Frequently Asked Questions — Doc on the Block

Question 1

What is Doc on the Block?

Accepted Answer

Doc on the Block is a concierge house call practice founded by Dr. Melissa P. Broyles. We provide comprehensive geriatric medical care directly in patients' homes — no waiting rooms, no rushed appointments, and no need to arrange transportation.

Question 2

What areas do you serve?

Accepted Answer

We currently serve patients in Delaware and Chester counties in Pennsylvania. If you are unsure whether your address falls within our service area, please reach out and we will let you know.

Question 3

Who is this practice designed for?

Accepted Answer

Doc on the Block is designed for older adults — typically those 65 and older — who have difficulty traveling to a physician's office, who have complex medical needs that benefit from an in-home assessment, or who simply prefer the comfort and convenience of care at home. We also work closely with family members and caregivers who are helping to coordinate a loved one's care.

Question 4

Is Dr. Broyles accepting new patients?

Accepted Answer

Yes. Dr. Broyles is currently accepting a limited number of new patients. Because this is a concierge practice, she keeps her panel small to ensure every patient receives the time and attention they deserve. We encourage you to reach out early to discuss whether the practice is a good fit.

Question 5

Do you accept insurance?

Accepted Answer

No. Dr. Broyles does not participate with any insurance plans and does not submit claims on your behalf. Doc on the Block operates as a direct primary care practice, which means you pay Dr. Broyles directly. This model allows her to spend significantly more time with each patient than a traditional insurance-based practice permits.

Question 6

What are your fees?

Accepted Answer

The initial visit is $750 and includes a comprehensive medical history, full physical examination, and time to assemble the patient's care team and individualized care plan. This appointment typically lasts up to two hours. The ongoing monthly concierge fee is $600. The monthly fee covers all home visits, care coordination, documentation, and communication throughout the month. It also provides direct 24/7 access to Dr. Broyles via cell phone. The agreement is month-to-month and may be terminated at any time.

Question 7

Can I submit your fees to my insurance for reimbursement?

Accepted Answer

Unfortunately our fees cannot be submitted for insurance reimbursement.

Question 8

Are the fees tax-deductible?

Accepted Answer

Dr. Broyles' fees may be deductible as a medical expense on your annual federal tax return, depending on your individual circumstances. We recommend consulting your tax advisor for guidance specific to your situation.

Question 9

What payment methods do you accept?

Accepted Answer

We accept payment by check, credit card, or bank routing (ACH transfer).

Question 10

What happens during the initial visit?

Accepted Answer

The initial visit is a comprehensive, unhurried appointment that typically lasts up to two hours. Dr. Broyles will review the patient's full medical history, perform a physical examination, assess the home environment, review all current medications, and work with the patient and family to develop an individualized care plan. She will also begin coordinating with any specialists or other members of the care team.

Question 11

How often will Dr. Broyles visit?

Accepted Answer

Dr. Broyles generally sees patients at least once per month, with visit frequency adjusted according to each patient's medical needs. Patients with more complex or rapidly changing conditions may be seen more frequently.

Question 12

Can I reach Dr. Broyles between visits?

Accepted Answer

Yes. The monthly concierge fee includes direct access to Dr. Broyles via cell phone, email, or patient portal messaging. While she does not conduct home visits on nights or weekends, she remains available by phone during those times for guidance and triage.

Question 13

Does Dr. Broyles coordinate with other specialists?

Accepted Answer

Absolutely. Care coordination is a core part of what we do. Dr. Broyles will communicate with your existing specialists, primary care physicians, home health agencies, and other members of your care team to ensure everyone is aligned and that nothing falls through the cracks.

Question 14

What if my loved one needs emergency care?

Accepted Answer

In a medical emergency, please call 911. Doc on the Block is not an emergency service. However, Dr. Broyles can help you navigate next steps after an emergency, coordinate with hospital teams, and support the transition back home.

Question 15

How do I get started?

Accepted Answer

Simply fill out the contact form on our Contact page or call us directly. There is no obligation — we will have an initial conversation to learn about your situation and determine whether Doc on the Block is the right fit. If it is, we will schedule the initial visit at a time that works for you.

Question 16

What should I prepare before the first visit?

Accepted Answer

It is helpful to have a list of all current medications (including over-the-counter supplements), any recent lab work or imaging reports, a summary of past medical history if available, and the names and contact information of any specialists currently involved in care. Do not worry if you do not have everything — Dr. Broyles will help gather what is needed.

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