Psychiatrist for Oscar Health Members | East Texas Psychiatry & Counseling
Psychiatric care for Oscar Health 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 Oscar Health Matters
Oscar Health is a technology-forward insurer offering ACA marketplace and small-group employer plans in select Texas markets. Oscar's network participation can vary by specific product and geography; our intake team verifies whether your specific Oscar plan is in-network with us before your first visit.
What You'll Pay
Oscar Health member costs vary by plan tier and product. Marketplace plans (Bronze, Silver, Gold) have different deductible and copay structures. Your specific plan documents specify mental health copays, coinsurance, 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 Oscar Health member ID. We verify whether your specific Oscar plan is in-network, confirm any prior authorization requirements, and provide a written cost estimate before booking. Oscar's member app and concierge service can also help you confirm network status from your end.
When This Makes Sense
You have an Oscar marketplace plan
Oscar offers ACA-compliant individual and family coverage in select Texas regions. Mental health is covered as an Essential Health Benefit.
You have Oscar through your employer
Some Texas small-group employer plans use Oscar Health. Coverage and network participation may differ from individual marketplace plans.
You use Oscar's telehealth-forward features
Oscar emphasizes virtual care. Our HIPAA-compliant secure video platform aligns with Oscar's telehealth coverage model.
You want to verify network status before booking
Oscar's network in Texas can vary by specific plan and county. We verify before your first visit.
Clinical Perspective
A common scenario in our practice: an Oscar Health member whose plan covers telepsychiatry but whose Oscar concierge service isn't certain about our specific network status. Our intake team contacts Oscar directly to verify, confirms the cost the patient will pay, and provides everything in writing before scheduling. The patient walks into their first visit knowing exactly what they'll owe.
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 Oscar Health?
Network participation varies by specific Oscar Health plan and geography. 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 Oscar coverage before booking?
Call our intake team at (430) 288-5800 with your Oscar member ID. 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 Oscar plan?
If we're not in-network with your specific Oscar plan, you can still see us. Most Oscar plans have out-of-network benefits at reduced reimbursement rates, or you can self-pay our published rate and submit a superbill.
Does Oscar Health cover telepsychiatry?
Yes. Oscar emphasizes virtual care and covers telepsychiatry as part of its mental health Essential Health Benefit. Coverage terms typically match in-person psychiatric visits under federal and Texas mental health parity rules.
Does Oscar cover psychiatric medication management?
Yes. Oscar 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 Oscar?
Most Oscar 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 Oscar 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 Oscar Health 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
