A simple, direct alternative to traditional insurance-based care in San Diego
What Is Membership-Based Primary Care?
Membership-based primary care is a different way of structuring primary care. Instead of billing insurance for each visit, you pay a flat monthly or annual fee that covers your care over time.
At Marea MD, based in Central and East San Diego, this model supports:
1.
Fewer patients per physician
2.
Consistent care from the same doctor
5.
Direct access to your physician by call, text, and email
3.
Longer visits (typically 30 to 60 minutes)
4.
Truly personalized care
As a member of Marea MD, you're not waiting weeks to be seen, repeating your history, or trying to fit everything into a short appointment. Care becomes more consistent, easier to access, and built around a plan that continues beyond a single visit.
How Marea MD Compares
Feature
Model
Typical visit length
Same or next-day access
Direct text/call to physician
Patient panel size
Insurance required for primary care
Continuity with same physician
Menopause Society-certified provider
Monthly/annual membership (No Insurance)
30–60 minutes
Yes
Yes
Small, capped
(Optional)
Always
Yes
Traditional Insurance-Based Care
Per-visit insurance billing
7–15 minutes
Rare
No
2,000–3,500+
Yes
Variable
Rare
Traditional Concierge Medicine
Annual retainer + insurance billing
30–60 minutes
Yes
Yes
Small, capped
Yes
Usually
Varies
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How Marea MD Is Different
Care Without Interference
No insurance middlemen shaping your care
Time That Actually Feels Like Care
Unrushed visits built around your needs
Access That Doesn't Disappear
Reach your doctor whenever a concern comes up
Care That Stays With You
Continuity that builds real understanding
Our Core Services
Primary care visits
Same-day and next-day appointments
Chronic disease management
Preventive care and screenings
Direct messaging (text, call, email)
Lab coordination and discounted cash-pay labs
Medication management
Minor procedures
Care coordination and referrals to specialists
Lifestyle and wellness guidance
Women's health and perimenopause/menopause care
Where Your Health is the Priority
When the priority is to fill insurance quotas, there isn't much room to step back, revisit history in detail, or follow how things have been evolving from one visit to the next.
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As a result, most of the work of managing your health ends up falling on you, trying to interpret results and figure out what to do next without much direction. This lack of continuity makes it harder to feel confident that your care is moving in a consistent direction.
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Care at Marea MD is meant to fill in those gaps. Here, your visits build on each other, and your care stays with one family medicine physician with more than 20 years of experience, instead of being spread across multiple providers.
