out of network payments

Out-of-network services mean that we do not have contracts with insurance companies and are not paid by insurance companies. You submit payment directly to us for services. This allows us to maintain the highest standards of care without being restricted by insurance guidelines, thus getting you feel better sooner. Payment is due at the time of service, but you are eligible for reimbursement from your insurance. This model ensures that we can offer personalized, high-quality psychiatric care tailored to each individual's needs.

We may not accept insurance, but patients with out of network benefits receive on average 70%+ (but as much as 80-100%!) back from their insurance companies for services at Open Road. Don't worry, we are here to help you figure it all out!

Investing in our out-of-network services at Open Road Psychiatric Services ensures that insurance companies do not dictate the kind of care you receive. This allows us to:

• Provide the most effective and personalized treatment plans tailored to your unique needs without limitations imposed by insurance policies.

• More effectively address your mental health concerns, ultimately reducing long-term struggles and costs associated with ineffective treatments.

• Prioritize your well-being with an approach designed to deliver the best possible outcomes.

Out-of-network services mean that we do not have contracts with insurance companies to set predetermined rates for our services. This allows us to maintain the highest standards of care without being restricted by insurance guidelines. Payment is due at the time of service, but you are eligible for reimbursement from your insurance. This model ensures that we can offer personalized, high-quality psychiatric care tailored to each individual's needs.

Scheduling out-of-network visits at Open Road Psychiatric Services is significantly more convenient and flexible compared to insurance-based practices.

Our practice does not have waiting lists, allowing for prompt appointment scheduling. This means that patients can receive timely care without the lengthy delays often associated with insurance-based providers.

At Open Road, we prioritize accessibility and responsiveness, ensuring that your mental health needs are addressed swiftly.

Our streamlined scheduling process and commitment to patient-centered care provide a seamless experience, so you can focus on your treatment and well-being without the frustration of long wait times.

Personalized care with individual attention free from the constraints of your insurance company is crucial - why? Because we know the following startling results:

The STAR*D (Sequenced Treatment Alternatives to Relieve Depression) trial, conducted by the National Institute of Mental Health, evaluated the effectiveness of various depression treatments in real-world clinical settings. Key findings include:

• The trial involved multiple treatment steps for patients who did not initially respond to one treatment, systematically switching or augmenting therapies.

• About one-third of patients achieved remission with the first treatment.

• The chances of remission decreased with each subsequent trial: 25% after the second treatment, 15% after the third, and 10% after the fourth.

• The likelihood of experiencing side effects increased with each new treatment step.

The trial highlighted the importance of personalized treatment approaches to improve outcomes and minimize the duration and discomfort of ineffective therapies.

We recognize the significant investment you are making in your mental health care. To make this easier, we have partnered with Reimburstify:

• Reimburstify handles all the paperwork and submissions needed to get reimbursed for out-of-network services.

• This means you don't have to deal with the hassle of insurance claims.

• You can focus on your treatment while we take care of getting you paid by your insurance—just wait for your check in the mail.

Initial Evaluation: $518.00

Follow up appointments: $155

At Open Road Psychiatric Services, the cost of a psychiatric evaluation is $518, while the average cost for such an evaluation in Chester County is around $700. For medication management, our charge is $155 per appointment, compared to the county average of $200.

Ann Marie has not changed her prices since 2017 because it is important to her to make out-of-network care accessible.

She strives to keep her services affordable without constantly increasing prices, despite inflation and other reasons that often lead other practices to raise their costs.

Her commitment is to provide high-quality care that remains within reach for all her patients.

Item description- The cost of a psychiatric evaluation at Open Road Psychiatric Services is $518.

- The cost for medication management at Open Road Psychiatric Services is $155 per session.

- Assuming a 70% reimbursement rate, the final cost to the patient for a psychiatric evaluation would be approximately $155.40 after reimbursement.

- For medication management, the final cost after 70% reimbursement would be about $46.50 per session.

It’s important to note that your deductible must be met before reimbursement begins.

At Open Road Psychiatric Services, we can verify your benefits at the time of scheduling to determine the remaining deductible and the exact reimbursement percentage from your insurance. This ensures that you have a clear understanding of your financial responsibility and can plan accordingly.

Additionally, Open Road Psychiatric Services alleviates the burden of navigating the forms and processes for submitting claims and securing reimbursement. We manage the paperwork on your behalf, allowing you to focus on your treatment and well-being.

To determine if your insurance will reimburse you for out-of-network services and how much you will be reimbursed, follow these steps:

Find the blue "Use Your Insurance" widget on this page.

Click "Verify My Benefits"

Complete the form.

Open Road will email you a copy of Reimburstify's benefits check which will include your remaining deductible and eligible percentage for reimbursement.