Coverage: Blue Cross Blue Shield in Texas
Medication management in Texas, with Blue Cross Blue Shield coverage checked by plan.
Blue Cross Blue Shield is not one insurance company. It is a family of separate companies, and in Texas the plans are issued by Blue Cross and Blue Shield of Texas. This practice is in network with many plans in the Blue Cross Blue Shield family, and because participation runs by individual plan rather than by the shield on the card, the standing rule here is verify first: your exact plan is checked, and your exact cost stated, before your first visit.
PsychMed Care is the medication management practice of Solutions Psychiatry. If you are looking for therapy, or therapy and medication together, the full practice is at psych.us.
What in network means here
Why this page promises a check, not a blanket yes
Most practice websites list the shield and move on. That is too loose for how this family of companies actually works, so this page works differently: it explains the structure, then verifies your plan.
The shield is a family, not a company
Blue Cross and Blue Shield of Texas issues the Texas plans, and it is a separate company from the Blue Cross Blue Shield plans in other states. A card from an employer headquartered elsewhere can still be a Texas plan, or an out-of-state one. The plan document, not the logo, decides.
In network with many plans
The practice participates with many plans in the Blue Cross Blue Shield family, across more than a dozen states. Many is the accurate word, and it is why your specific plan gets checked instead of assumed. If yours is among them, your cost is a copay, stated in advance.
Verification, before anything else
At booking, your plan details are checked against the practice's contracts. You are told your copay, or that a deductible applies first, before the first appointment. If your plan is not one the practice participates with, you are told that plainly too, with the self-pay rates in front of you.
The care itself does not vary by card
Whoever issues your plan, the work is the same: one prescriber managing your full medication list, labs drawn at any lab near you, and changes made one at a time so their effects can be read.
If things reach the point of thoughts of harming yourself, help is available now: call or text 988, text HOME to 741741 for Crisis Text Line, or call the NAMI Helpline at 1-800-950-6264. If someone is in immediate danger, call 911. This practice is not an emergency service. The crisis page lists more options.
Care in Texas
Texas care, delivered by telehealth
Appointments run by secure video anywhere in Texas, which is the only sane way to cover a state of this size. The practice keeps an office in Austin, at 5900 Balcones Drive STE 100, for the in-person visits federal or DEA requirements sometimes call for, arranged ahead of time. Your prescriber is Dr. Karel Winner, a Psychiatric Nurse Practitioner with a Doctor of Nursing Practice from Vanderbilt University and a graduate degree in education from Vanderbilt University. Medicare is also accepted in Texas.
How it starts
Checked first, then booked in
For this family of plans, the details on the card matter more than the name on it.
Send the plan details
Book online or by phone and include the details from your insurance card. For this family of plans, the details matter more than the name.
Your exact plan is verified
Participation, copay, and deductible are confirmed and stated to you before the visit, whichever way the check comes out.
The first appointment
Sixty minutes on your history, your health, and your medication record, ending in a plan. Follow-up Appointments run 30 minutes, measured and adjusted.
Cost and coverage
What it costs, and what your plan covers
The first appointment is a 60-minute Comprehensive Initial Appointment at $350. Follow-up Appointments run 30 minutes at $250 each. With a verified in-network plan, patients here typically pay a copay of $0 to $40 instead, and your exact figure is confirmed before your first visit. This practice is in network with many Blue Cross Blue Shield plans, and also with Aetna, Cigna and Evernorth, UnitedHealthcare and Optum, Oscar, Oxford, Carelon, and Providence, plus Medicare in Arizona, California, Colorado, Texas, and Utah, and Medicaid in Oregon and Wyoming. Care is by secure telehealth in 34 states plus DC, for ages 17 and up. You can book here, or call (800) 303-3221.
Related pages: this plan in other states, Blue Cross Blue Shield in California, Blue Cross Blue Shield in New York. Other plans in Texas: Aetna in Texas, Cigna in Texas, UnitedHealthcare in Texas. The full picture of what medication care costs is on the visits and fees page.
“They checked the actual plan behind the card, not just the logo.”
Start with a 60-minute evaluation, your plan verified before it