All the little things that can matter a lot
Probably, but here are a few distinctions. Synergy only serves adults 18+ and is currently unable to accept Medicare, which might make it hard for some patients 65+ years and older to afford care. We are unable to serve those who have acute psychosis not otherwise related to substance use, those who are acutely suicidal or homicidal, or those without sufficient resources.
The Synergy team is well-connected and committed to making referrals when we are not a good fit for someone seeking services with us. We'll work with you and other providers to help you find services that can meet your needs and that are within your resources.
Absolutely not! We are just as committed to providing exceptional collaborative care to adults with general psychiatry needs as we are to recovery-friendly psychiatry.
We do! In fact, we love our discreet, beautiful space that we share with Full Life Counseling. While the experiences of the pandemic helped us all appreciate that we can provide great care through telehealth, we too prefer to get to know our patients in-person whenever possible. Our office is located in Winston-Salem, NC just off Jonestown Road, near Hwy 421. We strongly prefer to see patients in-person for the first appointment, when possible. Some services can only be provided in-person. In-person services are provided on Wednesdays and Thursdays, but telehealth services will be available on Mondays, Tuesdays and Fridays.
We anticipate being in-network with Carolina Behavioral Health Alliance (CBHA) for Atrium Health Wake Forest Baptist, Wake Forest University, and Atrium employees. Until our contract is finalized, we can file "single case agreements" for CBHA patients to utilize those benefits.
We are out-of-network with all other commercial insurances. That means that we require payment in full for services and assist patients to file out-of-network claims. Some insurance policies have out-of-network benefits that can pay quite well after a deductible has been met, while others have none. We will help you know how to find out what to expect from your insurance and to know how to file claims.
We cannot accept Medicaid or Medicare.
Definitely not. In fact, in January 2022, all healthcare providers were required by federal law to be fully transparent about fees, insurance, and what patients can expect in their bill. It is called the No Surprises Act, and Synergy is fully committed to supporting the principles and the expectations of the law.
Synergy patients have personal autonomy to determine if and how often they return for services. As a Synergy patient, you will be encouraged to return for follow-up appointments based on what symptoms you are experiencing, based on medication changes, or to follow a particular protocol based on medications like Sublocade or Vivitrol. But no one can force you to return or pay for care. Each appointment is billed exactly as explained below, and each patient receives a No Surprises Act notification and initial Good Faith Estimate before making your first appointment.
In this appointment, we get to know you, learn about your symptoms, your medical, psychiatric and substance use history, what medications you've explored in the past. This includes evaluation and medical decision-making regarding your care needs going forward. This appointment is general 55-75 minutes long.
If, in the process of the Initial Psychiatric Evaluaion, your provider concludes that prescription medications are recommended, this additional fee will be added to the first appointment fee.
If you have been a Synergy patient who opted out of services and returns for care within 3 years of your initial appointment, you will be reevaluated based on past records, new information since your last appointment, and your presenting symptoms. This appointment is generally 45-75 minutes long.
After your initial appointment, your Synergy provider will encourage you to return for follow up appointments to determine if you are experiencing adequate symptom relief, to determine if you are experiencing any side effects, and to determine if changes are needed with your treatment plan. These appointnents are generally 25 minutes long but could be combined with psychotherapy if you do not already have a therapist.
For patients who do not have a therapist, your Synergy provider may recommend longer appointments that combine medication management and psychotherapy. If so, your Synergy provider will meet with you for an additional 25-30 minutes as part of the follow-up appointment (for a total of 53-58 minutes).
Many patients have experienced sub-par results or unacceptable side effects from medications in the past. We get that. We also appreciate the value of genetic testing to reduce the trial and error selection process with psychiatric medications. So your provider could recommend genetic testing to help identify which medications might be most effective for your needs.
These are additional services that may be offered to some patients based on the findings of the Initial Psychiatric Evaluation and/or information from another provider you're working with now or have worked with recently.
This monthly injection of naltrexone can help support recovery by reducing cravings and reducing vulnerability to return to use by blocking opioid receptors. Vivitrol and naltrexone are opioid antagonists and contain no controlled medication.
This monthly injection of buprenorphine can help support recovery by reducing cravings and withdrawal symptoms by binding to some (but not all) of the opioid receptors in the brain. This extended release medication can help oral buprenorphine users break the patterns of daily use and eliminates the rituals that are consistent with addictive use of opioids. Sublocade does contain opioid medications, is a controlled medication, and is considered a partial agonist. It is far safer than methadone.
Acomprosate, naltrexone daily, topiramate, trazodone, and some other medications can support abstinence, assist with harm reduction, and help patients in recovery manage cravings and insomnia.
This table represents our most common services, but additional services and associated fees may be recommended by your provider.
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges. You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Patients who don’t have insurance or who are not using insurance are entitled to receive a Good Faith Estimate of the bill for medical items and services.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises