What is Concierge Care?

Concierge Care is an enhanced access membership. Members pay an annual fee covering visits, an annual physical, and direct 24/7 access to me by phone and email.

What's the benefit to joining a practice with a concierge model?

I see far fewer patients, so I can build real relationships, offer same-day access for urgent needs, and give you more personalized, comprehensive care.

How is your model different than other "boutique" practices?

I don't bill insurance at inflated contracted rates on top of a membership fee. My practice also specializes in women's health, built for women, by a woman physician.

Are there any hidden fees?

No. Membership and ancillary fees are available on request. Because I don't bill insurance, labs and pharmaceuticals are often priced up to 90% lower than insurance rates.

Is my membership fee tax deductible?

Not currently. There is an ongoing push at the state and federal level to allow tax deductions for direct primary care fees.

Can I submit my membership fee to insurance or an HSA?

No, membership fees aren't eligible for insurance reimbursement, since this is a direct financial relationship. You can use an HSA or FSA for visit-related fees like office visits or blood work.

Will you take my insurance?

Concierge care is an alternative to insurance, so I don't file insurance claims directly. If your plan has out-of-network benefits, you may be able to submit claims yourself.

Will you accept Medicare?

I am a non-participating Medicare provider, but I can refer you to specialists, hospitals, and imaging facilities, and those visits are typically covered by Medicare or your managed care plan.

Do I still need health insurance?

Yes. I strongly recommend carrying health insurance for costs outside the practice, like hospital stays, imaging, and specialist visits.

Will I have email and cellphone access to you?

Yes. Direct text and email access to me is included in your membership.

Will you have access to my medical records?

Yes, through a Health Information Exchange connected to my electronic medical records system.

What about virtual visits done by Skype, webcam, or FaceTime?

I offer virtual visits as a supplement to in-person care, not a replacement, when appropriate. Contact the office for approval; I may still recommend an in-person visit when a physical exam is needed.

What happens if I need to see a specialist?

I'll coordinate your referral to a specialist within your insurance network, who will bill your insurance directly.

I offer some vaccines at a discounted rate. For insurance-covered vaccines, I can provide a prescription for a local pharmacy.

What if I want to cancel my membership?

I ask for a minimum 6-month commitment. After that, you can cancel with 30 days' written notice; your final month is prorated to the cancellation date.

If I cancel, can I rejoin the practice?

Yes, if there's availability. My patient list has a limited capacity.

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Concierge Membership · Sandwich, MA

Access, priced honestly.

A yearly membership with Dr. Manatis — access, texting, virtual visits, house calls as necessary, and labs reviewed at the time of your visit.

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Your investment in unhurried care

Membership is your relationship with Dr. Manatis — the time, access, and attention a fifteen-minute slot never allowed. As a member, you can expect:

Direct text access to Dr. Manatis between visits.

House calls, when getting to the office isn’t realistic.

Evidence-based referrals to specialists Dr. Manatis trusts, not just the closest name on a list.

Virtual visits, when a trip to Sandwich isn’t necessary.

Labs reviewed at the time of your visit, not days later.

Two same-day slots held back daily for sick or urgent visits.

Membership covers your time with Dr. Manatis. It doesn’t replace insurance for labs, imaging, or specialist visits, which continue to be billed separately.

Membership Plans

Access, priced honestly

Founding · first 75 members

Founding Primary Care Membership

$3,500 / year

Locked in for the first 75 patients who join the practice.

STANDARD

Primary Care Membership

$4,000 / year

Full access: texting, virtual visits, house calls as needed, labs reviewed at time of visit.

Not ready for a membership? A stand-alone Health Consult is available for $425; no membership required.

See full membership details

Ready when you are.

Start with a no-obligation Meet & Greet — no pressure, just a conversation.

Schedule a Meet + Greet

Why membership, why now

Dr. Manatis once held privileges at three hospitals at once while still practicing on the Cape. She said, “I travel so my patients don’t have to.” However, my patients followed me to Boston and Hingham. I recognized the need for internists on the Cape after my patients traveled so far to see me.

I could not tolerate patients being turned away for arriving ten or fifteen minutes late after driving long distances through traffic to get to my practice. “I felt that was so unfair”.

Frequently Asked Questions

What is Concierge Medicine?

Concierge Care is an enhanced access plan for patients who prefer a premium healthcare product. Patients with Concierge Care pay an annual fee (or monthly payments) that covers their membership in the practice, all office visits, and an annual physical exam. In addition, Concierge Care patients have direct 24/7 access to their designated personal physician via cell phone and email.
The model benefits both patients and physicians. The practice accepts fewer patients so our providers can develop stronger relationships with patients, allowing for a more comprehensive, personalized approach. Patients can see their physician, or one in the practice, the same day an urgent appointment is needed. Typically, patients in a Concierge practice have better health outcomes and are more satisfied. The bottom line is that by offering a concierge membership plan, we increase the amount of time we spend together because we see fewer patients in a day. We provide greater personalized care, serve as your advocate, and decrease healthcare costs overall.
We are different in that neither the practice nor the patient is burdened by insurance. Many “boutique” practices charge significantly higher fees, from $3,000 to over $10,000, and still bill insurance at the much higher, insurance contracted rates. The patient is still subject to visit restrictions, insurance denials, high deductible charges, etc.
Our practices go above and beyond the traditional primary care practice in education to specialize in women’s healthcare. We built care for women, designed by women.

Concierge Medicine Cost & Membership Fees

No. Our membership fees, as well as all ancillary offering fees, are available upon request. Since we do not participate in insurance billing we are able to secure contracted rates for items such as labs and pharmaceuticals at a much lower rate. These rates are often up to 90% lower than what you would pay utilizing your insurance coverage.
No. It is currently not deductible at this time. However, there continues to be a push nationally and at the state government level to allow for tax deductions for Direct Primary Care fees.
No. Direct primary care means you have a direct financial relationship with the practice, so membership fees are not eligible for insurance reimbursement. You can use your HSA or FSA for visit-related fees, such as an office visit or blood work.

Insurance, Medicare & Billing Questions

Concierge Care is an alternative payment model to insurance, so our office does not file insurance claims for you. You may be able to submit claims to your insurance directly for some visits if your insurance plan offers out-of-network benefits. If you have a Health Savings Account (HSA), you may be able to submit invoices for reimbursement.
Our providers are considered non-participating providers of Medicare. However, all of our providers can refer to specialists, hospitals and imaging facilities. If a patient has a managed care plan or Medicare, those visits, hospital stays, and imaging are typically covered by your insurance (unless you have a Medicare Advantage HMO or Medicaid).
Yes. We strongly recommend you carry health insurance to help with costs for services not associated with the practice.

Access to Your Doctor & Care Experience

Digital email and phone access are available through our Concierge Care plan, as concierge patients pay a premium price for direct access.
Yes, we will be able to access your medical records through an HIC (Healthcare Information Exchange) through our online electronic medical records system.
We think of "virtual visits" as a supplement to good primary care—not a replacement for in-person care. The office can offer these visits in some circumstances when appropriate. Patients who would like to request a visit should contact the office for prior approval. In cases where a physical exam is necessary, we reserve the right to recommend a traditional clinic visit.

Labs, Vaccines & Specialist Referrals

We can coordinate your visit to a specialist in your insurance network, and they will bill your insurance.
Our practice does have some vaccines that we can provide at a discounted rate. For patients seeking to have those vaccines covered by insurance, we are happy to provide a prescription to have vaccines administered at a local pharmacy when possible.

Membership Policies & Cancellation

We ask that patients participate in their membership plan for a minimum of 6-months. After that 6-month period, if you feel that the practice isn’t a good fit for you, you can cancel with a 30-day written notice. Any fees for that month will be prorated to the cancellation date.
Yes. Practices have a limited capacity for patients, but if there is availability, a patient may rejoin the practice.

Still have questions?

Our team is happy to walk through membership details before you decide.

Schedule a Meet + Greet