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Frequently Asked Questions

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Get answers to your most frequently asked questions and find out everything you need to know about Exceptional Health.

What does “having access to my doctor” mean?

Having access to your doctor means having a direct and personalized line of communication with your primary care physician whenever you need it. You can reach out for medical advice, consultations, and follow-ups through secure messaging, phone calls, or virtual visits. Your physician knows your medical history, understands your needs, and is readily available to guide and coordinate your care.

How does concierge healthcare differ from traditional healthcare?

Concierge medicine gives you a closer relationship with your provider. You get shorter wait times, longer appointments, same-day visits, and direct access to your doctor.

Is Exceptional Health’s Concierge Healthcare right for me?

If you’re looking for a close relationship with your doctor, concierge medicine provides personalized care. Additionally, discover a primary care service that is truly exceptional.

Can I schedule same-day appointments?

Yes, as part of our commitment to accessible care, we offer same-day appointments for urgent healthcare needs.

How do I become an Exceptional Health member?

To become a member, contact us directly or by phone to discuss membership options and begin the enrollment process.

Do you accept insurance at Exceptional Health?

Yes, we accept most major insurance plans, except Medicaid. Co-pays, deductibles, and services not covered by insurance are the patient’s responsibility. Any medical services rendered are billed through our parent company, Private Healthcare Group, LLC.

Do I have to pay the membership fee all at once?

No, you do not have to pay the full amount upfront. The membership fee is prorated based on your join date, and we offer quarterly payment options.

Does Exceptional Health take insurance?

Yes, Exceptional Health takes all major insurance plans with the exclusion of Medicaid. As a member of the Mass General Brigham network, Exceptional Health is considered in network for most patients. Any co-payments, insurance deductibles, and non-covered clinical services are the responsibility of the patient as determined by their insurance company. Medical services are billed through our parent company, Private Healthcare Group, LLC.

Does Exceptional Health accept Medicare?

Yes, Exceptional Health accepts Medicare and most Medicare supplemental plans.

Does Exceptional Health bill me for blood work?

Any specimen collected in the office is sent by courier to Newton-Wellesley Hospital, where it is processed and billed through the hospital to your insurance company. Results and any balance billing will be available through Patient Gateway.

What happens if my doctor is unavailable or I need urgent care?

If your primary physician is out of the office, or you need to be seen urgently while they are caring for another patient, another provider at Exceptional Health, such as a physician, nurse practitioner, or physician assistant, will see you. Your primary physician will be kept informed to ensure continuity and consistency in your care.

Do you provide same-day or next-day visits?

Yes. When a medical issue arises, timely access to care is essential. We prioritize prompt appointments so you can be seen quickly by someone you trust.

Can Exceptional Health provide help if I am out of town?

Yes. Whether you are 3 miles or 3,000 miles away, we are available to support you and provide care through whatever health issue you are experiencing.

How are referrals, testing, and specialist appointments coordinated?

Our team manages the full coordination process, including scheduling, referrals, prior authorizations, registration, and communication with specialists. We ensure timely access and a seamless experience for any testing or specialty care you may need. We also make referrals based on what is best for your care and are not limited to a specific network.

Do you offer telemedicine or virtual visits?

Yes. We offer virtual visits through Patient Gateway, Zoom, and Doximity, all of which are secure and HIPAA compliant.

Do you offer imaging such as X-rays or ultrasounds in the office?

While we do not perform imaging in the office, we coordinate imaging at Mass General Brigham locations and other trusted facilities. Our team handles scheduling, referrals, and coordination, and your physician will review the results with you once available.

Do you provide vaccines in the office?

Yes. We offer many routine vaccines in the office for your convenience. Your physician will review your vaccination history and recommend any needed immunizations.

Do you provide women’s health services such as Pap smears?

Yes. We provide routine women’s health services in the office, including Pap smears and preventive screenings. Your physician can also coordinate any additional care or specialty referrals if needed.

In an emergency, what hospital can I go to?

You should always go to the nearest hospital for any life-threatening condition. In many cases, your physician can help guide you to the most appropriate facility based on your needs.

Can my doctor refer me to a specialist outside of the Mass General Brigham network?

Yes. We make referrals based on what is best for your care and are not limited to a specific network.

Is Exceptional Health affiliated with a hospital system?

Yes. Exceptional Health is part of the Mass General Brigham network. Our physicians maintain hospital affiliations within this system and coordinate care closely with Mass General Brigham hospitals and specialists.

Is the membership fee prorated if I join mid-year?

Yes. Membership fees are prorated based on your join date, so you only pay for the remaining portion of the membership year.

Is there a minimum membership commitment?

Yes. Membership includes a six-month minimum commitment at the time of enrollment.

Is there a joining fee or early termination fee?

Exceptional Health includes a one-time joining fee at enrollment. An early termination fee may apply if a membership is ended before the minimum commitment period. All terms are reviewed clearly before enrollment.

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