Medicare
Medicare, applied to your prescriptions.
This page is about one thing: what Medicare means for your medication care here. The short version: medication management visits are covered in five states, Arizona, California, Colorado, Texas, and Utah, and GeneSight testing is typically $0 on Medicare Part B. The longer version is below, including how the visit, the test, and your prescriptions themselves each get paid for, because under Medicare those are three different questions and you deserve all three answers before you book.
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.
The visit
Medication visits, covered in five states
If you live in Arizona, California, Colorado, Texas, or Utah, your medication management here runs under Medicare like any other visit in this practice: a 60-minute evaluation first, then 30-minute follow-ups, all by secure video. Your coverage is verified before the first visit, and you will know your cost before that visit happens, not after a claim decides. If a particular plan does not verify, you hear that plainly too, along with the self-pay rates, $350 for the intake and $250 for follow-ups, so the choice is yours with real numbers in front of you.
What the visits themselves cover is the medication work: your full prescription history, what each drug on your list is for, what it has done, and what it may be doing to the others. Medicare patients, on average, arrive with the longest lists in this practice, written by the most prescribers, and the highest-value service in the first hour is often the review itself: every agent stating its job, showing its effect, and justifying its place. Duplicates, interactions, and medications quietly treating the side effects of other medications are common finds, and the deprescribing conversation, whether anything on the list has finished its work, is a standing part of Medicare care here rather than an awkward extra.
There is also a rhythm to it. Once a year, your entire list gets the full review again, medication by medication, whether or not anything feels wrong: doses rechecked against kidneys and age, duplicates hunted, the deprescribing question asked of every line. Lists drift the way gardens do, a prescription added during a hospital stay here, a duplicate renewed by habit there, and an annual audit is how the drift gets reversed. Between those reviews, every change made anywhere else in your care, a new drug from your cardiologist, a stopped drug from your primary care physician, is worth a message, because interactions do not check who prescribed what.
The test
GeneSight on Medicare Part B: typically $0
GeneSight pharmacogenomic testing is where Medicare coverage gets unusually generous. The lab's published figures: most patients pay $330 or less out of pocket, and for Medicare Part B patients the typical cost is $0. The test is billed by the GeneSight lab, separately from your visit, and it is ordered only when the result will change a decision: after medication trials that failed for no clear reason, before a complicated switch, or when your list is long enough that one interaction can echo through all of it. Your maximum cost is confirmed before anything is ordered, Medicare or not. The full cost and coverage breakdown, including the commercial plans that restrict the test, is on the GeneSight page.
Why it matters more, not less, with a long medication history: your genes do not change, so one swab informs every future prescription, and a result that explains why two antidepressants behaved badly is not trivia. It is the difference between a third guess and a first informed choice.
The prescriptions themselves
Three buckets, no surprises
The visits
Covered under Medicare in the five states above, verified before your first appointment, with your cost stated up front. Follow-ups are the same 30 minutes every patient here gets; Medicare buys no shorter version of this care.
The test
GeneSight, when it is part of the plan, is billed by the lab and is typically $0 on Medicare Part B. Your maximum is confirmed before the swab, always.
The medications
Your prescriptions run through your own Medicare drug coverage, which is separate from the visit. What this practice controls is the choosing: the fewest medications, at the lowest effective doses, that hold your life steady, so the drug bill and the side-effect bill both stay as small as the medicine allows.
Medicaid, briefly
The practice also accepts Medicaid in Oregon and Wyoming. The same verification rule applies: your coverage and cost are confirmed before the first visit, in writing, not discovered on a statement.
Two sister pages complete the picture, each from its own angle. State-by-state Medicare psychiatry, therapy included, is laid out at Medicare psychiatry, state by state on the full practice site, and the billing mechanics, how verification works step by step, live in the hub's Medicare insurance page. This page stays in its lane: your prescriptions, your test, and what each one costs you.
GeneSight, in full
What the test reads, what it cannot do, and the honest math for every payer.
The medication review
How a long list gets audited, one agent at a time, at the first visit and beyond.
“Coverage you only discover after the bill arrives is not coverage. Here, the number comes first.”
Book a 60-minute evaluation; your Medicare cost is verified before it