Find resources to help prepare you for your next visit with Dr. Chakerian at the Silicon Valley Pain Center in Los Gatos, CA.
Dr. Chakerian participates in the Santa Clara County IPA (SCCIPA), which requires authorization from your primary care doctor in order to be seen. Dr. Chakerian is contracted with Medicare, TriWest and Tricare. Patients with PPO plans can be seen at our office, and we will bill your insurance for you, as a courtesy. After your insurance company pays its portion, you will be billed for any remaining balance. Some insurance plans pay you directly, and in this case, you will need to pay for your care at the time of your visit.
Maia Chakerian, M.D.
P. O. Box 5495
Belfast, ME 04915-5400
As I strive to be responsive to my patients’ needs and to provide quality care in the field of pain medicine, I am faced with additional demands from 3rd parties and the government. Demands outside the scope of general medical care for patients are generally not reimbursed by insurance plans, but are time-consuming and require the expertise of a physician or nurse. Services that are not covered by your health plan will be billed to you at the time of service and will be charged as follows:
Telephone advice from Dr. Chakerian during office hours
Substituting for an office visit
$35 minimum or by hourly charge
Telephone advice after hours, weekends and holidays
This includes emergency and non-emergency calls. Calling in prescriptions after hours
$50 minimum or by hourly charge
Photocopies of chart notes, test results
$0.25 per page plus $15/hr clerical
First attempt no charge, additional appeals/attempts $25 each.
Disability forms/misc. forms
Depends on complexity of form and time involved in researching and filling out form
$25 per page minimum
DMV parking forms
Hourly charge plus costs copying,
per service (long distance charges,
Missed appointments with less than 24 hours notice
New patient consultations $150
Follow-up visits $75
Co-pays not paid at time of visit
$10 extra billing charge
Rebilling charge for incorrect insurance information
AN ADDITIONAL CHARGE OF $25 will be applied for all forms requiring immediate attention!
360 Dardanelli Ln, Ste 2G
Los Gatos, CA 95032
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