sentences:  To supplement insurance reimbursements, MDVIP physicians charge patients an annual fee between $1,650 and $2,200 per year.In addition to this annual fee, patients are responsible for applicable co-pays and co-insurance, and maintain primary-care insurance coverage including Medicare.In contrast to the direct-care model, this revenue format, often referenced as concierge medicine, runs the risk of audit or penalty as Medicare and other private-insurance carriers cover a comprehensive wellness exam currently listed as part of the MDVIP package.