Because concierge doctors aren't at the mercy of insurance companies, they say they take on fewer patients and spend more time with each, often guaranteeing appointments within 24 hours. They also don't need patients to come into the office to get paid, so they can provide care via video, email and phone. One of the great conveniences that private physicians offer is virtual conversations, as in "text me a photo of your tick bite," says Tom Blue, chief strategy officer for the American Academy of Private Physicians.
But the lower-cost concierge practices keep their rates low by focusing on simple services—you won't find advanced medical technology, and you'll have to go elsewhere (and pay extra) for screenings like MRIs.
In this type of medical practice (also called boutique medicine, retainer-based medicine or direct care), doctors — mainly in primary care — see fewer patients so they can spend more time with ones they do see.
Concierge medicine is not a substitute for health insurance. The retainer, no matter how steep, does not cover out-of-office visits to specialists, emergency room care, hospitalization, major surgery or high-tech diagnostic tests, such as CT scans and MRIs. The fee is not reimbursed by either private health insurance or Medicare, although patients' health savings accounts may cover some of the cost.
In some practices, patients pay an annual fee and also pay for office visits; in others the annual fee pays for all in-office care. In what's called a hybrid practice, the doctor continues to see all patients but sets aside a few hours each day for patients who pay an extra fee. Some practices bill for insurance reimbursement; others have gone off the insurance grid
In India this type of care is coming up but very slowly. It has started from the local GP who are responsible for comprehensive care of the patient all the time . They are generally the once who decide which Doctor to choose for Angiography , CABG and Knee replacement .
And the GPs cater to the complete family. They do not get paid as in the US , but avail other facilities from the person to take care of the time spent .
There are now boutique studios operating in Delhi which offer complete medical care and have smart well being projects lined up.