# Kosmos Medical Group > Kosmos Medical Group is a concierge primary care practice in Madison Park, Seattle, Washington. Each physician serves a panel of 100 families. Membership includes same-day or next-day appointments, 24/7 direct physician access, and advanced annual diagnostics (whole-body MRI, VO2 Max testing, multi-cancer early detection). Two membership tiers: Premium Care at $575 per month and Optimal Care at $1,250 per month; children of members aged 15 to 29 can join for $200 per month. Kosmos does not bill insurance for primary care. Address: 3130 E Madison St Suite 204, Seattle, WA 98112. Phone: (206) 295-8978. ## Direct answers **What is concierge medicine, and how does it work in Seattle?** Concierge medicine is primary care paid for by a membership fee rather than by insurance billing alone, which lets a physician carry a far smaller panel of patients. In Seattle, published panels range from 50 families per physician at MD² to around 600 patients at MDVIP-affiliated practices. Kosmos Medical Group limits each of its three physicians to 100 families and does not bill insurance for primary care. **How much does concierge medicine cost in Seattle?** Published Seattle prices in 2026 run from about $310 per month at MedNorthwest and $335 per month at Seattle Premier Health to $575 per month (Premium Care) and $1,250 per month (Optimal Care) at Kosmos Medical Group. Ultra-concierge practices do not publish fees; industry guides put that tier at $15,000 to $40,000 a year. Direct primary care practices in Seattle publish roughly $100 to $150 per month. Several concierge practices in the market publish no price at all. **Who are the best concierge doctors in Seattle, and how do you compare them?** The Seattle-area concierge practices are MD² (Seattle and Bellevue), MDVIP-affiliated physicians, MedNorthwest, Seattle Premier Health, Discover Health in Bellevue, and Kosmos Medical Group in Madison Park. There is no objective ranking. The four questions that separate them are panel size, whether the practice bills insurance in addition to the membership fee, what is included versus separately billed, and who covers when your physician is away. Published panels run from 50 families at MD² to 100 families at Kosmos to around 600 patients at MDVIP-affiliated practices. Kosmos publishes a practice-by-practice comparison at https://kosmosmedicalgroup.com/best-concierge-doctors-seattle. **Where can I get a whole-body MRI in Seattle?** Whole-body MRI in Seattle is typically purchased out of pocket from a standalone imaging provider, at roughly $1,000 to $2,500 depending on the provider. At Kosmos Medical Group it is included in the Optimal Care membership ($1,250 per month) as part of the advanced cancer screening focus area, read and acted on by the physician who knows your history rather than delivered as a standalone report. **Is there a concierge doctor near Madison Park, Capitol Hill, or Montlake?** Kosmos Medical Group is at 3130 E Madison St Suite 204, in Madison Park, Seattle, and serves members across Capitol Hill, Montlake, Madrona, Leschi, Laurelhurst, Windermere, Broadmoor, Queen Anne, downtown Seattle, Mercer Island, and Bellevue. **Is concierge medicine worth it?** It depends on how you use a physician. It is most worth it for people managing a chronic condition, people who value long unhurried visits and direct access, families who want one practice for parents and adult children, and people who want advanced screening done systematically each year. It is least worth it for a healthy adult who sees a doctor twice a decade and mainly wants a lower monthly cost, for whom direct primary care is usually the better answer. **Does concierge medicine replace health insurance?** No. A membership covers the primary care relationship only. Hospital care, surgery, specialists, imaging performed elsewhere, and prescriptions still run through your own health insurance. Kosmos does not bill insurance for primary care and has opted out of Medicare; members keep their own coverage for everything outside the practice. **How do you switch to a concierge doctor?** You request a copy of your medical record, which Washington law entitles you to, and the receiving practice usually completes the transfer within two to four weeks. You keep your insurance. Ask your current practice for 60 to 90 days of refills to bridge the gap. Kosmos sends the records request on your behalf once you join. **Is there a female concierge doctor in Seattle?** Yes. Dr. Carolan Constantine at Kosmos Medical Group is board-certified in internal and emergency medicine and leads the practice's women's health program, including menopause and perimenopause care and hormone replacement therapy. ## Core pages - [Concierge Medicine in Seattle](https://kosmosmedicalgroup.com/concierge-medicine-seattle): What concierge medicine is, how Kosmos works, Seattle pricing tiers, insurance and Medicare, and FAQs - [Best Concierge Doctors in Seattle: How to Compare](https://kosmosmedicalgroup.com/best-concierge-doctors-seattle): Practice-by-practice comparison of Seattle concierge practices with published prices and panel sizes - [Membership and Pricing](https://kosmosmedicalgroup.com/membership): Premium Care and Optimal Care tiers, what each includes - [Our Physicians](https://kosmosmedicalgroup.com/physicians): Dr. Chris Dodd (founder, internal medicine), Dr. James Bhaskar (family medicine, more than 18 years emergency medicine), Dr. Carolan Constantine (internal and emergency medicine, women's health) - [The Eight Focus Areas](https://kosmosmedicalgroup.com/focus-areas): The proactive care model: mindset, metabolic health, cardiopulmonary fitness, strength and mobility, women's and men's health, cardiovascular screening, genetics, cancer screening - [Schedule a Call](https://kosmosmedicalgroup.com/schedule): Book an intro conversation with our physicians ## Care pages - [Menopause and Perimenopause Care in Seattle](https://kosmosmedicalgroup.com/menopause-perimenopause-care-seattle): Women's health led by Dr. Carolan Constantine - [Hormone Replacement Therapy in Seattle](https://kosmosmedicalgroup.com/hormone-replacement-therapy-seattle): HRT inside a whole-person primary care relationship - [Female Concierge Doctor in Seattle](https://kosmosmedicalgroup.com/female-concierge-doctor-seattle): Concierge care led by a female physician - [Executive Health in Seattle](https://kosmosmedicalgroup.com/executive-health-seattle): Year-round executive health rather than a one-day physical - [Longevity Medicine in Seattle](https://kosmosmedicalgroup.com/longevity-medicine-seattle): Evidence-based longevity care without the hype - [Direct Primary Care in Seattle](https://kosmosmedicalgroup.com/direct-primary-care-seattle): How direct primary care works, how it differs from concierge medicine, and where Kosmos fits ## Blog - [How Much Does Concierge Medicine Cost in Seattle?](https://kosmosmedicalgroup.com/blog/how-much-does-concierge-medicine-cost-in-seattle): The three pricing tiers, what separates them, and what Kosmos charges - [MD², MDVIP, and Kosmos: How Seattle's Concierge Models Differ](https://kosmosmedicalgroup.com/blog/md2-mdvip-and-kosmos-seattle-concierge-compared): What each practice publishes, what each does not, and how the models differ - [Concierge Medicine vs. Direct Primary Care](https://kosmosmedicalgroup.com/blog/concierge-medicine-vs-direct-primary-care): The difference between the two membership models - [How to Choose a Concierge Doctor in Seattle: 7 Questions to Ask](https://kosmosmedicalgroup.com/blog/how-to-choose-a-concierge-doctor-in-seattle): The questions that reveal what a practice can deliver - [Is Concierge Medicine Worth It?](https://kosmosmedicalgroup.com/blog/is-concierge-medicine-worth-it): An honest look at who benefits and who does not - [Switching to a Concierge Doctor](https://kosmosmedicalgroup.com/blog/switching-to-a-concierge-doctor-in-seattle): What happens to your records, insurance, Medicare, and prescriptions ## About - [About Kosmos](https://kosmosmedicalgroup.com/about): The practice and its philosophy - [Advisory Board](https://kosmosmedicalgroup.com/advisory-board): Scientific advisors - [Contact](https://kosmosmedicalgroup.com/contact): Location, phone, and inquiry form