Do you accept insurance?
To provide the unhurried, deep-dive analysis that functional psychiatry requires, Balanced Psychiatry is an out-of-network provider. We do not bill insurance companies directly. This allows us to focus entirely on your unique biology rather than the timeline restrictions dictated by insurance panels.
Can I use my HSA or FSA?
Yes. We gladly accept Health Savings Account (HSA) and Flexible Spending Account (FSA) cards, allowing you to use your pre-tax health dollars for all evaluation and follow-up visits.
Can I get reimbursed out-of-network?
Absolutely. Upon request, we will provide you with a Superbill (an itemized medical receipt containing standard CPT and diagnostic codes) after your visit. You can submit this directly to your insurance provider to seek potential out-of-network reimbursement according to your plan’s specific benefits.
Do you cover the cost of GeneSight testing?
Because we operate as an out-of-network practice, the cost of the laboratory test itself is separate from our clinical consultation fees. GeneSight bills for the test directly. However, they are highly committed to affordability: 98% of patients pay $330 or less for their test, and traditional Medicare or Medicaid plans typically cover it at $0 out of pocket.
Before processing your sample, they offer the “GeneSight Promise”—if your estimated out-of-pocket cost will exceed $330, they will contact you directly to discuss your options before proceeding.
Is there financial assistance available for genetic testing?
Yes. If you have commercial insurance or are paying out-of-pocket, you may qualify for additional cost reductions through the GeneSight Financial Assistance Program. This program uses a sliding scale based on your specific household income and family size. You can explore their calculator or apply directly through the GeneSight Patient Portal once your test is ordered.
Will my insurance cover standard blood work and lab tests?
Yes, in most cases. When we order traditional diagnostic lab work (such as standard metabolic panels, complete blood counts, thyroid panels, or basic vitamin levels), we partner with major national laboratories like Quest Diagnostics or Labcorp. These laboratories will bill your insurance company directly. Depending on your specific health plan, these standard diagnostic tests are typically covered according to your normal laboratory benefits.
Does insurance cover comprehensive functional medicine testing?
More specialized, comprehensive functional medicine testing—such as advanced gut microbiome mapping, comprehensive hormone panels, or deep cellular nutrient testing—is generally handled differently. Because these cutting-edge panels evaluate systemic wellness rather than diagnosing acute illness, most conventional insurance companies consider them “elective” and do not cover them.
To keep these invaluable insights accessible, we work with specialty labs that offer deeply discounted, direct-to-patient cash pricing. We will always discuss the transparent, upfront cost of any specialized functional testing before ordering it so there are never any financial surprises.
Do you offer Hair Tissue Mineral Analysis (HTMA), and is it covered by insurance?
Yes, we offer Hair Tissue Mineral Analysis (HTMA) as part of our comprehensive functional assessment tools. This screening test provides invaluable data regarding cellular mineral ratios, metabolic trends, and potential heavy metal exposure over time.
Like other specialized functional medicine panels, HTMA is generally considered an elective screening tool by conventional health insurance providers and is not covered. However, to keep this insight accessible, we utilize specialized labs that offer direct, affordable cash pricing. We will review the exact cost and how it fits into your broader clinical picture before moving forward.