Membership & Care Model
Understanding the value of private medicine. We've compiled answers regarding our practice model, insurance handling, and the benefits of membership.
The Concierge Model
Why is the practice Out-of-Network?
We have chosen to remain out-of-network to preserve the integrity of the doctor-patient relationship. Insurance contracts often impose strict limitations on time, visit frequency, and treatment options, prioritizing volume over depth.
By operating independently, we can offer 60-90 minute appointments, same-day scheduling, and unrestricted access to your physician. This model allows us to practice medicine as it should be—thorough, preventative, and personalized—without administrative interference.
What does the membership fee cover?
The annual membership fee covers what insurance typically does not: your enhanced access and practice amenities. This includes 24/7 direct physician communication, same/next-day appointments, extended visit times, care coordination with specialists, and comprehensive wellness planning. It ensures our patient panel remains small so you are never just a number.
How does this differ from "Premium" or "Executive" physicals elsewhere?
Many executive health programs offer a one-day comprehensive exam but lack ongoing continuity. At MDMG, we combine that depth of analysis with year-round care. Your physician knows you personally, manages your health longitudinally, and is available when you actually need them—not just once a year.
Insurance & Logistics
Do I still need health insurance?
Yes. We strongly recommend maintaining a PPO insurance plan. While your membership covers our professional services and access, you will still need insurance for external costs such as laboratory testing, imaging (MRI/CT), prescriptions, specialist referrals, and hospitalizations.
Can I get reimbursed for my visits?
Most PPO plans have "out-of-network" benefits. We provide a detailed "Superbill" (coded receipt) for every medical encounter that you can submit to your insurance carrier. Many of our patients receive significant reimbursement for their medical visits, though the membership retainer itself is typically not reimbursable.
What if I need a specialist or hospital care?
We act as your health quarterback. If you need specialty care, we coordinate referrals to top specialists at major medical centers (UCSF, CPMC, Stanford). Should you be hospitalized, we communicate directly with the hospitalist team to ensure your history is known and your care plan is sound.