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Insurance and cost

Medicare and most major plans. We confirm your benefits before the first visit so the cost is known in advance, and we handle prior authorization for Deep TMS and Spravato.

THE SHORT VERSION

Stedfast Psychiatry accepts most major insurance plans and Medicare. Networks and plan products change; we confirm your benefits before your first visit. Without insurance, a new-patient evaluation is $185. Call (561) 437-2179 with your member ID and we will quote your expected cost.

Plans we work with

Choose your carrier for how visits, telehealth, Deep TMS and Spravato are typically covered. Plan names shown in gray are other names you may see on your card.

Commercial and employer plans

Marketplace plans

Medicare

Medicare Advantage

Military and veterans

Behavioral health networks

Employee assistance programs

Medicaid plans (call to confirm)

Medicaid managed-care plans are confirmed case by case. Call us with your plan name and we will tell you whether we can see you in network or help you find care.

Self-pay and cost

A new-patient evaluation is $185 for patients without coverage or who prefer not to use it. Follow-up and therapy rates are quoted when you book, and we can provide a superbill for out-of-network reimbursement. See self-pay pricing.

How we check your benefits

  • Whether your plan is in network at the office you chose and for video visits
  • Your copay or coinsurance for an evaluation and for follow-ups
  • Whether a primary-care referral is required (common with HMO plans)
  • Prior-authorization criteria for Deep TMS and Spravato, if those are being considered

Frequently asked questions

Do you accept Medicare?

Yes. Original Medicare Part B covers outpatient psychiatric visits at 80 percent after the deductible, and most Medicare Advantage plans are accepted. Medicare also covers TMS for major depression and Spravato for treatment-resistant depression with documentation.

What if my plan is not listed?

Call the office with your member ID. We are added to networks regularly and can usually confirm within a day. If we are out of network, we can provide a superbill or you can book a self-pay evaluation for $185.

Do you need a referral?

PPO plans and Original Medicare do not. Many HMO plans do. We tell you before the visit if yours does.

Is telehealth covered the same as an office visit?

Nearly all plans, including Medicare, cover video psychiatry visits at the same rate as in-person visits. Audio-only coverage varies by plan.

What will my visit cost with insurance?

Most patients pay a specialist copay or coinsurance after the deductible. We check your plan before the first visit and quote the expected amount, so there are no surprises at the front desk.

Does my plan cover Deep TMS or Spravato?

Most commercial plans and Medicare cover both when criteria for treatment-resistant depression are met, with prior authorization. Our team gathers the records, submits the request and tells you the decision before treatment starts.

Send us your insurance card before your visit

Call with your member ID or attach a photo of your card to your appointment request. We confirm benefits and quote your cost before you come in.