Frequently Asked Questions
Why should I have a direct care rheumatologist when I already have insurance?
Many patients prefer having direct access to a rheumatologist even when they have insurance for the following reasons:
Better and more convenient access to their doctor
Your doctor knows you more thoroughly and can work to be your best health advocate
Unhurried appointments
Appointments are scheduled more promptly
Direct contact with me and not through a large office
There is more time available to discuss ways to decrease inflammation in the body apart from medication management (i.e., lifestyle coaching). This can help to reduce the amount of medication that is necessary.
Do you take insurance?
As an out-of-network provider, I do not directly bill insurance. However, I am able to see Medicare patients, those with private insurance, as well as individuals without insurance. I will use your insurance for testing, medications, prior authorizations, labs, and other services as needed. I would be happy to provide you with a superbill for you to submit to your insurance. It's important to maintain your insurance for emergencies, hospital stays, and procedures.
How much does it cost to be a member?
The membership is the foundation of my practice, designed to offer comprehensive, personalized care for patients with chronic rheumatic conditions that require ongoing attention. After our initial consultation, I’ll work with you to assess your condition and specific needs to determine if membership is the right fit for you. Membership is available on an annual retainer basis, and is tailored to suit your individual needs.
What states can you see patients in?
For now, I can only provide care for patients in the state of California.
How do I know if I qualify?
Membership is designed to offer comprehensive, personalized care for patients with chronic rheumatic conditions that require ongoing attention. During the initial consultation, we will discuss whether a membership model is the right approach to support your health.
Will Medicare help pay?
No, Medicare will not cover your bill. Since I have opted out of Medicare, it is against the rules to submit my services for reimbursement through Medicare, either by you or on your behalf.
Are there fees for diagnostic testing that Dr. Koolaee orders?
No. Any diagnostic tests—such as lab work or imaging studies—are billed directly through your insurance. Dr. Koolaee does not charge separate fees for ordering or coordinating these services.