🥝GuideKiwi
Free Guide

Free Guide to MDVIP Membership Costs and How It Works

What MDVIP Membership Is and How It Differs From Traditional Insurance MDVIP is a membership-based medical practice model that operates differently from typi...

GuideKiwi Editorial Team·

What MDVIP Membership Is and How It Differs From Traditional Insurance

MDVIP is a membership-based medical practice model that operates differently from typical health insurance plans. Rather than paying per visit through insurance claims, members pay an annual or monthly membership fee to a private medical practice. This fee typically ranges from $1,500 to $2,000 per year for adults, though some practices charge up to $2,500 annually. This membership model is sometimes called "concierge medicine" or "direct primary care," and it has grown significantly over the past two decades.

The fundamental difference between MDVIP and traditional insurance lies in how the doctor-patient relationship is structured. With traditional insurance, your doctor's practice receives payment based on the number of patients seen and procedures performed. Insurance companies process claims and may deny or delay coverage. With MDVIP, your annual membership fee goes directly to the medical practice, creating a direct financial relationship between you and your doctor.

MDVIP operates in all 50 states and has over 1,000 affiliated physicians as of recent counts. The organization was founded in 2000 and has grown to serve hundreds of thousands of patients. However, MDVIP membership does not replace health insurance—it works alongside it. You will still need a separate health insurance plan to cover hospital stays, emergency care, and specialist visits.

One key feature of MDVIP practices is smaller patient panels. Traditional primary care physicians often manage 2,000 to 3,000 patients. MDVIP doctors typically limit their practice to 600 to 1,000 patients, allowing more time per appointment and more frequent access to your physician. Members typically receive same-day or next-day appointments rather than waiting weeks to see their doctor.

Practical Takeaway: Understanding that MDVIP is a membership model, not insurance replacement, helps you determine whether this approach fits your healthcare needs. Write down your current wait times for doctor appointments and how often you see your primary care physician to compare against what MDVIP practices typically offer.

Breaking Down MDVIP Membership Costs and What's Included

MDVIP membership costs vary by location and individual practice, but the national average ranges from $1,500 to $2,000 annually for adults. Some practices charge monthly fees of around $125 to $200, which totals $1,500 to $2,400 per year. Practices in major metropolitan areas often charge higher fees than those in smaller communities. For example, a practice in New York City or Los Angeles may charge $2,500 annually, while a practice in a smaller city might charge $1,500.

Family membership plans are also available. Adding a spouse typically costs $500 to $1,000 per year, and children under 18 or sometimes up to age 26 may be added for $200 to $500 each. Some practices offer reduced rates for additional family members. A family of four might pay $3,000 to $4,500 annually for MDVIP membership with this pricing structure.

The membership fee generally covers several services:

  • Unlimited office visits during regular hours with no copayment required
  • Extended appointment times, typically 30 to 60 minutes instead of the standard 15 to 20 minutes
  • Same-day or next-day appointment availability
  • Direct phone and email access to your doctor, sometimes including after-hours communication
  • Preventive care services such as annual physical exams and wellness screenings
  • Coordination of specialist referrals and hospital care
  • Access to a MDVIP patient portal with health records and messaging capabilities
  • Telehealth visits for certain consultations

However, the membership fee does not cover lab work, diagnostic imaging, medications, or procedures. You pay for these services separately, and if you have health insurance, your insurance plan may cover portions of these costs. You will still owe any copayments, coinsurance, or deductibles required by your insurance plan for these additional services.

Some employers offer MDVIP memberships as a benefit to employees, which may reduce your out-of-pocket cost. A growing number of companies view MDVIP as a way to keep employees healthier and reduce overall healthcare spending. If your employer offers this benefit, your cost may be subsidized partially or completely.

Practical Takeaway: Calculate your current annual spending on primary care visits, including copayments and time off work for appointments. Compare this to the MDVIP membership fee in your area to understand the potential financial impact. Request pricing from local MDVIP practices, as fees vary significantly by location and physician.

How MDVIP Membership Works: The Enrollment Process and Ongoing Use

Joining an MDVIP practice typically begins by searching for participating physicians in your area through the MDVIP website or by asking your current doctor if they offer MDVIP membership. The MDVIP directory allows you to filter by location, medical specialty (primary care, cardiology, orthopedics, etc.), and specific services offered. Once you identify a practice, you contact them directly to learn about membership details and fees.

The initial enrollment process generally takes one to two weeks. You will complete a patient health history form, provide insurance information, and sign a membership agreement outlining the terms, fees, and what services are included. Your new MDVIP physician will conduct a comprehensive initial consultation, which may be longer than a standard first appointment. This initial visit often includes detailed health history, physical examination, preventive screenings, and discussion of long-term health goals.

During ongoing membership, you access your doctor through multiple channels. You can schedule in-person appointments through the practice's website or by phone. Many MDVIP practices offer same-day or next-day appointments because of the smaller patient panel. Between appointments, you can communicate with your doctor via secure email or phone through the MDVIP patient portal. Some practices allow direct communication with your physician; others may use a nurse coordinator to handle routine questions.

The patient portal provides several functions:

  • View your complete medical records and test results
  • Request prescription refills
  • Message your doctor with non-urgent questions
  • Schedule appointments
  • Pay bills or membership fees
  • Access educational health information

MDVIP membership is typically paid annually in advance, though some practices allow monthly payment plans. The membership is renewable each year, and you will receive renewal notices before your membership expires. Many practices offer month-to-month cancellation options, though some may require a minimum membership period of six months or one year.

It is important to understand that while MDVIP provides enhanced primary care access, you still maintain your existing health insurance. When you need specialist care, hospital services, or emergency treatment, your insurance plan continues to provide coverage. Your MDVIP physician helps coordinate these services, but the financial responsibility follows your insurance plan's rules.

Practical Takeaway: Before joining, contact three to five MDVIP practices in your area and request written information about their membership agreement, specific fees, and included services. Ask about their cancellation policy and whether they offer a trial period so you understand exactly what you are committing to financially.

MDVIP Membership and Your Existing Health Insurance

A frequent source of confusion is how MDVIP membership interacts with traditional health insurance. These are two separate systems that work together rather than against each other. Your health insurance plan—whether obtained through your employer, purchased individually, or provided by Medicare or Medicaid—continues to function exactly as before. MDVIP membership complements your insurance by enhancing access to primary care, but it does not replace your insurance coverage.

When you have both MDVIP membership and health insurance, here is how costs typically break down:

  • MDVIP membership fee: You pay this directly to the MDVIP practice ($1,500 to $2,000 annually, depending on location)
  • Office visits: Covered by your MDVIP membership with no additional copayment
  • Lab work and diagnostic tests: Your health insurance copayment or
🥝

More guides on the way

Browse our full collection of free guides on topics that matter.

Browse All Guides →