Frequently Asked Questions
We perform psychiatric evaluations and psychiatric medication management. We treat most psychiatric conditions with the exception of ADD/ADHD.
Our physicians are in network with Aetna, Beacon/Emblem/GHI, Blue Cross Blue Shield, Cigna, Oscar, Oxford and United/Optum plans. However, we are not in-network with medicaid managed plans. To pay using insurance, schedule a new appointment and choose the "Insurance" option. Next, enter your insurance information as directed, and schedule your appointment. We will verify your benefits prior to your appointment time. For non-insurance patients, new appointments with Drs. Nagel and Osborne are $250, and follow up appointments are $150, and for Dr. Buch new appointments are $350, and follow up appointments are $200.
New appointments are scheduled for one hour. Follow-up appointments are 15 minutes. All appointments start on-time. Of course, if more time is needed, we will make accommodations.
We will send electronic prescriptions directly to your pharmacy of choice.
You'll need a laptop, desktop computer, tab or smart phone with a functioning videocam. You do not need any third party videochat application on your computer. Our videochat application is built right into our website.
At Skypiatrist, your appointment time is guaranteed and we never doublebook patients. Unfortunately, late cancellations cause holes in the schedule for which we have to charge. For new appointments, there is a $100 fee for cancelling an appointment within 24 hours of the appointment time, or a $150 fee for missing the appointment without notice. For follow-up appointments, there is a $50 fee for cancelling an appointment within 12 hours of the appointment time, or a $75 fee for missing the appointment without notice.
For Gmail, follow these instructions
  • Open Gmail and at the top right, click Settings Settings.
  • Click on the Filter menu on the top. Click on "Create a new filter" link.
  • Add the domain name in the from field. Click the button "create new filter" with this search.
  • Check the box "Never send it to Spam". Click on the button "create filter".


From Your Laptop to Ours

Direct, Secure, Encrypted

Other videochat platforms like Google Hangout and Facetime go through a central server, allowing a middleman to potentially monitor your conversation.

Our videochat platform connects your device to your doctor's, with no middleman, so only you and your doctor are in on the conversation.

At Skypiatrist, your privacy is paramount. All information given on this website and during sessions is confidential, secure, encrypted and is subject to all protections of Doctor-Patient confidentiality. Video sessions are never recorded.

Aside from your doctor, no one has access to your records- not secretaries, not ancillary staff, not insurance companies, not human resources (unless you specifically request information to be released). This is a level of privacy that simply cannot be matched in traditional practices.

Have your appointment where you like when you like, from home, your lunch break, or
even out of town.
Schedule Your Appointment Now

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