Concierge health practices and Medicare

Concierge health practices provide fee-based access to private health care. Medicare qualifies as primary coverage in these situations, but it’s up to the practice whether they want to accept Medicare patients and accept Medicare’s rates for care. Most do.

Your concierge doctor’s office should be able to explain all of this to you, including details of whether the doctor will be submitting claims to Medicare for reimbursement of covered services or if that’s something you need to do. Medicare does not cover concierge fees, and the doctor should not be billing Medicare for the services provided in exchange for concierge fees.