Austin Psychiatric Alliance, PLLC

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Waterfall In a Forest


Completed forms can be mailed, faxed or emailed to atxpsychiatry@gmail.com

Forms

Patient Registration


Our private pay rates are fees for out-of-pocket expense.  This is only applicable if you do not have insurance coverage, or if we are out-of-network with your insurance plan (see below for accepted insurances).

     Initial evaluation appointment:  $500

     Follow-Up Appointments:  $175

We do accept insurance.  When using insurance benefits, please be prepared to email an image of your insurance card (front and back), so we can ensure that provided services are covered for you.

Prior to your initial appointment, our staff will confirm your insurance benefits with your individual insurance plan and will inform you for what you will be responsible (i.e. copay, deductible, or coinsurance) at the time of your visit.  We provide this service as a courtesy to our patients to make your appointment as easy as possible.  If we cannot confirm your insurance validity before the appointment, payment in full will be expected at the time of service.

If you would like to check your benefits with your insurance company, call the 800 number listed on the your insurance care and ask your insurance representative to help you determine your benefits for BEHAVIORAL HEALTH and/or MENTAL HEALTH services.  The representative will help you determine if you have a deductible, copay, coinsurance or any limits on coverage.

Insurance policies accepted for new patients:  Aetna, Blue Cross Blue Shield, Covenant Management Systems, Golden Rule, Oscar, and UnitedHealthcare/Optum  Please call the office to check on policies not included in the next section.

Insurance policies not accepted for new patients:  Ambetter,  Cigna, Humana, Medicaid, Medicare, Sendero, Seton Healthcare, Tricare, and Wellmed.

Due to contract restrictions, we cannot provide "self pay" services to new patients with Medicare or Tricare.