About Total Clarity Psychiatry

Andrea D. Skrocki (an experienced PMHNP-BC) provides adult (+18) psychiatric services in person from her Traverse City office, or via telepsychiatry throughout all of Michigan.  Patients will have the convenience of self-scheduling their appointments, eliminating the need to wait days or even months for availability. Additionally, patients can easily message Andrea through a secure patient portal, fostering improved communication and ensuring timely responses. This streamlined process enhances the overall patient-provider experience, allowing for more efficient care and stronger, uninterrupted support throughout the patient's mental wellness journey.  Total Clarity Psychiatry is experienced in sensitive issues including LGBTQI. 

Services available:

  • Diagnostic evaluations (60-75 minutes)

  • Personalized treatment plans

  • Psychiatric medication management (if warranted)

  • Supportive therapy

  • PGT - pharmacogenetic testing with GeneSight (if appropriate)

  • Telepsychiatry visits from the comfort of your home or workplace

  • In Person patient visits in our Traverse City Office

Symptoms treated:

  • Anxiety

  • Depression

  • Obsessive-Compulsive Disorder (OCD)

  • Post-Traumatic Stress Disorder (PTSD)

  • Attention-Deficit/Hyperactivity Disorder (ADHD)

  • Bereavement and Prolonged Grief Disorder

  • Insomnia and Sleep Disorders

  • Substance Use Disorders, in sustained recovery

  • Behavioral Health Concerns

  • Binge Eating Disorder (BED)

  • Trauma and Abuse Recovery

  • Women’s mental health

  • Post Partum Depression and Anxiety

  • Premenstrual Dysphoric Disorder (PMDD)

  • Men’s Issues

  • LGBTQ+

  • College stressors

Telehealth allows flexible and accessible care, ensuring patients can receive timely support from the comfort of their homes, or other quiet space. Each treatment plan is personalized, and we offer ongoing guidance and support to help individuals reach their mental health goals. You can opt to see Andrea in person and/or via telehealth, whichever works for your schedule.

Values and mission:

Andrea D. Skrocki is an advanced practice registered nurse (APRN) who is board-certified as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience specializing in adult psychiatric care.   She takes a holistic approach, integrating supportive therapy and psychotropic medication management when appropriate. Andrea is passionate about what she does and is dedicated to helping individuals regain control of their mental health and overall well-being.

Andrea believes that wellness is multidimensional, influenced by lifestyle, environment, genetics, spirituality, and both mental and physical health. She uses a patient-centered, culturally sensitive approach to help individuals overcome psychological and emotional barriers while maintaining the highest standards of care. Each patient receives an individualized treatment plan tailored to their specific needs to achieve optimal outcomes. Andrea strives to create a supportive and therapeutic environment, incorporating goal setting, positive reinforcement, reframing, active listening, and self-development techniques to help patients build a more stable sense of self.

Appointment Details:

  • Initial Appointment (Diagnostic Evaluation) : The first visit will last approximately 60-75+ minutes, during which time Andrea will gather a full history, conduct screenings, and discuss an appropriate treatment plan.

  • Follow-Up Appointments: Follow-up visits are typically 15-20 minutes, with longer visits available, if needed. Treatment progress, goals, and medications (if prescribed) will be discussed and re-evaluated. Depending on the acuity of symptoms and treatment plan, patients will generally meet back with Andrea 2-3 weeks after their initial visit to discuss progress. From there, a patient can expect a visit every 1-2 months, depending on what the treatment plan is. Once a patient is stable, with no medication changes, follow up visits are generally every 3 months.

  • Supportive Therapy: Andrea offers supportive therapy as part of the treatment process. She will often recommend finding a specialized therapist for more complex mental health needs (e.g. PTSD, OCD, etc.), in addition to medication management treatment.

Service Fees:

  • Diagnostic Evaluation & Treatment Plan (first visit): $250

  • Medication Management/Follow up visits: $150

  • No show fee, less than 24 cancellation: $75

    Note: Andrea D. Skrocki is “out of network with ALL insurance carriers”. Cash pay only. By not accepting insurance, this allows Andrea more time with each patient, direct access to her - the clinician- through messaging and booking, without having to go through office staff and have delay in care.

Payment & Insurance Information

Total Clarity Psychiatry does not accept insurance and is considered out-of-network with all insurance providers. Payments can be made using an HSA, FSA, credit card, debit card, or Apple Pay. A “superbill” (itemized medical invoice) can be provided for patients to submit to their insurance for potential reimbursement toward their out-of-network deductible, depending on their insurance policy.

To accommodate cash-pay patients, fees have been reduced and are often more affordable than insurance reimbursement rates.

Important Medicaid Notice

Patients with Medicaid insurance are not eligible for treatment at Total Clarity Psychiatry, even if paying out of pocket. This is against Medicaid regulations and could result in loss of benefits, as Andrea is not a Medicaid provider.

Don’t let the fear of not using your insurance hinder you from seeking the best modern, patient centered, mental health care available.

Fee Schedule

Payment and Fees

  • Self/Private Pay: Insurance is NOT accepted

  • Your credit card on file will be charged at the time of your appointment. Please keep it updated.  Out of network with all insurance carriers.

Fees:

  • New Adult (18+) Patient Intake & Evaluation: $250

  • Adult Medication Management Follow-up: $150

  • No-Show or No-Call Fee: $75

  • Paperwork or Record Transfer: $45+ (depending on complexity)

  • Prior Authorization for Medication Denial: $25+ (depending on coordination time)

  • Late Payment Fee: $45 (payment due at the time of visit)

Important Notes:

  • MEDICAID PATIENTS ARE NOT ALLOWED TO SCHEDULE WITH CASH PAY PRACTICES (TCP) DUE TO STATE RESTRICTIONS

  • Prior Authorizations: Once approved, these are typically valid for one year.  You can use your private insurance for prescription coverage at pharmacy. (just not MEDICAID).

  • Out-of-Network Insurance: Let Andrea know if you'd like a "super bill" after each visit to submit to your insurance. Check with your insurance provider for more details.

  • Andrea D. Skrocki treats adults (18+). She does a prescreening with all patients to ensure that your needs can be met with the services she is able to provide in person, or via telehealth.

Frequently Asked Questions

  • New adult patient psychiatric evaluation visits:

    • 60-75 minutes in duration and cost $250

    • Follow up medication management visits:

    • typically 15-20 minutes in duration and cost $150

    NOTE:

    Andrea D. Skrocki is OUT OF NETWORK, and does not accept insurance. Your credit card, HSA/FSA, or debit card will be charged day of visit.

  • NO Insurance is accepted.

    Andrea D. Skrocki’s fees are reduced and comparable to other providers in the state of Michigan.

    Total Clarity Psychiatry is a private-pay practice and does not accept insurance. This decision allows Andrea to provide more personalized care, as she is not bound by insurance company guidelines. By operating “out of network”, Andrea can spend more time with each patient and tailor the treatment plan to their specific needs without external limitations.

    Additionally, many individuals today have high-deductible insurance plans or no insurance coverage at all. Total Clarity Psychiatry’s private-pay fees are often more affordable than the reimbursements insurance companies provide, which could involve higher patient out-of-pocket costs.

    For patients with insurance, Andrea can provide a 'Super Bill'—an itemized receipt of services rendered—that can be submitted to the insurance company for potential reimbursement based on the individual's out-of-network benefits. It’s recommended to confirm coverage details with your insurance provider.

    Payment is processed through the credit card on file (including credit, debit, HSA/FSA cards, or Apple Pay) immediately after services are provided by Andrea at Total Clarity Psychiatry. Patients will not receive unexpected bills later with little explanation.

  • No.  If you have Medicaid, you will not be able to establish with Andrea D. Skrocki and pay out of pocket, instead of using your insurance. Doing so could jeopardize your state-assisted benefits. Providers must be credentialed with Medicaid to accept it, and Andrea is not credentialed with Medicaid.

  • Yes.

    Andrea is offering in person visits (in the Village at the Grand Traverse Commons, in Traverse City, MI) and telepsychiatry appointments throughout Michigan.

    Please note that patients must be physically located in Michigan during their appointments and must reside in the state for more than 51% of the year.

  • Andrea D. Skrocki does not complete paperwork related to disability, court, or workers' compensation services. These matters are best addressed through in-person consultations and ongoing visits, that can be costly when not covered by insurance. Some disability, workman compensation or court cases have limitations with telehealth providers, and some even limit further to only MD to complete the documentation.

    Andrea is available to assist patients with accommodation paperwork in specific situations, such as for professional exams (e.g., LSAT, MCAT) and other academic accommodations. Additionally, letters for Emotional Support Animals can be provided based on the patient’s individual needs and requested accommodation, excluding those related to airline travel.

  • Yes, Andrea D. Skrocki can order labs. It is recommended that your annual wellness labs (i.e., complete blood count, metabolic panel, thyroid, lipid, A1C, PSA, etc.) are ordered and managed by your Primary Care Provider since Andrea does not treat medical illness. She will order Vitamin D or other labs, as needed, in collaboration with your PCP.

    Andrea usually orders labs through LabCorp.

    Andrea is also able to order Pharmacogenetic Testing for psychotropic medication through a company called GeneSight, if warranted and covered by your insurance.

  • Yes, Total Clarity Psychiatry/Andrea D. Skrocki requires at least 24 hour notification to cancel your appointment otherwise you jeopardize the no show fee.  The fee for a no show is $75.  This fee will be charged at the discretion of Andrea and your communication with her.