Psychiatric care without insurance, from $99 a month

A flat monthly membership for people who don't have psychiatric coverage, have a high deductible, or would simply rather not deal with insurance at all. No copays, no claims, no surprise bills.

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No contract · Cancel any time · Board-certified psychiatric provider

What Direct Psychiatry Care is

Direct Psychiatry Care (DPC) is a membership model: you pay a flat monthly fee directly to the practice, and that fee covers your psychiatric care. Insurance is not involved at any point — which means no referral, no prior authorization, no copay, and no claim that can be denied after the fact.

It is the same providers and the same standard of care as our insurance-based service. What changes is the billing. Instead of a charge per visit and a claim you have to follow, you have one predictable monthly cost and direct access to your provider between appointments.

Who this is usually right for

No psychiatric coverage

Your plan excludes mental health, or you're uninsured. A membership gives you a clear monthly price instead of a per-visit bill.

A high deductible

If you're paying full price until the deductible is met, insurance is adding paperwork without lowering your cost.

You want access, not just visits

Messaging and priority scheduling matter most when a medication is being started or adjusted.

You're out of network

We're not contracted with every plan. Where we aren't, a membership is usually cheaper than out-of-network rates.

If your insurance covers psychiatry with a low copay, use it. We accept most major plans, and in that situation insurance will almost always cost you less than a membership. This page is for the cases where it doesn't. Compare all three payment options →

Membership plans

Every plan includes medication management, secure messaging with your provider, and prescriptions sent electronically to your pharmacy. Visit length is set by your provider based on what the appointment is for, and is confirmed when you book.

Essential
$99/month

For stable, ongoing medication management.

  • 1 scheduled visit per month
  • Medication management
  • Unlimited secure messaging
  • Prescription refills & prior auth help
  • Care coordination with your PCP
Enroll in Essential
Premium
$299/month

For weekly therapy alongside psychiatric care.

  • Weekly scheduled sessions
  • Therapy included
  • Medication management
  • Priority scheduling, subject to availability
Enroll in Premium

Plan comparison

Scroll the table sideways to see all three plans →

  Essential
$99/mo
Complete
$199/mo
Premium
$299/mo
Scheduled visits 1 per month Weekly
Medication management Included Included
Therapy Add-on, $175/session Included
Secure messaging Unlimited Unlimited, same-day response
Priority scheduling — Yes, subject to availability
Prescription refills & prior auth Included Included
Unused visits roll over No No

What messaging actually means

Messaging is for the things that come up between appointments — a side effect you want to flag, a question about a dose, a pharmacy that hasn't received a prescription. It goes to your provider through the patient portal, not to a call centre.

On Essential, messages are answered during business hours in the order received. On Complete and Premium, you get a same-day response on business days. Messaging is not monitored overnight and is not a way to reach someone urgently. EnnHealth does not provide emergency or crisis services. If you are in crisis, call or text 988 (Suicide & Crisis Lifeline); in an emergency, call 911.

Where membership is available

Membership is available wherever our providers are licensed, and you must be physically located in one of those states at the time of your visit — that is a licensing requirement, not a practice preference. Our coverage map and state pages list everywhere we currently serve.

You also need to be 18 or older to enrol yourself. Minors can be seen with a parent or guardian's consent.

Billing, cancellation and what's excluded

The full terms are in our Terms of Service and Cancellation Policy. The parts that most often matter:

Because membership isn't insurance, keep any coverage you have. A membership covers your psychiatric care with us; it does not cover an emergency room visit, an inpatient stay, or the cost of medication at the pharmacy counter.

Membership vs. paying per visit

Our private-pay rates are $300 for a new patient evaluation and $150 for each follow-up. Here is how that compares over a typical first three months, when contact with your provider is usually most frequent.

 Pay per visitEssential membership
Month 1 (evaluation + 1 follow-up)$450$99
Months 2–3 (1 follow-up each)$300$198
Messaging between visitsNot includedUnlimited
Priority schedulingNo—
Three-month total$750$297

Illustrative, based on a common starting pattern of an evaluation followed by monthly follow-ups. Your own visit frequency is a clinical decision made with your provider, and someone who needs only one or two visits a year will pay less per visit than by membership.

Common questions

Can I see a psychiatrist without insurance?

Yes. That is what this membership is for. You pay a flat monthly fee and see a board-certified psychiatric provider with no referral, no prior authorization and no claim involved.

How is this different from paying per visit?

Per-visit billing is $300 for the evaluation and $150 per follow-up, charged each time. A membership replaces that with one monthly charge that also covers messaging, priority scheduling and prescription support between visits.

Is it worth it if I have a high deductible?

Often yes. If your deductible means you're paying full cost anyway, insurance is adding paperwork without reducing what you pay. If your plan covers psychiatry with a low copay, using it is usually the better option.

How do I cancel?

Any time, with no contract and no cancellation fee. Cancellation takes effect at the end of your current billing period, and partial months aren't refunded.

What isn't included?

Membership isn't health insurance. It doesn't cover hospitalizations, lab work, imaging, or prescriptions at the pharmacy. Late cancellation and no-show fees apply to members, and unused visits don't roll over.

Which states is it available in?

Wherever our providers are licensed — see the coverage map. You need to be physically in one of those states at the time of your visit.

Does it include therapy?

The Premium plan includes therapy with weekly sessions. Essential and Complete focus on psychiatric visits, medication management and messaging; therapy can be added at $175 per 50-minute session.

Can you prescribe medication?

Yes. Every plan includes medication management, with prescriptions sent electronically to your pharmacy. The medication itself is paid for at the pharmacy and isn't part of the membership fee. Controlled substances are prescribed only where clinically appropriate and permitted by your state.

Start with a plan, not a bill

Choose the plan that matches how often you expect to be seen — or talk to us first if you're not sure.

Compare plans →

Not sure? Call (866) 796-9995 or book a standard appointment instead.