Aetna
Behavioral health runs through Aetna Behavioral Health. Most PPO and Open Access plans book directly with no referral.
Aetna plans & copays →We accept all major insurances. Call today to confirm your insurance. (717) 202-2285.
Your plan is probably already in.
Insurance Accepted for Psychiatric and Primary Care in York, PA:All Major Insurances
Which psychiatric practices in York, PA take insurance?
We accept all major insurances. Call today to confirm your insurance. (717) 202-2285. You know your copay before your first visit. No insurance? Self-pay is a flat $249 evaluation and $99 follow-up.
10
Call to confirm your insurance
$0
Call to confirm your insurance
No*
Referral, most plans
Telehealth & in-person
Veteran co-owned
Call to confirm your insurance
Call to confirm your insurance
Find your plan
Eight carriers have a full coverage page with copay, referral, and plan-type detail. Humana and Kaiser jump to their summary below. Not listed? Call us. We accept all major insurances. Call today to confirm your insurance. (717) 202-2285.
AetnaCoverage page →
BCBSHighmarkCoverage page →
CignaCoverage page →
GeisingerCoverage page →
HumanaDetails ↓
KaiserPermanenteDetails ↓
MedicaidCoverage page →
MedicareCoverage page →
TRICARECoverage page →
UnitedHealthcareCoverage page →
Call (717) 202-2285.
What's covered
The same care, however you pay
Under federal mental-health parity law, behavioral health is covered like any other medical care. Here's how the common paths compare.
| Service | In-network | Medicare | Medical Assistance | Self-pay |
|---|---|---|---|---|
| Psychiatric evaluation | Copay | 80% (Part B) | Usually $0 | $249 |
| Medication management | Copay | 80% (Part B) | Usually $0 | $99 |
| Therapy / psychotherapy | Copay | 80% (Part B) | Usually $0 | Ask |
| Telehealth | Covered | Covered | Within PA | Same rate |
| Referral required? | PPO: no* | No | No | Never |
*Some HMO / managed plans require a PCP referral before covering specialist mental-health care. Typical in-network copay runs $20–$60 once any deductible is met. Medical Assistance cost sharing varies by eligibility category.
Carrier summaries
Every carrier, in brief
One-line orientation for each plan. Open a carrier's page for copays, plan types, referral rules, and the details that actually affect your first appointment.
BCBS / Highmark
The dominant commercial plan in central Pennsylvania. PPO members book directly; some managed products require a referral first.
Highmark plans & copays →Cigna
Your card says Cigna, but behavioral health claims route through Evernorth. Same coverage, different department name.
Cigna plans & Evernorth →Geisinger
York County sits inside Geisinger Health Plan's coverage area, and the insurer is separate from the hospital system.
Geisinger plans & Gold →Humana
In Pennsylvania, Humana is primarily a Medicare Advantage carrier. Cost sharing is set by your specific Advantage plan rather than by Medicare, and some plans use authorization. Coverage details sit on our Medicare page alongside the other Advantage carriers.
Medicare & Advantage plans →Kaiser Permanente
Kaiser does not operate facilities in Pennsylvania — its Mid-Atlantic region covers Maryland, Virginia, and Washington, DC. We accept all major insurances. Call today to confirm your insurance. (717) 202-2285.
Medicaid
Pennsylvania splits Medical Assistance in two. In York County your psychiatric care runs through Community Care Behavioral Health, not the plan on your card.
Medicaid & HealthChoices →Medicare
Part B covers outpatient psychiatry at 80% after your deductible, and covers psychiatric nurse practitioners the same as psychiatrists.
Medicare & Part B detail →TRICARE
Have TRICARE Prime, Select, or For Life? Call to confirm your coverage. We are a veteran co-owned practice — co-founder Abu Koroma is a U.S. Army Reserve veteran.
TRICARE plans explained →UnitedHealthcare
Behavioral health is administered by Optum.
UnitedHealthcare & Optum →
No insurance?
Flat, transparent self-pay pricing
Uninsured or out of network? Prices are posted, not quoted after the visit — and identical for telehealth or in-person.
Self-pay
Posted pricing
- Initial psychiatric evaluation$249
- Medication-management follow-up$99
- Missed / late-cancel fee$50
HSA, FSA & more
Pay by cash, credit card, HSA, FSA, or check. Psychiatric care is a qualified medical expense, so HSA/FSA dollars apply. As a self-pay patient you can request a written Good Faith Estimate under the No Surprises Act. See the full cost & pricing breakdown.
How it works
We check your benefits first
2
We verify — free
We confirm your copay, deductible, and whether a referral applies, before your first visit. No surprise bills.
3
You get seen
New patients are usually seen within a week, in person in York or by telehealth across PA, MD & VA.
Frequently asked
Insurance questions
Which insurance plans are accepted for psychiatry in York, PA?
We accept all major insurances. Call today to confirm your insurance. (717) 202-2285. Coverage applies to both telehealth and in-person visits across PA, MD, and VA.
Does insurance cover telehealth psychiatry in Pennsylvania?
Yes. Under federal mental-health parity law, most plans cover telehealth psychiatry the same as an in-person visit, usually for just your specialist copay in-network. You must be physically located in a state where your provider is licensed: Pennsylvania, Maryland, or Virginia.
Do I need a referral to see a psychiatrist in York, PA?
Usually not. PPO and most commercial plans let you book directly with no referral. Some HMO or managed products require a PCP referral before covering specialist mental-health care. We accept all major insurances. Call today to confirm your insurance. (717) 202-2285. Pennsylvania Medical Assistance and self-pay patients never need a referral.
How much will I pay with insurance for psychiatry in York, PA?
In-network, most patients pay only their plan's specialist or behavioral-health copay, commonly $20 to $60, once any deductible is met. Medicare Part B pays 80% after the annual deductible. Pennsylvania Medical Assistance usually carries no copay for outpatient behavioral health. Call (717) 202-2285 for your exact amount.
What if my insurance plan is not listed?
You can still be seen as a self-pay patient: a flat $249 initial evaluation and $99 per follow-up, with cash, card, HSA, or FSA accepted. Some plans also reimburse out-of-network care and we can provide a superbill to submit. See the cost and pricing page for full details.
Does insurance cover psychiatric nurse practitioners in PA?
Yes. Board-certified psychiatric mental health nurse practitioners (PMHNP-BC) are covered providers under commercial plans, Medicare, Medicaid, and TRICARE, with the same coverage as seeing a psychiatrist. Both providers at Optimal Health York Services are board-certified PMHNPs.
Your plan is probably already in.
We accept all major insurances. Call today to confirm your insurance. (717) 202-2285. New patients are usually seen within a week.