At NY Neurological Associates PC, we prioritize your comfort and care.
For information on our office visit fees, please contact us at 212-794-2281.
Drs. Fatimi and Zaharakis do not participate in any insurance plans.
Payment in full is expected at the time of service.
COMMERCIAL INSURANCE
The practice is out-of-network with all commercial insurances.
If you have “out-of-network benefits,” some of your fees may be reimbursed, depending on your plan.
Every effort will be made to schedule diagnostic testing through your insurance plan.
- What is the “out-of-network” deductible?
- What co-insurance percentage applies after the deductible is met?
- Is the co-insurance based on the physician’s fee or the allowable fee? (The allowable fee is typically lower than our actual fees.)
As a courtesy, we will assist you in submitting a claim to your commercial insurer if you have out-of-network benefits.
- Easier access to neurological care with shorter wait times for new patients.
- Extended appointment times for a more comprehensive discussion of your concerns.
- Higher level of administrative office support so you can focus on your health concerns rather than burdensome paperwork.
MEDICARE and MEDICARE ADVANTAGE PLANS
Dr. Fatimi and Dr. Zaharakis are opted out of Medicare.
If you choose to see us for medical care, you may not seek reimbursement from Medicare.
Every effort will be made to schedule diagnostic testing through your Medicare plan.
LEARN MORE ABOUT INSURANCE
The deductible is the amount of money that you may have to pay 100% out of pocket over the course of one year before covered healthcare is paid for by your insurance company. In most cases, co-payments or co-insurance costs will not count towards your deductible. The deductible for out-of-network care is typically higher than for in-network care.
In addition to a deductible, some plans will have a separate, higher number which places a maximum amount that you can spend out of pocket during one year. After your out of pocket maximum is reached, 100% percent of medical costs will be paid for by your insurance provider. Some packages are “no cost after deductible” plans, in which the deductible itself represents the out of pocket limit.
A co-pay is the set amount of money that you will be required to pay for various services which are covered under your health insurance. Copayments will vary from plan to plan and service to service – for instance, a normal visit to your primary care provider may have a different copay than an urgent care visit or mental healthcare appointment. Typically, out of network benefits do not involve a co-pay.
Once you meet your deductible, your co-insurance determines the percentage of your healthcare costs that will be shared between you and your insurance provider. So, if your coinsurance is 20%, you’ll be required to cover 20% of costs while your insurance carrier takes care of the other 80%, from the point the deductible is reached up to your out of pocket maximum. A no cost after deductible plan will show 0% under coinsurance.
The allowable fee is what the insurance company believes the fee should be for our services which is lower than our actual fee. Co-insurance typically applies to the allowable, not our actual fee.