No, the two are not synonymous.


  • Monthly membership fees – paid by patients or sometime their employers
  • Patient fees cover extended visits, care coordination, clinical and consultative services, some lab services and comprehensive care management
  • Do not accept insurance or participate in government programs, relying solely on patient fees


  • Annual patient membership contract with higher fees paid annually or monthly
  • Membership fees cover an in-depth annual physical exam and screenings
  • May continue to accept insurance and government programs
  • Continue to bill patient’s insurance company for covered services in addition to membership fee
  • Cater to higher income populations