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/Financial Matters | Psychiatrist and Mental Health Clinic That Accepts Insurance
Financial Matters | Psychiatrist and Mental Health Clinic That Accepts Insurance2018-07-26T17:26:18+00:00

Financial Matters | Psychiatrist and Mental Health Clinic That Accepts Commercial Health Insurance

The time, money and energy you devote to your mental health is an investment.

We believe we can help make the returns–which include feeling better, having more satisfying relationships, and enjoying greater success in your personal and professional goals–more than worthwhile.  About half of our patients pay for their Pondworks visits out of pocket; the remainder have a portion reimbursed by their insurance company.

​If you see a provider who is in-network with your insurance company, our office will submit claims on your behalf.  Please visit our Insurance Terminology page for many details about mental health care coverage. We urge you to print out this page when you call your insurance company prior to your first visit to verify your benefits and coverage.  Remember to use the phrase, “outpatient behavioral health in an office setting!”  This prep work takes time, effort, and courage, just to establish care with a new provider.  Trust us: it is not fun to come out of your first visit and learn that we don’t work with your insurance company!
Insurance plans vary widely in terms of

  • coverage for behavioral health (occasionally this is different than your benefits for medical coverage, and may even be outsourced to a separate company)
  • co-pay or co-insurance amounts
  • requirements for meeting a deductible before coverage begins
  • requirement for an authorization for coverage for a defined number of visits

What are my options if Pondworks is out of network with my insurance company?

  • Don’t panic!  Often, patients are still able to see a provider with some financial contribution from their insurance company.  Check your insurance benefits for “out of network, mental health.”  These benefits vary widely from company to company, and can also vary compared to your “in network” benefits.  If you choose this option, our office will supply you with a written statement to submit to your insurance company for reimbursement.  You are responsible for obtaining authorization, if required.
  • For more details about this process, please see How to File an Out of Network Claim

Federal & State “Mental Health Parity” Laws:

Your health insurance plan is required to reimburse your mental health care on parity with your coverage for all other medical care, such as for heart disease, diabetes, or cancer.  Contact the Texas Department of Insurance to file a mental health parity complaint.

I have insurance and/or billing questions!

  • Our back office administrative staff can be reached at (512) 420-2224 or (512) 371-9555, ext. 4.
    Monday – Thursday, 9:00 a.m. – 2:00 p.m.
    Friday 9:00 a.m. – 12:00 p.m.
  • Our office accepts cash, personal checks, Visa, Mastercard, American Express, and Discover.
  • You can make an online payment or set up a payment plan through our Patient Portal.​

Providers and Psychiatrists That Take Insurance

Often times, we get calls asking, “I see that you’re a psychiatrist near me, do you accept insert insurance plan.” We work with all types of insurances, and some of our providers are more suited to certain plans. In general, we do work with:

None of our providers are compatible with the following care plans:

​Our providers are in-network with the following insurance companies:

​Bernard Kim, MD:

  • Beacon/Value Options
  • Blue Cross Blue Shield of Texas
  • Humana Behavioral Health
  • ComPsych
  • Magellan Behavioral Health
  • Dr. Kim is out of network with Blue Cross Blue Shield in cases in which they outsource mental health benefits to other companies, such as Aetna, Cigna, and United Behavioral Health/Optum.

Linda von Kreisler, MSN, APRN-BC:

  • Beacon/Value Options
  • Blue Cross Blue Shield of Texas
  • Humana Behavioral Health
  • ComPsych
  • Magellan Behavioral Health
  • United Health Care/United Behavioral Health/Optum
  • Linda is out of network with Blue Cross Blue Shield in cases in which they outsource mental health benefits to other companies, such as Aetna, and Cigna.

Tracy Figlan, MSN, APRN, PMHNP-BC:

  • Beacon/Value Options
  • Blue Cross Blue Shield of Texas
  • Humana Behavioral Health
  • Magellan Behavioral Health
  • Tracy is out of network with Blue Cross Blue Shield in cases in which they outsource mental health benefits to other companies, such as Aetna, Cigna, and United Behavioral Health/Optum.

Isadora Fox, RN, FPMHNP, APRN-BC:

  • Beacon/Value Options
  • Blue Cross Blue Shield of Texas
  • Humana Behavioral Health
  • ComPsych
  • Magellan Behavioral Health
  • Dorre is out of network with Blue Cross Blue Shield in cases in which they outsource mental health benefits to other companies, such as Aetna, Cigna, and United Behavioral Health/Optum.

Justin Cullers, MSN, APRN, PMHNP-BC:

  • Beacon/Value Options
  • Blue Cross Blue Shield of Texas
  • Humana Behavioral Health
  • ComPsych
  • Magellan Behavioral Health
  • Justin is out of network with Blue Cross Blue Shield in cases in which they outsource mental benefits to other companies, such as Aetna, Cigna, and United Behavioral Health/Optum.

Provider Fee-for-Service Rate Information: