Although a greater initial financial commitment and determined individual pursuit of insurance reimbursement are required, Consolidated Direct Psychiatric Care gives prompt, robust, and enduring results for many individuals—from those who are encountering the first episode of a life-changing disorder in childhood or adolescence; 

—to those who have struggled throughout life, perhaps with great personal and professional accomplishment, suffering unknowingly, unaware of the possibilities of Consolidated Direct Psychiatric Care; 

—to those whose recurring episodes have required hospitalization, rapid-fire treatments yielding incomplete symptom relief, and other complex difficulties including efforts to self-medicate via unsubstantiated or illicit, harmful means.

Fees are due in full at the completion of each scheduled visit via credit card on file, or advance payment retainer by cashier’s check. I do not process insurance claims, contract with insurance companies or third parties as a business associate or preferred provider, or treat patients contingent on any prior or ongoing authorization or managed care limitations. In this way I am able to devote my full energies to comprehensively individualized patient care, not filling out appeal forms or navigating phone trees.

A valid credit card is required on file for any additional service, missed appointments or late cancellations (i.e. with less than two full business days in advance, excluding emergent medical illness). I provide a receipt form with diagnosis and procedure codes for your session, which insurance companies require with the claim form they usually make available online.

The terms of insurance policies vary widely. Be sure to check on any prior authorization, managed care, coverage limitation and claim submission requirements of your insurance policy. Per the Mental Health Parity and Addiction Equity Act of 2008, coverage limits for your psychiatric needs must be no more restrictive than any other medical and surgical coverage limits—although this is not always the case. Most policies reimburse 50-80 percent of fees for telemedicine services, after annual deductible and co-pay amounts are met.

For various reasons, I have made the difficult decision to opt out of the Medicaid and Medicare systems. Therefore, these programs do not provide reimbursement for my services.

During our meetings I may be able to answer questions you have regarding explanations of benefits (EOB's) you receive from your insurance company. Insurance may not cover phone, email or text communications; team meetings; advocacy for resolving pharmacy formulary restrictions and prior authorization issues; and preparation of letters or reports and other documents. However, reimbursement for telemedicine services has improved, somewhat due to the pandemic.