What Is Concierge Medicine — And Is It Right for You?

Physician and patient in unhurried conversation at a concierge primary care practice — Trillium Concierge Medicine Shoreline WA

Concierge Medicine 101: How It Works, What It Costs, and Who It's For

Concierge medicine is a model built around one simple idea: your doctor should have time for you. Here's how it works, what membership includes, and what to realistically expect — from costs to insurance to who gets the most out of it.

You’ve probably heard the term. Maybe a friend switched to a concierge practice and raved about it. Maybe you’ve hit your limit with 10-minute appointments and months-long waits and you’re wondering if there’s a better option.

There is. And it’s simpler than you might think.

How is concierge medicine different from traditional primary care?

Concierge medicine is a model where your doctor limits how many patients they see so they can give each one real time and real attention. Instead of rushing through 25 patients a day, a concierge physician might care for a panel a fraction of that size. That means longer appointments, same-day or next-day access, and a doctor who actually knows your history — not just what’s in your chart. In exchange, patients pay a membership fee, typically annually or monthly, covering their care directly outside of insurance billing. The American Academy of Family Physicians describes this model as direct primary care — a practice structure designed to restore the physician-patient relationship.

In a traditional insurance-based practice, your doctor is often working against the clock. Insurance companies dictate how long visits can be, how often you can be seen, and what can be addressed in a single appointment. The pressure to see more patients in less time is real — and most physicians got into medicine because they wanted to do the opposite.

Concierge medicine removes that pressure. Your doctor has the time to listen, think, and actually address what’s going on — not just triage the loudest symptom and move on.

What does a concierge medicine membership include?

  • Same-day or next-day appointments

  • Longer, unrushed visits

  • Direct access to your doctor by secure message, phone, or video

  • In-office procedures and lab draws

  • Care coordination with specialists

  • A doctor who knows your name, your family, and your full history

Does insurance still matter?

Yes. Concierge medicine covers your primary care relationship — the day-to-day, the chronic conditions, the urgent stuff, the preventive care. You’ll still want insurance for hospitalizations, specialist visits, imaging, and anything outside the scope of primary care. Think of your membership fee as paying for access and relationship, and your insurance as your safety net for everything beyond that. Healthcare.gov outlines what standard insurance plans cover — primary care membership sits alongside that coverage, not instead of it.

Is concierge medicine expensive?

The honest answer: it depends on how you look at it. Concierge membership fees vary, but many patients find that having a doctor they can actually reach — one who catches things early, coordinates their care, and keeps them out of the ER for things that could have been handled in-office — more than pays for itself.

It’s also worth comparing the real cost of the status quo: urgent care visits, specialist copays for issues that a great primary care doctor could have managed, and the time lost navigating a fragmented system.

Who is concierge medicine for?

Anyone who wants a real relationship with their doctor. Families. People managing chronic conditions. Those at a health turning point. Patients who have felt dismissed, rushed, or lost in the shuffle of traditional medicine. People who simply want better care.

It’s not just for a certain income level or age group. It’s for anyone who values having a doctor who knows them.


At Trillium Concierge Medicine in Shoreline, WA, we built this practice because we believe everyone deserves the kind of care we’d want for our own families. If you’re curious about what membership looks like, we’d love to meet you. Schedule a complimentary meet-and-greet to learn more.


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Jill Casey, MD, IBCLC

Board-certified family medicine physician and international board certified lactation consultant with 17 years of practice caring for patients of all ages in Edmonds and the surrounding community. Co-founder of Trillium Concierge Medicine, where she specializes in breastfeeding medicine, preventive care, and whole-family primary care from infancy through end of life.

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