Insurance Coverage, Self-Pay Pricing & Payment Options
At 24-7 Shalom Psychiatry, we believe exceptional psychiatric care begins with transparent, upfront pricing. We partner with major Texas health insurance networks, support HSA/FSA payments, and provide comprehensive out-of-network superbill assistance.
In-Network Health Insurance Plans
We file claims directly with leading commercial and Medicare insurance providers across Texas.
Blue Cross Blue Shield of Texas (BCBS TX)
We accept Blue Cross Blue Shield of Texas commercial employer plans, PPO, Choice, and Premier networks for psychiatric diagnostic evaluations and medication management.
BCBS Texas Medicaid STAR & CHIP
In-network mental health coverage for eligible children, adolescents, and families enrolled in BCBS Texas Medicaid STAR and Children's Health Insurance Program (CHIP).
Aetna Texas Medicaid
Comprehensive outpatient psychiatric care, diagnostic assessments, and psychopharmacology for patients covered under Aetna Texas Medicaid.
CIGNA / Evernorth
In-network behavioral health coverage across Texas for psychiatric evaluations, ongoing medicine management, and ADHD/mood disorder care.
Medicare of Texas & Part A
Covered outpatient psychiatric consultations, medication titration, and mental health services for qualifying Texas Medicare beneficiaries.
PHCS / GEHA
In-network mental health benefits for federal employees, military dependents, and families covered under Private Healthcare Systems (PHCS) and GEHA networks.
BCBS of Alaska & Blue Shield Alaska
We accept Blue Cross Blue Shield of Alaska commercial and Individual Plan members for virtual telepsychiatry and mental health management.
Unsure if your specific plan is covered? Our administrative team will verify your benefits, copayments, and deductible before your appointment. Call (214) 866-9270 or contact us online.
Transparent Fee Schedule
For self-paying patients, uninsured individuals, or those choosing out-of-network privacy, we offer clear, fixed pricing with zero surprise charges.
Initial Psychiatric Diagnostic Evaluation
Thorough 60-minute comprehensive diagnostic assessment with a board-certified psychiatrist for adults or adolescents.
- 60-minute in-depth clinical consultation
- Full diagnostic assessment (DSM-5-TR)
- Personalized treatment & medication plan
- Immediate electronic prescription routing
- Itemized Superbill for insurance reimbursement
Psychiatric Follow-Up & Medication Management
20–30 minute ongoing psychopharmacology review, dosage titration, side-effect monitoring, and routine refills.
- 20–30 minute clinical review session
- Precision dosage adjustments & titration
- Side-effect monitoring & symptom tracking
- Medication refills sent electronically
- Virtual telepsychiatry or Dallas in-person
Individual Psychotherapy (CBT / DBT)
45–50 minute evidence-based therapy session with our licensed clinical social worker for adults and adolescents.
- 50-minute dedicated psychotherapy session
- Cognitive Behavioral Therapy (CBT) protocols
- Dialectical Behavior Therapy (DBT) skills
- Life transitions, identity & anxiety coping
- Collaborative care with psychiatric prescribers
How Out-of-Network Superbills Work
If we are not in-network with your specific insurance plan, you can still receive substantial reimbursement through out-of-network benefits.
Receive Your Itemized Superbill
After each visit, our clinic automatically generates an itemized medical Superbill complete with your diagnostic codes (ICD-10), procedural billing codes (CPT), provider NPI, and clinical taxonomy.
Submit to Your Insurance Carrier
Submit the Superbill directly to your health insurance company through their member portal, mobile claims app, or mail. Most PPO plans reimburse 50%–80% of out-of-network mental health costs.
Direct Reimbursement Check
Your insurer processes the claim according to your out-of-network deductible and sends a direct reimbursement payment or applies the balance toward your annual maximum out-of-pocket threshold.
Flexible Payment Methods Accepted
We accept all major payment options via our secure Kareo patient portal:
Frequently Asked Questions About Billing
Common questions regarding copays, pre-authorizations, insurance verification, and self-pay policies.
Copayments, coinsurance, and self-pay fees are collected prior to or at the start of your scheduled appointment via credit card on file in our secure Kareo patient portal.
Yes. When psychiatric medications (such as non-generic antidepressants, mood stabilizers, or ADHD medications) require prior authorization from your insurer, our clinical team submits all required medical necessity documentation directly to your pharmacy benefit manager.
We require at least 24 hours advance notice to cancel or reschedule appointments. Late cancellations or unattended visits are subject to our standard missed visit fee because that dedicated provider time cannot be reallocated to other patients.
Yes. Under the federal No Surprises Act, uninsured or self-pay patients have the right to receive a Good Faith Estimate detailing the expected cost of psychiatric diagnostic evaluations and routine treatment before care begins.