Tansey Clinics, Insurance Info

Insurance Information–Tansey Clinics

The Integrative Psychiatry Clinic does not participate with insurance panels or Medicaid, and full payment is due at the time of service at the rates listed on our fee schedule. Dr. Tansey has opted out of Medicare, meaning that she may accept patients with Medicare only if she and her Medicare-eligible patients volitionally enter into a yearly private pay contract stipulating that neither party will submit medical charges to Medicare.  Medicare-eligible patients must review and sign this contract prior to initial scheduling: Medicare Patient Agreement

The Professional Coaching Clinic does not use medical diagnosis to shape the care plan, but rather a conversation and collaboration to support and inspire personal and professional growth.  Because a medical diagnosis is required for submitting services to health insurance, coaching is not eligible for insurance reimbursement.  As a wellness service, its eligibility for Health Savings Accounts is subject to compliance with IRS guidelines and restrictions, which is the full responsibility of our clients.

Both credit/debit cards and cash are accepted for payments at the time of service, and checks will be accepted from established patients or clients.  When medical services with a medical diagnosis have been provided, we can provide a receipt for those who wish to apply for reimbursement from their insurance companies or Health Care Spending Accounts. Our patients are strongly encouraged to speak with their insurance companies in advance of scheduling their first appointment, so that they are aware of their policy requirements and limitations (contact information will be on the back of the insurance card) .

Please be aware that some of the insurance companies continue to list Dr. Tansey by name as one of their participating providers due to her previous work with local hospitals.  Please understand that Dr. Tansey’s private clinic is NOT a participating provider in any insurance companies, and companies that provide contrary information to their policy-holders or the public are in error. Patients will want to be sure they understand their policies’ provisions for NON-PARTICIPATING PROVIDERS, as this is the status that is applicable to Dr. Tansey’s private outpatient practice.  

If you are uncertain about your health insurance coverage policies, it may be helpful to ask your insurer these questions:

Do I have mental health benefits?
Do I have out-of-network benefits to see a psychiatrist whom is not on your physician panel?
Do I have a deductible that I have to meet before being eligible for reimbursement?
How much will I be reimbursed for each appointment?
Are there limits to the number of sessions I can submit for reimbursement in a calendar year?
What steps do I need to follow to apply for reimbursement?

While we understand that the billing practices of this office will not fit every person’s needs, this model of care ensures that Dr. Tansey is able to provide the highly personalized level of integrative care in which she specializes. In this practice, a completely transparent fee schedule means that physician time is given to individualized patient services rather than negotiating treatment plans or collecting on contracts with insurance companies. Additional benefits of the direct-pay model include the option of complete privacy for our patients’ medical information.

Our office is committed to choosing an approach that supports a safe, therapeutic environment for focused healing, while we continue to passionately participate in conversations about health care reform and strategies for mental health advocacy.