• 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. 

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. 

• 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 included membership visits):

• Follow-up visit (20–25 min): $250

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

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

  534 River Crossing Dr. Suite 106

  Fort Mill, SC 29715

• 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.

• Office hours are currently by appointment only

We understand that life happens and plans can change. To be respectful of the time reserved for each patient, we kindly ask for at least 48 hours’ notice if you need to cancel or reschedule your appointment.

• Appointments canceled with less than 48 hours’ notice may be subject to a late cancellation fee of 50% of the scheduled appointment fee.

• If you arrive more than 10 minutes late, we may not be able to complete the visit. In this case, the appointment may need to be rescheduled and may be considered a late cancellation, with a fee of 50% of the scheduled appointment fee.

• If you are unable to attend your appointment or arrive after the scheduled appointment time has ended, the visit will be considered a no-show and may be charged a fee equal to 100% of the scheduled appointment fee. Rescheduling will be required.

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

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.