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OCPS : |
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300
South Flower Street
Orange, California 92868
Phone: (714) 978-3016
Referrals: (714) 978-0147
Email us
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Insurance Coverage
Health insurance plans may vary
considerably in their mental health coverage and benefits. You may wish to check your
health insurance policy to understand how mental health services are covered under your
plan. Sometimes you will find a toll-free number on your health insurance card that you
can call to ask questions about your health insurance plan.
OCPS does not maintain a list of
psychiatrists who are “preferred providers” or contracted panelists with
a given health insurance plan. However, you may find the following points helpful.
Often, health insurance companies will
offer a directory of providers who are in their network. If you are looking for a provider
covered by your insurance, you may wish to consult such resources published by your insurance
company in conjunction with the information found in the OCPS Referral Directory.
Do you have a PPO, POS, or HMO plan?
Generally speaking, PPO (Preferred Provider Organization)
and POS (Point of Service) plans will reimburse at a certain level for preferred providers, who
are psychiatrists “paneled” with the insurance company and who have agreed to a
pre-arranged level of reimbursement. These types of plans will often reimburse for services
provided by out-of-network providers, although reimbursement for these providers may be at a
lower level than for providers who are “in network.”
HMO (Health Maintenance Organization) plans
normally will not provide reimbursement for providers outside of the HMO network.
When contacting a prospective psychiatrist,
you may wish to ask if they take your specific insurance plan. You may find that some psychiatrists
operate entirely outside of insurance. Such psychiatrists may ask for payment directly from the
patient, and most of the time he or she will give you a receipt you can use to bill your insurance
if you would like to seek reimbursement.
Back to Referral Directory
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