Dr. David Miloy, MD
Concierge Internal Medicine physician, Kerrville, TX
Optimum Health MDDr. Miloy founded Optimum Health in Kerrville, which pairs insurance billing with a monthly concierge membership.
Facts on this page last checked November 2026. How we check doctors
About Dr. Miloy
Dr. Miloy founded Optimum Health so people in Kerrville, Fredericksburg and the Texas Hill Country could have access to affordable concierge medicine. He earned his medical degree at Texas Tech University Health Sciences Center at Lubbock. He focuses on prevention and on helping patients live with more energy, clarity and purpose.
He offers internal medicine, functional medicine, preventive medicine, concierge medicine and weight loss. He also provides nutritional counseling, lifestyle coaching, fitness and strength training planning and mental health support. Membership includes direct access to the doctor by phone, text or email, same-day or next-day appointments and extended visits of 30 to 60 minutes or more.
Members keep their insurance or Medicare, which is still billed for normally covered services by Dr. Miloy and his staff. The practice offers a free meet and greet before signing up.
Membership and fees
Membership at Optimum Health is a direct agreement between the doctor and the patient with a monthly fee, and the fee is required even for patients on Medicare.
The monthly fee is $75 for ages 20 to 35, $85 for ages 36 to 45 and $100 for ages 46 to 55.
The monthly fee is $110 for ages 56 to 64 and $120 for ages 65 and older.
The monthly fee for uninsured patients is $145.
For existing patients, the monthly fee replaces the $275 fee for the annual exam, and medications are not covered by the monthly fee.
Fees vary by plan. Ask the practice.
Services
Education and credentials
Hospital and practice affiliations
Location
Patient reviews
"Ensures every question receives a detailed and helpful answer."
"Provides well-reasoned medical guidance with a gentle approach."
"Takes time to discuss treatment plans in an understandable way."
"Handles concerns with confidence and a caring attitude."
"Provides a thoughtful and thorough approach to diagnosis."
Questions patients ask
Does Optimum Health take insurance, or offer a membership?
Optimum Health blends traditional insurance billing with a concierge direct-pay membership. Members keep their insurance or Medicare, which is still billed for normally covered services by Dr. Miloy and his staff.
How much does a membership at Optimum Health cost?
The monthly fee is $75 for ages 20 to 35, $85 for ages 36 to 45, $100 for ages 46 to 55, $110 for ages 56 to 64 and $120 for ages 65 and older. The monthly fee for uninsured patients is $145. The fee is required even for patients on Medicare.
What does a membership include?
Membership includes direct access to the doctor by phone, text or email and same-day or next-day appointments. It also includes extended visits of 30 to 60 minutes or more.
Where did Dr. Miloy train?
Dr. Miloy earned his medical degree at Texas Tech University Health Sciences Center at Lubbock.
Are you Dr. Miloy? Claim this profile for free. Report a correction.