San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center
San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center
San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center San Diego Psychiatric Center
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Frequently Asked Questions (FAQ)
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San Diego Psychiatric Center San Diego Psychiatric Center
10 offices in San Diego County,

General Questions
Are Saturday appointments available?
Yes, various offices throughout the County have Saturday appointments available.

Are there evening appointments available?
Yes, various offices throughout the County have evening appointments available.

What is your first available appointment?
Actual emergencies can be accommodated the same day. For non-emergency care it is usually possible to obtain an appointment within 48 hours.

Are there any providers that have specific religious backgrounds?
Yes, several providers have special training that includes religious issues.

What experience do our providers have?
Each provider is licensed by the State of California to provide treatment to you in their specialty. For specific information on the educational background and experience of each clinician click on the desired name in the psychiatrists or therapists biography page or elsewhere in the website where the name appears underlined.

Does anyone in your group provide therapy on a sliding scale?
Each provider makes their own determination regarding payment arrangement and fee schedules.

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Billing Questions
I received a bill for a visit to a PCSD provider. If I have questions, whom may I contact?
You may contact the PCSD Billing Department at (619) 528-4600. The billing department is available to assist you during regular business hours from 8:00am to 5:00pm, Monday through Friday.

Why is my co-payment different from what I pay my Primary Care Doctor? Mental Health benefits are different than medical benefits and most insurance plans require a higher co-payment when mental health services are accessed. PCSD will be happy to assist the patient in verifying their cost-share.
What will my insurance pay?

Insurance plans vary on the mental health benefits that are offered. In addition to benefit limitations, many health plans require prior authorization for mental health services. It is recommended that patients contact their insurance company for specific information regarding plan benefits and authorization procedures.

Why does Medicare pay my psychiatrist less than my other doctors? Medicare co-insurance for outpatient mental health services is 50% of the Medicare allowable fee. Co-insurance for Hospital services is 20% of the Medicare allowable. Many Medicare Supplemental insurances cover the patient's deductibles and co-insurance.

Where should I send my payments?
Please mail your payments to:
PCSD Patient Business Services
P.O. Box 609001
San Diego, CA 92160
NOTE: You may also bring your payment to any one of the ten PCSD office locations.

Who can answer my insurance questions?
You may contact PCSD's Billing Department at (619) 528-4600. A Patient Representative will be available to answer any questions you may have.

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Managed Care Questions
What is a Co-payment?
A co-payment is a patient cost share. Co-payments are determined by the insurance carrier and are paid at the time of service.

What is a Cost-Share?
A cost-share is the amount for which the patient is responsible after the insurance company processes the insurance claim. The cost-share includes co-insurance responsibility and deductibles.

What is a carve-out?
Mental health benefits are sometimes administered by behavioral health management companies and not the medical insurance company. The “carve-out” management organization will provide the patient with a referral to a network provider and authorize their treatment. PCSD providers are affiliated with many of these behavioral health organizations.

Do I need to obtain a referral to see a psychiatrist or therapist?
Yes, if your insurance is through a HMO or a managed care organization, mental health services need to be authorized by the insurance company or your primary care physician. If you are referred directly by your insurance company you may or may not need a referral or authorization. It is always best to check with your insurance carrier.

How do I obtain a referral?
You may obtain a referral during a visit with your primary care physician. Or, you may call your insurance plan directly at the phone number they have provided you for this purpose. You can then call PCSD at (619) 528-4600 to make the actual appointment.

Will my referral be mailed directly to PCSD?
Yes, your referral will be mailed directly to PCSD, however, you will also receive a copy. It is important to bring any information your insurance company sends with you to your appointment at PCSD.

What are the hours for the Managed Care Department?
PCSD's regular business hours for Administration and Billing are Monday through Friday, 8:00am to 5:00pm.

Is there a time limit on my referral?
Referrals and authorizations have time limits determined by the insurance company. Most referrals are valid for 60 to 90 days. This information will be shown on the referral you receive.

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