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If getting to a doctor’s office has become the hard part, you have two kinds of options in Lee County: house-call practices that come to you, and concierge practices that give you a closer relationship with one physician, faster access, and longer visits, usually for an annual fee. This guide lists the local practices in each group, explains what Medicare will and won’t pay for, and shows how a private in-home caregiver fits alongside a private physician.
Abby Services is a nurse-owned, state-licensed nurse registry in Fort Myers. We are not affiliated with any practice listed here and do not coordinate medical care. We share these as community resources because families ask us about them every week. Please confirm current services, coverage area, and fees directly with each practice, and let them know Abby Services referred you.
A mobile physician, house-call doctor, or home-based primary care provider is a physician or nurse practitioner who sees patients in their own homes instead of an office. In Florida, most house-call programs focus on people who are homebound or have limited mobility: someone who uses a walker or wheelchair, cannot drive for health reasons, has a memory disorder, is bedridden, or was recently discharged from the hospital. The visit itself looks like a normal primary-care appointment (exam, medication review, orders for labs or home health), just at your kitchen table.
A concierge physician is different. Concierge, or “direct,” practices limit how many patients they take so each patient gets same-day or next-day appointments, unhurried visits, and a direct line to the doctor. Some make house calls when needed; most expect you to come to the office. You pay a membership fee for the access, and the practice may or may not also bill Medicare.
These are the practices we could confirm actually come to the home.
Lee Health’s House Calls program, run through Lee Physician Group, brings primary care into the home for homebound and limited-mobility patients throughout Lee County. Care is provided by advanced registered nurse practitioners. The program accepts most insurance plans, including Medicare and Medicaid, and was accepting new patients at the time of writing. This is the first call for most families we talk with, because it bills Medicare like any other visit.
A concierge practice founded in 1997 by Gary M. Price, MD, the first practice of its kind in Florida. Membership covers care wherever you need it (office, hospital, or home), and the practice describes itself as “even making house calls when needed.” Offices in Fort Myers, Bonita Springs, Sanibel, and Clewiston. Because this is a membership model, ask how Medicare billing works before you join.
Yes, with conditions. Original Medicare Part B covers a physician or nurse practitioner home visit the same way it covers an office visit, as long as the visit is medically necessary and the provider participates in Medicare. You do not have to be certified “homebound” for a house call the way you do for Medicare home health services; the provider simply has to document why a home visit was appropriate. Lee Health House Calls works this way.
What Medicare never covers is a membership or retainer fee. A concierge practice that still bills Medicare will charge you the annual fee on top of your normal Medicare cost-sharing. A practice that has opted out of Medicare cannot bill Medicare for anything its physicians do, so you pay the full cost of every visit yourself, though Medicare still covers labs, imaging, specialists, and hospital care the practice orders elsewhere. Ask every practice one question before joining: “Do you bill Medicare, or have you opted out?”
These practices offer a closer doctor relationship and faster access. They are office-based unless noted, so they suit people who can still get to an appointment but want more time and attention when they get there. Fees change; confirm current pricing with the practice.
MDVIP is a national concierge network. Affiliated doctors keep a small panel, include an annual comprehensive wellness exam, and continue to bill Medicare and insurance for visits, so the membership fee is the only thing you pay out of pocket beyond your normal coverage. MDVIP fees are typically in the range of $1,800 to $2,200 per year; each practice sets its own. Three MDVIP physicians practice in Fort Myers:
Directory: mdvip.com – Fort Myers physicians
An independent concierge internist in Fort Myers using a hybrid model: the practice bills insurance for covered services, and the membership fee covers what insurance does not. Offers a standard membership, a premium tier, and a six-month “snowbird” plan for seasonal residents, which is rare locally and worth knowing about if you winter here.
A membership-based internal medicine practice in south Fort Myers whose physicians stay involved across settings, including advocating for patients during stays at Lee County hospitals. Two things to know before calling: IMLWP has opted out of Medicare, so Medicare cannot be billed for anything its physicians do, and patients 65 and older are required to join the Premier tier, published at $5,280 per year plus a one-time $150 fee. Younger patients have a lower Core tier. This is a good fit for families who want one doctor closely involved at every step and are prepared to pay for it directly.
Listed above under house calls; it is also the longest-running concierge practice in the area. 239-415-1111.
Three questions sort most families out quickly:
A private physician handles the medical side. A private caregiver handles everything around it, which is most of the day: bathing, meals, medication reminders, getting to the appointment, and the eyes in the home between visits. Families who use a house-call or concierge doctor tend to get the most out of it when there is a dependable caregiver at home who can tell the doctor what has actually been happening, follow the plan the doctor sets, and call when something changes.
That is where a local nurse registry fits. Abby Services has been matching Southwest Florida families with screened, credentialed private caregivers since 1997, and our office is run by a Fort Myers RN. The caregivers we refer are independently employed and directed by you, so the arrangement stays as flexible as the medical care: a few hours a week for appointments and errands, or daily support for someone who is truly homebound. Tell the practice you are working with a private caregiver, and tell us who your physician is; both sides do better work when they know the other is there.
Caregivers referred through Abby Services can help with:
Every situation is different. Tell us what kind of help you are looking for and who your doctor is, and our office will work to match you with caregivers whose experience and availability fit. If a caregiver is not the right fit, you are always free to request another. And when you call one of the practices above, let them know Abby Services referred you.
Your physician, whether office-based or visiting, can help you decide whether in-home support makes sense. It is often the right move when someone has trouble with one or more activities of daily living (ADLs), such as bathing, dressing, or moving safely around the home. If you have questions, call Abby Services at 239-590-0861 or tell us what you need online.
A mobile physician, also called a house-call doctor or home-based primary care provider, is a physician or nurse practitioner who sees patients in their homes rather than an office. Visits cover the same ground as a regular primary-care appointment. In Lee County, the main program is Lee Health House Calls.
Most house-call programs serve people who are homebound or have limited mobility: those who use a walker or wheelchair, cannot drive for health reasons, have a memory disorder, are bedridden, or were recently discharged from the hospital. Each practice sets its own criteria, so call and describe your situation.
Medicare Part B covers medically necessary home visits from a participating physician or nurse practitioner, billed like an office visit. Medicare never covers concierge membership or retainer fees, and a practice that has opted out of Medicare cannot bill Medicare for any of its own services.
Published local fees range from roughly $1,100 per year for younger patients at IMLWP to $5,280 per year for its 65-and-older tier. MDVIP practices typically charge in the range of $1,800 to $2,200 per year and continue to bill Medicare for visits. Always confirm current fees with the practice.
Yes. A private caregiver referred through Abby Services can help you get to appointments, be present for home visits, follow the care plan the doctor sets, and report changes to family and, with your permission, to the practice. Tell both sides about each other so they can coordinate.