Can You Cancel a Concierge Membership in Las Vegas, and What Do You Get Back?

What "concierge membership" means here

This page is about concierge medicine, sometimes called direct primary care or membership medicine, where a patient pays a recurring fee (monthly or annual) directly to a practice for things like same day appointments, longer visit times, direct phone or text access to a physician, and sometimes reduced wait times for specialists. It is not the hotel or cruise "concierge" and it is not insurance. This is educational information, not medical advice, and it does not evaluate any specific clinic. Talk to a doctor about your own care, and read your own contract closely before you sign or cancel.

Can you actually cancel it?

In almost all cases, yes. Concierge medicine agreements in Nevada are private contracts between you and a medical practice, not insurance policies, so there is no single statewide rule that fixes cancellation rights the way there is for, say, health insurance open enrollment. What controls your ability to cancel, and what you get back, is the specific contract you signed. That means the honest answer is: it depends entirely on the paperwork, and you need to go find that paperwork before assuming anything.

What you get back: three common patterns

Because these agreements vary practice to practice, expect to see one of roughly three structures. None of these numbers are Las Vegas-specific figures; they describe patterns commonly seen nationally in membership medicine, since no government body tracks concierge fee refund practices the way it tracks insurance rules.

• Prorated refund. You get back the unused portion of a prepaid annual fee, sometimes minus a small administrative or enrollment fee. This is the most consumer-friendly version.
• No refund after a set window. Many agreements allow a full refund only if you cancel within the first 10 to 30 days (a "cooling off" period some practices offer voluntarily, not because Nevada law requires it), and no refund at all after that.
• Non-refundable annual fee, cancel anytime going forward. You keep access through the period you already paid for, but you get nothing back and simply stop being billed for the next term.

There is no substitute for reading the actual cancellation clause. If the contract is silent or vague, that is itself useful information, since it usually means refunds are handled case by case, and you should get the policy in writing before enrolling, not after.

A Nevada-specific checklist before you sign, or before you try to cancel

1. Pull the contract, not the brochure. Marketing pages rarely state cancellation terms; the signed agreement does.
2. Find the notice requirement. Many agreements require 30 to 60 days written notice before cancellation takes effect.
3. Check for auto-renewal language. If the membership auto-renews annually, missing a cancellation deadline can lock you into another full term.
4. Ask what happens to any prepaid year. Get a specific dollar answer in writing, not a verbal promise.
5. Confirm the business is in good standing. You can look up whether a Nevada business entity is registered and active through the Nevada Secretary of State's business search.
6. Verify the physician's license status. The Nevada State Board of Medical Examiners maintains license lookups so you can confirm a physician is currently licensed and check for any public disciplinary actions.
7. Ask in writing whether the fee is refundable if the doctor leaves the practice or retires. This is a common gap in these contracts.
8. Get your cancellation confirmed in writing, including the effective date and any refund amount, before you consider it done.

What this costs, and why nobody can quote you a precise local number

Concierge and direct primary care membership fees nationally range widely, commonly cited in the low hundreds to several thousand dollars per year depending on the level of access included (same-day visits, house calls, direct physician cell access, executive physicals). This is a national range, not a Las Vegas figure, because no government body such as CMS or KFF publishes a standardized local price index for concierge medicine the way they do for insurance premiums.

Related in this guide

• Concierge Medicine in Las Vegas: How Membership Practices Work and What They Cost
• Questions to Ask a Las Vegas Concierge Practice Before You Join
• Why the Number of Patients Your Doctor Has Changes Your Care in Las Vegas