Concierge medicine is a primary care model in which a doctor charges a yearly membership fee for extra access and services, usually while still billing insurance.
Posted fees in and around the city
| Practice | Model | Fee | What it covers | Source |
|---|---|---|---|---|
| One Medical (Amazon), NYC offices | Hybrid | $199/year | App messaging and video care; office visits billed to insurance | [1] |
| MDVIP physician, Bronxville | Concierge | $2,930/year + $70 lab | Annual wellness program; insurance for other care | [2] |
| Sollis Health Signature, New York | Concierge | From $4,000/year | Urgent-style care, on-site imaging and labs, specialist referrals | [3] |
| Huntington Direct Primary Care, Long Island | DPC | $50 to $115/month by age | Per its DPC Frontier listing; confirm with the practice | [7] |
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Where the demand comes from
Fees cluster where incomes are higher. The city's median household income is $80,483 [4], while Westchester County's is $118,976 [5]. Older residents also use more care: 16.6% of New York City residents and 19.7% of Westchester residents are 65 or older [4][5].
Nationally, a Health Affairs study summarized by Johns Hopkins found concierge and direct primary care practices grew from 1,658 in 2018 to 3,036 in 2023 [8]. Harvard Medical School notes concierge fees range from thousands to tens of thousands of dollars a year [9].
Medicare patients: what the fee may and may not cover
- Medicare does not pay concierge membership fees [10].
- A doctor who accepts Medicare assignment cannot charge the fee for Medicare-covered services [10].
- If the fee covers items Medicare will not pay for, the doctor must give you an Advance Beneficiary Notice listing them [10].
More on our concierge medicine and Medicare page.
Concierge, DPC or executive physical
The AAFP describes direct primary care as low monthly fees, generally without insurance, and concierge care as higher annual fees that may sit alongside insurance billing [11]. New York has no DPC statute on record with DPC Frontier [6]. Compare models on concierge vs direct primary care, or see executive physicals and longevity clinics for the testing-heavy end of the market.
Questions to ask a Manhattan or Westchester practice
- Is the fee billed yearly, quarterly or monthly, and is any part refundable if I leave?
- Which labs and tests does the fee include, and which are billed to insurance?
- Does the doctor accept Medicare assignment or my commercial plan?
- How many patients does the doctor carry, and who covers nights and vacations?
- Can I see the license on the State Education Department site [12]?
Nearby concierge guides: Long Island, New Jersey, Philadelphia, Boston. Network review: MDVIP. Directory checklist: find a concierge doctor.
Questions people ask
How much is concierge medicine in NYC?
Does Medicare pay concierge fees in New York?
No. Medicare.gov says Medicare does not cover concierge membership fees, and a doctor who accepts assignment cannot charge the fee for Medicare-covered services [10].
Is there direct primary care near New York City?
Yes. Huntington Direct Primary Care on Long Island lists $50 to $115 a month by age on the DPC Frontier map; confirm with the practice [7].
Do concierge doctors in NYC take insurance?
Many do. The AAFP notes concierge practices may accept insurance and bill for covered services, while direct primary care practices generally do not [11].
Can I pay a concierge fee with an HSA?
IRS Notice 2026-5 lets HSA funds pay direct primary care fees up to $150 a month for one person, but arrangements that bill insurance separately do not qualify [13]. Concierge practices that bill insurance generally fall outside that rule.
How fast is concierge medicine growing?
A Health Affairs study found concierge and DPC practices rose from 1,658 in 2018 to 3,036 in 2023 [8].
Sources
13 cited
- Membership. One Medical, Oct 17, 2026.
- MDVIP physician page, Bronxville, NY. MDVIP, Oct 17, 2026.
- Membership. Sollis Health, Oct 17, 2026.
- QuickFacts: New York city, New York. U.S. Census Bureau, 2025.
- QuickFacts: Westchester County, New York. U.S. Census Bureau, 2025.
- New York and direct primary care. DPC Frontier, 2024.
- Huntington Direct Primary Care listing. DPC Frontier Mapper, Oct 17, 2026.
- Concierge medicine is on the rise. Johns Hopkins University Hub, Dec 18, 2025.
- How much are concierge medicine and direct primary care growing?. Harvard Medical School, Dec 18, 2025.
- Concierge care. Medicare.gov (CMS), Oct 17, 2026.
- Direct Primary Care. American Academy of Family Physicians, Oct 17, 2026.
- Office of the Professions: Medicine. New York State Education Department, Oct 17, 2026.
- Notice 2026-5: Health savings accounts and direct primary care. Internal Revenue Service, Dec 9, 2025.
This page is general information, not medical advice. Talk with a licensed clinician about your own care.