We are currently in-network with and contracted with the following insurances:
- Blue Cross Blue Shield (BCBS)
Services may be covered in full or in part by your health insurance or employee benefit plan.
Crescent City Psychiatric may file claims on a patient's behalf, but we ask patients to call thier insurance company (customer service or member services) to see what their plan entails.
Each insurance plan within Blue Cross Blue Shield is different.
Helpful information about how insurance works
Some plans have a standard copay (i.e. $25 a visit), other plans pay for a percentage of the appointment (i.e. insurance pays for 80%), and other plans have a deductible that must be met until the insurance pays for a visit. (For example, some plans have a $500 deductible. Once the patient has paid out of pocket and has reached this amount, the insurance will then start to pay a portion of the visit or the visit as a whole).
If you have questions about the mental health services covered by your plan, contact your plan's customer service department. (The number is usually located on the back of the card). Please check your coverage carefully by asking the following questions:
- Do I have mental health insurance benefits?
- What is my deductible and has it been met?
- How many sessions per year does my health insurance cover?
- What is the coverage amount per session?
- Is approval required from my primary care physician?
But how much do I need to pay out of pocket if I have to meet my deductible?
This is the most common question. Quite simply, it varies from plan to plan.
At Crescent City Psychiatric, we have contractual rates with Blue Cross Blue Shield.
We reccommend that when patients are speaking with a Blue Cross agent, ask the following quesiton:
"How much does Blue Cross pay Timothy Gioe to render a mental health service procedure?" (we call this procedure or service a CBT code).
What codes should I ask about being covered?
The code that we use for the first visit, a Psychiatric Evaluation, is 90792.
The codes that are used for subsequent visits are either 99213/99214, and 90833/90836. The code used depends on the complexity of service and length of therapy that was rendered by Mr. Gioe. Typically, subsequent visits cost less than the orginal visit and are of shorter duration.
Other information Blue Cross may need to help determine the cost of each visit:
The provider's full name--Timothy Gioe, APRN, MSN
The provider's speciality--Psychiatric Nurse Practitioner
The provider's NPI number--1841615143
The provider's address: 3045 Ridgelake Drive, #102, Metairie, LA 70002
Anything else I should know?
Always write down the name of agent you spoke to and the reference number! This will save you time if you are disconnected. Ask for this information right away, and also ask for a phone number to call back in case there is a bad connection. It is also good to have a reference number in case your provider has difficulty processing a claim.
How do I pay when I see my provider?
We accept checks, cash, or HSA/FSA cards at the time of the appointment.
Hope this was helpful! Please call or email us with any addiitonal questions!