When it comes to mental health care, choosing the right psychiatrist can make all the difference in achieving the best possible outcomes. Many patients assume that they must select an in-network provider due to insurance constraints. However, there are significant advantages to seeing an out-of-network psychiatrist. Dr. Matthew Goldenberg, D.O., provides high-quality psychiatric care and addiction treatment in Santa Monica, CA, and via telehealth to patients in the states of California, Hawaii and Alaska. Dr. Goldenberg offers personalized treatment plans that may not be possible within the limitations of insurance networks.
Why Choose an Out-of-Network Psychiatrist?
- Personalized Care Without Restrictions
Insurance companies often dictate the type, frequency and duration of treatment covered, limiting a psychiatrist’s ability to provide individualized care. By seeing an out-of-network doctor like Dr. Goldenberg, you have the freedom to receive treatment tailored specifically to your unique needs and goals. - Extended Session Lengths and Availability
In-network providers may be required to see a high volume of patients to meet insurance demands, often leading to shorter sessions and longer wait times. Out-of-network psychiatrists can offer longer appointment times and a screening phone call before the first appointment, ensuring thorough evaluations and comprehensive and individualized care. - Access to the Best Specialists
Choosing an out-of-network psychiatrist allows you to seek care from the most qualified and experienced professionals rather than being restricted to a limited network of providers. - Comprehensive Treatment Options
Insurance companies may restrict the types of treatments covered. Out-of-network psychiatrists can discuss and provide a broader range of services, including holistic, integrative, psycho-therapy and cutting-edge therapies that may not be available in-network. - More Privacy and Confidentiality
Insurance companies require diagnostic codes and often require office notes and treatment details to process claims, which can compromise your privacy. Seeing an out-of-network psychiatrist means your medical records are kept confidential, as they are not shared with third-party insurers. - Faster Appointments and Consistent Care
Many in-network psychiatrists have long wait times for new and existing patients. An out-of-network provider can offer quicker appointment availability and more consistent and convenient follow-up care.
Understanding Out-of-Network Reimbursement
If you have a PPO insurance plan, you may receive partial or full reimbursement for out-of-network services. Dr. Goldenberg provides the necessary paperwork (a “superbill”) and guidance to help patients submit claims for reimbursement, making it easier to utilize their insurance benefits.
Frequently Asked Questions (FAQ)
Q: What does it mean to see an out-of-network psychiatrist?
A: Seeing an out-of-network psychiatrist means that the provider does not have a contract with your insurance company. However, many insurance plans offer reimbursement for out-of-network services.
Q: Will my insurance cover out-of-network psychiatric care?
A: If you have a PPO plan, you may be eligible for partial reimbursement. It is recommended to check with your insurance provider to understand your out-of-network benefits.
Q: How do I submit an out-of-network claim?
A: Dr. Goldenberg provides patients with a superbill (detailed invoice) that they can submit to their insurance company for reimbursement. Patients should check their plan’s reimbursement rates and policies.
Q: How much does an out-of-network psychiatrist cost?
A: The cost varies based on the type and length of the session. Dr. Goldenberg’s office can provide pricing details during an initial phone call to discuss your needs and goals.
Q: Can I use a Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for out-of-network psychiatric care?
A: Yes, HSA and FSA funds can typically be used to pay for psychiatric services, including those provided by out-of-network providers.
Q: How do I know if an out-of-network psychiatrist is the right choice for me?
A: If you value personalized and individualized care, extended and less rushed appointments, less wait times to see your doctor, access to specialized treatment, and greater privacy, an out-of-network psychiatrist may be the best option for you.
Contact Dr. Matthew Goldenberg, D.O.
For those seeking high-quality psychiatric care without the limitations of insurance networks, Dr. Goldenberg offers a compassionate, evidence-based and patient-focused approach.
You can call Dr. Matthew Goldenberg, D.O., at (424) 276-0777 or click “book online” to schedule a free phone consultation.
Dr. Matthew Goldenberg, D.O.
Location: Dr. Goldenberg sees patients in California, Alaska and Hawaii
Phone: (424) 276-0777
Business Hours:
Monday – Friday: 8:30 am – 5:00 pm
Saturday, Sunday: Closed
For more information, visit Dr. Goldenberg’s website to learn about out-of-network benefits and how you can receive the best possible psychiatric care.