Once you and your doctor have determined that an additional medical opinion is necessary or a recommended treatment is not available locally, your MDVIP-affiliated physician can work with MDVIP to help arrange for you to be seen at one of the Medical Centers of Excellence facilities, subject to your insurance, ability to travel and the facility's requirements. MCE is optional and only offered at the request of your MDVIP-affiliated physician. It does not replace your local specialist or treatment centers.