Signature MD Membership Program

Dr. Brittany Burns MD Family Medicine Practioner, Dr. George Bell MD Internal Medicine Practitioner, and Jessica Harnisch-Boyd DO Family Medicine and Obstetrical care-- after working in the traditional medical fee-for-service insurance model, have chosen to transition their practice to a more comprehensive personalized model of care blending insurance and concierge-style of practice.  This is not a new concept many will recognize this care as more similar to how primary care used to be and places the patient back in the center of the equation where they belong!  

This blended insurance-concierge model again allows patients to build meaningful partnerships with their physicians in unhurried longer clinic appointments and have unprecedented direct communication with their physicians even outside clinic appointments.  This is achieved by keeping a much smaller panel of patients than a typical physician (~300 patients compared to 1700 +) that is afforded by an annual membership fee to provide a valuable more personalized, detailed, holistic model of care.  Membership allows reserved same-day or next-business-day appointments for urgent needs with your physician who knows you the best.  Standard appointments are 30-60 minutes long depending on needs compared to the typical 10-20 min afforded by fee-for-service insurance-only models.  Annual preventative wellness physicals are an unprecedented 90 minutes long to allow for not only a comprehensive overview of chronic conditions but also provide an in-depth dive into the foundations of health and wellness that help prevent disease and functional health decline. You can email for non-urgent questions, and reach your physician by cell phone after hours for urgent concerns.  Your physician has time to take a deeper dive into your medical concerns, coordinate more complex care, call specialists, and talk directly with you on results from lab/imaging/diagnostic results rather than a nurse relaying your results.  

Patients pay an annual membership fee which enables their physicians to turn all their attention to a smaller panel of patients and provide more comprehensive care.  Patients retain unprecedented access, time, and more individualized attention from their physicians!  Clinic appointments, labs, procedures, and diagnostic testing fees are still processed through the patient's insurance, where copays and deductibles still apply based on your insurance plan.  

Coeur Vitality providers love taking care of families and providing generational care-- as such, children come on board with their parents free of charge (no additional membership costs beyond direct fee-for-service insurance costs, copays, and deductibles). 

Those who are accepted to Dr. Burns, Dr. Bell's, and Dr. Harnisch-Boyd's panel appreciate the following benefits from their membership dues:

  • cell phone 24/7 access for urgent or pressing health concerns; 

  • email access for non-urgent correspondence directly with the provider; 

  • access for same-day or next-business-day urgent appointments;

  • unhurried visits that tend to run on time (eye wink) for a change;

  • extremely in-depth 60-90 minute annual physicals, including extended blood work panels and deeper dives into wellness planning;

  • annual nutrition assessment and consultation with a nutritionist;

  • annual fitness assessment and consultation with a fitness trainer;

  • travel telemedicine visits to help coordinate needed care when out of town;

  • urgent care services for visiting family/friends from out of town;

  • select private home or nursing home visits for patients who are frail and/or home-bound within Coeur d’Alene city limits;

  • children through the age of 26 yrs old come free of membership with their parents;

  • hospital rounds for newborns; 

  • social hospital rounds and collaboration with the Hospitalist team for patients admitted to the hospital;

  • peace of mind that comes with knowing that not only do you have access to health advice and care when you need it, but that your provider will be intimately aware of your prior health history and needs, and will treat you as a whole person- not just a number on an overflowing panel of patients. 

Find out more here: https://signaturemd.com/brittany-burns/