Finding a Psychiatrist that Takes Oscar Health Insurance
Mental health is just as important as physical health. But finding an accessible, affordable psychiatrist can be challenging, especially if you have Oscar health insurance. This new type of health insurance aims to provide affordable, tech-enabled care but has a limited provider network. Here's what you need to know about finding quality psychiatrists that take Oscar insurance.
Benefits of Oscar Health Insurance
Oscar insurance is relatively new to the scene, founded in 2012. It's a tech-focused health insurance company aiming to utilize technology to provide more affordable and accessible coverage. Some benefits include:
- Price - For many people, premiums are lower than traditional insurance.
- Virtual Care - Telehealth and app-based services make accessing care more convenient.
- Member Experience - The Oscar app and concierge teams aim to provide exceptional service.
However, as a newer insurance provider Oscar has a more restricted provider network. Many psychiatrists don't yet accept this form of insurance, making finding mental health care difficult.
Types of Psychiatrists
When searching for Oscar-covered psychiatry providers, it helps to understand the types of mental health professionals that fall under this category:
- Psychiatrists - Can provide therapy but mainly prescribe psychiatric medications for mental health disorders.
- Psychiatric Nurse Practitioners - Licensed to diagnose conditions and prescribe medications under doctor supervision.
Both provide services related to diagnosis and medication management for conditions like depression, anxiety, bipolar disorder, and more. They may offer therapy services secondary to medications.
Finding an In-Network Psychiatrist
Using Oscar's website or mobile app, you can search for in-network providers that accept your Oscar plan. Follow these steps:
- Log into your Oscar account
- Click on "Find a Doctor"
- Enter your location and optionally filter by provider type/gender
- Select providers to view profiles and book appointments
You can also call Oscar's Member Services line for assistance locating an in-network psychiatrist near you.
Seeing an Out-of-Network Psychiatrist
If there are no viable in-network options, Oscar members can see out-of-network providers. However, your out-of-pocket costs will be higher. Oscar typically covers 70% of the rate they deem "reasonable and customary" for your area. You pay the remainder plus any deductible or copay.
To get reimbursed, submit a claim to Oscar following your visit. Include the itemized provider receipt listing services and diagnosis codes. Compare reimbursement rates before choosing an out-of-network psychiatrist.
Online and Telepsychiatry Options
As Oscar focuses on technology-enabled care, online and telepsychiatry options are more readily covered. Speaking to a psychiatrist via phone or video chat is more convenient while avoiding the higher expense of out-of-network providers.
Options include:
- Amwell - Large national telehealth provider with range of specialty services.
- Doctor on Demand - App-based system for video visits with psychiatrists and therapists.
- Teladoc - Leading telemedicine company with mental health offerings.
These platforms contract directly with Oscar making visits affordable. The provider profile will indicate if they accept Oscar coverage. Appointments are often available within just a few days.
Prescribing Medications Online
Seeing an online psychiatrist also makes getting psychiatric medications more convenient. If medications are prescribed, the provider can send the script directly to your preferred pharmacy.
Many telepsychiatry platforms even provide integrated prescription fulfillment. Companies like Cerebral and Brightside have affiliated mail-order pharmacies to ship medications straight to your door.
Finding Specialized Psychiatric Care
For complex mental health needs, finding a specialist within Oscar's provider network can provide additional challenges. Fortunately, national virtual care companies like PlushCare, Cerebral and Brightside have specialists available.
These include psychiatrists specialized in areas like:
- Child and adolescent psychiatry
- Geriatric psychiatry
- Psychotherapy
- Psychoanalysis
- Integrative psychiatry
Review doctor profiles carefully to confirm their specialty training and treatment approaches. Virtual visits also allow you to speak to providers licensed across the country, giving you more options to find the right fit.
Ways to Reduce Psychiatry Costs
Seeing any specialized medical provider typically incurs more expense. Here are tips to reduce costs when looking for Oscar-covered mental wellness care:
- Search for psychiatrists in low-cost areas to pay less per visit.
- Consider group practices like mental health clinics over individual providers.
- Use telepsychiatry instead of in-office visits to save on overhead fees.
- Enroll in Oscar's EAP (employee assistance program) for included mental health visits.
- Take advantage of mental wellness resources on Oscar's member app.
Reaching out to Oscar's Member Services team can also help you identify ways to access affordable psychiatry care that takes your insurance.
Making Oscar Insurance Work for Your Mental Health
Oscar insurance aims to offer affordable quality coverage but can present challenges finding specialized providers, like psychiatrists. With some diligence and flexibility utilizing telehealth options, you can access valuable mental health care that fits both your care needs and budget.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
Add Comment