Psychiatrist for Ambetter Members | East Texas Psychiatry & Counseling
Psychiatric care for Texas Ambetter members — verify your specific plan before booking. Statewide telepsychiatry from our Tyler clinic.
Board-certified PMHNPs. Most patients seen within a week. 90-minute first appointment. Same provider every visit. Statewide telepsychiatry from our Tyler clinic.
Why Ambetter Matters
Ambetter is the marketplace plan administered by Centene's Texas subsidiary, Superior HealthPlan. Ambetter offers ACA-compliant individual and family coverage across Texas with several metal-tier plans (Bronze, Silver, Gold). Network participation can vary by specific Ambetter product; our intake team verifies whether your specific Ambetter plan is in-network with us before your first visit.
What You'll Pay
Ambetter member costs vary significantly by plan tier. Bronze plans typically have higher deductibles and lower premiums; Gold plans have lower deductibles and higher premiums. Your specific plan documents specify mental health copays, coinsurance percentages, and any prior authorization requirements. We verify your plan-specific costs in writing before any charges.
Cost transparency before your first visit
Our intake team confirms your expected cost in writing before you book. No surprise charges, no deposit required to schedule, no hidden add-ons. If your situation changes (insurance starts, plan changes, billing arrangement shifts), we discuss options at that point.
How It Works
Contact our intake team with your Ambetter member ID and group number. We verify whether your specific Ambetter plan is in-network, confirm any prior authorization requirements, and provide a written cost estimate. If your plan is in-network, we bill Ambetter directly. If your plan is out-of-network, we discuss self-pay or OON reimbursement options.
When This Makes Sense
You have an Ambetter marketplace plan
Ambetter offers ACA-compliant plans across multiple Texas counties. Mental health is covered as an Essential Health Benefit.
You're using a Health Insurance Marketplace subsidy
Ambetter is one of several insurers offering subsidized plans on HealthCare.gov for Texas residents. Subsidies can substantially reduce your premium cost.
You want to verify network status before booking
Ambetter network participation can vary by specific plan. We verify before your first visit so you know whether you'll see us as in-network or out-of-network.
You have specific psychiatric medication needs
Ambetter formularies and prior authorization requirements vary. We help you navigate medication coverage and prior authorization processes.
Clinical Perspective
A common scenario in our practice: an Ambetter member whose plan documents are ambiguous about behavioral health network participation. Our intake team contacts Ambetter directly to verify network status for our practice, confirms the specific cost the patient will pay, and provides everything in writing before scheduling. No surprises after the visit.
Conditions We Treat
Our psychiatric services cover the full range of adult mental health conditions. Common reasons patients come to us:
Frequently Asked Questions
Are you in-network with Ambetter?
Network participation varies by specific Ambetter plan and metal tier. Our intake team verifies your specific plan before your first visit so you know whether you'll see us as in-network or out-of-network.
How do I verify my Ambetter coverage before booking?
Call our intake team at (430) 288-5800 with your Ambetter member ID and group number. We verify network status, confirm any prior authorization requirements, and provide a written cost estimate before any charges.
What if you're out-of-network with my Ambetter plan?
If we're not in-network with your specific Ambetter plan, you can still see us. Most Ambetter plans have out-of-network benefits at reduced reimbursement rates, or you can self-pay our published rate and submit a superbill for partial reimbursement.
Does Ambetter cover telepsychiatry?
Yes. As an ACA marketplace plan, Ambetter covers telepsychiatry as part of its mental health Essential Health Benefit. Coverage terms match in-person psychiatric visits under federal and Texas mental health parity rules.
Does Ambetter cover psychiatric medication management?
Yes. Ambetter mental health benefits include psychiatric evaluation, medication management, and follow-up visits. Some medications require prior authorization — we manage that process when applicable.
Do I need a referral for psychiatric care with Ambetter?
Most Ambetter plans do not require a referral for behavioral health specialists, but specific plan rules vary. Our intake team checks your specific plan before booking.
How quickly can I get an appointment as an Ambetter member?
Once intake completes and any prior authorization is in place, most patients are seen within one business week. The first appointment is a 90-minute evaluation conducted in person at our Tyler clinic or by secure telepsychiatry across Texas.
Authoritative Resources
The following resources are maintained by U.S. government agencies and clinical organizations, independent of our practice:
This page provides general information about Ambetter options at East Texas Psychiatry and Counseling. Rates, network participation, and reimbursement rules can change. Confirm specifics with our intake team before your first visit.
Psychiatric care that fits your situation
Costs confirmed before booking. Most patients seen within one business week. Same provider every visit.
100 Independence Pl, Suite 307, Tyler, TX 75703
Monday–Friday, 8 AM–5 PM · Statewide telepsychiatry available
