Psychiatric Appointment in Tucson – Pricing and Fees

Priority Medical Group, LLC understands that paying for mental health care is difficult for many, even for those who are insured. Restrictions on mental health coverage require many Americans to pay a significant amount out of pocket and insurance benefits, which typically don’t kick in until after an average deductible in excess of $1500 is met. Others may not qualify for Medicare or Medicaid. The Direct Care Membership plan provides affordable long term psychiatric treatment for a cost-effective monthly fee.

Initial Diagnostic Psychiatric Evaluation For New Patients

$225.00

  • Telehealth appointment up to 55 minutes

Follow-Up Appointment

$125.00

  • Telehealth appointment up to 55 minutes

  • Medication Management

  • Telehealth visit up to 30 minutes

Direct Primary Care Membership

$119/month

(auto-payment required for a minimum of 6 months and is not reimbursable by any insurance plan. Limited to only 200 patients.)

  • Initial diagnostic psychiatric evaluation (up to 55 mins)

  • Monthly follow-up appointment (up to 30 mins)

  • Patient-specific evidence practice-based treatment plan

  • Waived cancellation fees

  • Priority Scheduling

Medical Record Release | $35

Record release, forms, and refills for established patients

Clients receiving prescriptions for medications will receive enough medication to merge you until your next scheduled follow-up appointment to eliminate the need for this service. Additional fees for phone calls, letters, emails, reports, etc. will be charged and determined on a time for service basis for an established patient.

Priority Medical Group in Tucson, Arizona – Pricing and Fees

At Priority Medical Group, LLC, we provide a variety of individualized treatment plans and services, which include:
– Initial diagnostic psychiatric evaluation
– Medication management
– Mental and behavioral health counseling and support
– Telehealth and face-to-face appointments

Please be advised that Priority Medical Group, LLC is a private practice that requires full
payment for services at the time of service
.

*We are currently in the process of becoming credentialed with several insurance plans and will update this website accordingly.

Insurances we accept

Priority Medical Group currently accepts private pay or most plans including Aetna, AARP, Blue Cross Blue Shield, Cigna, Humana, Medicare, Optum, and United Healthcare. We also continue to accept cash payments, a receipt of which can be turned in to your insurance company as an out of network provider. We continue to partner with other insurance providers.

OUT-OF-NETWORK– A special invoice, called a “super bill” can be provided to you free of charge to submit to your insurance carrier or FSA/HSA for possible reimbursement. It is your responsibility to contact your insurance carrier to determine what reimbursement, if any, you will receive. Credit/debit cards are accepted and will be required at the time you schedule your appointment to hold your appointment time. You will not be charged unless we complete your evaluation, you cancelled your appointment after the grace period, or you are a no-show.

Optum
    •    Primary States: AZ, CA, CO, CT, DE, FL, GA, IA, IL, IN, IO, KS, KY, MA, ME, MD, MN, MO, NC, NJ, NM, NV, NY, OH, OR, PA, RI, TN, TX, VA, UT, WA, WI, and D.C.
    •    Secondary States: All Others      
Optum is inclusive of several health plans that are included in the Alma insurance program, including:
    •    UnitedHealthcare
    •    UnitedHealthcare Shared Services (UHSS)
    •    UnitedHealthcare Global
    •    UnitedHealthCare Exchange Plans (ONEX)
    •    Oscar
    •    Oxford
    •    UHC Student Resources
    •    UMR
    •    All Savers (UHC)
    •    Health Plans Inc
    •    Surest (Formerly Bind)
Optum is inclusive of several health plans that Alma does not currently accept, including:
    •    Select Health
    •    Health Plans of Nevada
    •    Cenpatico
    •    Sierra Health and Life Health Plans
    •    Arizona Complete Health
    •    Optum Medicare and Medicaid plans
Aetna
    •    Primary States: AZ, CA, CO, CT, DE, FL, GA, IA, IL, IN, KS, KY, MA, MD, ME, MN, MO, NC, NJ, NM, NV, NY, OH, OR, PA, RI, TN, TX, VA, UT, WA, WI, and D.C.
    •    Secondary States: All Others
Included in Aetna’s Signature Administrators:
    •    Meritain
    •    Nippon
    •    Allied Benefit Systems
    •    Trustmark
    •    Trustmark Small Business Benefits
    •    Health Scope
    •    Christian Brothers Services
Aetna is inclusive of several health plans that Alma does not currently accept, including:
    •    GEHA – Aetna**
    •    Boon Chapman
    •    AmeriBen
    •    Health First
    •    Piedmont/S&S Healthcare
    •    Health Smart
    •    Emi Health
    •    WebTPA
    •    Aetna Medicare and Medicaid plans
** GEHA – Aetna is not currently accepted UNLESS the plan includes mental health benefits managed by United Healthcare Shared Services. 
If you have a prospective client with subsidiary insurance related to Aetna, please reach out to support@helloalma.com to confirm whether that subsidiary insurance is currently billable through Alma.
Cigna
    •    Primary States: AZ, CA, CO, CT, DE, FL, GA, IA, IL, IN, KS, KY, MA, MD, ME, MO, NC, NJ, NM, NV, NY, OH, OR, PA, RI, TN, TX, VA, UT, WA, WI, and D.C.
    •    Secondary States: All others with the exception of Minnesota
Cigna is inclusive of several health plans that are included in the Alma insurance program, including:
    •    Allegiance
    •    Daniel H. Cook Administrators
    •    Professional Benefit Administrators
    •    S&S Healthcare Strategies
    •    Tall Tree Administrators
    •    Trustmark 
    •    Wellfleet Group, LLC
    •    Southwest Service Administrators
    •    Paragon Benefits
Cigna is inclusive of several health plans that Alma does not currently accept,, including:
    •    Flume Health
    •    Florida Health Administrators
    •    Gilsbar TPA
    •    Healthpartners Inc.
    •    Magnolia Health
    •    Priority Health
    •    UPMC Healthplan
Regional Plans
Blue Cross Blue Shield of Massachusetts
Alma providers across all 50 states are welcome to get credentialed with Blue Cross Blue Shield of Massachusetts. Unlike Anthem Blue Cross and Blue Shield, you do not need to be located or licensed in Massachusetts to be credentialed with Blue Cross Blue Shield of Massachusetts. 
However, only providers located in Massachusetts will be eligible to see Blue Cross Blue Shield of Massachusetts clients both in person and virtually. Providers located outside of Massachusetts will only be eligible to see virtual Blue Cross Blue Shield of Massachusetts clients. Learn more about Blue Cross Blue Shield of Massachusetts and Alma here: Blue Cross Blue Shield of Massachusetts FAQ. 
Point32Health 
Point32Health is a new regional insurer formed from the merger between Harvard Pilgrim Health Care and Tufts Health Plan, two of Massachusetts’s largest health plans. 
We have prioritized contracting directly with Point32Health to ensure continuity of care for Alma clients and providers formerly in-network with Harvard Pilgrim health plans. Alma’s partnership with Point32Health launched on November 1st with no lapse of in-network coverage for clients whose providers opted-in to Point32Health.
Please note that we are not credentialing new providers with Point32Health at this time. We will update the Alma community when we resume credentialing in 2024. See Point32Health (Formerly Harvard Pilgrim) FAQs to learn more.