Billing & Insurance

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.

 

Our mailing address for payments is:

Maia Chakerian, M.D.

P. O. Box 5495

Belfast, ME  04915-5400

pain-free

A message to our patients:

Dear Patient,

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:

 

Office Charges

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

Medication Pre-authorization

 

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

$25

Medical-legal reports

Hourly charge plus costs copying,

postage, clerical)

Miscellaneous services

per service (long distance charges,

travel, etc.)

Missed appointments with less than 24 hours notice

New patient consultations $150

Follow-up visits $75

Surgeries/procedures $100

Co-pays not paid at time of visit

$10 extra billing charge

Returned checks

$20

Rebilling charge for incorrect insurance information

$25

AN ADDITIONAL CHARGE OF $25 will be applied for all forms requiring immediate attention!

Silicon Valley Pain Center

360 Dardanelli Ln, Ste 2G

Los Gatos, CA 95032

(408) 356-0503

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