Insurance & psychiatric care · Hicksville, NY
Using your NYSHIP Empire Plan benefits for psychiatric care.
Have The Empire Plan through NYSHIP? Your non-network mental-health benefits may help with the cost of care. Dr. Syed’s practice submits the claims for you.
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 NYSHIP · The Empire Plan members
Start with your mental-health benefits.
Carelon Behavioral Health administers The Empire Plan’s Mental Health and Substance Use Program. Call 1-877-769-7447 and press or say 3 before arranging care to confirm your benefits and any authorization requirements.
Call Empire Plan benefits · option 3NYSHIP offers different health plan choices. This page is for The Empire Plan; NYSHIP HMO coverage follows different rules.
Four questions to ask your plan
What are my non-network benefits for an outpatient psychiatric evaluation and follow-up visits?
How much of my applicable deductible remains, and what coinsurance applies?
What allowed amount will you use for each service, and what costs remain mine?
Does this care need authorization or certification, and do the same benefits apply to telehealth?
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.