How It Works | Legion Health Telehealth Psychiatry

25 wks

Average wait time for a new psychiatric appointment in most US metros

65%

Of US counties have no practicing psychiatrist at all

40%

Of people with ADHD or anxiety stop treatment within 12 months due to access barriers

The psychiatric access problem is structural

Getting a psychiatric evaluation and prescription in the US requires waiting months for a local appointment, paying $250–$600 out-of-pocket per session if insurance doesn't cover it, and then repeating the intake process every time you move or change insurance. For millions of adults managing ADHD, anxiety, depression, bipolar disorder, or PTSD, these barriers create dangerous medication gaps and treatment abandonment. Legion Health was built to fix the infrastructure problem, not just offer another video call.

Legion Health patient appointment booking interface showing the five-step intake process

Complete a 10-minute intake questionnaire

No referral required. You fill out a structured intake covering your symptoms, history, current medications, and insurance information. The clinical questionnaire is reviewed by your assigned provider before your first appointment, so your 45 minutes together focus on clinical discussion rather than administrative collection.

Get matched to a licensed provider in your state

Legion Health's clinical matching algorithm pairs you with a psychiatrist or psychiatric nurse practitioner (PMHNP) who is licensed in your state of residence, available within your schedule, and experienced with your specific condition. You are assigned a primary prescriber who stays with you across appointments.

Attend your 45-minute video evaluation

Your initial visit is a clinical assessment using DSM-5 diagnostic criteria. The visit runs on HIPAA-covered Zoom for Healthcare and requires no software installation on your end. Your provider runs a structured evaluation, reviews your intake materials, and discusses your treatment goals before deciding on a care plan.

Receive your care plan and prescription

After the evaluation, your provider issues a care plan and sends your prescription electronically to your preferred pharmacy via Surescripts. Follow-up appointments are scheduled at 30, 60, and 90-day intervals. Between visits, you can reach your care team through the HIPAA-compliant patient portal for secure messaging and prescription refill requests.

Ongoing medication management and follow-ups

Your Legion Health provider monitors your response to treatment at each follow-up, adjusts dosing or medications as needed, and manages prior authorization renewals with your insurer. The patient portal surfaces your current care plan, prescription details, dosage guidance, and secure communication with your provider team.

Insurance coverage verification on smartphone

Feature 1

Insurance-Covered Appointments

Legion Health's billing team handles prior authorizations, claim submissions, and EOB reconciliation for each patient. Accepted plans include major commercial payers across the US. For uninsured patients, Legion Health offers a transparent self-pay rate shown before appointment confirmation. The clinical team follows DEA Schedule II and III protocols and state-level prescribing restrictions for all controlled substances.

Availity billing integration

Stripe patient billing

Licensed telehealth psychiatrist providing remote care

Feature 2

State-Licensed Provider Matching

Every Legion Health provider is licensed to practice in the patient's state of residence and credentialed through the company medical credentialing committee. The matching algorithm considers state license, availability, clinical specialty, and patient preferences. Unlike marketplaces that reassign patients each visit, Legion Health assigns a primary prescriber who reviews the full patient history before every appointment, enabling longitudinal care.

Patient portal dashboard showing secure messaging and care plan

Feature 3

Patient Portal & Secure Messaging

The Legion Health patient portal provides HIPAA-compliant secure messaging between patients and their assigned providers, accessible on web and mobile. Patients can submit symptom check-ins, request prescription refills, view their current care plan and diagnosis summary, and download visit notes. The portal also surfaces medication information for each prescribed drug including dosage guidance, common side effects, and when to contact the care team.

Epic MyChart integration

Calendar interface showing flexible appointment scheduling

Feature 4

Flexible Scheduling Across Time Zones

Legion Health maintains a distributed provider network spanning all four major US time zones, with appointment slots available from 7am to 9pm local time Monday through Saturday. New patient appointments are typically available within 5 to 14 business days of completing intake, significantly faster than the 25-week average for in-person psychiatry. Video visits run on a HIPAA-covered Zoom for Healthcare integration that requires no software installation.

Zoom for Healthcare

Condition-specific care pathway visualization

Feature 5

Condition-Specific Care Pathways

Legion Health's clinical team has developed condition-specific intake and management pathways for ADHD, anxiety, depression, bipolar disorder, and PTSD. For ADHD, the intake includes validated screening tools and a stimulant medication history review before the provider session. For bipolar disorder, the pathway includes a mood disorder questionnaire and a review of prior hospitalization history. PTSD patients are offered a trauma-informed provider match with optional asynchronous check-ins.

Surescripts e-prescribing

Surescripts

Electronic prescribing network for all medications

Availity

Insurance eligibility and claims processing

Zoom for Healthcare

HIPAA-covered video visits, no install needed

Stripe Billing

Secure patient co-pay and self-pay collection

Epic MyChart

Patient records and care summary access

Who We Serve

Is Legion Health right for you?

We want to be honest about who we serve best and who we are not the right fit for.

Who It Is For

Adults 18–55 with diagnosed or suspected ADHD, anxiety, depression, bipolar disorder, or PTSD seeking insurance-covered psychiatric evaluation and ongoing medication management.

People who face access barriers: long local waitlists, recent moves, insurance changes, or rural areas with no nearby psychiatrist.

Who Benefits Most

Patients in areas with fewer than 1 psychiatrist per 10,000 residents—which includes most rural and semi-rural US counties. Patients who have experienced medication gaps due to provider availability or insurance transitions also benefit significantly from Legion's continuity-focused model.

Not the Right Fit

Patients in acute psychiatric crisis — please contact 988 or go to your nearest emergency room
Substance use disorder as the primary condition requiring treatment
Children under 18

How Legion Health Works