Insurance & Payment Information

INSURANCE & PAYMENT

We believe that accessing high-quality psychiatric care should be as straightforward as possible. Southwest Ohio Psychiatry participates with many commercial insurance plans, Medicare, and Ohio Medicaid for psychiatric evaluations, medication management, and other covered mental health services. Coverage for treatments such as Spravato®, and Transcranial Magnetic Stimulation (TMS) varies by insurance plan and medical necessity.

Because insurance coverage and prior authorization requirements vary by plan and treatment, we encourage patients to verify their benefits before their appointment. Our team is happy to answer questions, explain your expected coverage, and help you understand the insurance and payment process before treatment begins. If prior authorization is required, our staff will work with your insurance company to obtain approval whenever applicable.

Accepted Insurance Plans

ACCEPTED INSURANCE PLANS

  • Aetna

  • Ambetter

  • Anthem Blue Cross Blue Shield

  • Cigna

  • Humana

  • Medical Mutual of Ohio

  • Optum

  • TRICARE

  • UnitedHealthcare

  • UMR

Commercial Insurance

  • Traditional Medicare

  • Medicare Advantage (network dependent)

Medicare

  • AmeriHealth Caritas of Ohio

  • Buckeye Health Plan

  • CareSource

  • Molina Healthcare of Ohio

Medicaid

Insurance participation may change over time, and coverage varies by individual plan. If your insurance isn't listed, please contact our office at (937) 912-5155. Our team will be happy to verify your benefits, determine whether any prior authorization is required, and answer your questions before scheduling your appointment.

Don't see your insurance listed?

Insurance Verification & Prior Authorizations

BEFORE YOUR APPOINTMENT

Our team is committed to making the insurance and payment process as straightforward as possible. Before your first appointment, we encourage you to verify your insurance benefits, including deductibles, copayments, coinsurance, referral requirements, and any out-of-pocket costs that may apply to your plan.

Most psychiatric evaluations and medication management visits do not require prior authorization. However, some advanced treatments—including Spravato® (esketamine) and Transcranial Magnetic Stimulation (TMS)—may require approval from your insurance company before treatment can begin. Requirements vary by insurance plan.

When prior authorization is required, our clinical team works directly with your insurance company to submit the necessary clinical documentation and help guide you through the approval process. Because every insurance plan has different requirements, approval timelines may vary.

Our goal is to help you understand your insurance coverage, expected costs, and treatment options before care begins whenever possible.

Questions about your insurance coverage?

If you have questions about your insurance benefits, prior authorization requirements, or expected out-of-pocket costs, our team is happy to help before your appointment. Please contact us at (937) 912-5155.

PAYMENT INFORMATION

Payment Options

Patients are responsible for any applicable copayments, deductibles, coinsurance, and non-covered services based on their insurance plan. Payment is expected at the time of service unless other arrangements have been made in advance.

For your convenience, we accept the following payment methods:

  • Major credit cards

  • Debit cards

  • Health Savings Accounts (HSA)

  • Flexible Spending Accounts (FSA)

  • Cash

If you have questions about billing, payment options, insurance balances, or your financial responsibility, our team is happy to assist you before your appointment.

Ready to Take the First Step?

Whether you're seeking care for the first time, looking for a second opinion, or searching for new treatment options, our team is here to help. We provide compassionate, evidence-based psychiatric care with personalized treatment plans designed around your individual needs and goals.

From comprehensive psychiatric evaluations and medication management to advanced treatments including TMS, Spravato®, and IV ketamine therapy, we're committed to helping you find the treatment that's right for you.

Compassionate care. Evidence-based treatment. Personalized for every patient.

Helping individuals and families throughout Beavercreek, Dayton, and Southwest Ohio find the right path forward.