Aetna Psychiatrists in Fountain Hills, AZ
![Photo of Robyn Goldsmith, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/18ccfde6-f0e5-48f4-bf25-a5b0a681f916/4/320x400.jpeg)
Robyn Goldsmith
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
27 Endorsed
Fountain Hills, AZ 85268
Welcome to our clinic, where we focus on providing compassionate psychiatric care and personalized medication management services. If you're on a path to prioritize your mental health, you've discovered a caring and empathetic team here. Have you been experiencing disturbances in your sleep, appetite, or motivation? Are you struggling with ongoing feelings of sadness, anxiety, or stress? Maybe you're finding it hard to concentrate, feeling irritable, or noticing changes in your behavior? By working together to address these symptoms and develop a customized treatment strategy to guide you towards a more fulfilling and joyful life
Welcome to our clinic, where we focus on providing compassionate psychiatric care and personalized medication management services. If you're on a path to prioritize your mental health, you've discovered a caring and empathetic team here. Have you been experiencing disturbances in your sleep, appetite, or motivation? Are you struggling with ongoing feelings of sadness, anxiety, or stress? Maybe you're finding it hard to concentrate, feeling irritable, or noticing changes in your behavior? By working together to address these symptoms and develop a customized treatment strategy to guide you towards a more fulfilling and joyful life
![Photo of Karen Yesenia Linares, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/de1ebe2d-31d3-41db-9bcd-d72ea3563e61/1/320x400.jpeg)
Karen Yesenia Linares
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
7 Endorsed
Fountain Hills, AZ 85268 (Online Only)
I am a licensed, board certified advance FNP and a PMHNP (Psychiatric Nurse Practitioner). I am also the founder of Care Anywhere Health & Wellness. I provide medication management for individuals 6 years and older. I have about 6 years of experience in mental health nursing caring for hundreds of patients with a diverse range of mental health diagnosis. My areas of expertise include depressive disorders, anxiety, OCD, Attention Deficit Hyperactive Disorder/Attention Deficit Disorder (ADHD/ADD), Bipolar Disorder, and PTSD.
I am a licensed, board certified advance FNP and a PMHNP (Psychiatric Nurse Practitioner). I am also the founder of Care Anywhere Health & Wellness. I provide medication management for individuals 6 years and older. I have about 6 years of experience in mental health nursing caring for hundreds of patients with a diverse range of mental health diagnosis. My areas of expertise include depressive disorders, anxiety, OCD, Attention Deficit Hyperactive Disorder/Attention Deficit Disorder (ADHD/ADD), Bipolar Disorder, and PTSD.
![Photo of Andrea Cook, MSN-Ed, APRN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/658e4d13-def5-4a79-b1da-4c28dd3c1f0b/2/320x400.png)
Andrea Cook
Psychiatric Nurse Practitioner, MSN-Ed, APRN, PMHNP
Verified Verified
13 Endorsed
Fountain Hills, AZ 85268 (Online Only)
Imagine a place where your struggles with anxiety, depression, trauma, or life's numerous transitions are not just heard but deeply understood. I help young to middle-aged adults embark on a transformative journey, guided by compassion, expertise, and a personalized approach to therapy and medication management. This isn't just about finding relief; it's about uncovering the strength within you and navigating life's challenges with renewed hope and resilience.
Imagine a place where your struggles with anxiety, depression, trauma, or life's numerous transitions are not just heard but deeply understood. I help young to middle-aged adults embark on a transformative journey, guided by compassion, expertise, and a personalized approach to therapy and medication management. This isn't just about finding relief; it's about uncovering the strength within you and navigating life's challenges with renewed hope and resilience.
![Photo of Stephen Woodward, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/13c028e6-e7af-4a18-af2d-f53c9ab1495c/1/320x400.png)
Stephen Woodward
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Fountain Hills, AZ 85268 (Online Only)
Hello! My name is Stephen Woodward, PMHNP-BC. I am the founder of Woodward Psychiatry, and a Board-Certified Family Psychiatric Nurse Practitioner with experience treating a variety of mental health concerns in adolescents and adults, primarily ADHD, depression, bipolar disorders, anxiety disorders, and sleep disorders. I am open-minded and solution-oriented. My goal is that patients leave their appointments feeling like their concerns have been heard and addressed, and that they have a clear understanding of their treatment plan.
Hello! My name is Stephen Woodward, PMHNP-BC. I am the founder of Woodward Psychiatry, and a Board-Certified Family Psychiatric Nurse Practitioner with experience treating a variety of mental health concerns in adolescents and adults, primarily ADHD, depression, bipolar disorders, anxiety disorders, and sleep disorders. I am open-minded and solution-oriented. My goal is that patients leave their appointments feeling like their concerns have been heard and addressed, and that they have a clear understanding of their treatment plan.
![Photo of Robyn Goldsmith (Accepting New Patients), PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/3ad89735-a30c-4138-9e7e-3f45654c2bfa/2/320x400.jpeg)
Robyn Goldsmith (Accepting New Patients)
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
47 Endorsed
Fountain Hills, AZ 85268
Welcome to our clinic, where we focus on providing compassionate psychiatric care and personalized medication management services. If you're on a path to prioritize your mental health, you've discovered a caring and empathetic team here. Have you been experiencing disturbances in your sleep, appetite, or motivation? Are you struggling with ongoing feelings of sadness, anxiety, or stress? Maybe you're finding it hard to concentrate, feeling irritable, or noticing changes in your behavior? By working together to address these symptoms and develop a customized treatment strategy to guide you towards a more fulfilling and joyful life
Welcome to our clinic, where we focus on providing compassionate psychiatric care and personalized medication management services. If you're on a path to prioritize your mental health, you've discovered a caring and empathetic team here. Have you been experiencing disturbances in your sleep, appetite, or motivation? Are you struggling with ongoing feelings of sadness, anxiety, or stress? Maybe you're finding it hard to concentrate, feeling irritable, or noticing changes in your behavior? By working together to address these symptoms and develop a customized treatment strategy to guide you towards a more fulfilling and joyful life
![Photo of Stacie Allen - Insight Psychiatry and Wellness, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/711918fc-7077-40a6-adf9-e542213c1084/2/320x400.jpeg)
Insight Psychiatry and Wellness
Psychiatric Nurse Practitioner
Verified Verified
1 Endorsed
Fountain Hills, AZ 85268 (Online Only)
Accepting new patients. Drop the rock you are carrying. We treat all mental health struggles. We treat the symptoms, not the diagnosis, holistically. We now offer appointments on evenings and weekends. As a Board-Certified Psychiatric Mental Health Nurse Practitioner, I believe in taking a holistic approach to patient care, addressing the symptoms of mental illness and the underlying causes. This is a team approach to mental health treatment as I work closely with patients to develop personalized treatment plans that may include medication management, therapy, and lifestyle changes. We are here to help you!
Accepting new patients. Drop the rock you are carrying. We treat all mental health struggles. We treat the symptoms, not the diagnosis, holistically. We now offer appointments on evenings and weekends. As a Board-Certified Psychiatric Mental Health Nurse Practitioner, I believe in taking a holistic approach to patient care, addressing the symptoms of mental illness and the underlying causes. This is a team approach to mental health treatment as I work closely with patients to develop personalized treatment plans that may include medication management, therapy, and lifestyle changes. We are here to help you!
![Photo of Mohammad Reza Karami-Sichani, MD, Psychiatrist](https://photos.psychologytoday.com/3efcdf49-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As a medical doctor trained in the specialty of psychiatry I am able to diagnose and treat a broad range of psychiatric disorders in adults. But as a mental health professional I like to see myself as a specialist in the promotion of what fundamentally makes life a wonderful and fulfilling experience-being mentally healthy! We do not treat any type of dual diagnosis (substance abuse along with a mental health condition)
As a medical doctor trained in the specialty of psychiatry I am able to diagnose and treat a broad range of psychiatric disorders in adults. But as a mental health professional I like to see myself as a specialist in the promotion of what fundamentally makes life a wonderful and fulfilling experience-being mentally healthy! We do not treat any type of dual diagnosis (substance abuse along with a mental health condition)
More Psychiatrists Nearby
![Photo of Francisca Onyemize, MSN, APRN, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/2b92f615-3a3e-479f-8115-ce158a001f8f/2/320x400.png)
Francisca Onyemize
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Verified Verified
Mesa, AZ 85201
Do you struggle with depression, an inability to focus, anxiety, emotional dysregulation, insomnia, or PTSD? Do you want to develop coping skills to reduce your symptoms & enhance your understanding and quality of life? Are you interested in medication to help you reduce your symptoms, improve your quality of life, as well as how to reduce some of the side effects of the medications? My responsibility is that you gain insight into understanding the underlying factors contributing to your issues, what you are experiencing, and how you want to learn the skills & coping strategies to help you deal with issues and emotions.
Do you struggle with depression, an inability to focus, anxiety, emotional dysregulation, insomnia, or PTSD? Do you want to develop coping skills to reduce your symptoms & enhance your understanding and quality of life? Are you interested in medication to help you reduce your symptoms, improve your quality of life, as well as how to reduce some of the side effects of the medications? My responsibility is that you gain insight into understanding the underlying factors contributing to your issues, what you are experiencing, and how you want to learn the skills & coping strategies to help you deal with issues and emotions.
![Photo of Adel Mostafavi, MD, Psychiatrist](https://photos.psychologytoday.com/038790fd-426e-4ff2-a79d-6380d9ea76a1/1/320x400.png)
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
Are you struggling to balance your physical and mental health? Are things becoming unmanageable? Is your time limited? Then welcome to WellPsyche! WellPsyche Medical Group provides experts in the field of Adult and Child/Adolescent Psychiatry. Our practice offers the latest in psychiatry including Telemedicine! Now you can visit with your psychiatrist from the privacy and convenience of your home or work. Our providers take a Conservative and Effective approach to medication management and can help you balance your life.
![Photo of Emmeline Reyes, MSN, PMHNP-B, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/34b5b8e1-8610-4488-b772-3c0ad8d19c20/1/320x400.jpeg)
Emmeline Reyes is a Psychiatric Mental Health Nurse Practitioner in Arizona who has been practicing since 2023. She earned a Master of Science in Nursing at Walden University, focus on Psychiatric and Mental Health Nurse Practitioner. As a Filipino-American immigrant, Emmeline was raised in an environment where mental health is stigmatized. Bringing attention to cultural differences through individualized care will help bring awareness of the variety of treatments made available to everyone from different walks of life.
Emmeline Reyes is a Psychiatric Mental Health Nurse Practitioner in Arizona who has been practicing since 2023. She earned a Master of Science in Nursing at Walden University, focus on Psychiatric and Mental Health Nurse Practitioner. As a Filipino-American immigrant, Emmeline was raised in an environment where mental health is stigmatized. Bringing attention to cultural differences through individualized care will help bring awareness of the variety of treatments made available to everyone from different walks of life.
![Photo of Topher Bradshaw - Alevea Mental Health, PA-C, MSPAS, Physician Assistant](https://photos.psychologytoday.com/e0100f83-d506-4c80-8a22-85f633b59dc8/1/320x400.jpeg)
At Alevea Mental Health, we understand that each individual is unique, and that's why we're committed to providing personalized, integrative mental healthcare that meets you where you are. From a range of conditions like depression, anxiety, and ADHD to more complex psychiatric conditions, our experienced team of dedicated and compassionate providers tailor treatment plans to suit your specific needs. What sets us apart is our holistic approach that combines psychiatric medication management with evidence-based counseling services, primary care, and psychedelic therapy.
At Alevea Mental Health, we understand that each individual is unique, and that's why we're committed to providing personalized, integrative mental healthcare that meets you where you are. From a range of conditions like depression, anxiety, and ADHD to more complex psychiatric conditions, our experienced team of dedicated and compassionate providers tailor treatment plans to suit your specific needs. What sets us apart is our holistic approach that combines psychiatric medication management with evidence-based counseling services, primary care, and psychedelic therapy.
![Photo of Runako Richardson - LifeOak Mental Health, PLLC, APRN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/5e616cf2-a683-4153-a683-d9af88783fea/2/320x400.jpeg)
LifeOak Mental Health, PLLC
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
1 Endorsed
Phoenix, AZ 85018
Weekend and Evening appointments available. At LifeOak Mental Health we offer in-office appointments for the greater Phoenix area as well as tele-health appointments for the entire state of Arizona. Runako Richardson, APRN, is a board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) at LifeOak Mental Health. She works with children, adolescents, adults and seniors who struggle with depression, anxiety, ADHD, bipolar, other mood disorders, emotional instability, trauma, sleep problems, school/work/college issues and other mental health conditions.
Weekend and Evening appointments available. At LifeOak Mental Health we offer in-office appointments for the greater Phoenix area as well as tele-health appointments for the entire state of Arizona. Runako Richardson, APRN, is a board Certified Psychiatric Mental Health Nurse Practitioner (PMHNP) at LifeOak Mental Health. She works with children, adolescents, adults and seniors who struggle with depression, anxiety, ADHD, bipolar, other mood disorders, emotional instability, trauma, sleep problems, school/work/college issues and other mental health conditions.
![Photo of Paula Winsor, PMHNP, MSN, APRN, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/ae58940d-0388-460e-942a-f3ec8ab2b9e9/1/320x400.png)
Paula Winsor
Psychiatric Nurse Practitioner, PMHNP, MSN, APRN
Verified Verified
Scottsdale, AZ 85254
Reaching out for help can be daunting, but you don't have to face your challenges alone. Whether you're dealing with ADHD, anxiety, depression, substance use issues, or other mental health concerns, taking the first step is courageous. I'm here to offer a compassionate ear. Together, we can explore your thoughts and feelings, understand your unique needs, and develop a personalized plan to achieve your mental health goals. No matter where you are on your journey, I'm committed to supporting you as you move forward with hope, healing, and more positive outcomes.
Reaching out for help can be daunting, but you don't have to face your challenges alone. Whether you're dealing with ADHD, anxiety, depression, substance use issues, or other mental health concerns, taking the first step is courageous. I'm here to offer a compassionate ear. Together, we can explore your thoughts and feelings, understand your unique needs, and develop a personalized plan to achieve your mental health goals. No matter where you are on your journey, I'm committed to supporting you as you move forward with hope, healing, and more positive outcomes.
![Photo of Amelia Napier, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/a1a711e3-fe4c-4b70-b1b9-ece337de9eba/3/320x400.jpeg)
Empowering individuals to take control of their mental health is my passion. As a mental health professional, I work with patients of all ages, helping them find a balanced and happier way of life through a tailored approach of medication, therapy, or a combination of the two. My unwavering commitment is to guide my patients in becoming the best versions of themselves, equipping them with the tools and confidence to manage their mental wellbeing.
Empowering individuals to take control of their mental health is my passion. As a mental health professional, I work with patients of all ages, helping them find a balanced and happier way of life through a tailored approach of medication, therapy, or a combination of the two. My unwavering commitment is to guide my patients in becoming the best versions of themselves, equipping them with the tools and confidence to manage their mental wellbeing.
![Photo of Edena Walden, MSN, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/8ba9fe1e-7cfc-4bfa-98bb-18593dae4d41/2/320x400.png)
Ideally my patient is as invested in their care as I am. They could have a variety of diagnoses but the thing they have in common is they are willing to give the process time, are open to new ideas, and know there is no magic pill to fix all their problems. My patients want to get to the best version of themselves and are willing to try therapy as well as medications to help them reach that goal. My patient wants an empathetic, listening provider who can guide their care based on the evidence, but tailored to their individual needs.
Ideally my patient is as invested in their care as I am. They could have a variety of diagnoses but the thing they have in common is they are willing to give the process time, are open to new ideas, and know there is no magic pill to fix all their problems. My patients want to get to the best version of themselves and are willing to try therapy as well as medications to help them reach that goal. My patient wants an empathetic, listening provider who can guide their care based on the evidence, but tailored to their individual needs.
![Photo of Lindsay Fisher - Personal Practitioners, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/356744a0-0f7f-4b96-aa27-ee94f19b9ce5/1/320x400.png)
Personal Practitioners
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Scottsdale, AZ 85254
Lindsay is a compassionate psychiatric mental health nurse practitioner dedicated to helping patients on their journey to emotional well-being. With a focus on building strong therapeutic relationships, Lindsay specializes in treating anxiety, depression, bipolar disorder, ADHD, postpartum mental health, panic disorders, and obsessive-compulsive disorder (OCD), as well as eating disorders.
Lindsay is a compassionate psychiatric mental health nurse practitioner dedicated to helping patients on their journey to emotional well-being. With a focus on building strong therapeutic relationships, Lindsay specializes in treating anxiety, depression, bipolar disorder, ADHD, postpartum mental health, panic disorders, and obsessive-compulsive disorder (OCD), as well as eating disorders.
![Photo of Jack Mkroyan, MSN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/1b50e371-7c9c-4754-a155-f1272e9f08ed/1/320x400.png)
Jack Mkroyan
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
3 Endorsed
Scottsdale, AZ 85250
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Telepsychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/AZ
Are you struggling to balance your mental and physical health and in need of a more comprehensive approach? No problem! I provide Telemedicine (Telepsychiatry) Services, so that you can conveniently be seen from your home for psychiatry appointments and medication management without the need to travel! I provide the same psychiatry services as an in-person office visit and I can also address other aspects that encompass your complete wellness. My aim is to help you to thrive at your best! You can easily self-schedule a Telepsychiatry video appointment now at: www.pwpsychiatry.com/AZ
![Photo of Michelle Lynn Scott, PMHNP, FNP, ENP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/5ffb389b-95d3-49e6-b011-5a334c7b4bf4/1/320x400.jpeg)
Michelle Lynn Scott
Psychiatric Nurse Practitioner, PMHNP, FNP, ENP
Verified Verified
Scottsdale, AZ 85260 (Online Only)
Michelle Scott is a dual board certified Psychiatric, Family, and Emergency Nurse Practitioner with 16 years experience. Michelle Scott has extensive experience working in Psychiatry across the lifespan, Emergency Medicine, and Internal Medicine. Psychiatric experience specifically includes a focus on children and adolescents, autism, and adult outpatient and inpatient psychiatry. Michelle Scott has additionally provided care as an acute care hospitalist and as an Assistant Medical Director, in multiple acute care psychiatric facilities. Additional experience in addiction treatment, CBT, motivational, and problem focused therapy.
Michelle Scott is a dual board certified Psychiatric, Family, and Emergency Nurse Practitioner with 16 years experience. Michelle Scott has extensive experience working in Psychiatry across the lifespan, Emergency Medicine, and Internal Medicine. Psychiatric experience specifically includes a focus on children and adolescents, autism, and adult outpatient and inpatient psychiatry. Michelle Scott has additionally provided care as an acute care hospitalist and as an Assistant Medical Director, in multiple acute care psychiatric facilities. Additional experience in addiction treatment, CBT, motivational, and problem focused therapy.
![Photo of Kristen Clement, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/6424278b-5f27-4585-b1b3-a8a22399415a/2/320x400.jpeg)
Kristen Clement
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Scottsdale, AZ 85253 (Online Only)
Kristen Clement is a Board Certified Psychiatric Mental Health Nurse Practitioner. She is the owner and founder of Twin Peaks Behavioral Health. She has over 7 years of experience working in both inpatient and outpatient behavioral health settings. She utilizes a patient- and family-focused approach to address the needs of her patients.
Kristen Clement is a Board Certified Psychiatric Mental Health Nurse Practitioner. She is the owner and founder of Twin Peaks Behavioral Health. She has over 7 years of experience working in both inpatient and outpatient behavioral health settings. She utilizes a patient- and family-focused approach to address the needs of her patients.
![Photo of Dr. Allen Masry, MD, Psychiatrist](https://photos.psychologytoday.com/afdeb317-a131-4b41-8297-24f742311594/2/320x400.png)
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
I am Board Certified in Adult Psychiatry and have been practicing since 2005. I completed my residency from Tufts University in Boston, Massachusetts and my Fellowship in Addictions from the Robert Johnson Wood Foundation. In 2014, I was featured in SJ Magazine as one of New Jersey’s top psychiatrists. I have experience working with adults as well as adolescents suffering from both psychiatric diagnosis and substance use disorders and have extensive experience working in both out-patient and in-patient settings.
See more therapy options for Fountain Hills
Nearby Aetna Psychiatrists Searches for Fountain Hills
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Aetna Psychiatrists
Does insurance cover therapy, prescriptions and other behavioral health services?
In general, yes. Laws in the U.S. require insurers to cover essential behavioral health care at the same level as other health care services. Most health plans require a medical diagnosis and treatments that are evidence based and medically essential. This means that life coaching and alternative therapies are not covered, nor is therapy without a diagnosis. Call the number on the back or your insurance card or visit your insurance company's website to review your Summary of Benefits. If you have insurance through your employer, your Human Resources department may also be able to answer questions.
How much does therapy cost with insurance?
The cost of therapy depends on your region, how much training and experience your therapist has, and the type of treatment. The rate for talk therapy generally falls between $100 and $250. For a client seeing an in-network provider, the cost of therapy is often similar to the cost of other health care services. Clients pay co-pays and may need to satisfy a plan’s deductible before benefits kick in.
What is the difference between In-Network and Out-of-Network insurance coverage?
An in-network provider has contracted with an insurer to get paid directly for services, and to accept the insurer’s rate of compensation. Clients are responsible for deductibles and copays. If a therapist is out of network, that means that the client pays the therapist directly for services at the therapist’s regular fee. Out-of-Network providers often give clients a receipt so that they can file for partial reimbursement with their insurance company.
Is it difficult to find an In-Network therapist?
It is not unusual for therapists to limit the number of insurance patients in their practice, so it’s important to check in-network availability when you schedule your first appointment. In regions and times where therapy is in high demand it may take longer to get scheduled with an in-network therapist.
What is the difference between HMO and PPO insurance plans?
HMO health plans only cover in-network services, there is no reimbursement for out-of-network providers. PPO plans often cover both in- and out-of-network services, though the client may pay more for out-of-network services.
What is a Superbill?
A superbill is a receipt for therapy services. It provides all the information required by insurance companies to reimburse you for out-of-network services, including the diagnostic codes for your care, the amount paid, and the dates and duration of care.
Does insurance cover Online therapy?
Many therapists who shifted their practice to online therapy during the pandemic have kept that arrangement. And most insurers continue to cover telehealth services, with a few exceptions. Preventive care (such as an annual depression screening) is often required to be in-person to be covered, and some states require prescribers of controlled substances to see those patients in person.
Does insurance cover Group therapy?
Many insurance plans provide coverage for group therapy provided there is a medical diagnosis for group members, but there are some noteworthy exceptions. For example, Medicare does not always cover group therapy. Group therapy tends to cost less than individual therapy.
Does insurance cover Couples therapy?
Most insurance companies do not cover the cost of couples therapy because there is no medical diagnosis or medically necessary treatment. However, a few plans will offer a limited benefit, so it is still worth checking with your insurance company. Sometimes therapy is covered for a couple when one person has a diagnosis and another family member joins them for joint therapy, but it is considered therapy for the medical condition that includes a family member as a listener or helper, not couples counseling. Without insurance, most clients pay between $100-300 per 60-90 min session for couples therapy. Often clients can find classes or workshops that make it more affordable to work on their relationship. And some employers offer Employee Assistance Plans that help defray the cost of couples therapy.
What is an Employee Assistance Plan (EAP)?
Employee Assistance Plans are purchased by employers for the benefit of their employees. EAPs typically assist employees with referrals and may also provide the first few sessions of therapy free of charge, with the patient's regular health insurance kicking in after those initial sessions. EAP benefits often apply to all types of therapy without the need for a medical diagnosis, making it easier to access couples therapy, therapy for life transitions, and other non-medical counseling. Just as with standard health insurance, clients should always check that a provider accepts their EAP benefits before scheduling.
Learn more about Insurance Coverage and Finding Affordable Therapy
Learn more about Insurance Coverage and Finding Affordable Therapy