No. Pax Mentis Psychiatry is a self-pay (cash-based) practice and is not in-network with insurance plans.

This model supports greater privacy, more flexible scheduling, and treatment decisions guided by clinical judgment and your individual goals—rather than insurance requirements.

If you have a PPO plan, you may be eligible for partial reimbursement. Upon request, we can provide a superbill that you can submit to your insurance company for out-of-network benefits.

We recommend contacting your insurance provider to understand your out-of-network mental health benefits, including deductible and reimbursement rates.

Please note that Pax Mentis Psychiatry does not bill insurance directly, complete prior authorizations, or communicate with insurance companies regarding coverage determinations.

Reimbursement varies widely depending on your specific insurance plan. Some patients receive partial reimbursement for out-of-network care, while others may not have out-of-network benefits.

Most PPO plans offer some level of reimbursement after you meet your out-of-network deductible. The amount reimbursed is typically a percentage of what your insurance considers the “allowed amount,” which may be lower than the practice fee.

To better estimate your benefits, we recommend contacting your insurance provider and asking:

• Do I have out-of-network mental health benefits?
  
  

• What is my out-of-network deductible, and has it been met?
  
  

• What percentage is reimbursed after the deductible?
  
  

• What is the allowed amount for psychiatric services?
  
  

If helpful, we can provide billing codes commonly used for our services.

Many patients find it helpful to contact their insurance provider before their first visit so there are no surprises.

Fees vary depending on the type and length of visit. Pax Mentis Psychiatry offers comprehensive psychiatric evaluations and follow-up care tailored to your individual needs.

A detailed fee schedule is available during the booking process so you can review options before confirming your appointment.

As a self-pay practice, payment is due at the time of service. If you plan to seek out-of-network reimbursement, a superbill can be provided upon request.

Payments are processed securely through Spruce Health. Accepted payment methods include credit and debit cards, ACH bank transfers, and Zelle.

HSA and FSA cards are accepted. Eligibility and reimbursement are determined by your individual plan. We can provide a receipt or superbill upon request. Patients are responsible for submitting documentation to their HSA, FSA, or insurance plan.

Payment is required 48 hours prior to your scheduled appointment. This confirms your appointment time and allows for appropriate clinical and administrative preparation.