Mental Health Practice Accepting Insurance in San Francisco, CA

Helyx Health strives to make mental health services accessible to individuals by partnering with various insurance providers. Whether you’re seeking psychiatric care, therapy, medication management, or other specialized services, knowing whether your insurance plan is accepted is a critical step in managing your healthcare costs.

Helyx Health currently accepts major insurance plans, including:

• Aetna
• Cigna Healthcare
• Evernorth Health Services

These partnerships enable patients who have coverage through these providers to access in-network services, reducing their out-of-pocket expenses. Insurance plans that are in-network typically cover a substantial portion of your healthcare costs, which can make seeking treatment more affordable. If your insurance provider is one of these, you can expect a streamlined billing process, where we will coordinate directly with your insurer to process claims.

However, if your insurance plan is not listed above, you may still be able to receive treatment, but it’s important to confirm whether they accept your particular plan. This is because insurance networks can change frequently, and the clinic’s network participation can evolve.

For those with insurance providers that are not currently in the network, contacting Helyx Health directly is recommended. They can provide confirmation and discuss the best course of action for your treatment, including verifying whether your insurance covers out-of-network services.

Additionally, if your insurance provider is not listed, we can often help guide patients through the process of submitting out-of-network claims. In this case, you may be responsible for paying for services upfront and seeking reimbursement from your insurance provider directly.

When seeking care at Helyx Health, knowing whether they are in-network with your specific insurance provider is crucial for minimizing your financial responsibility. Being “in-network” means that we has a contracted agreement with your insurance provider to offer services at discounted rates, with the insurer covering a significant portion of the bill.

For patients with insurance providers, the process of getting treated should be more straightforward and typically more cost-effective. You will likely only be responsible for co-pays, co-insurance, and deductibles, which are outlined in your insurance policy.

However, if your provider is not listed here, it’s essential to contact Helyx Health directly for confirmation. Even if your insurance provider is not explicitly mentioned, there may be recent updates to their in-network status that haven’t been reflected online or in initial documentation.

It’s a good idea to reach out to Helyx Health’s patient services or billing department, who can confirm whether your plan is in-network or not. If you have a specific treatment in mind, make sure to also inquire whether that particular treatment is covered under your insurance policy. Some treatments may require pre-authorization or may be covered only in specific scenarios, depending on your plan’s policy.

For example, some plans may have restrictions on mental health treatments or may require prior authorization before certain medications or procedures can be administered. Therefore, confirming the specifics of your coverage is vital to avoid surprises in billing.

Out-of-network insurance coverage means that Helyx Health does not have a contracted agreement with your insurance provider. As a result, your insurance may reimburse a smaller portion of your medical expenses, or in some cases, you may be responsible for paying the full amount upfront and submitting claims for reimbursement yourself.

Out-of-network plans typically involve higher out-of-pocket costs than in-network plans. This is because your insurer is not directly negotiating rates with Helyx Health, and there are no pre-arranged discounts for services. As a result, you may be required to pay higher co-pays, coinsurance, and deductibles than if you were receiving treatment at an in-network provider.

Here are some factors to consider when using out-of-network insurance:

• Higher Co-pays and Coinsurance: Insurance providers often charge higher co-pays or coinsurance rates for out-of-network care. This means you will pay a higher percentage of the treatment costs out of pocket.

• No Direct Billing to Insurance: In many cases, out-of-network patients are required to pay for services upfront. After the service is rendered, patients may need to submit a claim to their insurance provider for reimbursement. The reimbursement amount may be less than what you would have received from an in-network provider.

• Pre-authorization Requirements: Many insurance companies require pre-authorization for out-of-network services, meaning they need to approve the treatment before you proceed. It’s essential to confirm with your insurance provider that the service you need is eligible for out-of-network reimbursement.

• Reimbursement Process: When submitting out-of-network claims, you will need to gather the necessary documentation from Helyx Health, such as receipts, medical codes, and treatment details, and submit these to your insurance company for reimbursement. The amount reimbursed will vary depending on your plan.


For those using out-of-network insurance, Helyx Health encourages patients to discuss their coverage options with the clinic’s billing department before proceeding with treatment. They will help explain the payment structure, including any upfront costs and how to submit claims to your insurer for potential reimbursement.

By contacting Helyx Health directly, you will be able to verify whether your insurance is accepted, what your out-of-pocket costs may be, and whether you need pre-authorization for your treatment. This proactive approach can help you avoid unexpected expenses and ensure that you receive the care you need in a timely and efficient manner.

Helyx Health accepts several major insurance providers and can provide affordable care for patients with these insurance plans. If your plan is not listed, it is important to contact the clinic directly to confirm whether it is in-network and to understand the process for out-of-network coverage. For patients using out-of-network insurance, it’s important to consider the potential higher out-of-pocket costs and the additional steps required to submit claims for reimbursement. For more information, contact us or request an appointment online. We are located at 57 Post St Suite 604, San Francisco, CA 94104. We serve patients from San Francisco CA, Emeryville CA, Sausalito CA, Oakland CA, Berkeley CA, and surrounding areas.