Southington is a town that takes care of its own, and Elite Health LLC is here to take care of Southington residents who have Cigna coverage and need psychiatric support. The practice is in-network with Cigna — including Cigna employer plans, Cigna Connect, and Cigna LocalPlus — so you can see Sindhia Shyras, APRN at your in-network specialist rate. She's a board-certified Psychiatric Nurse Practitioner with nine-plus years of experience treating depression, anxiety, PTSD, ADHD, bipolar disorder, OCD, panic disorder, insomnia, and mood disorders. Telehealth is available across all of Connecticut, and in-person appointments are offered in New Britain — about 10 minutes from Southington on Route 10.
Under mental health parity rules, Cigna treats psychiatric visits the same as any other specialist visit. That's not a loophole — it's federal law. Your specialist copay applies to psychiatric evaluations, medication management appointments, and telehealth follow-ups. For most Cigna members in Connecticut, that means $30 to $60 per visit after you've met your deductible. And because Elite Health is in-network, you don't pay out-of-network rates or file your own claims. Cigna processes the billing directly with the practice, and you get an Explanation of Benefits in the mail (or online) showing what was covered.
Many Cigna plans offer direct access to mental health providers — meaning you don't need to go through your primary care physician first. But some plans, particularly HMO-style products, do require a referral. The quickest way to find out is to call the member services number on your Cigna card and ask specifically whether your plan requires a referral for in-network behavioral health services. Or log into myCigna.com and check under your plan details. If a referral is needed, your PCP can usually send it with a quick request — especially when you explain you're looking to start psychiatric care. It's rarely a significant obstacle.
Cigna sometimes requires prior authorization for psychiatric services — especially initial evaluations or ongoing medication management for certain conditions. It can feel like a lot of paperwork, but here's the thing: that's the practice's job, not yours. Elite Health submits the prior authorization request to Cigna on your behalf, including the required clinical documentation. In most cases, it's resolved before your appointment. If Cigna requests additional information, the team follows up. You won't be left holding a denial letter and wondering what to do next. And if there's ever a coverage dispute, we'll work with you on it.
The initial visit with Sindhia Shyras is a comprehensive psychiatric evaluation — typically 45 to 60 minutes. She'll ask about your symptoms, your personal and family history, your medications, your sleep, your day-to-day functioning. The goal isn't to get through the form; it's to actually understand what's going on with you. From there, she'll give you her clinical impression and talk through what she thinks would help. Some people start a medication that same visit. Others need more time to discuss options. Either way, you leave with a clear plan — not just a piece of paper. Follow-up visits for medication management are shorter, usually 20 to 30 minutes, and can be done by telehealth.
Sindhia Shyras, APRN is in-network with Cigna and accepting new patients from Southington and across Connecticut. Telehealth or in-person — your choice.
Book an AppointmentOr call us at 860-515-8689