Primary care · Paying for care
Boutique Medicine: Membership Prices, Models & Local Care
Understand boutique medicine, compare care models and see a published $2,250/year membership example. Check insurance, extra fees and local care.
On this page
The short answer
- James Chanez, MD · MDVIP lists $2,250 per year; this is a named plan example, not a market minimum.
- Compare the membership period, eligible patient and covered services before comparing the amount.
- A retainer can be additional to insurance-billed care.
Boutique, concierge and DPC: read the care model
Boutique medicine is a discovery term, not a standardized benefit package. Dedication Health uses it for personalized membership care; other businesses use boutique for aesthetics or wellness. Keep those services separate from primary-care memberships. The practice’s contract, clinical scope and payment model determine the useful comparison.
Direct primary care generally uses a membership for specified primary care without insurance billing for included care. Some concierge arrangements instead add an annual program fee to insurance-billed visits. A one-time cash visit is a separate purchase. Switching between membership and one-time prices should change the comparison, not make an annual fee look like a visit price.
Compare verified credentials, location, care scope, current acceptance and terms before choosing. Published-source listings do not imply an OpenVisit partnership. A practice page can provide details even when appointments are not connected; any booking option must be separately established.
Sources: What is boutique medicine? — Dedication Health (source opens in a new tab) · Direct primary care — American Academy of Family Physicians (source opens in a new tab) · Membership questions and insurance — MDVIP (source opens in a new tab)
Membership fees, family plans and the first year
A membership amount needs a patient, a billing period and a named program. The Lanby publishes different per-person household tiers; PrimaryMD publishes annual billing with a monthly equivalent. An additional-member tier is not the price for the first adult, and dividing an annual fee by twelve does not establish monthly cancellation.
Separate recurring dues from enrollment costs. The Lanby publishes a non-refundable initiation charge in addition to annual dues, with a once-per-family arrangement when relatives enroll together. The first-year membership commitment can therefore differ from the renewal fee. A missing enrollment charge on another practice’s page means it is unconfirmed, not zero.
Installments describe when a bill is paid; the contract determines the commitment. MDVIP describes payment options that vary by physician. Do not assume that quarterly payments permit quarterly cancellation. Where a complete cancellation or refund schedule is not public, this guide leaves it unresolved instead of supplying a standard policy.
Sources: Annual membership, household pricing and initiation fee — The Lanby · New York City (source opens in a new tab) · New York membership, team and locations — PrimaryMD · New York City (source opens in a new tab) · James Chanez membership fee — MDVIP · Dallas, Texas (source opens in a new tab) · Membership questions and insurance — MDVIP (source opens in a new tab)
Included care, extra bills and insurance
The membership and the medical bill can be separate purchases. MDVIP describes a wellness program alongside insurance-billed care. Mass General Brigham’s concierge program requires insurance, with applicable copays and deductibles still due. By contrast, The Lanby describes operating outside insurance for its membership care. The concierge label alone does not identify which arrangement applies.
Compare the actual scope before comparing fees. PrimaryMD lists a defined diagnostic program, while Sollis Signature focuses on urgent and emergency access. These are different services. An urgent-care membership should not be presented as an interchangeable substitute for ongoing primary care.
A prescription service does not automatically pay for the medication, referral coordination does not pay for a specialist visit, and collecting blood does not necessarily pay the laboratory. Outside imaging, hospital care and procedures need their own payment arrangements. An annual retainer is not a complete healthcare budget.
Medicare does not cover concierge membership fees. Its guidance also distinguishes membership charges from covered medical services. Private-plan reimbursement, network status and personal out-of-pocket costs cannot be inferred from a published membership fee.
Sources: Membership questions and insurance — MDVIP (source opens in a new tab) · Membership and insurance requirements — Mass General Brigham · Boston (source opens in a new tab) · Membership inclusions and insurance questions — The Lanby (source opens in a new tab) · Brooke J. Nevins membership and separate lab fee — MDVIP · Bronxville, New York (source opens in a new tab) · Membership inclusions, adult eligibility and annual billing — PrimaryMD (source opens in a new tab) · Signature membership scope and onboarding — Sollis Health (source opens in a new tab) · Concierge care and Medicare coverage — Medicare.gov (source opens in a new tab)
Eligibility, access and joining a practice
Age and household eligibility belong to the named program. The Lanby’s reviewed FAQ describes adult and pediatric membership from age 3; PrimaryMD’s reviewed membership page is for adults. A network logo does not establish pediatric care, family eligibility or the same terms at another office.
Access is also specific. A 24/7 telephone or virtual service does not mean every office stays open around the clock or your usual physician is always available. Sollis describes a regional flagship and other centers with varying hours. Read the actual office and coverage arrangement rather than treating a network-wide access statement as that office’s schedule.
A membership inquiry, introductory conversation, enrollment payment, waitlist and confirmed appointment are different actions. The Lanby describes capped enrollment cohorts; PrimaryMD invites a membership conversation. Neither step by itself proves an available clinical appointment.
Choose the office you can actually use. A suburban practice can be relevant to a metro search while keeping its own city label. An announced opening or a partner care-network site should not be represented as an operating regular physician office. Native practice pages keep the verified location and its clinicians together.
Sources: Membership inclusions and insurance questions — The Lanby (source opens in a new tab) · Annual membership, household pricing and initiation fee — The Lanby · New York City (source opens in a new tab) · Membership inclusions, adult eligibility and annual billing — PrimaryMD (source opens in a new tab) · New York membership, team and locations — PrimaryMD · New York City (source opens in a new tab) · Annual billing, routine labs, specialist charges and center hours — Sollis Health (source opens in a new tab) · Susan McKinney membership and waitlist — SignatureMD · Dallas, Texas (source opens in a new tab)
Compare an actual membership, not the branding
The following fees describe named membership programs. They are reference points for interpreting plans, not evidence that every business using boutique in its name has these prices.
Selected named-program research examples; not a market average or confirmed appointments.
- $2,250 per year — published practice price sourceMembership · not a single visit
- Annual MDVIP Wellness Program.
- Quarterly and semiannual payments are also listed; covered medical care may still be billed to insurance.
- Confirm the current fee, acceptance status and charges outside the program.
The Lanby · first member
New York City, New York$10,000 per year — published practice price sourceMembership · not a single visit- Primary-care membership; a separate $1,500 non-refundable initiation fee is published.
- Household tiers differ from the first-member rate.
- The initiation fee applies once per family when members enroll on the same day.
Confirm enrollment timing and current written terms; this is not a one-time visit.
PrimaryMD
New York City, New York$18,000 per year — published practice price sourceMembership · not a single visit- Annual billing.
- The advertised $1,500 monthly equivalent is not monthly billing.
- Physician-led primary-care team; specialist, hospital, medication and procedure costs need their own coverage.
Distinguish operating clinics, care-network locations and announced openings; confirm which location and services apply.
Find concierge memberships near you
Choose your location and compare current membership listings. Keep the membership period and eligibility visible while checking the practice’s original price source. An external price example does not establish a booking connection or partnership.
Compare practices & memberships.
Explore the practice, membership and care details before choosing.
5 practices- $30 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $69 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $104 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $105 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $135 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $500 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $200 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $300 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $250 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $30 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $69 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices - $104 / month — published practice price sourceMembership · not a single visit
Inclusions not yet verified. See the published plan.
View practice & prices
Prices belong to the practice, rather than an individual clinician. Confirm eligibility, extra charges and availability. These listings are separate from the research examples above and do not confirm a bookable appointment.
Common questions
Is every boutique medical practice a concierge practice?
No. Boutique is also used by aesthetics and wellness businesses. Verify the practice’s actual membership arrangement, clinical scope, patient eligibility and published fee before comparing it as concierge primary care.
Sources: What is boutique medicine? — Dedication Health (source opens in a new tab)
Is a monthly membership price the price of one visit?
No. A membership is a recurring or annual arrangement. A practice may publish separate one-time visit prices, but they must be identified and compared separately.
Does concierge medicine replace insurance?
No. A membership is not comprehensive health insurance. Some programs require insurance and continue to bill it for covered services; others include defined direct-pay primary care.
Sources: Membership questions and insurance — MDVIP (source opens in a new tab) · Membership and insurance requirements — Mass General Brigham · Boston (source opens in a new tab)
Are labs, prescriptions and specialists included?
Only if the written plan says so. Distinguish an included blood draw from the outside laboratory bill, a prescription from the medication price, and referral coordination from the specialist’s fee.
Is a more expensive concierge doctor necessarily better?
A higher fee does not establish better outcomes or a better fit. Compare credentials, the actual care scope, communication, available capacity and your needs. This guide does not rank clinical quality.
Can I book every practice mentioned here through OpenVisit?
No. These are sourced research examples. Current listings and verified booking options are separate; follow the practice’s published contact route when online booking is not offered.
Does Medicare cover concierge membership fees?
Medicare does not cover membership fees. A doctor who accepts assignment must follow the rules for Medicare-covered services; confirm which charges are separate.
Sources: Concierge care and Medicare coverage — Medicare.gov (source opens in a new tab)
Can I enroll my partner or children at the advertised fee?
Check the exact household and age rules. Some plans publish a first-member fee, lower additional-member fees or a distinct pediatric program. The lowest family tier is not a general adult starting price.
Can an uninsured person use concierge care?
It depends on the program. Some direct-pay arrangements include defined primary care without insurance billing, while other concierge programs require insurance. Confirm eligibility and a payment plan for excluded care.
Sources: Membership and insurance requirements — Mass General Brigham · Boston (source opens in a new tab) · Membership questions and insurance — MDVIP (source opens in a new tab)
Does the annual fee guarantee same-day appointments or a place in the practice?
No. Verify the practice’s current acceptance status, access policy and enrollment terms. A published fee and a contact form do not confirm capacity or an appointment.
What happens when I cancel, renew or move?
Ask for the actual contract’s notice period, refund and renewal terms, and any state restrictions on remote care. Monthly installments do not by themselves create a month-to-month agreement.
Read the evidence
Sources & editorial status
Sources were checked on November 7, 2026. This is an OpenVisit Health editorial draft, not a personalized medical recommendation. Source organizations have not endorsed OpenVisit or reviewed this page.
How we researched prices and visit guidance
We use federal agencies, academic institutions and specialty societies for clinical and access guidance, and the named provider’s own public menu for prices. Each example keeps its location, service, patient status and published exclusions. Introductory offers, regular fees and reduced-fee programs remain labeled separately.
This is a selected comparison, not a national price survey, ranking or appointment directory. Unknown inclusions stay unknown; a price checked on the date above is not a guarantee that it remains available. Confirm an itemized written quote with the practice. If its quote differs from this guide, use the current quote and original source to resolve the difference.
AI tools assist research and drafting. Source authors and reviewers have not reviewed OpenVisit content. We publish after source and technical checks; independent clinician review is identified only when it has actually occurred.
- What is boutique medicine? (opens in a new tab)Dedication HealthFirst-party model terminology; not an independent outcomes assessment
- Boutique Medical practice (opens in a new tab)Boutique Medical · DenverFirst-party discovery example; no numeric membership quote established
- Concierge care and Medicare coverage (opens in a new tab)Medicare.govFederal coverage guidance
- Direct primary care (opens in a new tab)American Academy of Family PhysiciansProfessional society model definition
- James Chanez membership fee (opens in a new tab)MDVIP · Dallas, TexasFirst-party annual fee and installment schedule · checked November 7, 2026
- Annual membership, household pricing and initiation fee (opens in a new tab)The Lanby · New York CityFirst-party membership prices and terms · checked November 7, 2026
- New York membership, team and locations (opens in a new tab)PrimaryMD · New York CityFirst-party membership prices, annual billing and scope · checked November 7, 2026
- Membership questions and insurance (opens in a new tab)MDVIPFirst-party network terms; not a price survey
- Membership and insurance requirements (opens in a new tab)Mass General Brigham · BostonFirst-party annual membership fee · checked November 7, 2026
- Membership inclusions and insurance questions (opens in a new tab)The LanbyFirst-party scope; evaluate coverage and tax claims separately
- Brooke J. Nevins membership and separate lab fee (opens in a new tab)MDVIP · Bronxville, New YorkFirst-party annual fee · NYC metro, outside NYC · checked November 7, 2026
- Membership inclusions, adult eligibility and annual billing (opens in a new tab)PrimaryMDFirst-party membership terms · checked November 7, 2026
- Signature membership scope and onboarding (opens in a new tab)Sollis HealthFirst-party membership terms · checked November 7, 2026
- Annual billing, routine labs, specialist charges and center hours (opens in a new tab)Sollis HealthFirst-party interactive FAQ reviewed in browser · checked November 7, 2026
- Susan McKinney membership and waitlist (opens in a new tab)SignatureMD · Dallas, TexasFirst-party annual fee; program states it is full · checked November 7, 2026