Telehealth psychiatric medication management across Washington

Initial evaluation

60 minutes

Follow-ups

25 minutes

Where

In person in Spokane, or telehealth anywhere in Washington

Insurance

In-network with most major Washington plans

Available anywhere in Washington

Telehealth appointments are open to adults located anywhere in Washington state. In practice that has meant people in Spokane and the surrounding communities, and people over on the west side in Seattle, Tacoma, Bellevue, Olympia and Vancouver, along with Yakima, the Tri-Cities and Bellingham. If you are in Washington, you are in the service area.

The one requirement is that you are physically in Washington at the time of the appointment. That is a licensing rule, and it applies to every provider licensed here.

Why this matters outside the metro areas

Access to psychiatric care is not evenly distributed in this state. Plenty of people can find a prescriber eventually but cannot find one with an hour to spend on the first visit, or one who will still be there in six months. Telehealth does not fix that on its own, but it does mean geography stops being the deciding factor in who you can work with.

What a telehealth visit actually involves

The initial evaluation is 60 minutes, same as in person. We go through history, what is happening now, what you have tried, and what you want to be different. Follow-ups are 25 minutes. Jesse sends the link and instructions ahead of time; the platform is HIPAA-compliant.

What you need on your end is simple: a private place to sit where you will not be overheard, a device with a working camera and microphone, and an internet connection that holds up. If the connection drops, we finish by phone rather than cutting the appointment short.

The Spokane office is still there

In-person appointments are available at 9631 N Nevada St, Suite 209, Spokane, WA 99218. Some people want the first visit in person and the rest by video. Some want the opposite. You are not locked into whichever you pick first — just tell Jesse.

Full location and contact details are here.

Insurance

Think Beyond Psych is in-network with most major Washington plans, including Premera Blue Cross, Regence BlueShield, Asuris Northwest Health, First Choice Health, First Health Network, Kaiser, Aetna, Cigna, United Healthcare, and URM. Jesse verifies your specific benefits before the first appointment so you know what to expect rather than finding out afterward. This list is not complete, so if you don’t see your plan, ask anyway and Jesse will check.

We are not able to see patients covered by Medicaid, Apple Health, or other state-funded programs — including as self-pay. This is a federal patient protection rule, not a preference. If that is your coverage, Jesse will gladly help point you toward providers who accept it.

How to start

Send the appointment request form, or call Jesse at (509) 591-9007, Monday–Thursday, 10am–4pm Pacific. Jesse verifies your benefits, answers the practical questions, and gets you on the calendar. You will hear back within one business day.

What is treated this way

The same things the practice treats in person: anxiety and depression, OCD, postpartum mental health, grief and life transitions, identity-related struggles, LGBTQ+ affirming care, and ADHD for adults with an established diagnosis.

Common questions