Concierge care
Medicare Coverage Information
Overview
Medicare typically does not provide comprehensive coverage for concierge medical services. Most concierge care models require additional out-of-pocket payments that are not fully covered by traditional Medicare plans.
- Concierge care is a membership-based medical service model
- Standard Medicare does not typically cover concierge care fees
- Medical services provided within concierge care may be separately billable to Medicare
- Beneficiaries are often responsible for additional membership costs
- Coverage and reimbursement can vary by specific Medicare plan
- Medicare beneficiaries aged 65 and older
- Individuals with qualifying disabilities
- Patients must consult their specific Medicare plan for detailed coverage
- Membership fees for concierge care are generally not covered by Medicare
- Patients may need to pay full out-of-pocket costs for concierge service fees
- Standard medical services within concierge care may be billed to Medicare
- Medicare does not recognize concierge care as a standard medical service
- Additional fees are typically the patient's responsibility
- Not all Medicare Advantage plans handle concierge care the same way
- Contact your Medicare plan administrator for specific concierge care coverage details
- Review your Medicare plan's supplemental coverage options
- Discuss concierge care costs and coverage with your healthcare provider
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare concierge carepersonalized medical servicesMedicare supplemental carehealthcare membershipMedicare coverage
Related Coverage Topics
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