• HSA & FSA funds may be used for services. Our membership and consultation fees are for direct medical care and are generally eligible for payment with Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. An itemized statement is available upon request. 

Effective September 1, 2026:

Initial consultation (75 min): $250 non-refundable

Young Adult (18-25 yo) Active Membership: $145/mo

• Includes up to eight, 25 minute follow-up visits per membership year

Adult (26-64 yo) Active Membership: $165/mo

• includes up to eight, 25 minute follow-up visits per membership year

Maintenance Membership: $125/mo

• Per provider discretion after minimum of 12 months of active membership

• includes up to five, 25 minute follow-up visits per membership year

Additional visits (beyond the included membership visits):

• Follow-up visit (20–25 min): $250

• Extended follow-up / psychotherapy (40–50 minutes): $350

We understand that life happens and plans can change. To be respectful of the time reserved for each patient and ensure availability for all patients, Meadow Psychiatry kindly asks for at least a 48 hours’ notice if you need to cancel or reschedule your appointment.

General:

• If you arrive >10 minutes late to the scheduled appointment time: the appointment may not be able to be completed and may be considered a late cancellation. The appointment time will not be extended beyond the original scheduled time slot if the patient chooses to continue with the appointment.

• Exceptions may be made for documented emergencies (e.g., ER visit, hospitalization, motor vehicle accident) at the Provider's discretion.

• Three no-shows may result in a review of the membership and potential termination.

Included membership visits (within your membership year allotment) attendance policy:

• Cancellation ≥48 hours notice: no fee; rescheduled and not counted toward allotment.

• <48 hours notice (late cancellation): counts as a used visit; no fee.

• No-show: counts as a used visit + $75 fee to the card on file.

• Arrival more than 10 minutes late may be treated as a late cancellation.

Additional (à la carte) visits (beyond the membership year allotment) attendance policy:

• ≥48 hours notice: no charge; may be rescheduled.

• <48 hours notice (late cancellation): one-half the visit fee ($125 or $175).

• No-show/no call: full visit fee ($250 or $350).

• Arrival more than 10 minutes late may be treated as a late cancellation.

Meadow Psychiatry’s intention is to be fair and transparent while honoring the time set aside for your care. Thank you for your understanding.

In addition to the monthly membership fee, the following add on service fees apply:

• Simple forms requiring <15 minutes of time (such as work/school excuse): Included with membership

• Moderate to complex forms completed outside of a dedicated visit (FMLA, short term disability etc.): $50 per half hour

• Prior Authorizations for medications: included in membership

• Prior authorization appeal/peer to peer: $50 per appeal

• Labs: not included in membership, completed at 3rd party location and can be submitted with insurance

• Dr. Westbrook currently serves the Rock Hill/Fort Mill area at:

  534 River Crossing Dr. Suite 206

  Fort Mill, SC 29715

• Office hours are currently by appointment only on Tuesdays and Thursdays.

• For non-urgent clinical questions, you can contact your provider directly by leaving a secure message via the patient portal or Spruce phone app. Please allow 24–48 hours for a response.

• You can find links to the patient portal and Spruce app under the Current Member’s page

• In the event of an emergency or crisis, call 911, 988, South Carolina Mobile Crisis at 833‑364‑2274, or go to your nearest emergency department.

Meadow Psychiatry is an outpatient psychiatric practice and does not provide emergency, crisis, or after-hours services

If You Are Experiencing a Psychiatric Emergency:

A psychiatric emergency includes but is not limited to: suicidal thoughts, self-harming behaviors homicidal thoughts, psychotic symptoms causing safety concerns, severe medication reactions, or any situation in which you feel you are a danger to yourself or others.

If you are experiencing a psychiatric emergency:

• Call 911 immediately

• Go to your nearest emergency department

• Call or text the 988 Suicide & Crisis Lifeline available 24/7

 Local Emergency Resources (Fort Mill / York County, SC area):

• Atrium Health Behavioral Health Psychiatric Emergency Departement (704-444-2400)

• Piedmont Medical Center Emergency Department: (803) 329-1234

• NAMI South Carolina Helpline: (800) 788-5131

• South Carolina Mobile Crisis: 1-833-364-2274

• Out-of-Network Provider: Meadow Psychiatry is a private-pay, membership-based practice. We do not bill insurance, and we are an out-of-network provider. Membership is a flat monthly fee that covers the psychiatric services described in our Membership Agreement.

• Superbills: At this time we are unable to provide superbills or assist with insurance claim submission. Any reimbursement you seek from your insurer would be your responsibility to pursue directly. 

• You are able to use insurance for reimbursement for medications prescribed and for labs ordered by your provider

Do you accept Medicare?

No. We are unable to accept or treat patients who are enrolled in Medicare, including Medicare Part A, Part B, Part C (Medicare Advantage), or Part D. 

Why can't you treat Medicare patients if I'm happy to pay cash?

Federal rules do not allow a practice in our situation to privately charge Medicare-enrolled patients for services that Medicare would otherwise cover. Because our provider has not "opted out" of Medicare, we cannot lawfully enter into a private-pay arrangement with a Medicare beneficiary. This is a regulatory limitation, not a reflection of your individual circumstances. 

I'm under 65. Does this still apply to me?

Possibly. Medicare eligibility isn't based on age alone. Some people qualify for Medicare before 65 due to disability (typically after 24 months of Social Security Disability benefits), End-Stage Renal Disease (ESRD), or ALS. If you are enrolled in Medicare on any basis, we are unable to accept you as a patient. 

What if I become eligible for Medicare while I'm already a patient?

Please notify us in writing right away. Because we cannot serve Medicare beneficiaries, your membership will end when your Medicare coverage begins. We'll help you transition your care to a Medicare-participating provider and, where appropriate, provide bridge prescriptions to avoid any interruption in your medications. 

I'm a Medicare beneficiary. Where can I find a psychiatrist?

We'd recommend contacting your Medicare plan or visiting Medicare.gov to locate a participating psychiatrist in your area. 

Telehealth follow-up visits may be offered at the provider’s discretion.

Meadow Psychiatry is a private-pay practice and does not bill insurance. If you are uninsured or choose not to use insurance to pay for your care, you have the right to receive a Good Faith Estimate (GFE) explaining the expected cost of your health care services. You may request a GFE before scheduling services. If you schedule an appointment, the practice will provide a written GFE when required by federal law. The GFE is not a contract and does not require you to receive services from Meadow Psychiatry. Actual charges may vary if your treatment needs or requested services change. If you receive a bill that is at least $400 more than your GFE, you may have the right to dispute the bill under the federal patient-provider dispute resolution process.