Concierge Medicine in Sacramento: Fees and Options

Concierge and longevity medicine in Sacramento

Concierge memberships near Sacramento are priced by each practice, and our research found no published local fee; national benchmarks range from about $2,250 a year at MDVIP physicians to $4,000 or more at Sollis Health, seen Oct 17, 2026 ^[1] ^[2]. California has no law that directly addresses direct primary care ^[3].

Updated Oct 17, 2026By the Wellchosen Health editorial team

Medical review: pending. A licensed clinician has not yet reviewed this page.

Who buys concierge care in Sacramento

Sacramento's median household income is $87,321, and 14.2% of its 536,449 residents are 65 or older ^[4]. The AAFP describes concierge practices as typically serving higher-income patients, with annual contracts and higher fees, while direct primary care serves patients across income levels ^[5]. Both models are growing nationally: concierge and DPC practices rose from 1,658 in 2018 to 3,036 in 2023 ^[6].

Fee reference points

Concierge and membership fees (national, none Sacramento-specific)
Source	Fee	What it covers	Checked
MDVIP physician pages (3)	$2,250 to $2,930 a year ^[1] ^[7]	Annual wellness program; insurance billed for other care ^[8]	Oct 17, 2026
Sollis Health Signature	From $4,000 a year ^[2]	On-site imaging and labs, care coordination	Oct 17, 2026
One Medical	$199 a year ^[9]	24/7 messaging and video; visits billed to insurance	Oct 17, 2026
Harvard summary of 2025 study	Thousands to tens of thousands a year ^[10]	Concierge fees vary widely	Dec 18, 2025

Ask each practice for a written fee schedule. More: concierge medicine cost.

California and direct primary care

DPC Frontier reports that California has no law directly addressing direct primary care; a 2012 bill was not enacted ^[3]. That does not ban DPC practices, but it means no state statute spells out their status. The federal HSA rule still applies: since January 1, 2026, a qualifying DPC arrangement up to $150 a month for one person can be paid from an HSA ^[11]. Compare models at concierge vs DPC and search DPC practices.

Medicare and concierge fees

Medicare does not cover concierge membership fees ^[12]. If part of the fee buys services Medicare does not cover, the doctor must give you an Advance Beneficiary Notice explaining it ^[12]. MDVIP says its fee may be reimbursed from an FSA after the wellness services are received, but cannot be paid with an FSA card; that is MDVIP's own position, not IRS guidance ^[13]. Read concierge medicine and Medicare.

Check the doctor's license with the Medical Board of California ^[14].
Ask whether the practice bills your insurance in addition to the fee.
Get the cancellation terms and refund policy in writing.
Ask what testing is included, especially if the practice markets longevity panels. See longevity blood tests.

Nearby guides: San Francisco, Los Angeles and Portland and Seattle. Start at the concierge medicine hub.

Questions people ask

How much does concierge medicine cost in Sacramento?

We found no published Sacramento fee. National benchmarks seen Oct 17, 2026 include $2,250 to $2,930 a year at three MDVIP physicians ^[1] ^[7] and from $4,000 a year for Sollis Health's Signature membership ^[2].

Is direct primary care legal in California?

DPC practices operate in California, but DPC Frontier reports the state has no law directly addressing DPC ^[3].

Does Medicare pay for a concierge doctor?

Medicare pays for covered services but does not cover concierge membership fees ^[12].

Can I use FSA money for an MDVIP fee?

MDVIP says the fee may be reimbursed through an FSA after the annual wellness services are received, but not paid with an FSA card. This is MDVIP's position, not IRS guidance ^[13].

How many concierge and DPC practices are there?

A Health Affairs study counted 3,036 concierge and direct primary care practices in 2023, up 83.1% from 1,658 in 2018 ^[6].