Frequently Asked Questions

So what do you get when you hire me? 

You get a physician who has your back, a doctor who keeps your goals and priorities in mind, who keeps you informed, who responds to your needs.

If you are one of my patients, or a family member who is caring for one of my patients, you will be able to reach me by phone, email or text message. If the need arises, I can often make myself available for a visit or a consultation on short notice. At the end of every visit, I leave you with a record that includes my assessment and a plan to follow. 

In all cases, because I work for myself I am flexible and I use that flexibility to your benefit. I make my own schedule. I can stay as long as you need me. I take the time to answer your questions. You can be reassured that I will explain things thoroughly, and alert you to problems you can anticipate going forward.

If you hire me as a consultant, I will review everything you send me, listen to your concerns and help you understand what you need to worry about and what you can let go. I identify opportunities for improvement, places where small efforts might yield meaningful results. I explain the factors you need to consider in planning care for yourself or a loved one.

What do you charge?

My fees can be found on this page. I am sensitive to individual circumstances and needs. If needed, I may be able to adjust my fee.

Wait, you really don’t take Medicare? Why not? 

The short answer is that Medicare doesn’t pay for the kind of work I do. I tried to make my practice fit their model and it wasn’t good for anybody. Medicare doesn’t understand special circumstances and they don’t reimburse me for the kind of time I spend and the attention I give.

OK, but can I submit your bill to Medicare? 

No, Medicare doesn't allow that. The rules are spelled out in the private contract you have to sign if you have Medicare and sign up for my care. It should be noted however that all of the things that Medicare would ordinarily cover will still be covered. It's just my visits that won't be reimbursed. Everything else that Medicare covers - medical equipment, medications, tests, etc. - will still be covered if I write the orders.

What about private insurance? 

If you don’t have Medicare, but instead have a private insurance plan like Oxford or Blue Cross, you can submit a claim and see if they reimburse you. We’ll give you all the codes you need or fill out the claim form for you.

If you have Medicare plus supplemental insurance, you might think that the supplemental insurance will cover at least some of cost of my services. Sadly, this isn’t the case. If Medicare doesn’t pay, supplemental insurance won’t either.

How often do you need to visit? 

I visit as often as needed. It’s that simple. 

For patients who are stable, a house call every few months is a good idea. For others, monthly, biweekly, or even weekly visits may be indicated. During the house call I review medications, address new problems and monitor ongoing issues. If things are going well, I’m happy to touch base by phone as long as we arrange at least one or two face-to-face meetings over the course of the year. If things are going poorly for you, I respond quickly and will do whatever I can to help - make a house call, talk things over on the phone, order services, do what I can from afar. 

If you have Medicare and I need to order nursing or other services from a Home Health Agency, then I do have to make a visit - either within 90 days prior, or 30 days after, putting in the order.

What if I have to cancel an appointment? 

Appointments cancelled with less than 24 hours notice will be billed at your usual rate. Cancellations for medical reasons will of course not be billed.

Do you offer a discount for couples? 

After the initial visit, depending on the situation, I can sometimes see couples at a reduced rate.

If you have any more questions, please feel free to call my office at 212-252-2305 or send me an email. Thank you.