Medicare in Texas · Solutions Psychiatry
Online psychiatry in Texas that accepts Medicare
Texas patients usually arrive with one question: can one clinician handle both the therapy and the medication, covered? For Medicare patients in Texas the answer is yes, and we verify it before your first session.
Solutions Psychiatry is the full practice: therapy and medication care from one clinician. If you want medication management only, that care has its own home at PsychMed Care.
Medicare in Texas, verified first
Solutions Psychiatry is in network with Medicare in Texas. Book a first visit, complete the intake forms, and the practice verifies your coverage before that visit, so your exact cost is known up front. That includes how a Medicare supplement factors in. If the numbers do not work, nothing has been billed and the decision is yours, made with real figures.
There is no separate Medicare track and no lesser version of the care. Texas Medicare patients see the same clinician, get the same 60 minute Comprehensive Initial Appointment and 30 minute Follow-up Appointments, and work to the same standard as every patient in the practice.
Care from a Texas based practice
This is a Texas based practice with an office in Austin, one of three practice offices listed on the Austin office page. Day to day, care runs by secure video, which is the model everywhere in the practice. The offices are not walk-in clinics. When a federal or DEA rule requires an in-person visit, for example the annual visit tied to a controlled-substance prescription in most states, it is arranged in advance, in the state where you are.
Video care means your clinician is the same whether you are in Austin, Dallas, Houston, El Paso, the Valley, or a ranch road with a decent connection. Rural Texas is not an afterthought here; it is much of the point of building the practice this way.
What your care can include
One clinician handles both halves: psychotherapy and medication management in the same course of care, so the person adjusting your prescription is the person who hears your whole story. The toolkit behind that care runs deep, from Internal Family Systems and BrainSpotting to exposure work for OCD, and precision tools like GeneSight testing and targeted labs are available when they would change a decision. Whether a given test is covered under your plan is settled in the verification conversation, before anything is ordered.
If Medicare is not your coverage, the practice is also in network in Texas with Aetna, Cigna, UnitedHealthcare and Optum, the Blue Cross Blue Shield family, and more, verified the same way before the first visit. Self-pay rates are $350 for the Comprehensive Initial Appointment and $250 for Follow-up Appointments. The full state-by-state picture is on the Medicare page, and practice-wide insurance questions live on the Solutions Psychiatry site.
And if you move? Care continues across the practice's 35 states and Washington DC, so a relocation does not end the relationship. Texas is where this page starts, not where your care has to stay.
Between visits, existing patients reach the practice through the patient portal and Spruce for prescription questions and brief check-ins, so a concern in week two does not wait silently until week six. Care that stays in contact is care that can be adjusted while adjustments are still small.
Getting started
The first month, step by step
1. Book and complete the forms
Choose a time and finish the intake forms and consents, about ten minutes. A short treatment intention agreement sets out what your clinician commits to and what the work asks of you.
2. Coverage verified
Your Medicare coverage is checked before the visit, and your exact cost is confirmed to you up front, supplement included in the math.
3. The 60 minute Comprehensive Initial Appointment
A real conversation: your history, your health, your sleep, what you have tried, and what a good outcome would actually look like. You leave with a plan, not vague reassurance.
4. Steady 30 minute Follow-up Appointments
Therapy and medication reviewed together, adjustments made with full context, and progress measured against the outcome you defined at the start.
Why Texans end up here
Texas is big enough that split care breaks down on distance alone. A prescriber across town, a therapist across the county, and a two-hour drive each way turns follow-up care into a part-time job. Video care from one clinician removes the relay entirely: the person who hears your story is the person who adjusts the prescription, and the appointment happens from your kitchen table in Amarillo as easily as from an office tower in Austin.
Texans also arrive after the usual dead ends: a psychiatrist whose site would not say whether Medicare was accepted, a waitlist measured in seasons, a seven minute refill visit that never once asked about sleep. This page exists to answer the coverage question in the open and to describe the alternative plainly: one clinician, both halves of care, verified before you start.
One clinician for the whole conversation.
Start with a 60 minute Comprehensive Initial Appointment. Your insurance is verified before the visit, and you leave with a plan, not vague reassurance.