Insurance Information

Dr. Fatimi and Dr. Zaharakis do not participate with any insurance plans.

Payment in full is expected at the time of service.

COMMERCIAL INSURANCE:

Dr. Fatimi and Dr. Zaharakis are out-of-network with all commercial insurances (including Oxford/United, Aetna, Cigna, Blue Cross Blue Shield). This means we do not have a direct contract with your insurance company. If you have "out-of-network benefits", some of your office visit fees may be reimbursed by your insurance—this varies from plan to plan.

Please contact your insurance company directly to inquire about "out-of-network benefits."

Some key questions to ask are:

• What is the "out of network" deductible that must be met before your insurer will cover a portion of costs?
• What co-insurance percentage of the fee will be covered after the deductible is met?
• Is this co-insurance the percentage of the physician's fee OR is the co-insurance a percentage of the allowable fee? The allowable fee is what the insurance company believes the fee should be for our services which is lower than our actual fee.
• Is there a co-pay (per visit $ amount) for out of network care?

As a courtesy, we will assist you in submitting a claim to your commercial insurer if you do have out of network benefits. If your insurer pays us after the claim is submitted, we will refund the insurance company's payment to you once we confirm the claim has properly cleared OR your insurer will send reimbursement directly to you.

Some advantages of using out-of-network benefits are that finding neurological care is much easier with shorter wait times for new patients and appointment times are extended so there is more time to spend with your neurologist exploring your concerns.

MEDICARE and MEDICARE ADVANTAGE PLANS:

Dr. Fatimi and Dr. Zaharakis have opted out of Medicare as of January 1, 2023. This means that if you choose to see us for medical services, we may not submit a claim on your behalf to Medicare or your secondary plan. You, as a beneficiary who has decided to see an "opted out" neurologist, are also not allowed to submit for reimbursement to Medicare or your Medicare secondary plan.

Kindly contact our office for our office visit fees at 212 794 2281. We look forward to taking care of you.