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Mental Health services – insurance & fees

$99 Initial Visit special through 5/31 (self-pay patients)

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Support For Your Family

Making top-quality mental health care affordable for families.

PM Mental Health is proudly in-network with Aetna (NY), Cigna / Evernorth (CT, FL, NJ, NY, TX), Fidelis Care (NY), Healthfirst (NY), Horizon Blue Cross Blue Shield (NJ, NY), Lucet (FL), Magellan (TX), MVP (NY), and Point Comfort (CT, FL, NJ, NY, TX). Most new patients with in-network insurance pay $0, on average, for their initial assessment visit.

We are actively working to participate with more insurers, and also participate in the MultiPlan network, which may give you access to contracted providers at a discounted rate. We encourage you to check with your insurance provider to understand if mental health services are eligible for coverage through in-network or out-of-network reimbursement.

Insurance not in-network? Not a problem.

PM Mental Health is proud to offer self-pay options to access care.

Special Affordability Program for New Families

$99 New Patient Special – Complete Your Initial Visit by May 31

In honor of Mental Health Awareness Month and to help families understand if PM Mental Health is the right fit for their child, we’ve extended our discounted initial assessment visit offer for self-pay patients through May 31. New patients who complete their initial assessment visit prior to May 31 will be billed only $99 for this visit.

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Questions? Call us at 888-764-4161.

Fees reflect the “Prompt Pay Discount”
Service
Fee
Initial assessment visit:
$250
Individual or family therapy visit:
$130
Medication management initial visit:
$300
Medication management follow-up:
$200
Group therapy visit:
$75
Parent or sleep coaching:
$150 (initial visit / 60-minute follow-up visit) | $75 (30-minute follow-up visit)
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Appointments canceled within 24 hours may be subject to full cost of service.

Submit a claim to your insurance for reimbursement in 3 easy steps

Our self-pay (prompt-pay) option for therapy and medication management is submittable to out-of-network plans. When booking an appointment, you will be asked to provide a credit card. Our team will provide receipts and can assist in the process of submission to your insurance company and/ or HSA account. Questions? Call us at 888-764-4161.

1

Look for your superbill.

A superbill is a detailed receipt that shows exactly what kind of treatment was received and how much you paid. After each visit, a superbill is published to your patient portal.

2

Submit the superbill to your insurance provider.

Usually, you can submit the superbill by logging into your insurance providers website and searching for ‘submit a claim’. If you are unsure of how to do this, we encourage you to follow up with your insurance provider directly, as each insurance provider may have a different way to do this.

3

Receive your reimbursement payment.

Once your claim has been processed, you will receive an explanation of benefits that will show exactly how much of your visit fees your insurance provider is reimbursing. Your reimbursement payment delivery is dependent on how you’ve set up your payment preferences with your insurance provider.

• During your appointment, you will need to provide your commercial insurance information.

• After your appointment, we will submit a bill to your commercial insurance company.

• When your insurance company returns the paid claim to us, we will assess if there is any additional cost to you. The difference between their reimbursement and our prompt pay rate is your out-of-pocket charge. If there is a remaining balance, we will bill your credit card on file.

• Due to varying insurance contracts, we will not know the remaining balance until after submission. The maximum out-of-pocket fee that you will owe is our established prompt pay discount rate.

Looking for treatment​ for ADHD or other mental health concerns?

Our team of therapists, psychologists, and psychiatrists are trained to address school and social anxiety, depression, ADHD and other behavioral disorders, family stress, grief, PTSD, and more.

Learn More

Looking for insurance information for PM Pediatric Urgent Care? Learn more on our Urgent Care page.