Concierge medicine in San Antonio: costs and DPC

Concierge and longevity medicine in San Antonio

Concierge medicine in San Antonio means paying a yearly membership on top of insurance, and the nearest Texas fee we could document, $2,400 a year at an Arlington MDVIP practice, would equal about 3.7% of the city's $65,056 median household income ^[1]^[2]. Direct primary care, legal in Texas since 2015, often costs less ^[3].

Updated Oct 17, 2026By the Wellchosen Health editorial team

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

Retainer math on a San Antonio budget

San Antonio is a city of 1,548,422 with a median household income of $65,056 ^[2]. We did not find a San Antonio concierge practice that posts its fee. The closest Texas price we could confirm was an MDVIP physician in Arlington at $2,400 a year ^[1], which would be about 3.7% of the local median income. Direct primary care is usually cheaper: the AAFP says monthly DPC fees generally run $50 to $100, or $600 to $1,200 a year ^[4].

DPC in Texas: the law and the HSA rule

Texas law has defined direct primary care outside insurance regulation since HB 1945 in 2015 ^[3]. Federal rules changed in 2026. Under IRS Notice 2026-5, a direct primary care arrangement does not block HSA contributions if it meets these conditions ^[5]:

Fees of no more than $150 a month for one person, or $300 if it covers more than one person.
Care only from primary care practitioners, paid by a fixed periodic fee.
No general-anesthesia procedures, no prescription drugs other than vaccines, and no lab work beyond what an ambulatory primary care office usually does.
No separate billing to insurance for services inside the arrangement.

Go over the cap and you can still be reimbursed, but you lose the ability to contribute to an HSA while enrolled. Employer-paid DPC fees cannot be reimbursed from the HSA ^[5]. These rules took effect January 1, 2026 ^[6]. See the DPC guide and how to find a DPC practice.

Membership benchmarks

Published membership figures (seen or dated as shown)
Benchmark	Figure	Source date	Ref
Employer-sponsored DPC rate	$55 to $65 a month, flat for five years	Apr 2026	^[7]
DPC practices on DPC Frontier's map	3,232 across all states and DC	Oct 17, 2026	^[8]
MDVIP physician, Arlington TX	$2,400 a year	Oct 17, 2026	^[1]
Sollis Health Signature (no Texas site listed)	From $4,000 a year	Oct 17, 2026	^[9]

Most concierge practices do not publish fees. See our national fee index.

The full list is in our concierge cost index; also compare concierge and DPC.

Medicare members: what the fee cannot cover

With 13.4% of residents 65 or older ^[2], many San Antonio shoppers will be on Medicare. Medicare does not pay membership fees. Doctors who accept assignment cannot charge extra for Medicare-covered services, and those who do not accept assignment can charge no more than 15% above the Medicare-approved amount ^[10]. More on concierge medicine for Medicare patients.

Questions to ask

Is the fee annual, quarterly or monthly, and is there an enrollment fee?
Does the practice bill my insurance, and would that matter for my HSA?
What is included: annual physical, labs, same-day visits, after-hours access?
What are the cancellation terms?
Is the doctor in good standing with the Texas Medical Board? ^[11]

Compare with concierge medicine in Austin, Houston and Dallas, or start at the concierge hub and the doctor-finding checklist.

Questions people ask

How much does concierge medicine cost in San Antonio?

We found no San Antonio practice that publishes a fee. The nearest Texas fee we confirmed was $2,400 a year at an MDVIP physician in Arlington, seen October 17, 2026 ^[1].

Is direct primary care cheaper than concierge care?

Usually. The AAFP says DPC monthly fees generally range from $50 to $100 ^[4].

Can I use an HSA for direct primary care in 2026?

Yes, if the arrangement meets IRS rules, including fees of no more than $150 a month for one person or $300 when more than one person is covered ^[5].

What happens if my DPC fee is over the IRS cap?

The fee can still be reimbursed as a medical expense, but you cannot contribute to an HSA while enrolled, per IRS Notice 2026-5 ^[5].

Can a concierge doctor charge Medicare patients extra?

Doctors who accept assignment cannot charge extra for Medicare-covered services; non-participating doctors can charge up to 15% above the Medicare-approved amount ^[10].