Cash-pay psychiatry
Cash-pay online psychiatrist for adults in Maine
Cash-pay psychiatric care for adults across Maine. Prices are on the page, not "contact us for pricing." A superbill goes out after every visit so you can submit for out-of-network reimbursement if your plan supports it. HSA and FSA cards work. That's it. No insurance authorization, no in-network games, no surprise billing. Serving Portland, Bangor, Augusta, Lewiston, Biddeford, Auburn, and every adult with a Maine address.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last reviewed August 27, 2026 · Editorial policy
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The Maine landscape
How psychiatric care actually works in Maine
Maine's psychiatric care landscape is shaped by geography as much as by workforce numbers. The state is 90 percent forested, most of the population lives within an hour of the coast, and a psychiatrist in Portland is functionally out of reach for someone in Millinocket or Presque Isle. Maine Medical Center in Portland, Northern Light Eastern Maine Medical Center in Bangor, MaineGeneral in Augusta, and Mid Coast Hospital in Brunswick concentrate most of the state's psychiatric capacity. Outside those hubs, telepsychiatry is not a convenience but often the only realistic path to seeing a psychiatrist without a multi-hour drive each way.
Cash-pay psychiatry
What cash-pay actually costs at shrinkMD in Maine, all-in
What cash-pay actually costs at shrinkMD in Maine, all-in.
First evaluation with a PMHNP
$295. Full 45 to 60 minutes. Board-certified psychiatric nurse practitioner.
First evaluation with a psychiatrist
$395. Full 45 to 60 minutes. Board-certified psychiatrist.
Follow-up visits
From $150. 20 to 30 minutes. Same clinician every time.
Optional membership
$49 per month if you want it. Bundles convenience features. Optional, not required.
Superbill after every visit
Included. Submit to your insurance for potential out-of-network reimbursement based on your plan's mental-health benefit.
HSA and FSA cards accepted
Psychiatric care is an eligible expense. Cards run like any other card at checkout.
Maine + cash-pay psychiatry
Two questions to ask your insurance before deciding
Cash-pay psychiatric care in Maine works well because Maine's commercial insurance market has strong out-of-network mental-health benefits by federal standards. For most Anthem BCBS Maine, Harvard Pilgrim, and Community Health Options plans, out-of-network mental health is covered at 40 to 70 percent after deductible, which means a shrinkMD superbill for a $395 psychiatrist evaluation often generates $150 to $250 back in reimbursement. HSA and FSA cards also work as ordinary payment methods, and psychiatric care is an IRS-eligible medical expense.
Before you assume cash-pay is more expensive than in-network psychiatry in Maine, call the member services number on your insurance card and ask two things: what percentage does your plan cover after your out-of-network deductible for outpatient mental health, and what your current out-of-network deductible is and how much you've already met. The answers to those two questions determine what a shrinkMD superbill is actually worth to you in reimbursement.
For plans with any meaningful out-of-network benefit (roughly 40 to 80 percent coverage after deductible), the effective cost of a shrinkMD evaluation ends up between $60 and $220 after reimbursement, which is often comparable to an in-network specialist copay. For high-deductible plans early in the year, the full cash price applies. We built a reimbursement estimator page so you can run your own numbers before booking: shrinkmd.com/reimbursement-estimator.
Insurance picture
What insurance in Maine looks like for outpatient psychiatry
MaineCare (the state's Medicaid program) covers psychiatric care and has expanded telehealth parity in recent years. Commercial plans on the Maine exchange (Anthem Blue Cross Blue Shield of Maine, Community Health Options, Harvard Pilgrim) generally include mental health parity per MHPAEA, but out-of-network mental-health benefits vary widely. Many Maine residents have plans with strong out-of-network coverage after deductible, which is why cash-pay psychiatric care plus a superbill often ends up similar in effective cost to in-network care, especially given the in-network wait times.
Who we serve
Where in Maine shrinkMD sees adults
Roughly a third of Maine's 1.4 million residents live in the Portland metro area (Cumberland County), with secondary population centers in Bangor (Penobscot), Lewiston-Auburn (Androscoggin), Augusta (Kennebec), and Biddeford-Saco (York). Rural Maine, particularly Aroostook, Piscataquis, and Washington counties, has the least psychiatric access in the state and the longest wait times. shrinkMD sees adults across the whole state, urban and rural alike, by video.
Board-certified shrinkMD clinicians are licensed to see adults across all of Maine, including Portland, Bangor, Augusta, Lewiston, Biddeford, Auburn, and every smaller city, town, and rural address in the state. Visits happen by secure video, so location within the state does not affect access.
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Frequently asked questions
Good questions, clear answers
Do I have to live in Maine to see a shrinkMD clinician?
Yes. Our clinicians are licensed in specific states, and Maine is one of them. You must be physically present in Maine at the time of your visit, per state medical-licensure rules. That includes any Maine address; Portland, Bangor, Augusta, Lewiston, Biddeford, Auburn and any smaller community in the state all qualify.
Which insurance plans in Maine do you take?
None; shrinkMD is cash-pay. But we provide a superbill after every visit that you can submit to your Maine plan for potential out-of-network reimbursement. For most Maine commercial plans, that reimbursement is meaningful. Two questions to ask your insurance to find out: what percentage does your plan cover out of network for outpatient mental health, and what's your current out-of-network deductible.
What conditions do you treat?
Adult depression, anxiety, bipolar spectrum disorders, OCD, PMDD, postpartum depression, sleep problems, adjustment disorder, and related conditions. We do not treat under 18, and we do not prescribe controlled substances (stimulants for ADHD, benzodiazepines).
How soon can I be seen after joining the waitlist in Maine?
When shrinkMD opens in Maine, waitlist members get a booking window ahead of the public. From there, first available appointments depend on clinician panel size at launch. Historically in comparable practices, waitlist members book within the first two weeks of opening.
What if I need in-person care or hospitalization in Maine?
shrinkMD is scheduled outpatient telepsychiatry only. If you need in-person care, hospitalization, or intensive outpatient in Maine, we'll help you find the right resource. If it's an emergency, In Maine, the 24/7 Maine Crisis Line is 1-888-568-1112. The national 988 Suicide and Crisis Lifeline is available by call or text. For a medical emergency, call 911. NAMI Maine (namimaine.org) has a warmline for non-crisis support.
Does Maine state law allow psychiatric prescribing by video?
Yes. Board-certified psychiatrists and PMHNPs licensed in Maine may evaluate and treat Maine residents by video, including prescribing non-controlled psychiatric medications electronically to your local pharmacy. Federal law (Ryan Haight Act) adds requirements for controlled substances specifically, which shrinkMD does not prescribe anyway.
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Join the shrinkMD waitlist and get first booking access the moment we open in Maine. Serving Portland, Bangor, Augusta, Lewiston, Biddeford, Auburn, and every adult with a Maine address. Two fields. No spam.
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