Insurance & psychiatric care · Hicksville, NY
Using your Anthem Blue Cross PPO benefits for psychiatric care.
An Anthem Blue Cross PPO plan may let you use out-of-network benefits to see Dr. Syed. The practice handles claim submission, so you have one less thing to manage.
Dr. Syed is an out-of-network provider. Using your benefits does not mean he is in your plan’s network.
Children 5+, teens & adults · Telehealth in NY & CT · Hicksville by arrangement
How courtesy billing works
A clearer path from your visit to your claim.
- 01
Understand the cost first.
Start with a free consultation. Before a paid appointment, the practice explains its fees and payment arrangements, and you confirm your plan’s benefits.
- 02
We submit your claim.
After your visit, the practice files the out-of-network claim for you. You remain responsible for the practice’s fee under the payment arrangement discussed.
- 03
Your plan reviews it.
The insurer applies your benefits and issues an explanation of benefits. Any reimbursement and who receives it follow your policy and the claim’s payment instructions.
What you may pay
Three terms that make benefits easier to understand.
Your reimbursement is based on your plan’s rules. It may cover part of the visit fee, and your share may be higher than with an in-network provider.
- Deductible
- The amount you may need to meet before your plan starts paying for covered out-of-network care. Ask how much remains for the current plan year.
- Allowed amount
- The amount your plan recognizes for a service. It can be lower than the practice’s fee, leaving you responsible for the difference.
- Coinsurance
- Your share of the allowed amount after any applicable deductible. A reimbursement percentage applies to that allowed amount, not necessarily the full visit fee.
No fixed reimbursement promise. Coverage, medical-necessity rules, authorization, deductibles, and benefit limits all affect what your plan pays. Confirm the details before care.
For Anthem Blue Cross PPO members
Your member card is the starting point.
Call the member-services or behavioral-health number on your insurance card. Ask about your specific PPO policy and seeing Dr. Syed as an out-of-network psychiatrist. The insurer can confirm who administers your mental-health benefits.
Anthem’s guide to plan networksBenefits depend on your specific policy, employer, and network. An Anthem or Blue Cross logo alone does not confirm PPO or out-of-network coverage.
Four questions to ask your plan
Does my PPO cover out-of-network outpatient psychiatric evaluations and follow-up care?
Is there a separate out-of-network deductible, and how much remains?
What allowed amount and reimbursement percentage apply to each service?
Do I need preauthorization, and are telehealth visits covered when the provider is out of network?
Keep the representative’s name and call reference number. The practice can provide information about its services to help you ask specific questions.
Before you book
A few practical answers.
Does Dr. Syed accept my plan as an in-network provider?
No. Dr. Syed is out of network. The practice welcomes patients who want to use eligible out-of-network benefits and provides courtesy claim submission. Your insurer decides coverage.
Will I have to file the insurance paperwork myself?
The practice submits the out-of-network claim on your behalf. Your insurer may still ask you for information, and you should review the explanation of benefits it sends after processing.
Can I find out the cost before committing to treatment?
Yes. The first 30-minute consultation is free. If you choose to continue, discuss the practice’s fees and payment arrangements before a paid visit. Your insurer can explain your specific benefits; an estimate is not a guarantee of payment.
Can I use these benefits for online appointments?
Dr. Syed offers telehealth to patients located in New York or Connecticut. Ask your plan whether your outpatient psychiatric service is covered by telehealth with an out-of-network provider.
The first conversation is free
Talk about care.
Get clear on the next step.
Speak with Dr. Syed about what you or your family need. There is no obligation to book a paid appointment.