TRICARE Psychiatrists in Downers Grove, IL
![Photo of Irmina Fisk, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/a9ae9fee-46a7-4c72-80d2-30eae49b73a9/1/320x400.jpeg)
Irmina Fisk
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Downers Grove, IL 60515 (Online Only)
Irmina Ragauskaite Fisk is board-certified Psychiatric Mental Health Nurse Practitioner with 7 years of experience in the nursing field. Her most recent work at an acute psychiatric mental health hospital has allowed her to see the impact of severe mental illness on a person's life. Irmina has a genuine passion for improving mental health in individuals by educating them on how to navigate mental illness in their lives through an effective medication management plan and supportive talk therapy.
Irmina Ragauskaite Fisk is board-certified Psychiatric Mental Health Nurse Practitioner with 7 years of experience in the nursing field. Her most recent work at an acute psychiatric mental health hospital has allowed her to see the impact of severe mental illness on a person's life. Irmina has a genuine passion for improving mental health in individuals by educating them on how to navigate mental illness in their lives through an effective medication management plan and supportive talk therapy.
![Photo of Elizabeth Wengel, DNP, APRN, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/7f6eb5f3-090b-4d6e-aa67-88d8efc23ea2/1/320x400.jpeg)
Elizabeth Wengel
Psychiatric Nurse Practitioner, DNP, APRN, PMHNPBC
Verified Verified
Downers Grove, IL 60515
My name is Elizabeth Wengel and I am a board certified Family Nurse Practitioner with experience in psychiatric evaluations and medication management. My goal is to put patients at ease by creating a supportive environment to address their concerns. I offer medication management and supportive therapy to improve self esteem and alleviate symptoms.
My name is Elizabeth Wengel and I am a board certified Family Nurse Practitioner with experience in psychiatric evaluations and medication management. My goal is to put patients at ease by creating a supportive environment to address their concerns. I offer medication management and supportive therapy to improve self esteem and alleviate symptoms.
![Photo of Francesco Incandela, DO, Psychiatrist](https://photos.psychologytoday.com/f5c0a8d9-87dc-4edd-ba91-8c1b593753da/2/320x400.jpeg)
I’m Dr. Incandela, a psychiatrist committed to helping people achieve their mental health goals and wellness. I graduated from psychiatry residency in 2023 and began practicing that same year. I collaborate with each person to develop a comprehensive and wholistic treatment plan that is tailored to the individual while incorporating evidence-based treatment models. For me, the wholistic process includes working to understand and target mental health concerns from a biological, psychological, and social perspective understanding that many things affect a person's mental health that medication alone may not address.
I’m Dr. Incandela, a psychiatrist committed to helping people achieve their mental health goals and wellness. I graduated from psychiatry residency in 2023 and began practicing that same year. I collaborate with each person to develop a comprehensive and wholistic treatment plan that is tailored to the individual while incorporating evidence-based treatment models. For me, the wholistic process includes working to understand and target mental health concerns from a biological, psychological, and social perspective understanding that many things affect a person's mental health that medication alone may not address.
![Photo of Ruhina Ali, MD, Psychiatrist](https://photos.psychologytoday.com/330b4afa-3d6f-44d4-a7af-d8a5214577b4/1/320x400.jpeg)
Dr. Ruhina N. Ali is a Psychiatrist in Illinois. She studied General Psychiatry and completed a Child and Adolescent Psychiatry Fellowship at Virginia Tech Carilion Clinic and graduated from St. Matthew's College of Medicine. Dr. Ali looks at the whole person, the family, and all environmental factors when she approaches patient care. She uses the latest scientific research and evidence-based practice to build a treatment plan with the patient and family. And Dr. Ali uses compassion and empathy to help patients and families heal.
Dr. Ruhina N. Ali is a Psychiatrist in Illinois. She studied General Psychiatry and completed a Child and Adolescent Psychiatry Fellowship at Virginia Tech Carilion Clinic and graduated from St. Matthew's College of Medicine. Dr. Ali looks at the whole person, the family, and all environmental factors when she approaches patient care. She uses the latest scientific research and evidence-based practice to build a treatment plan with the patient and family. And Dr. Ali uses compassion and empathy to help patients and families heal.
More Psychiatrists Nearby
![Photo of Elizabeth Kelly, MSN, ANP-BC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/b381d66a-e0f9-4ff8-8aff-915e3c6caa26/2/320x400.jpeg)
Elizabeth Kelly
Psychiatric Nurse Practitioner, MSN, ANP-BC
Verified Verified
Oakbrook Terrace, IL 60181
During my time working in primary care I have observed significant deficits in access to quality mental health care for both the geriatric and adult populations including patients with dementia, major depressive disorder, anxiety, bipolar disorder, schizophrenia and substance use disorder. I’ve become focused on helping fill in those gaps in care. So often medications are quickly prescribed to manage complex issues that need an interdisciplinary and holistic approach. I obtained my buprenorphine waiver to help contribute to a solution of the opiate crisis which I have seen devastate the lives of people of all ages.
During my time working in primary care I have observed significant deficits in access to quality mental health care for both the geriatric and adult populations including patients with dementia, major depressive disorder, anxiety, bipolar disorder, schizophrenia and substance use disorder. I’ve become focused on helping fill in those gaps in care. So often medications are quickly prescribed to manage complex issues that need an interdisciplinary and holistic approach. I obtained my buprenorphine waiver to help contribute to a solution of the opiate crisis which I have seen devastate the lives of people of all ages.
![Photo of Margaret A. Tormay, MD, Psychiatrist](https://photos.psychologytoday.com/b784a205-4b53-436c-b4be-1d87ca9944b3/1/320x400.jpeg)
Margaret A. Tormay, MD Dr. Tormay has been practicing psychiatry for over 30 years. She was raised on the East coast, graduating from Mt. Holyoke College in Massachusetts and the University of Rochester School of Medicine in Rochester, New York. She moved to Chicago in1985 for her psychiatry Residency at the University of Illinois. Dr. Tormay’s practice of psychiatry has always been informed by the Biopsychosocial Model of wellness and medicine developed by psychiatrist, George Engel, at the University of Rochester School of Medicine.
Margaret A. Tormay, MD Dr. Tormay has been practicing psychiatry for over 30 years. She was raised on the East coast, graduating from Mt. Holyoke College in Massachusetts and the University of Rochester School of Medicine in Rochester, New York. She moved to Chicago in1985 for her psychiatry Residency at the University of Illinois. Dr. Tormay’s practice of psychiatry has always been informed by the Biopsychosocial Model of wellness and medicine developed by psychiatrist, George Engel, at the University of Rochester School of Medicine.
![Photo of Devika R Patel, FNP, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/71038181-554a-497f-9f03-dcd3f49d0eaf/2/320x400.jpeg)
I am currently accepting new patients. I have been providing excellent care for over 5 years with great compassion. I provide psychiatric evaluations and medication management for patients age of 5 years and older with Anxiety Disorders, Depression, ADHD, Mood disorder, PTSD, Opioid Use Disorder, and other mental health problems. I treat each patient as an individual and work together in developing treatment plans. I spend the time needed with each patient to get to know them and understand the source of their struggles.
I am currently accepting new patients. I have been providing excellent care for over 5 years with great compassion. I provide psychiatric evaluations and medication management for patients age of 5 years and older with Anxiety Disorders, Depression, ADHD, Mood disorder, PTSD, Opioid Use Disorder, and other mental health problems. I treat each patient as an individual and work together in developing treatment plans. I spend the time needed with each patient to get to know them and understand the source of their struggles.
![Photo of Faderin Boti (Now Accepting New Patients), APRN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/2df25ada-0a06-4ea2-b5f0-f0c72681406e/1/320x400.png)
Faderin Boti (Now Accepting New Patients)
Psychiatric Nurse Practitioner, APRN, PMHNP
Verified Verified
1 Endorsed
Naperville, IL 60563 (Online Only)
Hi there, I'm Faderin. Are you frequently anxious or fearful? Do you you suffer from persistent sadness or struggling to find joy? I am a Psychiatric-Mental Health Nurse Practitioner and help individuals with mood and other mental/psychiatric disorders. I am passionate about helping people manage depression, anxiety, ADHD and any other comorbidities.
Hi there, I'm Faderin. Are you frequently anxious or fearful? Do you you suffer from persistent sadness or struggling to find joy? I am a Psychiatric-Mental Health Nurse Practitioner and help individuals with mood and other mental/psychiatric disorders. I am passionate about helping people manage depression, anxiety, ADHD and any other comorbidities.
![Photo of January Robinson, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/a62a2230-9e67-4f7e-85da-1b8e27194f57/1/320x400.jpeg)
January Robinson
Psychiatric Nurse Practitioner, PMHNPBC
Verified Verified
2 Endorsed
Oak Brook, IL 60523
I am dual board certified PMHNP/FNP and began practicing general psychiatry in 2009. I have treated a broad range of psychiatric conditions in many different settings across the lifespan. I treat mood and anxiety disorders as well as PTSD, ADHD, and Schizophrenia spectrum disorders using medication management where indicated as well as therapy. I have been providing ketamine-assisted therapy since 2019 for treatment-resistant depressive disorders and PTSD.
I am dual board certified PMHNP/FNP and began practicing general psychiatry in 2009. I have treated a broad range of psychiatric conditions in many different settings across the lifespan. I treat mood and anxiety disorders as well as PTSD, ADHD, and Schizophrenia spectrum disorders using medication management where indicated as well as therapy. I have been providing ketamine-assisted therapy since 2019 for treatment-resistant depressive disorders and PTSD.
![Photo of Maureen Raiz, NP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/eb52efc0-baf3-430a-b103-06ab8617c7cf/1/320x400.jpeg)
Maureen Raiz is a Nurse Practitioner in Illinois. Maureen provides a holistic approach, stigma-free, evidence-based, and compassionate care to individuals needing mental health services. She offers extensive psychiatric evaluations, supportive psychotherapy, psychopharmacological treatment initiation, and monitoring. Maureen has dedicated a significant amount of her career to providing mental health care to adults and older adults. Her ultimate goal is to improve access to mental health and help patients meet their goals. Outside of work, Maureen enjoys traveling to many different countries and experiencing different cultures.
Maureen Raiz is a Nurse Practitioner in Illinois. Maureen provides a holistic approach, stigma-free, evidence-based, and compassionate care to individuals needing mental health services. She offers extensive psychiatric evaluations, supportive psychotherapy, psychopharmacological treatment initiation, and monitoring. Maureen has dedicated a significant amount of her career to providing mental health care to adults and older adults. Her ultimate goal is to improve access to mental health and help patients meet their goals. Outside of work, Maureen enjoys traveling to many different countries and experiencing different cultures.
![Photo of Dr. Evelyn Ukpolo (Now Accepting New Patients), DNP, PMHNP, APRN, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/8f52f1c0-e037-41aa-8ed7-ded9ef577448/1/320x400.jpeg)
Dr. Evelyn Ukpolo (Now Accepting New Patients)
Psychiatric Nurse Practitioner, DNP, PMHNP, APRN
Verified Verified
Naperville, IL 60563 (Online Only)
Hi there! I'm Evelyn, a Psychiatric-Mental Health Nurse Practitioner committed to providing respectful and compassionate care for individuals struggling with mood disorders and other mental health concerns. Are you plagued by persistent sadness, anxiety, or ADHD? Do you feel lost and uncertain about how to find joy in your life again? Together, we'll explore the underlying causes of your specific symptoms, assess any co-occurring conditions, and create a client-centric treatment plan that addresses your specific needs.
Hi there! I'm Evelyn, a Psychiatric-Mental Health Nurse Practitioner committed to providing respectful and compassionate care for individuals struggling with mood disorders and other mental health concerns. Are you plagued by persistent sadness, anxiety, or ADHD? Do you feel lost and uncertain about how to find joy in your life again? Together, we'll explore the underlying causes of your specific symptoms, assess any co-occurring conditions, and create a client-centric treatment plan that addresses your specific needs.
![Photo of Corey Wendell Shumate - Ear to Ear Behavioral Health Solutions, LLC, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/bc842188-3b53-4fc8-b85e-67e0db910bee/1/320x400.jpeg)
Ear to Ear Behavioral Health Solutions, LLC
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
Naperville, IL 60540 (Online Only)
When a person takes the major step of scheduling an appointment & attending their first session, they have taken actionable measures to begin their healing journey. My name is Corey Shumate, I am a licensed Psychiatric Mental Nurse Practitioner. I am a person who prioritizes listening with sensitivity, compassion and care. I approach each session in a judgement free zone. I assist the client in delving into their past and help with identifying patterns that they may not be aware of, in order to gain control over their emotions. I know that with work and faith you can accomplish anything.
When a person takes the major step of scheduling an appointment & attending their first session, they have taken actionable measures to begin their healing journey. My name is Corey Shumate, I am a licensed Psychiatric Mental Nurse Practitioner. I am a person who prioritizes listening with sensitivity, compassion and care. I approach each session in a judgement free zone. I assist the client in delving into their past and help with identifying patterns that they may not be aware of, in order to gain control over their emotions. I know that with work and faith you can accomplish anything.
![Photo of Senami E-Lukula, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/6b22d1d8-e196-4c8d-b458-6c7737e5c27f/3/320x400.jpeg)
Senami E-Lukula
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
3 Endorsed
Bolingbrook, IL 60440
Senami, a board-certified Psychiatric Nurse Practitioner, brings over a decade of invaluable experience in healthcare to her practice. With a profound understanding of the human mind and a heartfelt dedication to helping others, she offers compassionate psychiatric evaluation and treatment. Specializing in Anxiety, Depression, Mood disorders, ADHD, PTSD, Bipolar and various mental health conditions, Senami is committed to guiding individuals towards wellness. Her approach encompasses evidence-based, holistic healthcare, integrating both psychopharmacology and psychotherapy. Recognizing the complexities of life's challenges,
Senami, a board-certified Psychiatric Nurse Practitioner, brings over a decade of invaluable experience in healthcare to her practice. With a profound understanding of the human mind and a heartfelt dedication to helping others, she offers compassionate psychiatric evaluation and treatment. Specializing in Anxiety, Depression, Mood disorders, ADHD, PTSD, Bipolar and various mental health conditions, Senami is committed to guiding individuals towards wellness. Her approach encompasses evidence-based, holistic healthcare, integrating both psychopharmacology and psychotherapy. Recognizing the complexities of life's challenges,
![Photo of Hildred Amegashie, MSN, PMHNP-, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/0b1c44c9-cf03-44b1-ad55-2d6e6bfd3023/1/320x400.jpeg)
Hildred Amegashie
Psychiatric Nurse Practitioner, MSN, PMHNP-
Verified Verified
Naperville, IL 60564
Hildred I. Amegashie is a board-certified Psychiatric Mental Health Nurse Practitioner in Illinois who has been practicing since 2019. She has a Bachelor of Science in Nursing and a Master of Science in Nursing from Chamberlain College of Nursing, and a Family Nurse Practitioner Program, Post-Grad Certificate from Wilkes University. Hildred is passionate about providing culturally competent and individualized care tailored to each unique individual. She is a strong advocate for listening to patient needs and concerns to deliver personalized mental health needs.
Hildred I. Amegashie is a board-certified Psychiatric Mental Health Nurse Practitioner in Illinois who has been practicing since 2019. She has a Bachelor of Science in Nursing and a Master of Science in Nursing from Chamberlain College of Nursing, and a Family Nurse Practitioner Program, Post-Grad Certificate from Wilkes University. Hildred is passionate about providing culturally competent and individualized care tailored to each unique individual. She is a strong advocate for listening to patient needs and concerns to deliver personalized mental health needs.
![Photo of Arturo Ventura, MSN, RN, APRN, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/72d6cd75-d6e4-4873-8f30-4f91f6e43938/1/320x400.jpeg)
Arturo Ventura
Psychiatric Nurse Practitioner, MSN, RN, APRN
Verified Verified
Naperville, IL 60563 (Online Only)
Art Ventura, MSN, RN, APRN, PMHNP-BC, FNP-BC, has more than 25 years of psychiatric nursing experience. Art completed his nursing school at the University of Santo Tomas in the Philippines, obtained his masters degree at Chamberlain College of Nursing and his postmasters certification in psychiatric nursing at Regis College. Being licensed in both psychiatric and family medicine, Art provides a unique perspective in treating mental health conditions particularly in evaluating and treating depression, anxiety, bipolar disorder, mood disorders, schizophrenia, schizoaffective disorder, ADHD, insomnia, dementia, OCD and other issues.
Art Ventura, MSN, RN, APRN, PMHNP-BC, FNP-BC, has more than 25 years of psychiatric nursing experience. Art completed his nursing school at the University of Santo Tomas in the Philippines, obtained his masters degree at Chamberlain College of Nursing and his postmasters certification in psychiatric nursing at Regis College. Being licensed in both psychiatric and family medicine, Art provides a unique perspective in treating mental health conditions particularly in evaluating and treating depression, anxiety, bipolar disorder, mood disorders, schizophrenia, schizoaffective disorder, ADHD, insomnia, dementia, OCD and other issues.
![Photo of Adrian Zhubi, MD, MS, Psychiatrist](https://photos.psychologytoday.com/4fa66759-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
New patients welcome! I have a genuine passion for the field of psychiatry and my treatment approach is integrated, compassionate and patient-centered. I aim to foster an empathic and effective collaboration with you as we examine core conflicts and patterns of behavior obstructing your relationships, work and sense of self. My approach is balanced, holistic and collaborative. I believe the best care combines both medication management and psychotherapy and I am happy to provide psychotherapy as well as refer to other therapists.
New patients welcome! I have a genuine passion for the field of psychiatry and my treatment approach is integrated, compassionate and patient-centered. I aim to foster an empathic and effective collaboration with you as we examine core conflicts and patterns of behavior obstructing your relationships, work and sense of self. My approach is balanced, holistic and collaborative. I believe the best care combines both medication management and psychotherapy and I am happy to provide psychotherapy as well as refer to other therapists.
![Photo of Anmol N Tolani, MD, Psychiatrist](https://photos.psychologytoday.com/60a860de-588e-4b49-8f68-305676ffb1ca/1/320x400.png)
I completed residency at Case Western Reserve University with expertise in various settings, including direct patient care, addiction programs, and specialized clinics. With a focus on medication management for adult and geriatric patients, I gained rewarding experience, particularly in serving those facing challenging circumstances.
I completed residency at Case Western Reserve University with expertise in various settings, including direct patient care, addiction programs, and specialized clinics. With a focus on medication management for adult and geriatric patients, I gained rewarding experience, particularly in serving those facing challenging circumstances.
![Photo of Khyati V Patel, MSN, CNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/58ca355e-ebb2-4871-bd05-a809b02e2191/2/320x400.jpeg)
Khyati V Patel
Psychiatric Nurse Practitioner, MSN, CNP
Verified Verified
1 Endorsed
Warrenville, IL 60555
Khyati Patel is a Board-Certified Nurse Practitioner. She has experienced working with adults and adolescents. She has exceptional clinical skills in treating both pediatric and adult population. She is specializing in Adhd, Anxiety, Depression, and Ptsd. Khyati, approaches her patient Holistic rather than focusing on their diagnosis. She believes it is important to understand the patient holistically to receive benefits from the treatment. Listening to patients’ concerns is one of her empower skills that she carries with her.
Khyati Patel is a Board-Certified Nurse Practitioner. She has experienced working with adults and adolescents. She has exceptional clinical skills in treating both pediatric and adult population. She is specializing in Adhd, Anxiety, Depression, and Ptsd. Khyati, approaches her patient Holistic rather than focusing on their diagnosis. She believes it is important to understand the patient holistically to receive benefits from the treatment. Listening to patients’ concerns is one of her empower skills that she carries with her.
![Photo of Emad M Amer, MD, Psychiatrist](https://photos.psychologytoday.com/81d1a3fa-f823-40df-8541-d07f599c51be/2/320x400.jpeg)
Dr. Emad Amer is a psychiatrist with over 25 years of experience as a psychiatrist. He understands the complexities of mental health and is dedicated to helping individuals regain control of their lives. His diverse background in various clinical settings has equipped him with a deep understanding of mental health issues and practical treatment approaches. Dr. Amer believes in improving his patients’ quality of life by creating a warm, supportive, and non-judgmental environment where individuals feel safe to share their experiences.
Dr. Emad Amer is a psychiatrist with over 25 years of experience as a psychiatrist. He understands the complexities of mental health and is dedicated to helping individuals regain control of their lives. His diverse background in various clinical settings has equipped him with a deep understanding of mental health issues and practical treatment approaches. Dr. Amer believes in improving his patients’ quality of life by creating a warm, supportive, and non-judgmental environment where individuals feel safe to share their experiences.
![Photo of Craig Kestenberg, DO, Psychiatrist](https://photos.psychologytoday.com/f8071eaf-9a8b-4fcd-be0c-c86d6da3d5cd/2/320x400.jpeg)
Dr. Craig Kestenberg is a Psychiatrist in Illinois who has been practicing since 2001. He has a D.O. degree with Residency Training in Psychiatry as well as Fellowship Training in Child and Adolescent Psychiatry. He is board-certified in both General Psychiatry and Child And Adolescent Psychiatry through the American Board of Psychiatry and Neurology. Dr. Kestenberg enjoys providing patients and their family members with the most appropriate patient-centered treatment options, which is based on his great medical knowledge from past training, continuing education, and a variety of clinical experiences.
Dr. Craig Kestenberg is a Psychiatrist in Illinois who has been practicing since 2001. He has a D.O. degree with Residency Training in Psychiatry as well as Fellowship Training in Child and Adolescent Psychiatry. He is board-certified in both General Psychiatry and Child And Adolescent Psychiatry through the American Board of Psychiatry and Neurology. Dr. Kestenberg enjoys providing patients and their family members with the most appropriate patient-centered treatment options, which is based on his great medical knowledge from past training, continuing education, and a variety of clinical experiences.
See more therapy options for Downers Grove
Nearby TRICARE Psychiatrists Searches for Downers Grove
- Aurora
- Bolingbrook
- Clarendon Hills
- Hinsdale
- Lisle
- Naperville
- Oak Brook
- Oakbrook Terrace
- Warrenville
- Westmont
- Wheaton
- Willowbrook
TRICARE 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. The EAP for the U.S. Armed Forces is Military OneSource. 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