Brace yourself for what's coming next. An annual fee imposed by your primary care physician. It's called Concierge Healthcare and cost $1200 to $1800 a year. My doctor is switching to the MDVIP program see:http://www.mdvip.com/NewCorpWebSite/index.aspx
The annual fee gets you an executive level annual physical, all your medical records on a wallet sized CD and same day appointments. The fee is above an beyond what the doctor bills your insurance company. The primary care physicians get paid too little compared to the specialist doctors. They are rushed and have to see way to many in a single day to make ends meet. I'm good friends my my doctor and see how long he works and how rushed he is. He has over 4000 patients, his overhead costs are almost 70% of his billings. High insurance, rent, staff, salaries and the lower Medicare payments have made is choice of profession seem like a poor one. He's scared to death about the choice he's made, afraid he wouldn't have enough patients that will stick with him. The MDVIP program limits doctors to 400 patients. He's got three kids and is wondering how he's going to pay for their college education. He's 57 and wondering where his retirement income is coming from. Health care in this county is broken.