Aetna
Insurance & Pricing
Insurance, Pricing and Patient Financial Information
Understanding insurance and appointment costs should not feel confusing. Here you can review our accepted insurance plans, self-pay rates, new-patient process, and important financial policies before scheduling your visit.
Accepted Insurance
Insurance Plans We Work With
Brain Health Psychiatry participates with several major insurance networks. Insurance participation and coverage vary by provider, service, location, and individual plan.
Aetna
Cigna
Oscar
UnitedHealthcare
Oxford
Florida Blue
Blue Cross Blue ShieldInsurance participation and coverage vary by provider, service, location, and individual plan. Patients should confirm network participation and benefits before receiving care.
Please do not send private medical information through WhatsApp.
How Insurance Works
Understanding Your Insurance Benefits
Copay
Copays may be due at the time of service.
Deductible
Deductibles may remain the patient’s responsibility.
Coinsurance
Coinsurance may remain the patient’s responsibility.
Non-Covered Services
Services determined to be non-covered may become the patient’s responsibility.
Verification of benefits is not a guarantee of payment. Final coverage is determined by your insurance company after a claim is processed.
Your First Visit
What Happens After You Schedule
Schedule Your Appointment
Choose an available appointment online or contact our office for assistance finding the right provider.
Book an AppointmentComplete Your New-Patient Forms
You will receive secure intake paperwork before your appointment. Complete all required forms as early as possible to avoid delays.
Submit Insurance Information
Provide a clear copy of your insurance card and photo identification. Our team may verify available benefits before your visit.
Attend Your Appointment
Bring your identification and insurance information. Any known copay, deductible, coinsurance, self-pay amount, or outstanding balance may be due according to office policy.
Self-Pay Options
Clear Self-Pay Rates
Psychiatry
Initial Psychiatric Evaluation$249
Follow-Up Medication Management$149
Therapy
Initial Therapy Session$180
Follow-Up Therapy Session$150
Self-pay rates may change. The office will confirm the current rate when scheduling.
QbCheck is required for patients seeking a new ADHD diagnosis through Brain Health Psychiatry. It has a $250 self-pay fee and is not covered by health insurance. The QbCheck fee is separate from appointment costs.
Patients with a previous ADHD diagnosis must provide documentation of the diagnosis before their appointment.
Important Office Policies
What Patients Are Responsible For
Copays, Deductibles and Coinsurance
Copays may be due at the time of service. Deductibles and coinsurance may remain the patient’s responsibility.
Insurance Verification
Verification of benefits is not a guarantee of payment. Final coverage is determined by the insurance company after the claim is processed.
Non-Covered Services
Services determined to be non-covered may become the patient’s responsibility.
Current Insurance Information
Patients must provide accurate and current insurance information and notify the office when their insurance changes.
Forms, Letters and Additional Services
Administrative forms, letters, testing, documentation, or services not covered by insurance may require a separate fee. Fees should be confirmed before the service is completed.
Questions About Benefits
Our team can explain office billing procedures, but the insurance company makes the final coverage decision after processing the claim.
$75No-Show / Late-Cancellation Fee
Appointment Policy
Appointment Cancellation and No-Show Policy
Appointments must be cancelled or rescheduled at least 24 hours before the scheduled appointment time. A $75 fee applies to missed appointments, no-shows, and cancellations made with less than 24 hours’ notice.
The $75 late-cancellation or no-show fee is the patient’s responsibility and is not submitted to health insurance.
Please contact the office as soon as possible if you need to reschedule.
Insurance FAQ
Common Coverage Questions
We work with several major insurance networks, but coverage depends on your exact plan, provider, service, and benefits. Please verify with your insurer or contact our office before your appointment.
No. Some insurers offer multiple plan types and networks. Participation may vary by provider and plan, so network status should be confirmed for your specific coverage.
Our team may help estimate known costs when benefits are available, but final patient responsibility is determined by your insurance company after claims are processed.
If your deductible has not been met, your plan may assign more of the allowed appointment cost to you until the deductible requirements are satisfied.
If a claim is denied, non-covered, applied to deductible, or otherwise unpaid by the insurer, the remaining balance may become the patient’s responsibility, subject to applicable contracts and law.
Not always. Therapy and psychiatry may be processed under different benefits, provider types, visit codes, or cost-sharing rules. Your insurer can confirm your specific benefits.
Some testing, forms, letters, documentation, or administrative services may not be covered by insurance and may require a separate patient-paid fee.
Self-pay may be available for some patients and services. Please speak with the office so the scheduling and billing process is clear before your visit.
Known copays, deductibles, coinsurance, self-pay amounts, fees, or outstanding balances may be due according to office policy.
Appointments must be cancelled or rescheduled at least 24 hours before the scheduled appointment time. A $75 fee applies to missed appointments, no-shows, and cancellations made with less than 24 hours’ notice. The $75 late-cancellation or no-show fee is the patient’s responsibility and is not submitted to health insurance.
Still Have Questions About Coverage or Cost?
Our team can help explain the scheduling process, accepted plans, and available self-pay options.
Please do not send private medical information through WhatsApp.