What Is Concierge Medicine? Root-Cause Care With Direct Physician Access

The average primary care visit lasts about 15 minutes. For a healthy patient with a simple question, that may be enough. For someone managing fatigue, hormonal changes, stubborn weight, or a complaint that never quite resolves, 15 minutes is rarely enough to get past the symptom and reach the cause. Concierge medicine was built to solve that problem directly, by changing the economics of the relationship rather than asking physicians to work faster.

What Is Concierge Medicine?

Concierge medicine is a membership-based model of care. Instead of billing volume through insurance, the physician limits the size of their patient panel and patients pay a monthly membership. Fewer patients means longer appointments, faster access, and the time to investigate rather than triage.

The trade is straightforward. A conventional practice may carry two or three thousand patients. A concierge practice deliberately carries a fraction of that. At Capitis Medical & Aesthetics, our program is capped at 100 patients, which is what allows the level of access the model promises.

How Concierge Medicine Differs From a Standard Practice

• Access. Same-day scheduling and a 24-hour callback guarantee, rather than a queue for the next available opening.
• Time. Appointments long enough to take a full history, which is often where the actual answer lives.
• Continuity. You see your physician, not whoever is covering that day.
• Depth of testing. Three extensive lab panels a year, so trends are visible over time instead of a single annual snapshot.
• Orientation. The goal is identifying why something is happening, not only managing the symptom it produces.

Where Functional and Regenerative Medicine Fit

Concierge care is a structure, not a philosophy. What fills that structure matters just as much. Our program is built on functional and regenerative medicine, which treats the body as a set of interacting systems rather than a list of isolated complaints.

In practice, that means the workup goes further than a standard panel. DNA Functional Analysis offers genomic insight into how your body metabolizes nutrients, processes hormones, and handles inflammation. Toxin analysis screens for environmental exposures that rarely appear on routine bloodwork. Together, these give a physician something closer to a map than a snapshot.

That map is only useful with the time to read it. This is why the two ideas pair well: functional medicine asks questions that take time to answer, and concierge medicine is the model that makes that time available.

Who Concierge Medicine Is Best Suited For

Concierge medicine is not necessary for everyone, and we would rather say so plainly. It tends to make the most sense for:

• Patients with persistent symptoms that have not been explained by conventional workups
• Adults navigating hormonal changes, energy decline, or shifts in body composition
• People managing a chronic condition who want a physician with time to coordinate it
• Executives and frequent travelers for whom scheduling friction is the real barrier to care
• Anyone who wants a preventive, data-driven relationship rather than reactive sick visits

If your health needs are straightforward and well managed, a conventional practice may serve you perfectly well. The value here scales with complexity.

What Membership Includes at Capitis

Our program is offered in two tiers. Standard Concierge is $500 per month. Executive Concierge is $1,000 per month and adds Dr. Crose's direct personal phone number. Both tiers include direct physician access with same-day scheduling, a 24-hour callback guarantee, three extensive lab panels annually, DNA Functional Analysis, toxin analysis, a 20% discount on products and services, and priority access to our regenerative and stem cell-based therapies.

Why Choose Capitis Medical & Aesthetics?

Concierge medicine is only as good as the physician behind it. Dr. Joshua Crose is an osteopathic physician, board-certified in internal medicine, with a clinical focus in regenerative medicine. That combination matters. Internal medicine provides the diagnostic rigor for complex, multi-system cases, while the regenerative and functional training brings tools that a conventional practice typically will not offer.

We are also candid about scope. Concierge membership is a relationship with a physician, not a guarantee of a particular outcome. What we can commit to is time, access, thorough testing, and a physician who knows your history.

Frequently Asked Questions About Concierge Medicine

Does concierge medicine replace my insurance?

No. Membership covers the relationship, access, and included services. You should maintain insurance for hospitalization, specialty care, imaging, and emergencies.

Why limit the practice to 100 patients?

Because access cannot be promised at scale. Same-day scheduling and a 24-hour callback are only realistic with a small panel. The cap is what makes the rest of it true.

Is concierge medicine only for people who are already sick?

Not at all. Much of the value is preventive. Annual lab panels and genomic testing are most useful when they establish a baseline before problems appear.

Can I join if I live outside San Diego?

Yes. We serve patients from both our San Diego and Roseville locations, and much of the ongoing communication in a concierge relationship happens by phone.

Start With a Conversation

The best way to know whether this model fits is to talk it through with the physician who would be delivering it. Contact Capitis Medical & Aesthetics to schedule a consultation and learn more about Concierge Medicine in San Diego, CA. With only 100 memberships available, we are glad to help you decide whether it is the right fit before you commit.