Why We Do Not Operate a Membership Model
A consistent question from patients accustomed to American concierge medicine: do we sell a membership? An annual fee that buys access? We do not, and the reasons are worth stating clearly.
What memberships are designed to do
Concierge medicine memberships solve a real American problem: maintaining a small physician panel, giving patients reliable access, and being paid for availability rather than purely for episodes. In that context they are reasonable.
For an international coordination agency, they make less sense. The patient does not need year-round availability. They need a particular journey, coordinated well, when it arises.
How we are paid instead
Per engagement. A coordination fee is quoted in advance and itemised. Hospital, accommodation, and travel costs are charged at cost. We accept no commissions or referral payments from medical providers.
This means that when there is no medical journey, you owe us nothing. It also means our incentive is to do the journey well, not to retain you indefinitely.
What we offer instead of membership
A standing relationship with no annual fee. We keep your encrypted file on hand. If a new question arises in three or thirty months, you reach us through the same channel and the same coordinator.
There is no membership tier that buys faster responses, more senior attention, or better access. Every patient we accept receives senior attention by default — because every patient we accept is, by definition, the kind of patient we serve.
Where memberships would damage our work
A membership model creates a database of paying clients, an annual renewal cycle, and a sales effort. Each of those works against the discretion that defines us. We prefer the cleanness of a per-engagement relationship that begins when you need us and ends when the journey is closed.