We’d greatly appreciate it if you could complete the online check-in after booking your appointment. It takes less than 5 minutes and helps ensure a smoother experience for both of us. Thank you.
Insurance & Payment Options
Telepsychiatry, Medication Management & Therapy
Insurance Coverage & Self-Pay Options at Valiant Mental Health
At Valiant Mental Health, we aim to make mental health care accessible, transparent, and easy to understand. We provide telepsychiatry covered by insurance and flexible cash-pay options for medication management and therapy.
Our services are provided by a licensed Psychiatric Mental Health Nurse Practitioner (PMHNP) through secure online appointments for patients located in states where we are licensed.
How to Verify Your Benefits
Contact your insurer or the back of insurance card for copays, deductibles, and any prior‑authorization requirements.
Tip: Call the number on the back of your insurance card and ask, “Do I have telehealth coverage for out‑patient psychiatric medication management?” Write down the representative’s name and reference number for your records.
Insurance-Based Mental Health Services
Insurance may cover telepsychiatry, medication management, and therapy. Check with your plan or provider to confirm benefits. For patients who prefer self-pay, Valiant Mental Health offers transparent cash-pay options, providing flexible, predictable access to medication management and counseling without using insurance.
Insurance coverage may include:
Psychiatric evaluations
Medication management visits
Therapy and counseling sessions
Follow-up telehealth appointments
Coverage differs by plan and provider; contact your insurer to confirm:
Mental health benefits
Copay or deductible requirements
Telehealth eligibility
In‑Network Plans by State
Idaho
- Medicare Idaho ✔︎ Approved
- Idaho Medicaid (Gainwell) ✔︎ Approved
- Aetna Idaho ✔︎ Approved
- Magellan Medicaid Idaho Health ✔︎ Approved
- Blue Cross of Idaho ✔︎ Approved
- Regence BlueShield of Idaho ✔︎ Approved
- SelectHealth ✔︎ Approved
- UHC IDAHO ✔︎ Approved
- Cigna Idaho ✔︎ Approved
- Tricare West/TriWest Idaho ✔︎ Approved
Washington
- Medicare Washington ✔︎ Approved
- Premera Blue Cross ✔︎ Approved
- Washington Medicaid ✔︎ Approved
- Asuris Northwest Health — ✔︎ Approved
- Community Health Plan of Washington (CHPW)— Pending
- UnitedHealthcare (UHC) — Pending
( Alaska, Nevada, Hawaii, and Arizona licensure is complete; payer contracts launch later this year. Check back or join our mailing list for updates.)
Out‑of‑Network
Cash Pay (Self-Pay) Mental Health Services
For patients who prefer not to use insurance — or whose plans do not cover telepsychiatry — we offer transparent cash-pay pricing.
Cash pay options are often chosen by patients seeking:
Faster access to care
Predictable costs
Privacy outside of insurance systems
Flexible scheduling
Cash-Pay Pricing
Initial Psychiatric Evaluation
CPT Code: 99205
Time: ~60 minutes
Cost: $300
Includes a comprehensive psychiatric assessment, diagnostic evaluation, and treatment planning.
Medication Management Visits
Medication management visits focus on symptom review, medication effectiveness, side effects, and adjustments as needed.
99213 – Established Patient (Low Complexity)
Time: ~15–20 minutes
Cost: $100
99214 – Established Patient (Moderate Complexity)
Time: ~25–30 minutes
Cost: $150
99215 – Established Patient (High Complexity)
Time: ~40 minutes
Cost: $200
Psychotherapy / Counseling Sessions
Therapy sessions focus on emotional regulation, coping skills, stress management, and behavioral strategies. Therapy may be provided alone or in combination with medication management.
90832 – Psychotherapy (~30 minutes)
Cost: $100
90834 – Psychotherapy (~45 minutes)
Cost: $140
90837 – Psychotherapy (~60 minutes)
Cost: $175
Why Patients Choose Cash Pay
Patients often choose self-pay for:
Clear, upfront pricing
No insurance delays or denials
Greater scheduling flexibility
Reduced administrative complexity
Cash-pay services are available to patients located in states where we are licensed to practice.
Where We’re Licensed to Provide Care
At Valiant Mental Health, we are licensed to provide psychiatric medication management and telepsychiatry services in multiple states, making care accessible from wherever you live. We are licensed in Idaho, Washington, Oregon, Nevada, Arizona, and Hawaii, with more locations coming soon. Across cities and small towns, we deliver compassionate, personalized mental health care through secure telehealth visits. Explore our location pages to see services in your area and get started today.
Idaho
Telepsychiatry in Idaho »
(Cities: Post Falls, Coeur d’Alene, Boise, Meridian, McCall, )
Arizona
Telepsychiatry in Arizona »
(Cities: Phoenix, Tucson, Mesa, Chandler, Flagstaff)
Hawaii
Telepsychiatry in Hawaii »
(Cities: Honolulu, Hilo, Kailua, Pearl City, Kahului)
Nevada
Telepsychiatry in Nevada »
(Cities: Las Vegas, Reno, Henderson, Carson City, Elko)
Alaska
Telepsychiatry in Alaska »
(Cities: Anchorage, Fairbanks, Juneau, Wasilla, Sitka)
Washington
Telepsychiatry in Washington »
(Cities: Spokane, Seattle, Kennewick, Vancouver, Spokane Valley)
Common Questions
Do you accept Health Savings Accounts (HSAs) or Flexible Spending Accounts (FSAs)?
Yes. You can pay with an HSA/FSA card at checkout. Your receipt will list “psychiatric medical service” for IRS compliance.
What if I travel, can I still get care?
Yes, As long as you travel to a state our provider are licensed in.
Can I pause care if I lose insurance?
Yes. You may switch to self-pay. Another option is to pause appointments for up to 90 days without losing your place on our patient panel.
👉 Request an Appointment »
👉 Learn More About Medication Management »
👉 Explore How Telehealth Works »
Posted on Kyleigh FarrellTrustindex verifies that the original source of the review is Google. I was able to get in the same day and he was very kind, I would absolutely recommend! :)
Owner's reply
Thank you so much for your kind words! We’re glad you had a positive experience. While we can’t always accommodate same-day appointments, we always do our best to get patients scheduled as quickly as possible. We appreciate your recommendation!Posted on A LTrustindex verifies that the original source of the review is Google. I've been seeing Randy for probably a year now. His style of counseling is right up my alley: No bs and no coddling. I can speak directly and openly with no judgement (and sometimes I even get a laugh out of him.) Anyone who thinks he's dismissive or claims he said he can't help them obviously needs to do some introspection. If he said he can't help, I guarantee the entire statement was "I can't help you if you're unwilling to help yourself." Therapy is about wanting to be there and wanting to improve mental health. Anyone unwilling to face the ugly in their lives won't be successful in therapy, *regardless* of the therapist.
Owner's reply
Thank you for taking the time to share this thoughtful review. I truly appreciate your perspective and your encouragement of personal accountability in the therapeutic process. Therapy works best when individuals are willing to engage honestly with themselves, and your insight into that is powerful. I’m grateful for your support and wish you continued growth and success on your journey.Posted on Jackson McAllisterTrustindex verifies that the original source of the review is Google. Took to long to write this,, i have never had a problem with randy, he is understanding and encouraging and i am happy to be under his care.
Owner's reply
Thank you so much for taking the time to leave this review. I’m truly grateful for your kind words. I’m glad to hear you’ve felt supported and encouraged during our work together. It’s an honor to be part of your care, and I’m here whenever you need anything.Posted on Grace Van EttenTrustindex verifies that the original source of the review is Google. Randy was very patient, addressing all my concerns, and he listens extremely well, clarifying misunderstandings instead of jumping to conclusions. He was also very clear about medications and the negative and positive side effects of each type, and how they interact with my medical history personally. He is a *very* good psychiatrist. Most of all, I appreciate the flexibility he offers in scheduling appointments at nighttimeor daytime, weekdays or weekends, and in person or online. This is incredibly helpful for shift work and unpredictable schedules. I have had bad experiences with psychiatrists in the past, and I recommend him as one of the best options around.
Owner's reply
Thank you so much for taking the time to share this thoughtful review. I’m truly glad to hear that you felt heard, supported, and informed during your visits. Clear communication and collaborative decision-making are very important to me, and I’m happy the medication discussions were helpful for you. I also understand how challenging shift work and unpredictable schedules can be, so I’m grateful to know that the flexible appointment options have made things easier. I’m sorry to hear you’ve had difficult experiences in the past, but I appreciate your trust in me and Valiant Mental Health. It means a lot that you would recommend my care to others. Please don’t hesitate to reach out anytime you need support.Posted on Ruth MorganTrustindex verifies that the original source of the review is Google. Randy is very detail oriented and he’ll pay attention to all your concerns. He cares abt his pts and is constantly there for them anytime day or night!
Owner's reply
Thank you so much for your kind words! I truly appreciate you taking the time to share your experience. I’m glad to hear you’ve felt supported and heard—that’s always my goal. Your feedback means a lot, and I’m grateful for the opportunity to be part of your care. If you ever need anything, don’t hesitate to reach out.Posted on TransientSapienTrustindex verifies that the original source of the review is Google. Randy is an expert in his field and he walked me through a critical time in my life and helped me quit alcohol use. He goes out of his way to ensure his patients well being
Owner's reply
Thank you so much for sharing this. I’m truly glad to hear you’re doing well and making progress. It takes real strength to step forward during a difficult time, and I’m grateful you trusted me to support you through it. If you ever need anything in the future—whether it’s maintaining progress, managing stress, or navigating new challenges—we're here to help.Posted on Natalia TTrustindex verifies that the original source of the review is Google. Absolutely love coming here! My past experiences with other providers has been so-so, but Mr. Goleman actually cares and Im sincerely grateful. look forward to working with him. I appreciate the easy check in and everything else. Thank you for understanding and working with me. I look forward to better days!
Owner's reply
Thank you for your kind words. We are happy to help where we can.Posted on Brandon AndrusTrustindex verifies that the original source of the review is Google. I cannot recommend Valiant Mental Health enough! Randy truly cares about his patients and has his heart fully in this field. He is extremely prompt with communication and always gets back to you quickly when you need something. His professionalism, consistency, and compassion stand out, and he is very good at what he does. I highly recommend Randy and Valiant Mental Health to anyone seeking quality mental health care.
Owner's reply
Thank you so much for sharing this thoughtful review! I’m honored to hear that my communication and care have made a difference for you. At Valiant Mental Health, we strive to provide compassionate, consistent, and responsive support for every patient, and it’s wonderful to know that has been your experience. Your recommendation means a great deal — we truly appreciate your trust.Posted on Claire HansonTrustindex verifies that the original source of the review is Google. Randy Goleman is the best in the area. He is timely and professional, and it is evident how much of a passion he has for helping others and providing the best possible care.
Owner's reply
Thank you so much for your kind words! It truly means a lot to hear that my passion for helping others shows through in the care I provide. I’m grateful for the opportunity to support you and the community, and I’ll continue striving to offer the best possible care for every patient I serve.Posted on Laura FlanneryTrustindex verifies that the original source of the review is Google. Randy at Valiant Mental Health is outstanding. He communicates clearly, is reliable and consistent, and truly cares about his clients. He’s even gone out of his way to fit someone in during a medication emergency, which speaks volumes about his dedication. Highly recommend!
Owner's reply
Valiant Mental Health appreciates your kind words! Randy is dedicated to providing compassionate, reliable care, and we’re grateful for the opportunity to support you and your team.Showing only 4-5 star reviews