Eric Spronz, Psychiatric Nurse Practitioner P.C. and East End Neuropsych fully participates in Traditional Straight Medicare part B and Railroad Medicare only. We will let you know if you have an auto crossover plan, medicare advantage plan and or any copayments prior to your first visit based on your secondary insurance if applicable, you must provide this to our office prior to your first visit and if there are any changes.

Traditional Part B Medicare will only cover 80% of your visit and you must meet your annual deductible each year. Your secondary insurance may or may not pay your copayments.

We do not accept ANY Medicare Advantage Plans, NYSHIP Retiree or Medicaid at this time.

We proudly accept CHAMPS VA, Tricare and VACC as well as 9/11 Zadroga funding.

We take pride in supporting our military heroes and first responders.

At this time we are also accepting Cigna, Aetna and out of net work NYSHIP on a case by case basis.

We are happy to provide you with a “super bill” which you can submit to your insurance company for reimbursement if you have out of network benefits. All payments are due at the time of your visit, there are no exceptions to this. Insurance reimbursements will be paid by your non medicare plans directly to you. We do not submit these claims for you, you must arrange this with your insurance provider. Coverage and reimbursement rates are determined your insurance company only.

As a courtesy, all patients over the age of 65 are charged the medicare approved rates if they have elected to participate in any of the plans that we do not accept.

2023 Rates schedule is listed in the links below.

We are not allowed by Federal Law to waive copayments, fees or reduce rates

Patients under the age of 65 are considered private pay patients and not bound by the medicare approved rates.

Sessions are billed based on time and complexity. Telemedicine and in - person visits carry the same copayments. You may have copayments for after hour calls and requests for call backs the same as you would for a session that is scheduled. It is based on providers time and complexity of the situation. This includes portal messaging with the provider.

No forms, applications or evaluations of any kind will be done outside of your appointment. If you need documents completed, you must make an appointment. This is a new Medicare Requirement as of 2023.

We do our very best to not have you get “surprise bills”. All of our rates and the maximum anticipated copays are listed below. By speaking with a clinician you are agreeing to terms and charges. CLICK ON THE BOXES BELOW FOR COPAYMENTS AND RATES