Same-Day Virtual & Telehealth Appointments — North Carolina
Online psychiatrist now serving Apex & all of North Carolina
Insurance • Pricing • Referrals
Insurance-Friendly Psychiatry in North Carolina
Quick Facts: Insurance & Pricing for Psychiatric Care in NC
- ✓ NC Medicaid, BCBS, Aetna, Cigna & most major insurance accepted
- ✓ No referral required for telehealth psychiatric appointments
- ✓ Same-day appointments available for new and existing patients
- ✓ Serving all of North Carolina via secure HIPAA-compliant telehealth
- ✓ ADHD, anxiety, depression, PTSD & insomnia all covered by most plans
- ✓ Self-pay options also available — ask about sliding scale fees
Medicaid, Tricare, and major commercial plans accepted. Transparent self-pay pricing for patients without coverage. Convenient statewide telepsychiatry with rapid scheduling.
Insurance Plans We Accept
Commercial
- UnitedHealthcare / Optum Behavioral Health
- Aetna
- Cigna
- Blue Cross Blue Shield of North Carolina
- Ambetter of North Carolina
- AmeriHealth Caritas North Carolina
North Carolina Medicaid
- NC Medicaid Direct
- Healthy Blue North Carolina
- UnitedHealthcare Community Plan of North Carolina
- WellCare of North Carolina
- Carolina Complete Health
Behavioral Health MCOs
- Trillium Health Resources
- Partners Health Management
- Alliance Health
Government & Military
- TRICARE East
- Medicare
- Medicare Advantage (selected plans)
Not sure about your plan? Call us at 336-828-2599 and we’ll verify benefits before you schedule.
Self-Pay Rates and Referral Information
Clear, upfront pricing for patients who prefer to self-pay.
- Initial Psychiatric Evaluation: $179
- Follow-Up Medication Management: $99
Payment is due at time of service. Insurance copays/coinsurance vary by plan and deductible.
Referrals Welcomed
We accept referrals from primary care, pediatrics, therapists, schools, hospitals, and community agencies. Most referred patients are scheduled within 3–5 business days.
Fax Referrals
📠 336-444-6144
Please include:
- Patient demographics & contact
- Insurance information
- Reason for referral
- Medication list
- Recent clinical notes (if available)
For questions, call 336-828-2599 or email contact@pinnaclebhw.com.
Appointment & Payment Policy
Self-pay rates apply when not using insurance. Insurance claims are billed according to each payer contract. Missed appointments or cancellations with less than 24 hours notice may incur a fee.
How Insurance Works for Telepsychiatry in NC
Telehealth parity laws require most insurance plans sold in North Carolina to cover telepsychiatry services at the same rate as in-person visits.
This means your co-pay, deductible, and out-of-pocket costs for a telepsychiatry appointment with Pinnacle Behavioral Health are typically the same as if you visited a psychiatrist in person.
When you schedule with Pinnacle, we verify your insurance benefits before your first appointment so there are no surprises. Call us at (336) 828-2599 and we will confirm your coverage, explain any co-pays or deductibles that apply. Let you know exactly what to expect cost-wise before your visit.
If your insurance is not listed, please call us. We are continually expanding our insurance panel. Self-pay rates are also available for patients who prefer to pay out of pocket. We offer transparent self-pay pricing for patients without insurance or those who prefer not to bill insurance. Rates are $179 for an initial psychiatric evaluation and $99 for follow-up medication management visits.
Understanding Your Psychiatric Billing
Psychiatric services at Pinnacle Behavioral Health are billed using standard CPT (Current Procedural Terminology) codes that all insurance plans recognize. Common codes used include:
- CPT 90792 — Initial psychiatric evaluation (new patient, comprehensive assessment, 45–60 minutes)
- CPT 99213 / 99214 — Follow-up medication management visits (established patient, 15–30 minutes)
- CPT 99205 — Complex new patient evaluation with extensive history and decision-making
Your insurance Explanation of Benefits (EOB) will show these codes and what your plan paid versus your patient responsibility. If you have questions about a bill, call our office at (336) 828-2599.
Referring Providers: How to Send a Referral
Pinnacle Behavioral Health welcomes referrals from primary care providers, pediatricians, therapists, schools, hospitals, and other mental health professionals. We coordinate care closely with referring providers and can send progress notes and medication updates with patient consent.
To refer a patient, please fax the following information to 336-444-6144:
- Patient name, date of birth, and contact information
- Insurance information and member ID
- Reason for referral and chief complaint
- Current medication list
- Relevant clinical notes or prior assessments (if available)
Our team will contact the patient within one business day to schedule their initial evaluation.