Insurances: Cigna, Aetna/Meritain, United Healthcare/Optum/UMR/Student Resources/Oxford/Oscar, BCBS, Ambetter, Magellan, VCCN, ComPsych.

We do NOT accept Medicaid/Medicare, Tricare, TennCare, Aetna Medicare, BCBS Medicare Advantage, or United Healthcare Community plan Medicare, or EAP insurance programs. If you have these plans you can only self pay for our services after signing an agreement that you understand you will not be reimbursed ever for services rendered, and will be responsible for all fees associated with services rendered.

It is up to the patient using the insurance to have an understanding of the type of plan they have signed up for. We do not set the prices, your insurance tells us what to charge you when we log in to verify your benefits the night before your appointment.

Generally there are 3 main different types of plans: a DEDUCTIBLE plan, a DEDUCTIBLE WITH COINSURANCE plan, or a COPAY plan.

DEDUCTIBLE/HIGH DEDUCTIBLE PLAN: you will be responsible for the entire amount of the visit that your insurance has set the price for until you hit your max out of pocket/deductible. For example, if you have a $1000 deductible, and your insurance charges you $200 for an intake appointment, you pay $200 and now your deductible is balanced at $800. This continues until you "pay it off." This is subject to change depending on other doctor visits and other claims that process before ours gets processed. For example, if you went to urgent care the week prior, and that visit isn't processed until after your Amethyst visit, and you suddenly have met your deductible after you paid us the $200, you would have a credit. This is why all of our price quotes are done right before the appointment and are ESTIMATES ONLY.

COINSURANCE PLAN: Some plans charge you a "co-insurance percentage" after your deductible is paid off. So if you have a "20% co-insurance" plan: after you meet your deductible you would be responsible for 20% of the cost. For example, if you have a $1000 deductible, and you fully meet that after a $200 intake from Amethyst, your plan will then pay for 80% of the cost of the follow up, and the patient will owe 20% of the cost of the follow ups moving forward, until they hit their max out of pocket amount.

COPAY PLAN: You will have a generalist and a specialist copay, psychiatry is considered a specialty and we will always report back to you what your insurance has set for you as the specialist copay amount. For example, if your insurance tells us you have a $50 specialist copay, your appointments will be $50 each visit, for intakes and follow ups.

WHAT IS THE BEST WAY TO KNOW FOR SURE AND GET THE BEST GUESS PRICE QUOTE PRIOR TO MY APPOINTMENT??

-CALL YOUR INSURANCE PRIOR TO YOUR FIRST APPOINTMENT AT AMETHYST AND ASK THEM WHAT TYPE OF PLAN YOU HAVE AND HOW MUCH TO EXPECT (phone number is on your insurance card). Please have them send this to you in writing to your email, so if they tell us something different you can investigate with your insurance provider.

Most insurances have a patient portal you can log into and take a look at your mental health benefits.

One last thing: Medical and Mental Health benefits can sometimes be separated on your plan. You might think you have BCBS, but you could have BCBS with a United Healthcare mental health benefits package. If you find out this to be true, please let us know prior to your appointment that you have a different mental health carve out (benefit package) so we can notate this in your chart.

Please make sure you understand what type of insurance plan you have prior to your appointment so there is no confusion about the charges on your account. Call your insurance to ask so you are 100% sure what type of plan you have.

New patient Evaluations: $280

Follow ups: $150

New patients looking to get established: Book an Appointment here. We are likely with a patient, so we have streamlined the intake process that doesn’t necessarily require a phone conversation, making it efficient for both of us!

Established patients: USE YOUR SPRUCE PATIENT PORTAL

We do not prescribe long term use of benzodiazepines. We do not prescribe multiple controlled substances together, or to anyone taking more than one controlled substance. Use of stimulant medications will be considered after a thorough evaluation and at the sole discretion of the provider, and there is no guarantee that our providers will continue a current medication or offer refills. We do not offer MAT/Suboxone/Subutex/Methadone/opiates.

Patients with stimulant prescriptions may be subjected to routine vitals/EKG/drug testing.

Call 988, 911, or walk into your nearest emergency room. Find a list of crisis resources here

Established patients: Spruce app should never be used for emergencies, as it is only checked during regular business hours and requires 48 business hours turnaround.

Messaging via Spruce app so it is timestamped.

Cancellations and reschedules must be made at least 24 hours in advance of your scheduled appointment time. If you do not attend your appointment (no show) or cancel with less than 24 hours notice without rescheduling, there will be a $95 charge.

We understand that things come up that are out of our control. SAME DAY RESCHEDULES ARE ALLOWED. We collect payment the night before so you will have a credit for your next appointment, no refund will be made. OTHERWISE, THIS WILL BE CONSIDERED A LATE CANCELLATION and subjected to a $95 fee.

If you are more than 10 minutes late to a 30-minute appointment or more than 15 minutes late to a 60-minute appointment, you will be considered absent, your appointment will be considered a no-show, and the card on file will be billed according to the above no-show policy. This is not meant to be punitive, but meant to maintain boundaries with everyone’s time, and to keep the lights on so Amethyst can continue to serve your needs!

Please review our refill request instructions here. Please use your Spruce Patient Portal.

Amethyst does not offer ketamine, ECT, TMS, IOP, PHP, Crisis/Emergency services, detox services, Court-ordered treatments, bariatric evaluations, other surgical clearances, employment assessments, child custody determinations, weapons ownership evaluations. Additionally, we do not provide high dose stimulants, a combination of stimulants and benzodiazepines, long term benzodiazepine use, injectables, Vivitrol, Suboxone/Methadone or other MAT treatments.

We do not provide workman’s comp evaluations, SSDI determinations, or Service Animal letters.

The patient receiving the telehealth services must be physically located in the state of Tennessee. Every state’s Board of Medicine has different laws, so we are only allowed to provide care within the state we are licensed, & insurance laws require the patient be physically located in the state the patient is receiving care. If you are going to be traveling during your appointment, please reschedule. If you answer while out of state or out of the country, your appointment will be rescheduled and subject to a $95 late cancellation fee.