top of page
Doctor Using Digital Tablet

What is the difference between direct primary care (DPC) and concierge “boutique” medicine?

Direct primary care (DPC) and concierge “boutique” medicine are both membership-based healthcare models that emphasize a closer doctor-patient relationship and improved access to care. There are, however, key differences between the two models.

Let's compare direct primary care and concierge doctors

Direct Primary Care (DPC)
Concierge Medicine

Call or Text Maple Primary to find out more

Overall, How Do Direct Primary Care and Concierge Medicine Compare?

DIFFERENCES

Cost Structure:

  • DPC: Generally lower membership fee covering a wide array of primary care services and cost is more predictable. Patients have access to low cost labs or can choose to use their insurance for lab fees.

  • Concierge Medicine: Typical insurance billing and generally a higher membership fee for patients to have 24/7 access to their doctor and have extra conveniences.

 

Service Focus:

  • DPC: Emphasizes affordability and accessibility with a straightforward service model.

  • Concierge Medicine: Emphasizes luxury and extensive physician access.

 

 

SIMILARITIES

  • Both models aim to improve the quality of primary care by enhancing the doctor-patient relationship, reducing patient load, and providing more personalized care.

  • Both offer benefits like same-day or next-day appointments, longer consultation times, and better overall patient satisfaction compared to typical insurance based primary care models.

  • In summary, while both DPC and concierge medicine offer membership-based care, DPC focuses on affordability and easier access, whereas concierge medicine offers a higher level of accessibility and personalized in addition to billing insurance.

Medical Scenario 1

48 year old gentleman with a strange sensation yesterday of heart racing and mild difficulty catching his breath. He has health insurance and has not paid anything into his $1000 deductible

> DPC (Membership $100/month):

Patient was able to schedule an office visit the next day. His office visit cost $0. His EKG cost $0. The doctor recommends a chest x-ray and some labs. Since he hasn’t met his deductible, the patient chooses to use the DPC contracted prices for labs which is a total of $75.  He also decides to pay for his chest x-ray without insurance and it costs $50. He has a follow-up appointment in 1 week to discuss results which costs $0.

Total cost: $225 ($100 for the monthly membership + $75 for labs + $50 for a chest x-ray)

 

> Concierge (Membership is $250/month):

Patient was able to schedule an office visit the next day. His office visit cost $150 (insurance contracted rate goes towards his deductible). His EKG cost $100 (insurance contracted rate goes towards his deductible). The doctor recommends a chest x-ray and some labs (insurance contracted rate $750 total and it goes towards his deductible. He has a follow-up appointment in 1 week to discuss results which costs $35 (copay for PCP visit after deductible met).

Total cost: $1285 ($250 for the monthly membership + $150 for the office visit + $100 for the EKG + $450 for labs + $300 for a chest x-ray + $35 copay for follow-up visit)

Medical Scenario 2

12 y/o girl with a severe sore throat. Mother is concerned about strep. Family has already met deductible. Mother can’t get off work until 5pm to bring patient in for evaluation.

> DPC (Membership $50/month):

Mother was offered a same day appointment at 3pm or the next day at 9am. She was seen the next day at 9am. Her office visit cost was $0. Her rapid strep test was $0. 

Total cost: $50 ($50 for the monthly membership + $0 for in-office lab)

 

> Concierge (Membership is $250/month):

Mother was able to schedule a same day appointment at 6pm. Her office visit cost $35 (copay). Her rapid strep cost $25 (insurance contracted rate).

 

Total cost: $310 ($250 for the monthly membership + $35 for the copay + $25 for the rapid strep test)

bottom of page