TLJ Concierge Primary Care
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TLJ Concierge Primary Care

Establishing a trusting relationship with your medical doctor is paramount to maintaining excellent health. Traditional primary care practices can sometimes feel like an assembly line of patients with time to spend only on the top one or two items of concern—not the approach we at TLJ ever envisioned taking care of patients meant. That’s why we choose a concierge model of practice. Welcome to TLJ Concierge Primary Care.

In order to deliver on our promise to our concierge patients, the number of members is strictly limited and a waiting list is not uncommon. Please connect with our team for availability of this service. Benefits of membership fall outside the scope of insurance and include, but are not limited to:

  • Priority scheduling with the medical provider of their choice
  • Lengthy appointments where patients are never rushed
  • Same or next day appointment availability
  • A medical team that knows you
  • Ease of communication
  • 24- 7 access to your provider by phone, messaging or appointment


Our patients choose among a spectrum of services we provide:

  • Aesthetic Medicine
  • Women’s Health & Wellness
  • Hormone Replacement
  • Internal Medicine

There are two divisions of our medical practice at TLJ. We provide primary care (Internal Medicine – Family Medicine – Women’s Health) which is a concierge model and membership is required to participate. We provide aesthetic care as well which does not require any kind of membership.

Practices vary in areas of interest and expertise in internal medicine.  At TLJ Aesthetics MD, here are some examples:

Preventative Care
Women’s Health (annual exams, pap smear, hormone replacement therapy, contraception, urinary incontinence, vaginal dryness)
Skin cancer screening, detection, biopsy
Skin concerns including but not limited to rosacea and acne
Anxiety, depression
Heart Disease
Thyroid Disorders

Yes; patients participating in TLJ Concierge Primary Care complete physical annually (including pap when appropriate).

TLJ Concierge Primary Care benefits are those outside the scope of insurance plans and agreements. As such, our patients are responsible for insurance coverage, copays, & coinsurance costs at TLJ. In addition, there is an annual fee for membership. (with annual, semi-annual, and monthly payment plans available per patient preferences).

Typically, there is a short waiting list for participation in TLJ Concierge Primary Care, depending upon the provider. We strictly limit the number of patients per provider panel to roughly 10% the traditional primary care provider’s panel. This ensures that we can provide patients with the kind of care of service we feel you deserve. Connect with us to determine our current status.

Our founder, Dr. Terry Jacobson, is a board certified internal medicine physician, providing Internal Medicine, Primary Care in Issaquah since 1998. We are happy to again accept new patients for these services with the addition of more providers and continue to serve Issaquah and the surrounding areas.

At TLJ, we are happy to be able to provide both primary care (internal medicine – family medicine) and aesthetic care to our patients. Our patients choose what services they want along the spectrum of care offered here. Early on, we saw the connection between looking and feeling good and how the two impact the wellbeing of our patients. Dr. Jacobson’s expertise includes internal medicine, dermatology, women’s health, and pharmacology and has built a team of outstanding providers to help you along your journey to better health and greater confidence.

TLJ Concierge Primary Care is located at HighMark Medical Center. Our providers provide internal medicine and family medicine, both considered to be primary care specialties. An area of expertise included is women’s health and wellness, where hormone replacement and related issues are addressed, always with science and evidence based approach to ensure your safety and optimal experience.

At TLJ Concierge Primary Care, we believe that a small private practice, better communication, and an intimate experience are big advantages in providing excellence in medical care. Because our practice is private, our providers may choose from any number of specialists in many different organizations, depending upon the problem and the expertise of the specialist. We are not pressured to choose from one organization that we work within. Here, you have freedom and options to choose from.

At TLJ, we love women! And we believe their needs are frequently overlooked and left unaddressed. Dr. J saw the need to ensure there is a safe, intimate, and comfortable place for women to be educated about their health, perimenopause, menopause, and beyond. We hear from women all the time how frustrated they feel with the care and lack of education they have experienced previously. Addressing issues specific to women can make all the difference in their quality of life and vitality. We are passionate and happy to be a part of that journey.

The process is simple to get started at TLJ. For Aesthetic care, simply contact our office for a comprehensive aesthetic evaluation and learn how we can address your aesthetic concerns . For Primary Care (Internal Medicine – Family Medicine), contact our office for a “Meet & Greet Visit” with one of our providers to see if our primary care practice is a fit for you and your healthcare needs. At TLJ, we are caring for our patients, inside and out and look forward to seeing how we can assist you.

TLJ Concierge Primary Care charges its members a monthly fee of $230-. This may also be paid semi-annually or annually, depending upon the preferences of the patient.

TLJ Concierge Primary Care provides a different experience in primary care (internal medicine & family medicine) by limiting each provider’s patient panel to roughly 10% that of a traditional patient panel. This ensures that you have lengthy appointment times when needed so you never feel rushed or leave with questions unanswered. Our providers and care team are more available to you and making appointments in a timely fashion is the standard of care here. The monthly fee allows for these and other benefits that are above and beyond what your insurance provides.

Our internal medicine and family medicine providers at TLJ include:

Of course! You choose along the spectrum of services we provide. We are here to guide you so you make the right decision for you.

TLJ MD & the Concierge Medicine Model

In a system that otherwise feels much like a conveyor belt of patients who are numbers rather than people, it wasn’t just patients who were disenchanted. Doctors and their practices, particularly primary care (Internal Medicine, Family Practice, Pediatrics) became increasingly frustrated and longed for more. When high volumes of patients were the only way to keep the lights on, care was not being given at the level most doctors aspired to provide. The outcome? The Concierge Medicine model. (The name sounds kind of funny, right? Sorry, dinner reservations are not one of the perks ? )

TLJ MD & the Concierge Medicine Model
Dr. inspecting the patient

Dr. Jacobson, board-certified in internal medicine and founder of TLJ Aesthetics MD, monitored this movement even from the time she was in residency training.  While early models were expensive and even “elitist” to some, Dr. J knew that a model that was neither of those things would work for her patients. Over the years, patients even began to ask her about whether they could have some kind of arrangement where easier access and ease of communication, among other simple requests, could be, well… simpler! They had never heard of a concierge model for internal medicine in Issaquah (also commonly called “boutique medicine”). So together, Dr. J and her patients set out to “test” this model in 2007. And it worked. Happy patients, happy doctor.

In 2011, Internal Medicine at TLJ Aesthetics MD became officially known as “CloseCare.”

At TLJ, we believe that CloseCare is an affordable way to receive your medical services in a more meaningful way. Today, our concierge patients also receive Aesthetic medical services benefits by being a member of the program, if they so desire.

Start your journey to better healthcare.

Learn how comprehensive medical care can affect positive change in your life. See if TLJ Concierge Primary Care membership is a good fit for your ongoing health needs.