Information for Patients
In keeping with our practice philosophy of high-quality care achieved in part through generous appointment times, our practice limits the number of insurance plans in which we participate. Please call our office to inquire about your plan.
For individuals who are members of accepted plans: co-pays, co-insurances and deductibles are the patient's responsibility and may be requested at the time of the visit. The balance will be submitted electronically to the health plan for direct reimbursement to the practice.
For individuals who are not members of accepted plans: Dr. Sillay is considered an "out-of-network provider" with all other plans. Payment is expected at the time services are rendered. As a courtesy to you, we will submit documentation on your behalf to your primary insurance carrier for direct reimbursement to you. Please ask your insurance carrier about reimbursement policies for care rendered by out-of-network providers as this will vary by plan and may be partially covered.
For Medicare patients: due to ever-increasing regulatory control and dwindling reimbursements by Medicare to providers, Dr. Sillay has elected to opt out of Medicare. In order to see a physician who has opted out, Medicare requires patients to sign a "Medicare Opt-Out Contract", confirming that they agree to be seen on a private-pay basis by that physician. This contract does not prohibit the individual from seeing other physicians who are participating Medicare providers. In addition, neither the patient nor the doctor is allowed to bill Medicare for the visit. The patient must sign this contract prior to the visit, and payment for services rendered will be requested at the time of the visit.
We accept cash, check, Visa and MasterCard.
Our practice uses electronic medical records to provide enhanced care, more efficient record-keeping and convenient communications for patients. We are able to send electronic prescriptions directly to your pharmacy for convenient pick-up, quicker prescription refills and improved medication safety. Secure e-mail communication allows you to contact Dr. Sillay directly for non-urgent advice and to request prescription refills, and is available to all our patients.
What can I expect during my first gynecological visit?
When your registration is complete, you will meet with Dr. Sillay in her office for a detailed review of your history and to discuss the reason for your visit. She will address any questions or concerns you have at this time. She will then perform a gynecologic exam, after which you will have an opportunity to discuss findings and care plans in depth.
What is the structure of gynecological visits for teen patients?
Dr. Sillay will meet with the teen and her parent/guardian in her office to discuss the nature of the relationship to be established as well as patient confidentiality. Part of the interview takes place at this time, after which the teen patient will have an opportunity to remain alone in the office with Dr. Sillay to complete the process in privacy.
After the teen has had an opportunity to ask any questions and discuss issues of concern, Dr. Sillay may perform an exam if indicated. If an exam is not necessary, then the visit is completed. Dr. Sillay will invite the parent/guardian back into the office to finalize the visit, giving an opportunity to conclude the appointment while maintaining confidentiality at the patient’s discretion.
What if my insurance plan is not one in which the practice participates?
Dr. Sillay is considered an ”out-of-network” provider for those plans. We will expect payment for services at the time of your visit. We will prepare and submit the claim on your behalf to your primary insurance carrier for direct reimbursement to you. Though many plans will reimburse you for the gynecologic visit, it is usually at a lower rate, and some will not reimburse at all. Please check with your carrier regarding your plan and its policy. Keep in mind that insurance adjustments are based on what the individual carrier considers to be "reasonable and customary."
What about Medicare?
Due to ever-increasing regulatory control and continually decreasing reimbursement to providers by Medicare, Dr. Sillay has elected to opt out of Medicare. In order to see a physician who has opted out, Medicare requires patients to sign a 'Medicare Opt-out Contract', confirming that they agree to be seen on a private-pay basis by that physician. This contract does not prohibit the individual from seeing other physicians who are participating Medicare providers. In addition, neither you nor the doctor is allowed to bill Medicare for the visit. You must sign this contract prior to your visit, and we request payment from you at the time of service.
Can you tell me about the electronic records system?
The medical records system used in the practice is electronic. This system enables thorough and clear documentation, easy access to records, electronic transmission of prescriptions to pharmacies, and secure e-mail communication with Dr. Sillay. In addition, you can view designated sections of your medical record. All of our patients are offered this service at the time of registration.
What happens when I need surgery or obstetrical care?
If these needs arise, Dr. Sillay will refer you to physicians she trusts who provide such care.
What about call coverage?
Dr. Sillay covers her own practice when she is in town. When traveling, a colleague whose name and contact number will be available will cover her practice. Given the use of electronic records, e-prescribing and e-mail communications, Dr. Sillay will be available to her patients for non-urgent needs even when traveling, except for circumstances in which she has limited access to the internet.
What do I need to bring with me to my first visit?
Please bring your insurance card with you. You can also download forms to complete from this website and bring the completed forms with you. If you are younger than 18 years old, we ask that a parent or guardian come with you on your first visit to discuss parental consent and confidentiality.
We look forward to meeting you!
Please print, complete and bring the following forms to your visit:
Please review the following forms:
Medicare Opt-Out Physician-Patient Private Contract (for Medicare Patients)
Our practice is dedicated to providing gynecological health resources and other important information to our patients regarding preventive care and optimizing their health throughout their lifetime. Following are a variety of links to helpful web resources:
Go Ask Alice! (Columbia University)
For Parents of Teens