Each concierge medicine membership is a 12 month commitment and your credit card will be charged based upon the plan chosen. You may withdraw at any time with 60 day advanced notice. You will be refunded the prorated fee minus $400 if you have already had your annual physical examination For patients who are paying monthly, if you decide to withdrawal from the practice and you have already had your annual physical examination you will still be responsible for the $400 physical examination fee.