What to Expect for Your First Visit
- We’ll request your credit card info to schedule your appointment and will bill you when you check in.
- You’ll need your insurance card for any prior authorizations for medications/treatments. We don’t bill your insurance for visits.
- Please bring any important medical records, scans, and lab work. Better yet, fax them to our office ahead of time.
What to Bring To Your First Visit
- Major credit card.
- Insurance card (for any prior authorizations for medications/treatments. We don’t bill your insurance for visits).
- Any important medical records, scans, and lab work.
New patients will be charged the full amount of the visit unless they cancel 48 hours or more in advance. Established patients must cancel 24 hours or more in advance to avoid the same charge.
Patients arriving late will only be seen during their regularly scheduled appointment time and may have their appointment times cut short. If you arrive too late you may be asked to reschedule. Late patients are charged the full fee for their scheduled service.
Patients who do not show for their scheduled appointment will be charged the full amount of the visit unless they cancel 24 hours or more in advance.
A functional physician-patient relationship relies on mutual trust and respect between the respective parties. We understand that when people don’t feel their best, they don’t always act their best, and we believe in second chances in most cases. However, we also recognize that our method isn’t for everyone and that not everyone gets along. Behaviors including but not limited to rudeness, foul language, insults, obstinacy, treatment noncompliance, drug seeking, or lying may be grounds for dismissal from our clinic, at the discretion of our medical director. We are happy to provide the names of alternate providers who can help you should these circumstances arise.
- Q. You take insurance, right?
- A. Well, no.
- Q. Why don’t you take my insurance?
- A. Several reasons: First, insurers come between the patient and her/his doctor due to increased red tape and reduced appointment times. With increasing bureaucratic red tape and dwindling reimbursement, physicians are forced to spend less and less time with patients (and they’re often staring at computers or tablets entering data to meet certain pay code levels). In our opinion, this is no way to take care of people.
- Q. So I actually pay you, then?
- A. Correct. Just like you pay your accountant, lawyer, vet and orthodontist
- Q. But, I can use my insurance somehow, right?
- A. Usually. Check with your insurance provider about out-of-network benefits, which are typically 50-80% of your bill. You pay us at the beginning of your visit and we’ll give you an itemized bill to submit to your insurance carrier.
- Q. I have a Health Savings Account (HSA). Can I use my HSA debit card?
- A. By all means. We checked into this one. We’re a qualified medical expense.
- Q. But I get Botox shots, and they’re pricey. Will I be on the hook for that?
- A. We strongly doubt it. We can almost always get injectable medicines for you through your insurance, and the drug company has generous coupon savings that help with out-of-pocket costs.
- Q. I hear a lot about “boutique” or “concierge” practices. Are you one of those?
- A. We’re not sure what this really means. We like to think of ourselves as a cutting edge, holistic headache center providing compassionate, comprehensive care to adults and teens. And we don’t take insurance. If that’s your definition of boutique or concierge then we’re all in.
- Q. I need an MRI and a blood test. Covered, right?
- A. Yep. No worries there since it gets billed through your insurance.
- Q. Do you prescribe narcotic medications?
- A. No. Narcotic medications such as opioids and barbiturates can increase the brain’s sensitivity and worsen headache conditions if taken on a chronic basis, and it can render our headache treatments ineffective. Even one or two narcotic doses per month can make your treatment more difficult.
- Q. Do you accept patients who are taking narcotics?
- A. It depends. If you are willing to wean off of your current narcotic regimen, then we may be able to help you. If necessary, we may ask for the assistance of a pain management specialist to help with the weaning process. We do understand that narcotics are sometimes necessary to address other medical problems. However, the brain doesn’t distinguish whether you are taking these meds for headaches or other purposes. Since narcotics render other headache treatments ineffective, we may not be able to help you if you stay on them. Unfortunately, sometimes people have to make tough choices about whether or not to prioritize their headaches or their other pains. We make no judgment about this and can help you make the right decision for you. We simply ask that you not shoot the messenger!
- Q. I see you’re a neurologist. Do you treat other neurological conditions too?
- A. It depends. Headache management is often complex, and we look at the whole person and are managing a lot of different issues. There may be times when your other neurological issues need a higher level of care. If that’s the case, we’ll refer you to the right person.
- Q. What if I don’t have headaches and only want to see you for my epilepsy, Parkinson’s, memory loss, neuropathy, etc?
- A. This will be at the discretion of the doctor. At this time, our center is a headache-focused institution.