Concierge medicine is primary care paid partly through a membership fee that buys access, longer visits and an annual exam.
Reading the San Diego market
San Diego's median household income is $108,077, and 14.6% of residents are 65 or older [3]. Those two numbers shape demand. The AAFP notes that concierge practices typically serve higher-income patients [6], and older patients tend to need more visits.
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Benchmarks to compare a quote
| Benchmark | Fee | Date | Source |
|---|---|---|---|
| Sollis Health Signature (Southern California and other regions) | From $4,000/yr | Oct 17 2026 | [2] |
| MDVIP physician, Phoenix (nearest posted MDVIP fee in our data) | $2,250/yr | Oct 17 2026 | [7] |
| Direct primary care, typical monthly fee (AAFP) | $50 to $100/month | Oct 17 2026 | [6] |
| GAO survey, most common concierge fee (old baseline) | $1,500/yr | 2005 | [8] |
No California DPC statute
DPC Frontier finds no California law directly addressing direct primary care [4]. That does not ban DPC, but it means there is no state safe harbor defining it apart from insurance. Federal HSA rules, effective Jan 1 2026, let HSA funds pay DPC fees up to $150 a month for an individual when the practice does not bill insurance [9].
If you are on Medicare
Medicare does not pay concierge fees, and practices that accept assignment cannot charge the fee for services Medicare covers. If the fee includes non-covered items, you should get an Advance Beneficiary Notice [10]. See Medicare and concierge care.
A short checklist
- Ask for the annual fee, payment options and refund terms in writing.
- Confirm the doctor on the Medical Board of California site [5].
- Ask which hospital system the doctor admits patients to.
- Compare with direct primary care and an executive physical if you mainly want testing.
Nearby concierge pages: Orange County, Los Angeles, Santa Monica. Overview: concierge medicine, find a concierge doctor, MDVIP review.
Questions people ask
How much does concierge medicine cost in San Diego?
Does California have a direct primary care law?
No. DPC Frontier, which tracks state DPC laws, lists none for California [4].
Can I pay a concierge doctor with my HSA?
IRS Notice 2026-5 allows HSA payment of direct primary care fees up to $150 a month for one person, but not for arrangements that bill insurance separately [9].
Does Medicare cover concierge fees?
No. Medicare does not pay concierge membership fees; the patient pays them under the contract with the doctor [10].
What is the median household income in San Diego?
$108,077 for 2020 to 2024, per Census QuickFacts [3].
What is a typical direct primary care fee?
According to the AAFP, direct primary care memberships usually cost $50 to $100 a month [6].
Sources
10 cited
- How much are concierge medicine and direct primary care growing?. Harvard Medical School, Dec 18, 2025.
- Membership. Sollis Health, Oct 17, 2026.
- QuickFacts: San Diego city, California. U.S. Census Bureau, 2025.
- California and direct primary care. DPC Frontier, 2024.
- Medical Board of California. State of California, Oct 17, 2026.
- Direct Primary Care. American Academy of Family Physicians, Oct 17, 2026.
- MDVIP physician page, Phoenix, AZ. MDVIP, Oct 17, 2026.
- Physician Services: Concierge Care Characteristics and Considerations for Medicare (GAO-05-929). U.S. Government Accountability Office, Aug 12, 2005.
- Notice 2026-5: Health savings accounts and direct primary care. Internal Revenue Service, Dec 9, 2025.
- Concierge care. Medicare.gov (CMS), Oct 17, 2026.
This page is general information, not medical advice. Talk with a licensed clinician about your own care.