Coverage: Cigna in New York
Medication management in New York, in network with Cigna.
For New Yorkers with Cigna coverage, psychiatric medication management is available here by secure telehealth, anywhere in the state, with your plan verified and your cost stated before the first visit. If your plan materials point you to Evernorth for mental health benefits, that is expected: Evernorth administers behavioral health for many Cigna plans, and this practice is in network with Cigna and Evernorth alike.
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 your Cigna plan may say Evernorth
The card in your wallet and the name on your mental health benefits can differ, and the difference sends patients in circles. Here is the short explanation, and what it means for booking.
One coverage, two names
Evernorth is the health services company inside the Cigna group. For many Cigna members it runs the behavioral health benefit, so directories and explanations of benefits use its name. The practice's contract covers Cigna and Evernorth, so either label verifies the same way.
Verified before the first visit
At booking, your specific plan is checked, and your copay or deductible position is stated before the appointment. If the plan does not verify, that is said plainly and the published self-pay rates apply, with no invented middle option.
The number, before the visit
In-network copays here typically run $0 to $40. Deductible plans bill early visits at the contracted rate until the deductible is met. Verification establishes which is true for you and gives you the figure in advance.
One prescriber for the full list
Psychiatric medicines are reviewed alongside everything else you take, with attention to interactions and to medicines quietly treating other medicines' side effects. Labs, when needed, are drawn at any lab near you.
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 New York
New York care, minus the trip into the city
Appointments are by secure video across New York State: the city, Long Island, the Hudson Valley, and upstate all reach the same prescriber without the travel. The practice keeps an office at 276 Fifth Ave Suite 604 in New York City for the in-person visits that federal or DEA requirements sometimes call for, arranged with you well ahead of time. Your prescriber is Dr. Karel Winner, a Psychiatric Nurse Practitioner who holds a Doctor of Nursing Practice from Vanderbilt University and a graduate degree in education from Vanderbilt University.
How it starts
Starting takes three steps
The plan check is step two. The appointment is step three. That order does not change.
Choose a time
Book online or by phone, and include your insurance details, which start the coverage check.
Your plan is verified
Coverage under Cigna or Evernorth, your copay, and any deductible are confirmed and stated before the visit.
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. Most patients here use insurance: copays are typically $0 to $40, and your coverage and your exact cost are verified before your first visit, so the number is known before you commit to anything. In network: Aetna, Cigna and Evernorth, UnitedHealthcare and Optum, the Blue Cross Blue Shield family, Oscar, Oxford, Carelon, and Providence. 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, Cigna in Texas, Cigna in California. Other plans in New York: Aetna in New York, UnitedHealthcare in New York, Blue Cross Blue Shield in New York. The full picture of what medication care costs is on the visits and fees page.
“The coverage question took one check, not a phone tree.”
Start with a 60-minute evaluation, Cigna cost stated before it