Concierge medicine is a membership-based model of primary care that charges a yearly fee for more time and access, often alongside insurance billing.
Executive health or a full membership?
Hoag Executive Health is a hospital-run executive health program in the county [2]. Executive programs usually center on a once-a-year deep checkup; concierge practices sell ongoing primary care access. Hoag's page does not post a price. Decide which you need before comparing costs. See executive physicals.
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What retainers cost
| Practice | Fee | Source |
|---|---|---|
| Sollis Health Signature | From $4,000 a year | [1] |
| MDVIP physician, Phoenix | $2,250 a year | [3] |
| PartnerMD | $2,600 to $3,600 a year | [4] |
| One Medical (hybrid) | $199 a year | [6] |
Household income and the fee
Orange County's median household income is $116,289 [5]. A $4,000 Sollis membership would be about 3.4% of that; a $2,250 MDVIP-style fee about 1.9%. The AAFP notes concierge practices usually serve higher-income patients and may bill insurance on top of the fee [7]. Insurance premiums and copays still apply in most concierge models.
Medicare members
With 18.5% of residents 65 or older [5], many Newport Beach and Irvine patients are on Medicare. Medicare does not cover concierge fees, and a doctor who accepts assignment cannot charge the fee for services Medicare covers [8]. MDVIP says its fee pays for an annual wellness program not usually covered by insurance, while patients keep Medicare for other care [9]. More in concierge medicine and Medicare.
Paying with tax-advantaged accounts
MDVIP says its fee may be reimbursed through an FSA after services are received but cannot be paid with an FSA card; that is MDVIP's position, not IRS guidance [10]. The new IRS rule for HSAs covers only direct primary care that does not bill insurance, with fees up to $150 a month per person [11].
Neighbors: Beverly Hills, Los Angeles, San Diego. Guides: concierge medicine, find a concierge doctor, is it worth it.
Questions people ask
How much is concierge medicine in Orange County?
Does Hoag offer executive health?
Yes. Hoag runs an Executive Health program; its page does not list a price [2].
Can I use an FSA for a concierge fee?
MDVIP says its fee may be reimbursed through an FSA after services but not paid with an FSA card; this is MDVIP's position, not IRS guidance [10].
Does Medicare cover concierge care in California?
Medicare does not cover concierge membership fees anywhere in the US [8].
What share of Orange County residents are 65 or older?
18.5%, according to Census QuickFacts [5].
Sources
11 cited
- Membership. Sollis Health, Oct 17, 2026.
- Executive Health. Hoag, Oct 17, 2026.
- MDVIP physician page, Phoenix, AZ. MDVIP, Oct 17, 2026.
- Concierge medicine cost. PartnerMD, Oct 17, 2026.
- QuickFacts: Orange County, California. U.S. Census Bureau, 2025 estimates and 2020-2024 ACS; accessed 2026-10-17.
- Membership. One Medical, Oct 17, 2026.
- Direct primary care. American Academy of Family Physicians, Oct 17, 2026.
- Concierge care. Medicare.gov (CMS), Oct 17, 2026.
- What does MDVIP cost and what does my annual fee cover?. MDVIP, Oct 17, 2026.
- MDVIP payment FAQs. MDVIP, Oct 17, 2026.
- Notice 2026-5: health savings accounts and direct primary care. Internal Revenue Service, Dec 9, 2025.
This page is general information, not medical advice. Talk with a licensed clinician about your own care.