Here you will find information on how to contact us for billing inquiries, the insurance plans we work with, and our insurance company affiliations. For additional information on a specific insurance company, you may click on the company name below to reach their website (if available).

BILLING INQUIRIES

PCSD – Patient Business Services & Billing Inquiries:

PCSD Patient Business Services
P.O. Box 609001
San Diego, CA 92160
(619) 528-4600 Option 3

INSURANCE PLANS

PCSD gladly accepts most insurance plans and will complete billing to the patient’s insurance company. PCSD asks the patient to provide us with the information regarding their insurance, including insurance card copies, subscriber’s name, identification number, and group number, if applicable. The patient is required to pay their copayment or a minimum payment at the time of service to be applied to their deductible or cost-share until the insurance processes the claim.

  • PPO (Preferred Provider Organization) Plans: PCSD providers are preferred providers for many PPO networks and will accept the negotiated rate for services provided. The patient is required to pay any cost-shares and deductibles as defined by their insurance policy. Many PPO networks require prior authorization to access mental health services; therefore you may wish to contact your insurance for pre-authorization prior to scheduling an appointment.
  • HMO (Health Maintenance Organizations) Plans: PCSD providers are affiliated with many HMO networks through association with the patient’s primary care physician. A primary physician referral is sometimes required to access mental health services and the patient is required to pay a co-payment at the time of service.
  • Medicare: PCSD’s physicians, psychologists, and licensed clinical social workers are participating providers in the Medicare program. PCSD will file the patient’s Medicare claim, as well as Medicare Supplemental Insurance claims. The patient is responsible for any deductibles and share-of-cost portion of the service.

INSURANCE COMPANY AFFILIATIONS

PCSD clinicians are affiliated with many insurance companies, indemnity as well as PPO and HMO networks. It is recommended that patients call PCSD or their insurance company for a listing of provider panel status. Here is a partial listing of affiliated insurance companies:

FREQUENTLY ASKED QUESTIONS (FAQ)

I received a bill for a visit to a PCSD clinician. 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 8:00 a.m. to 5:00 p.m., 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 deductible and co-insurance.

How do I make a payment?

Please pay your bill online, bring your payment to any one of the PCSD office locations, or mail your payment to:

PCSD Business Services
P.O. Box 609001
San Diego, CA  92160

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.