Concierge and longevity medicine in Dallas

What a Dallas retainer pays for

The federal GAO's working definition: a practice that charges patients a membership fee and in return offers enhanced services or amenities ^[4]. The AAFP draws the line with direct primary care this way: concierge contracts are yearly, cost more, often keep billing insurance and revolve around a thorough annual physical, while DPC runs on a small monthly fee outside insurance ^[5].

Against a city of 1,329,491 with a $70,518 median household income ^[2], that Arlington retainer equals about 3.4% of a middle household's income, before premiums or copays. Many Dallas families will want to price a DPC plan or a cheap hybrid before committing.

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Prices we could document

Four reference prices for Dallas shoppers

Model	Who publishes it	Price	Notes	Ref
Concierge	MDVIP doctor in Arlington	$2,400 a year; $600 a quarter or $1,200 per half-year also offered	Fee funds an annual wellness program; insurance still billed	[1][6]
Hybrid membership	One Medical	$199 a year	App messaging and video around the clock; office visits go to insurance	[7]
Direct primary care	AAFP	$50 to $100 a month typical	Flat fee, most do not take insurance	[5]
Direct primary care	Hint Health platform data	Near $80 a month median (2022)	Individual retail memberships	[8]

A 2025 Health Affairs study, summarized by Harvard Medical School, found concierge retainers that range from the low thousands into the tens of thousands of dollars each year ^[9]. Our concierge fee index tracks the published ones.

Direct primary care and HSAs in Texas

Texas carved DPC out of insurance regulation in 2015 through HB 1945, now Occupations Code chapter 162, subchapter F ^[3]. Federal tax law changed too. Starting with 2026, IRS guidance says a DPC plan costing no more than $150 a month for one person neither disqualifies you from HSA contributions nor has to be paid with after-tax money ^[10][11]. A concierge practice that bills insurance alongside its fee falls outside that rule ^[10]. Compare models on concierge versus DPC and the DPC guide.

On Medicare in Dallas

For the 11.8% of Dallas residents already 65 or older ^[2], Medicare will not reimburse a concierge fee. Medicare.gov also bars a participating doctor from charging the fee for services Medicare already covers, and requires an Advance Beneficiary Notice for any non-covered item bundled into the membership ^[12]. Details on concierge medicine and Medicare.

Longevity clinics and executive physicals

Dallas searches for longevity clinics and executive physicals often lead to programs that publish no price. Mayo Clinic's Executive Health Program, for example, lists no fee for its one- to three-day visits at Rochester, Scottsdale, Jacksonville or London ^[13]. See the executive physical guide and longevity testing guide for what tests cost when bought one by one.

Questions for a Dallas practice

• Is there a sign-up fee on top of the annual retainer?
• Which of my visits and labs go to insurance?
• How many patients does each doctor carry?
• If I leave in month five, what comes back to me?
• Can I see the doctor's Texas Medical Board record? ^[14]

Other Texas pages: concierge care in Houston, Austin, San Antonio. Or use the concierge doctor checklist and the concierge medicine hub.