Question 1

What is a concierge psychiatrist?

Accepted Answer

I practice outside insurance networks, on a private-pay basis — which means visit length, how many patients I carry, and how much time I give each person are set by clinical judgment, not by what a billing code allows. In practice that means longer appointments, a smaller panel, and a direct relationship with me rather than a rotating team. The honest trade-off: you pay out of pocket, though many plans return part of the cost through out-of-network benefits.

Question 2

How much does a concierge psychiatrist cost in NYC?

Accepted Answer

The fees are public: $1,000 for the initial evaluation, $750 for an hour-long follow-up, and $500 for a medication visit. What matters as much as the number is what it buys — time with one physician instead of a fifteen-minute med check — and whether your plan has out-of-network benefits that pay part of it back.

The full walkthrough, with a worked dollar example, is at how reimbursement works.

Question 3

Does insurance cover a concierge or out-of-network psychiatrist?

Accepted Answer

Often, partially — out-of-network doesn't mean your insurance pays nothing. Many PPO and POS plans reimburse a real share of psychiatric care once you've met an out-of-network deductible; HMO and EPO plans usually don't. One phone call to your insurer answers it: ask whether you have out-of-network mental health benefits, what the deductible is, and what percentage comes back.

Question 4

What is a superbill, and how does reimbursement work?

Accepted Answer

A superbill is the receipt you send your insurance company to get some of your money back — an itemized statement with the codes your plan needs to process an out-of-network claim. You pay me directly, submit the superbill, and if you have out-of-network benefits, reimbursement follows once your deductible is met, usually weeks rather than days. Plans vary widely in what they pay back, claims have filing deadlines, and I can't promise what your insurer will do — only that I'll give you what you need to ask.

Question 5

Is concierge psychiatry worth it, or is it just paying for luxury?

Accepted Answer

What the fee buys is time and continuity, not amenities — whether that's worth it depends on what's been missing so far. If a rushed fifteen-minute visit hasn't helped you make sense of what's actually driving things, an unhurried conversation with one psychiatrist who knows your whole story is a clinical difference, not a comfort. Two things can be true: this costs real money, and for some people a knowable cost with partial reimbursement beats an in-network doctor they can never actually reach.

Question 6

How is concierge psychiatry different from concierge medicine?

Accepted Answer

Concierge medicine usually means primary care sold as a membership, sometimes with a steep annual retainer — and that pattern gets wrongly projected onto psychiatry. What I practice is simpler: you pay per visit, there's no membership fee and no retainer, and a superbill lets you seek reimbursement from your plan. If a large annual fee is the reason you've been avoiding a private psychiatrist, that assumption is worth re-examining.

Question 7

Do you prescribe medication and provide therapy in the same visit?

Accepted Answer

Yes — I handle both the prescribing decisions and the therapy conversation, because splitting them between two clinicians is a billing artifact, not a clinical necessity. What's driving your sleep, what your family expects of you, whether a dose is actually working — that's one conversation, not two. My prescribing philosophy is less-is-more: a medication gets as much scrutiny when we continue it as when we start it, and sometimes the right move is fewer, not more.

Question 8

What are red flags when choosing a psychiatrist?

Accepted Answer

Opaque fees, rushed visits, promises of a specific outcome, and a doctor who prescribes without being curious about your story. A first appointment should feel like a real clinical conversation — someone asking what's driving things, thinking out loud with you, and naming the limits of what medication can actually do. You can verify any credential a psychiatrist claims through your state medical board, and a straight answer to every money question before you commit is a reasonable thing to expect.

Question 9

Where do you see patients in NYC?

Accepted Answer

In person, at one of two Manhattan offices — Union Square and the Upper West Side. Every appointment happens face to face, at one of these two locations.

More about each office: the Upper West Side office and the Union Square office.

Concierge Psychiatry in New York City

Time That Deepens the Work

Extended Appointments

Customized Frequency

Reduced Patient Panel

What to expect when you join my practice

A brief introduction to my clinic

Concierge Psychiatry Gives Us The Time We Need

Need Urgent Assistance?

What Does Concierge Care Look Like, Practically

No Annual Fees

Longer Conversations

Direct Physician Access

Small Patient Panel

Insurance Reimbursement

HSA and FSA funds

Bespoke Care Coordination

Privacy & Flexible Scheduling

Not an Emergency Service

Wondering If Concierge Care Is Right For You?

Concierge Care is Clinical, Not Just Convenient

Questions Before We Begin

About Dr. Kavin Fatehchand

My Office Locations in New York

Upper West Side

Union Square