Insurance & Pricing, Columbus, OH
Know what you'll pay before you start.
Insurance confusion is the most common reason patients delay starting treatment. We verify your benefits, handle prior authorization, and give you a written cost estimate before treatment begins - so there are no surprises.
Four ways to refer
How will you be paying?
Patient information stays HIPAA-secure. Our intake team will follow up to complete the process.
I have insurance
See accepted plans, understand prior authorization, and learn how we verify your coverage before treatment starts.
I'm paying out-of-pocket
Full self-pay rates for every service we offer, plus an honest note about when insurance is the better path.
I need financing
CareCredit, payment plans, and financial hardship support for qualifying patients.
Prior authorization
We accept most major insurance plans.
Including commercial, Medicare, Medicaid, marketplace, and military / VA coverage. Coverage by specific plan and service varies - we verify before treatment starts.
Don't see your plan? The list above represents our most common in-network carriers. Coverage depends on your specific plan, the treatment, and medical necessity criteria. Call us at (614) 933-4200, and we'll verify your coverage for free - typically within a few business days.
Prior authorization
CareCredit accepted for self-pay treatments.
CareCredit is a healthcare-specific credit card with promotional financing terms for medical expenses. It can cover the self-pay portion of treatments that insurance won't fully reimburse. Approval and credit limit are determined by CareCredit directly - we don't influence the decision. Apply ahead of your first appointment if you want to use it.
More support options
Other ways we help patients afford treatment.
Self-pay services are due in full upfront prior to treatment. Payment plans are available for insurance-related patient responsibility balances.
Financial hardship waiver
For qualifying patients facing demonstrated financial need, we review eligibility on a case-by-case basis. If standard self-pay rates aren't workable for your situation, ask us during your consultation .
Payment plans
For insurance-related patient responsibility (deductibles, copays, coinsurance), we offer payment plans to spread costs over time. Self-pay services remain due in full upfront before treatment begins.
Self-pay rates
Transparent pricing if you're paying out-of-pocket.
Self-pay services are due in full upfront prior to treatment. Payment plans are available for insurance-related patient responsibility balances.
Important context on Spravato: The $1,500 per-session self-pay rate exists for completeness, but in practice we always go through insurance for Spravato. Every patient we've treated has had it covered with prior authorization. If insurance denies coverage, we'll discuss alternative options before recommending self-pay.
Frequently asked
Common questions about cost and coverage.
Do I need a referral to be seen?
No. A referral is not required for any of our treatments - including TMS, Spravato, and IV ketamine. You can contact us directly to schedule a consultation.
How much will I actually pay out-of-pocket if I have insurance?
That depends on your specific plan — your deductible, copay, and coinsurance all factor in. We verify your benefits before your first appointment and provide a written estimate of your patient responsibility before treatment starts. No surprises mid-course.
Is IV ketamine covered by insurance?
No. IV ketamine for depression is an off-label use, which insurance carriers do not cover. It's self-pay only at $450 per session or $2,400 for a 6-session series. CareCredit can be used to finance the cost if approved.
Is Spravato covered by insurance?
Yes, with prior authorization. We've never had a patient need to self-pay for Spravato — every patient we've treated has had coverage approved. We handle the prior auth submission and follow-up directly with your insurance.
How long does prior authorization take?
It depends on your insurance carrier and the treatment. Some prior auths are approved within a few business days; others take longer. We track every submission and follow up to keep your case moving — you don't need to call your insurance company yourself.
What if my insurance denies coverage?
We submit an appeal and provide additional documentation when initial authorizations are denied. Most denials are reversed on appeal. If coverage is ultimately not approved, we'll discuss self-pay, CareCredit, and any applicable financial hardship support before any decision is made.
Who will I see for my first visit?
Either Dr. Mark Blair or one of our Psychiatric Nurse Practitioners. Both are credentialed to conduct initial consultations and develop treatment plans. The team operates collaboratively, with Dr. Blair providing clinical oversight on all cases.
Do you offer payment plans?
For insurance-related balances (deductibles, copays, coinsurance), yes. Self-pay services are required to be paid in full before treatment starts. CareCredit is an option for spreading self-pay costs over time.
Do patients need a formal referral letter?
Not for most services. Insurance prior authorization typically requires documentation of prior medication trials, but that can come from records sent separately or pulled from prior pharmacy claims. A formal referral letter speeds the process but isn't required.
Not sure which option fits your situation?
Take 90 seconds. Tell us what you've tried and what you're working through. We'll give you a clear, honest answer on what's likely to help - and what isn't.
