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Insurance & Fees, Aetna

Seeing a psychiatrist with Aetna in California

Bay Area Neuropsychiatry is in-network with Aetna commercial plans. Every appointment is with a board-certified, fellowship-trained physician, by secure video, anywhere in California, for the full range of adult psychiatry: ADHD, depression, anxiety, OCD, PTSD, bipolar disorder, and the subspecialty conditions most networks can't cover.

How your Aetna coverage works with us

For most Aetna PPO and open-access plans you can book directly with us, no referral needed. Aetna HMO plans may require a referral from your primary care physician first; your member services line (on the back of your card) can confirm in one call. Before you book, you can check your expected copay, coinsurance, and deductible in about two minutes with our online benefits checker, or call the member services number on the back of your card. Initial evaluations are billed as a diagnostic evaluation (CPT 90792 or 99205) and follow-ups as standard psychiatric visits, telehealth is covered by Aetna at parity with in-person care in California.

If your specific plan shows us as out-of-network

Some Aetna plans use narrower networks. If your particular plan shows us as out-of-network, you may still be able to see us at in-network rates through a Network Gap Exception. Aetna grants these when the network lacks a specialist with equivalent qualifications, which is common for fellowship-trained neuropsychiatry and perinatal psychiatry. See our Network Gap Exception guide and free template letters.

Want a number before you call? Check your benefits instantly with our eligibility tool.

Common questions

Is Bay Area Neuropsychiatry in-network with Aetna?

Yes, we are in-network with Aetna commercial plans; participation can vary by physician and specific plan. Use our online benefits checker to confirm your plan's coverage, and tell us your plan when you request an appointment so we can match you with a physician who participates in it.

Do I need a referral to see a psychiatrist with Aetna?

PPO and open-access Aetna plans generally do not require a referral. Aetna HMO plans may require one from your primary care physician, check the back of your member card or call Aetna member services to confirm.

What will I pay per visit with Aetna?

Your specialist copay or coinsurance, as set by your plan, once any deductible is met. Our online benefits checker gives you an instant estimate for your specific plan; your insurer's member services line can confirm the exact figure.

Does Aetna cover psychiatry by telehealth in California?

Yes. California requires commercial plans, including Aetna, to cover telehealth services at parity with in-person care. All of our appointments are conducted by secure video.

What if my specific Aetna plan is out-of-network?

You may qualify for a Network Gap Exception, which lets you see us at in-network cost-sharing because the network lacks an equivalent subspecialist. Our insurance page explains the process, and our free template letter makes the request straightforward.

Every initial evaluation is 60 minutes with a physician, see what to expect, our conditions, and how telepsychiatry works.