Frequently asked questions

This practice bills only for your own care with Dr. Hall — visits, and messages or calls that require his medical review. Lab tests, imaging, and medication are billed by other companies.

• Original Medicare: We’re enrolled with Medicare and accept assignment, so your visit is billed normally. Your Part B deductible and 20% coinsurance apply; a Medigap plan may cover some or all of your share.
• Everyone else: Visits are paid directly using one uniform self-pay fee schedule, set at or below what Original Medicare allows for the same service — currently up to $300 for a new-patient evaluation and up to $215 for a follow-up.

Anyone paying directly for a visit receives a written Good Faith Estimate beforehand.

We participate with Original Medicare.

We do not contract with Medicare Advantage or commercial insurance plans, so those services are paid directly using our self-pay fee schedule.

If you have Medicare Advantage or commercial insurance, you may request an itemized, coded receipt (“superbill”) to submit to your plan for possible out-of-network reimbursement. Whether your plan reimburses you is up to the plan.

MRI scans, laboratory testing, PET scans, and medication are not included in the visit fee.

We order the testing, interpret the results, and prescribe treatment when appropriate, but the imaging center, laboratory, or pharmacy bills you and/or your insurance directly.

For medications covered under Medicare Part D — including Part D coverage through a Medicare Advantage plan — the annual out-of-pocket threshold is $2,100 in 2026. Once qualifying out-of-pocket spending on covered Part D drugs reaches that amount, there is no further Part D cost-sharing for covered drugs for the rest of the calendar year. Deductibles and other cost sharing may apply before that threshold is reached.

Costs under commercial insurance depend on the terms of your plan.

It depends on your plan.

Coverage, prior-authorization requirements, formulary rules, and network requirements vary by plan and by service. HMO plans in particular may require some testing or treatment to be arranged through an in-network clinician.

We recommend and order the testing or treatment that is clinically appropriate. If your plan requires an in-network physician or facility for a particular service, we can provide our findings and recommendations so that the next step can be completed through your network.

No. All visits with Dr. Hall and our nurse are by video. Blood tests and MRI scans are done at a lab or imaging center near you. Required testing and imaging therefore still involve local travel, but specialist visits, treatment decisions, and follow-up do not require repeated trips to a distant treatment center.

For eligible patients, the disease-modifying treatment used in this practice is given as a subcutaneous injection at home after appropriate instruction. Routine treatment does not require visits to an infusion center.

We manage treatment decisions and safety monitoring by video, with required testing and MRI scans completed near you.

No, care here is focused specifically on Alzheimer's evaluation and treatment. Other medications and health conditions are best handled by your primary care doctor or the specialists who already manage them.

We do review your current medications for safety with any treatment we recommend.

No, that's outside what this practice handles. We focus specifically on Alzheimer's evaluation and treatment, and don't complete disability forms, DMV placard applications, or other non-clinical paperwork. We do complete prior authorizations for medications we prescribe, at no charge.