As an internist, Dr. Marcy Zwelling’s aim is to treat the sick and maintain the healthy.

That’s why she got rid of the pain of health insurance.

In 2004, Zwelling turned her practice into what’s called concierge medicine, sometimes known as direct care. For an annual $2,000 fee, a patient can call Zwelling on her cellphone, drop into her Los Alamitos office anytime, or, for an additional cost, request a house visit. There are no insurance cards. Patients don’t wait long to see her, and Zwelling’s staff avoids drowning in hours of paperwork hoping for government reimbursements.

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