Purpose Psychiatry is not in network with insurance, Medicare, or Med-Cal. We operate on a fee for service / cash pay basis. Our clinic does not participate in Medicare and by law, Medicare-eligible patients are required to enter into a private contract with a provider who delivers medical care on a on a fee-for-service basis which is not reimbursable by Medicare. By accepting the treatment contract, you agree that you shall not submit a claim or ask the provider to submit a claim for payment under Medicare for services rendered, even if such items and services would otherwise be covered by Medicare. This means that you agree not to bill Medicare or the provider to bill Medicare for services rendered. Please note, the private contract is with Jeremy R Verhines and applies only to him. You are not compelled to enter into private contracts that apply to other Medicare-covered services furnished by other physicians or healthcare providers. This means that Medicare-covered services and payments are still available to you from other physicians or practitioners who have not opted out of Medicare, and therefore you may if you so choose, use the services of those physicians or providers even when you enter into this private contract.