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Frequently Asked Questions

What is concierge medicine?

Concierge medicine is a mode of healthcare that prioritizes the relationship between patients and their doctors. The difference between concierge and an insurance based practice is that you pay your doctor directly rather than through insurance so your doctor works for you and does not answer to them. This model helps us cut through much of the bureaucratic paperwork and instead focus our time directly on taking care of your child.

 

What is Barayev Pediatrics?

Barayev Pediatrics is the first Pediatric Concierge medicine office in Staten Island that is affordable, comprehensive, helpful and very personal. 

 

Do I need a concierge medicine doctor to keep my child healthy?

Healthy children who don’t often go to the doctor will gain the benefits of individually tailored health care that support the maintenance of good health. Good health does not happen by accident but rather as the result of a combination of genetics, healthy habits and routines. Instead of seeing your child’s doctor once a year, we believe that proactive activities including health classes to maintain your child’s health. With a thoughtful direct care pediatrician you can have peace of mind that your doctor has reviewed all relevant health history of your child and will address the lifestyle factors necessary to optimize the function of the mind and body. 

 

What makes Barayev Pediatrics different?

We have the luxury of giving your child all the time they would need to evaluate and treat chronic health concerns that are so prevalent in modern life. Weight management, behavioral difficulties, school performance, communicable disease prevention, social difficulties are a few of the areas where more time with your doctor would result in drastically different outcomes for your child. 

 

What if my child needs care while we are out of state?

 

Naturally we provide such care and guidance using telemedicine for further evaluation– yet another freedom we enjoy together as a result of our independence from the restrictions of third-party payment. Because we know you well, we can streamline your care when you’re sick away from home. Many illnesses can be diagnosed and treated with a simple conversation by phone, email, text or webcam. We’ll locate the nearest pharmacy and order the medications most appropriate for your circumstances.

 

 

What happens if my child needs to go to the hospital or see a specialist?

In providing superb care with unprecedented sorts of access, we seek to prevent or reduce hospitalizations and specialty referrals. In instances where those types of care are required, we will certainly continue to work with your hospitalist during your hospital stay as well as work closely with any specialist. In some cases, depending on the level of care and the sorts of expertise required, we may rely on those specialized caregivers to manage your treatment.

 

What should I do if I want to join?

Come get to know us! Fill out a membership inquiry form and someone from our team will contact you as soon as possible. Schedule a free, unconditional visit to discuss your healthcare needs. It’s the only reasonable way to begin what we trust will be a long, productive, healthy relationship.

 

How do I pay for membership?

Payments for membership can be made with credit or debit cards and will automatically be charged to the account on a monthly basis.

 

Can I cancel my membership?

 

Yes, membership can be canceled at any time provided a 30-day notice is given. If you decide to leave Barayev Pediatrics for any reason, there is absolutely no fee or penalty. Should your family again decide to rejoin Barayev Pediatrics there will be a re-initiation fee. 

 

Do you accept insurance for membership payments?

Our practice works on a membership model and although all of our patients have some form of insurance coverage, there is an out-of-pocket monthly cost to get access to all of our pediatric services. You can think of it similar to a gym membership, you pay a monthly membership fee and then access our office as needed. Perhaps the most critical distinction in our model of care centers on a direct, personal relationship between you and your doctor. That directness carries over to our business model as well. While the tender mercies of an insurance company might apply to the fixing of a damaged fender on your automobile, we see no reason for any insurer to have a voice about either the quality or the cost of your family’s care.

 

As a member of Barayev Pediatrics, will I still need health insurance?

Yes. We recommend our patients continue a major medical plan to ensure financial help should hospitalization or referral to a specialist be necessary. The membership does not include the costs of medications, imaging, hospitalizations or specialist visits. 

 

Do you offer house calls?

 

One of the benefits of membership medicine is that our schedules become more flexible and, based on medical need, Dr. Barayev is happily able to offer in-home visits. 

 

Is my medical information ever shared with insurance companies or pharmaceutical companies?

 

We maintain strict standards of privacy. We are never obligated to provide any third party not directly involved in your care with a copy of your records unless you specifically ask that we do so.

 

What is your policy on vaccinations?

Dr. Barayev believes that teamwork makes the dream work. He believes in empowering families with accurate and timely medical information. He will earnestly listen to every parent’s concerns about vaccination and help to address or clarify any issues. Due to the contagiousness of the diseases that are vaccine preventable, Dr. Barayev recommends all families follow the immunization schedule per the Advisory Committee on Immunization Practices. You should always feel comfortable with your doctor’s recommendations prior to deciding on any treatments given to your child. This same standard should apply to vaccinations, medications, vitamins and supplements

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