๐Ÿ“ 3 Locations: Boerne & San Antonio, TX ๐Ÿ“ž (830) 340-1100
Billing & Insurance

Transparent Insurance & Pricing for Psychiatric Care

We believe cost should never be a barrier to mental health care. We work with major insurers, accept TRICARE, and offer transparent self-pay pricing for all services.

Insurance We Accept

  • Aetna
  • Blue Cross Blue Shield (BCBS)
  • Humana
  • Medicare
  • Superior Healthplan
  • Cigna
  • United Healthcare / UHC
  • TRICARE (all plans)

We Work With Most Major Insurance Plans

Our billing team is experienced in navigating insurance authorization for all of our services โ€” including TMS, ketamine, and Spravato where applicable.

Aetna
Blue Cross Blue Shield
Humana
Medicare
Superior Healthplan
Cigna
United Healthcare
TRICARE

Not sure if your plan is accepted? Call us at (830) 340-1100 or use the button below and our billing team will verify your benefits before your first appointment.

Verify My Insurance Coverage

Straightforward Pricing for Patients Without Insurance

We offer simple, transparent self-pay rates for all of our services. Our team will walk you through every option before you begin care.

Initial Evaluation
$450

Comprehensive psychiatric assessment โ€” 60 minutes with a board-certified provider

Follow-Up Visit
$250

Medication management follow-up โ€” typically 20โ€“30 minutes per visit

TMS & Ketamine
Varies

Self-pay rates for TMS and ketamine therapy are available. Contact us for a personalized quote.

Understanding Insurance Coverage for Advanced Treatments

Medication Management

Psychiatric evaluation and medication management is covered by virtually all major insurance plans, including Medicaid plans, Medicare, and TRICARE. Co-pays and deductibles vary by plan.

TMS Therapy

TMS is covered by most major commercial insurance plans after documented failure of at least one adequate antidepressant trial. Our team manages prior authorization. TRICARE covers TMS for PTSD and depression in eligible veterans.

Spravatoยฎ (Esketamine)

Spravato has defined FDA-approved indications and structured coverage criteria. Most major commercial plans and Medicare Part D provide coverage when criteria are met. We handle authorization on your behalf.

IV/IM Ketamine

IV ketamine for psychiatric indications is often not covered by insurance, though coverage is evolving. Some plans review it case-by-case. Spravato is frequently a better-covered alternative with similar efficacy for TRD.

Insurance & Billing โ€” Common Questions

How do I know if my insurance is accepted?

The quickest way is to call our office at (830) 340-1100. Our billing team will verify your specific insurance plan and benefits โ€” including any prior authorization requirements or deductibles โ€” before your first appointment. There's no charge for this verification.

What is a prior authorization and do you handle it?

Prior authorization (PA) is a requirement by some insurance plans to approve certain treatments โ€” particularly TMS and Spravato โ€” before coverage kicks in. Our team manages the entire prior authorization process on your behalf and will keep you informed throughout.

Do you offer payment plans?

Yes. For patients paying out of pocket, we are happy to discuss payment plans. Please contact our billing team to discuss options that work for your situation.

Do you accept Medicare for psychiatric services?

Yes. We accept Medicare for psychiatric evaluation, medication management, and TMS therapy. Medicare coverage for Spravato is through Part D (pharmacy benefit). Contact us to confirm your specific Medicare plan benefits.

Let Us Verify Your Benefits โ€” It's Free

Our billing team will confirm your coverage and walk you through your out-of-pocket costs before your first appointment.

Privia Medical Group

Mental Health Associates San Antonio is a proud member of Privia Medical Group โ€” a high-performance physician network committed to coordinated, patient-first care across San Antonio and beyond.