Does Amen Clinic Accept Medicare? What You Need to Know Before Your Visit

Amen Clinic and Medicare Coverage

Amen Clinic does not participate in Medicare as an in-network provider. This means Medicare will not cover services at Amen Clinic locations, and you will be responsible for the full cost of any treatment or evaluation you receive there. Amen Clinic operates as a private practice and sets its own fees outside the Medicare system.

If you have Medicare and want to use Amen Clinic, you will need to pay out of pocket at the time of service. Some people choose to do this anyway because they believe Amen Clinic's approach or specific services meet their needs. Others look for in-network alternatives that Medicare does cover. Understanding both options helps you make a decision based on your budget and health priorities.

Key Takeaways

Amen Clinic does not accept Medicare, so you pay the full cost of services yourself rather than having Medicare cover a portion.
Amen Clinic's fees vary by location and service type, but initial evaluations typically cost several hundred dollars or more.
Medicare covers psychiatric and neurological services at in-network providers, so you may have other options that cost less.
Some supplemental insurance plans (Medigap) or Medicare Advantage plans may cover out-of-network mental health services, though coverage varies by plan.
Calling Amen Clinic directly for a cost estimate before scheduling is the most reliable way to know what you will owe.

What Amen Clinic Services Cost Without Medicare

Amen Clinic charges for initial consultations, brain imaging (SPECT scans), follow-up appointments, and treatment plans. The exact cost depends on which location you visit and what services you need. Initial psychiatric evaluations at Amen Clinic typically range from several hundred to over a thousand dollars, and brain imaging adds significantly to that cost.

Because Amen Clinic does not bill Medicare, you will receive an invoice for the full amount. Some locations offer payment plans or discounts for upfront payment, but you should confirm this directly with the clinic. Ask about the total cost before your first appointment so you can budget accordingly.

How to Find Out What Your Specific Visit Will Cost

Call the Amen Clinic location nearest you and describe what you need — an initial evaluation, follow-up care, imaging, or medication management. The staff can give you a price quote for those specific services. Ask whether they offer payment plans, sliding scale fees based on income, or any current discounts.

If you have a supplemental insurance plan (Medigap) or a Medicare Advantage plan, call that insurer before your appointment to ask whether they cover out-of-network mental health or neurology services. Some plans do; others do not. Getting this answer in advance prevents surprises when you receive the bill.

Medicare-Covered Alternatives to Amen Clinic

Medicare covers psychiatric evaluations, therapy, and neurological services when you see an in-network provider — meaning you pay only your copay or coinsurance, not the full fee. Psychiatrists, psychologists, and neurologists who accept Medicare are available in most areas. Your primary care doctor can refer you, or you can search Medicare's provider directory online.

In-network providers typically cost far less than Amen Clinic out of pocket. If cost is your main concern, starting with a Medicare-covered provider is usually the most affordable route. If you later decide you want Amen Clinic's specific services or approach, you can always pursue that as a separate choice and pay privately.

What to Do If You Want Amen Clinic Services

If you have decided that Amen Clinic is where you want to go, contact the location directly to schedule and ask about cost. Request an itemized estimate so you know exactly what you will owe. Ask whether they accept any insurance at all — some Amen Clinic locations may accept certain private insurance plans even if they do not accept Medicare.

Before your appointment, review your own insurance documents or call your insurer to confirm whether any out-of-network mental health benefits exist in your plan. Some Medicare Advantage plans include out-of-network coverage; most Original Medicare does not. Knowing this ahead of time means you will not be surprised by a large bill after your visit.

Understanding Out-of-Network Costs and Your Insurance

When you see an out-of-network provider like Amen Clinic, your Medicare or supplemental insurance typically does not pay anything. You are responsible for the provider's full fee. Some private insurance plans or Medicare Advantage plans do cover out-of-network mental health care, but the coverage amount and rules vary widely.

If your plan does cover out-of-network services, you may still owe a higher percentage of the cost than you would at an in-network provider. For example, an in-network visit might cost you 20 percent of the fee, while an out-of-network visit costs you 40 percent. Always check your plan documents or call your insurer to understand your specific coverage before scheduling.

Frequently Asked Questions

Will Medicare reimburse me if I pay Amen Clinic out of pocket?

No. Medicare does not reimburse for services at out-of-network providers. You pay the full cost at the time of service, and Medicare will not send you money back. If you want Medicare to help pay for mental health or neurology care, you must see an in-network provider.

Does Amen Clinic accept any insurance at all?

Amen Clinic's insurance policies vary by location. Some locations may accept certain private insurance plans, but Medicare is not one of them. Call your nearest Amen Clinic location and ask what insurance they accept. You can also ask your insurance company whether they cover Amen Clinic services.

What if I have a Medicare Advantage plan instead of Original Medicare?

Medicare Advantage plans vary in their coverage of out-of-network providers. Some plans cover mental health services at out-of-network providers; others do not. Call your Medicare Advantage plan directly and ask whether Amen Clinic services are covered. Get the answer in writing if possible before you schedule your appointment.

Can I use my Medigap plan to pay for Amen Clinic?

Medigap plans cover the copays and coinsurance that Original Medicare does not pay, but only for in-network providers. Since Amen Clinic does not accept Medicare, Medigap will not help you pay. You would still owe the full cost yourself.

How much does an Amen Clinic evaluation typically cost?

Costs vary by location and service type. Initial evaluations often cost several hundred dollars or more, and brain imaging adds to that cost. Call the specific Amen Clinic location you are considering and ask for a detailed cost estimate before you schedule.

This guide is for general information only and is not medical, financial, legal, or other professional advice. For decisions specific to your situation, consult a qualified professional. See our Editorial Policy.