Do You Take Insurance?
We have been using a self pay practice model and are excited to be accepting some insurances starting 2024 for virtual neuropsychopharmacology and medical groups. Keep an eye on those pages for insurance updates.
For individuals who have more complex needs or those outside of Massachusetts, where a doctor-patient relationship is not available, we offer Neuropsychiatric Health Coaching. This service is not covered under insurance.
Now Accepting the following insurances…
Blue Cross Blue Shield
Tufts
Aetna
We will NOT be accepting the following insurances…
Medicare/Medicaid
Wellsense
Boston Medical Center
Neuropsychiatric Health Coaching
How much does the service cost?
All coaching relationships begins with a consultation, which is billed at a rate of $500 per hour. For many cases, one hour is sufficient, but for more complex cases 2 or 3 sessions are required. Some clients will choose to maintain an ongoing relationship with Dr. Claunch. Additional sessions are billed at $500/hour or $125/15 minutes. E-mails, texts, phone calls, etc are billed at a minimum of 15 minutes.
Concierge Coaching
Clients may discuss a more intensive, concierge model of coaching with Dr. Claunch at the end of the first visit or anytime thereafter. Concierge Coaching is best suited to those clients looking to have a close relationship with Dr. Claunch. These clients may need to reach out to Dr. Claunch about new symptoms or test results, may want to reach him quickly (within 24 hours) in the case of an emergency, or may have a more complicated neuropsychiatric presentation.
Why Neuropsychiatric Health Coaching?
The current industry of medicine is a machine designed to quickly identify or rule out a specific problem, offer a medication to treat it, or refer to the next provider who will do the same. This works modestly well for some conditions, but complex multisystem conditions like chronic pain, atypical cognitive disorders, and many inflammatory conditions are poorly served in the current medical industry. Insurance companies incentivize this by reimbursing more for procedures than for a physician’s time, and more for three 5-minute medication visits than for one hour long visit. Also, some vital services are not reimbursed at all, like care coordination and family meetings. Coaching allows Dr. Claunch to focus on the client (or clients) in front of him without the restrictions from insurance companies or the confining doctor-patient relationship. Neuropsychiatric health coaching is perfect for individuals looking for advice on management of their neuropsychiatric conditions, especially those that have not found the medical model satisfactory for their treatment. Health coaching may also help family members understand an individual’s symptoms, diagnosis, disease course, etc and how they can help.
Are there other services and what are their costs?
The Pay-As-You-Go cost for all clients, besides corporate and legal consulting work, will always be $500/hr ($125/15min) of the expert’s time. We also offer a Concierge retainer to some clients with ongoing needs to make our Neuropsychiatrist available to reduce the hourly cost, as low as $333/hour when 30 hours are purchased upfront. For our Concierge Clients, they pay a starting fee and get a set number of hours over a set period of time where the expert can be directly available at short notice. These meetings can be used to ask questions about the symptoms or condition, ask how to manage symptom exacerbation, and even speak with the medical teams during a crisis and help the patient and their family navigate the experience. Instead of 15 minute insurance based medical appointments, with follow up 6 months later, this service can help prevent or guide more urgent needs and give support to help expedite solutions both within and outside of standard pharmaceutical care. Do you have an aging parent with episodes of confusion and agitation, torn between waiting for a call back from a nurse or rushing to the ER for what seems like a preventable problem? Do you have a child with new strange thoughts and behaviors, and have no idea what is happening in those 15 minute psychiatry appointments? Do you have strange and evolving symptoms and never know which doctor to tell or which doctor to believe? Consider becoming a concierge client for our Neuropsychiatry Health Coaching Service today!
Shared Medical Appointments AKA Groups
Insurance
Most Group patients will have their 60-90 minute shared medical appointments billed through their health insurance. Visits may involve a co-pay. Insurance companies vary, so it is best to contact yours directly to know what costs to expect. Virtual appointments outside of the shared appointment are also typically covered by insurance and may involve a co-pay.
Self-pay clients interested in Shared Medical Appointments will be billed at $200 per session. Standard rates ($500/h) apply for visits outside of the shared appointment.