Treatment Cost and Fees

KEGE Center for ADHD is in-network and accepts Aetna, BlueCross BlueShield, Cigna & United Healthcare for direct billing.  All other insurance carriers consider KEGE an “out of network” provider. 

If we do not accept your insurance, most patients are able to get part, or all fees paid by insurance using their “out of network” reimbursement option. Please verify with your insurance carrier prior to scheduling or paying for services. 

Our standard fees:

Initial Psychiatric Evaluation (90 minutes) – $350

Follow-up Medication Management – $150

We accept all major credit cards, HSA, FSA and debit cards and payment is made online at the time your appointment.

All KEGE Center providers have advanced and specialized training in psychiatry beyond their graduate work. Our session rates are comparable with other masters and doctoral level psychiatric specialists in Arizona.

Do you take my insurance?

We accept Aetna, Cigna, and United HealthCare plans. We are an out-of-network provider with all other health insurance plans. You pay directly for your appointments and your provider will give you a receipt for services (called a superbill) for you to submit to your insurance for reimbursement. Once your claim is accepted, your insurance carrier will mail you a check for the amount they agree to reimburse, or they will apply that amount to your deductible depending on if you have hit your deductible yet for the year.

Most PPO plans will reimburse you for some portion of the session fee (usually 50-80%), but every plan is different. To find out what your insurance company reimburses, call or email the mental health benefits department on the back of your insurance card and ask what the reimbursement rate is for out-of-network psychiatry. You can usually find this information online as well.

Some helpful questions to ask your insurance company:

• Do I have mental health coverage?
• Is there a deductible that has to be met before you reimburse for out-of-network psychiatric treatment? If so, what is it and how close am I to meeting it?
• What is the maximum allowable rate my insurance will pay for an out-of-network provider for a specific code? For the initial psychiatric evaluation, ask about reimbursement for procedural code 90972. For follow up medication management appointments, ask about code 99214 or 99215.
• If you will be seen for video visits (telehealth), ask which modifier is used for telehealth, GT or 95?
• Another option to pay for your visits is to use your Health Savings Account (HSA) or Flexible Spending Account (FSA). This option allows you to save money since you save money by using pre-tax dollars.

Do you offer a sliding scale?

We do not offer a sliding scale due to the high demand for our providers and limited hours available. However, we know that not everyone is in a place to invest in mental healthcare during certain life seasons. Although nothing can replace the value of personalized psychiatric treatment, our providers offer opportunities to learn and engage via blogs, videos, workshops, community events, and speaking engagements. Follow our Facebook and Instagram pages for upcoming events and opportunities to engage with us.

If you are unsure if we can help you, let’s meet. Schedule a no-obligation psychiatric evaluation.

What forms of payment do you accept?

We accept all major credit cards, debit cards, as well as HSA and FSA cards.