information
Understanding how insurance works within a concierge medical practice can feel confusing at first and we’re here to make it simple. Concierge medicine is designed to enhance your care experience with greater time and personalization, while your health insurance continues to play an important role in covering many traditional medical services.
Below, you’ll find answers to common questions about how insurance, membership fees, HSAs/FSAs, and coverage work within our practice. If you don’t see your question addressed, our team is always happy to help clarify the details.
Does EndoKids Concierge accept insurance?
Yes! Office visit charges are separate from the annual membership fee. We plan to remain in-network with many PPO insurance plans and will continue to bill your insurance for all covered medical services. Patients are responsible for applicable deductibles, co-payments, and non-covered services according to the terms of their individual insurance plans.
When specialty care, diagnostic testing, or hospitalization is needed, we will make every effort to refer you to in-network physicians and facilities whenever possible. Services provided by those specialists or facilities will be billed directly by them and are typically covered by your insurance according to your in-network benefits.
Can I use my HSA or FSA to pay for concierge medicine fees?
In some cases, yes. Check with your HSA/FSA provider to confirm whether the membership qualifies as an eligible medical expense.
Does concierge medicine replace health insurance? Do I need to keep my insurance?
Concierge medical practices typically work with health insurance. Your membership fee covers the enhanced time, care, and communication you get from your doctor. You still need to keep your insurance for in office services, potential hospital stays, specialist visits, and emergencies.