Concierge Medicine Concierge medicine goes by many names, boutique medicine, retainer medicine, executive health, VIP medicine, and personalized medicine. By any name, concierge medicine is the solution for doctors trying to maintain their integrity and independence in today’s difficult healthcare environment.Concierge medicine is a new style of practice with old roots, in which doctors limit their patient base in order to provide patients with personalized service, high quality care, 24-7 availability, and other amenities. In exchange for this enhanced personal attention, patients pay physicians an annual fee. This concierge fee enables physicians to increase their compensation while managing their workload. In addition to receiving an annual fee, most concierge physicians continue to receive reimbursements from health plans and private pay clients.
Concierge medicine is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. This may or may not be in addition to other charges. In exchange for the retainer, doctors provide enhanced care. Other terms in use include boutique medicine, retainer-based medicine, and innovative medical practice design.The practice is also referred to as membership medicine, concierge health care, cash only practice, direct care, direct primary care, and direct practice medicine. While all concierge medicine practices share similarities, they vary widely in their structure, payment requirements, and form of operation. In particular, they differ in the level of service provided and the amount of the fee charged. There are an estimated 5,000 concierge, or membership medicine doctors throughout the U.S. Concierge physicians care for fewer patients than in a conventional practice. All generally claim to be accessible via cell phone or email at any time of day or night or offer some other special service beyond the normal care provided. The annual fees vary widely, from $600 to $5,000 per year for an individual, with the lower annual fees being in addition to the usual fees for each service and the higher annual fees including most services.
Some concierge practices do not accept insurance of any kind. These are as cash-only or direct primary care practices. By refusing to deal with insurance companies, these practices can keep overhead and administrative costs low, thereby providing affordable healthcare to patients. They become concierge only if the practice assesses an annual or monthly fee instead of or in addition to a fee for each medical service. Other concierge practices do take insurance, even Medicare, but ask for an annual fee for additional services exclusive of insurance plans. This annual fee is not a substitute for medical insurance, and generally does not cover consultations outside the practice, laboratory procedures, medicines, hospitalizations, or emergency care from other providers.
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Some concierge practices do not accept insurance of any kind. These are as cash-only or direct primary care practices. By refusing to deal with insurance companies, these practices can keep overhead and administrative costs low, thereby providing affordable healthcare to patients. They become concierge only if the practice assesses an annual or monthly fee instead of or in addition to a fee for each medical service. Other concierge practices do take insurance, even Medicare, but ask for an annual fee for additional services exclusive of insurance plans. This annual fee is not a substitute for medical insurance, and generally does not cover consultations outside the practice, laboratory procedures, medicines, hospitalizations, or emergency care from other providers. Placing different sized or shaped breast implants in each breast corrects moderate breast asymmetry.
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In those with breast implants, breasts may become asymmetrical after pregnancy and breast-feeding can make it more complicated to correct.
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A breast lift or mastopexy may improve breast asymmetry after pregnancy.
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Cleavage, anatomically known as the intra-mammary cleft, is the space between a woman's breasts lying over the sternum.
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Cleavage is exposed by a garment with a low neckline, such as ball gowns, evening gowns, swimwear, casual tops and other garments.
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Most people, both male and female, regard breasts as an important aspect of femininity and many women use cleavage to enhance their physical and sexual attractiveness and to enhance their sense of femininity.
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Some people regard use of cleavage as a form of feminine flirting or seduction, within the confines of community, peer group and personal standards of modesty, as much as for its aesthetic or erotic effect.
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Some people derive erotic pleasure from seeing a woman's cleavage, some derive pleasure in their female partner exposing cleavage, and some women wear low-cut clothing for the pleasure of their partner.
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However, some people, such as those subject to gymnophobia, may feel uncomfortable with the sight of a woman's cleavage, or object to low-cut clothing for modesty or other reasons.
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The International Federation of Associations of Anatomists has adopted the terms inter-mammary sulcus or inter-mammary cleft when referring to the area of cleavage between the breasts not including the breasts.
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For legal purpose it was noted by the United States federal courts that anal cleft or cleavage and cleavage of the female breast are so imprecise as to provide no guidance in defining them.
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Dιcolletage, which is the form of the neckline, is an aspect of woman's fashion.
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