Telehealth has become a standard part of how medicine is delivered, and it fits particularly well with the concierge model. Not as a replacement for in-person visits but as a way to handle the things that genuinely don't need one.
TL;DR
- Video visits in this practice happen with me, not a stranger doctor (the difference from a Teladoc-type app)
- Best for: follow-ups, results review, quick consultations, travel coverage, mental-health check-ins, medication adjustments
- Not a replacement for: physical exams, hands-on assessment (those become office or house calls)
- Included in the membership; no per-visit charge
- HIPAA-compliant; no app to download, you click a link and we're connected
- To reach the practice: call or text 561-468-6981
How telehealth fits in a concierge practice
The shorthand: telehealth is a delivery method, not a different product. The same physician, the same continuity of care, the same access to your full chart, just delivered via video when an in-person visit isn't necessary.
That's structurally different from a standalone telehealth app like Teladoc or MDLive, where the visit is with a stranger, has no continuity, and ends when the encounter does. The video format is the same; the underlying medical relationship isn't.
When video visits work well
Follow-up appointments. Checking in on a new medication, reviewing lab results, discussing ongoing symptoms. Most of these conversations don't require a physical exam.
Quick consultations. A rash you're concerned about, a new symptom you want evaluated, a question about whether something needs further workup. A quick video call often resolves it.
Travel coverage. For seasonal residents who split time between states, or patients traveling for work, a video visit keeps care continuous without waiting until you're back in town. I can also coordinate with local providers when something needs in-person care wherever you are.
Mental health check-ins. Conversations about stress, sleep, mood, and general wellness are often more comfortable from home than in an office.
Medication adjustments. Titrating a blood pressure medication, fine-tuning an antidepressant dose, reviewing how a new prescription is going. These benefit from frequent low-friction touch points, not formal office visits.
Results review. Lab results, imaging reports, specialist visit summaries. A 15-minute video call to walk through what was found is often more useful than a portal message you have to interpret on your own.
When video visits don't replace an office visit
Telehealth can't replace a physical exam when one is needed. Cardiac and pulmonary auscultation, abdominal palpation, neurological examination, full-body skin exam, anything requiring hands-on assessment. For these situations, an in-person visit or a house call is the right answer.
Part of what the concierge relationship provides is knowing which type of visit fits the situation. That's a judgment call I make with you each time.
How it works in this practice
I use HIPAA-compliant video tools. There's no app to download for the patient; you click a link and we're connected. The platform integrates with your medical record so notes, prescriptions, and follow-up planning stay unified.
Unlike telehealth-only services where you might see a different provider each time, video visits in this practice happen with me. I know your history, your baseline, and your preferences. That continuity is what makes the model work. (What it's actually like to have a doctor available 24/7, including by video.)
A typical day's mix
A reasonable cross-section of how care actually gets delivered in a week here:
- Some same-day in-office or house-call visits for acute issues
- A handful of video visits for follow-ups, results review, and medication adjustments
- Direct text/phone for quick questions that don't need a visit at all
- One or two longer telehealth visits for snowbird patients up north
- Comprehensive in-person annual physicals scheduled in advance
The mix varies week to week. The point is matching the delivery method to the clinical need rather than forcing every interaction into the same format.
Frequently Asked Questions
Do video visits cost extra, or are they included in the membership?
Included. There's no per-visit charge for video visits in this practice; they're part of how care gets delivered alongside in-person visits, house calls, and direct text/phone access.
What if I'm out of state when I need a visit?
For most non-acute concerns, a video visit works the same as if you were in Florida. For acute situations that may need in-person care, the physician can advise remotely and help coordinate with local providers when something needs hands-on assessment. Snowbird patients in particular use video extensively during their northern months.
Can I do video visits on my parent's behalf if they're not tech-comfortable?
Yes, with appropriate consent on file (HIPAA authorization for the parent to allow communication with named family members). Many adult children join their parent's video visits to help with notes, follow-up questions, and care coordination. Setting that up is straightforward.
Do you do prescription refills via video?
Yes, where clinically appropriate. For most ongoing medications a refill doesn't require a visit at all; you can text or call. For controlled substances and specific situations where a check-in is appropriate, a brief video visit handles it.
What platform do you use? Do I need to download anything?
A HIPAA-compliant video platform that works in any modern browser. No app to download for patients; you click a link and we're connected. The platform integrates with the practice's medical record so visit notes, prescriptions, and follow-up planning stay unified.
How to evaluate any concierge practice for real telehealth integration
Concierge practices vary widely in how they integrate telehealth. The best ones treat video and phone as core delivery modes, not afterthoughts. The criterion is panel size: below 300 patients makes both real in-person and real remote access available; above 600 doesn't, regardless of marketing. (Full criteria for evaluating any concierge practice.)
About the Author
Dr. Ben Soffer, DO is a board-certified physician practicing concierge primary care in Boca Raton, Florida. He caps his practice at 50 patients, which is what makes mixing in-person, house-call, and video care fluidly across the week structurally possible.
If you want to talk through whether this fits
A no-obligation conversation about how a mix of in-person, house-call, and video care would work for your situation.
- Call: 561-468-6981
- Email: info@drbensoffer.com
- Or reach out through the contact form
