Medicaid Psychiatrists in Baton Rouge, LA
![Photo of Cassandra Jingles - Integrity Mental Health Services, MSN, APRN, FNP, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/4d26fb03-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Integrity Mental Health Services
Psychiatric Nurse Practitioner, MSN, APRN, FNP, PMHNP
Verified Verified
2 Endorsed
Baton Rouge, LA 70827 (Online Only)
Integrity Mental Health Services has a board certified Psychiatric Mental Health Nurse Practitioner who is also certified as a Family Nurse Practitioner. We specialize in psychiatric evaluation and medication management. Safe and effective care is achieved collaboratively between the patient and the psychiatric nurse practitioner. ****Controlled substance are monitored and prescribed upon the providers discretion.**** We are offering TELEHEALTH only.
Integrity Mental Health Services has a board certified Psychiatric Mental Health Nurse Practitioner who is also certified as a Family Nurse Practitioner. We specialize in psychiatric evaluation and medication management. Safe and effective care is achieved collaboratively between the patient and the psychiatric nurse practitioner. ****Controlled substance are monitored and prescribed upon the providers discretion.**** We are offering TELEHEALTH only.
![Photo of Eurica Rena Gaston, PMHNP, BC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/2a724090-570c-40ef-aaa1-ae14e7348eea/2/320x400.png)
Eurica Rena Gaston
Psychiatric Nurse Practitioner, PMHNP, BC
Verified Verified
Baton Rouge, LA 70827 (Online Only)
As a psychiatric mental health nurse practitioner, it is rewarding to assist my clients with their healthcare needs. My clients and I, along with their families, work together as a team. We have developed a level of trust and respect for one another. An atmosphere of trust and respect allows the client to be open to discussion and have a feeling of empowerment in making healthcare decisions. My role as a psychiatric mental nurse practitioner is to offer my clients the knowledge needed to make the best decisions for their healthcare. When we work together, we learn from each other and have positive changes in our lives.
As a psychiatric mental health nurse practitioner, it is rewarding to assist my clients with their healthcare needs. My clients and I, along with their families, work together as a team. We have developed a level of trust and respect for one another. An atmosphere of trust and respect allows the client to be open to discussion and have a feeling of empowerment in making healthcare decisions. My role as a psychiatric mental nurse practitioner is to offer my clients the knowledge needed to make the best decisions for their healthcare. When we work together, we learn from each other and have positive changes in our lives.
![Photo of Demeka Underwood - Mending Minds Behavioral Health, MSN, APRN, PMHNP, BC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/2df6f448-5875-4801-8b24-0fe48fe3ed0f/1/320x400.jpeg)
Mending Minds Behavioral Health
Psychiatric Nurse Practitioner, MSN, APRN, PMHNP, BC
Verified Verified
8 Endorsed
Baton Rouge, LA 70810
Demeka Underwood, PMHNP-BC brings a decade of psychiatric nursing experience to her role. As a board-certified Psychiatric Mental Health Nurse Practitioner, she collaborates closely with patients, offering medication management and psychotherapy for mental health concerns. Demeka earned her master's from the University of Southern Mississippi in 2020, her bachelor's from Franciscan of Our Lady in 2019, and her Associates from Our Lady of the Lake College in 2012. Before joining Southeast Community Health Systems, she worked in various nursing roles, including medical-surgical, mother/baby, and pediatric nursing.
Demeka Underwood, PMHNP-BC brings a decade of psychiatric nursing experience to her role. As a board-certified Psychiatric Mental Health Nurse Practitioner, she collaborates closely with patients, offering medication management and psychotherapy for mental health concerns. Demeka earned her master's from the University of Southern Mississippi in 2020, her bachelor's from Franciscan of Our Lady in 2019, and her Associates from Our Lady of the Lake College in 2012. Before joining Southeast Community Health Systems, she worked in various nursing roles, including medical-surgical, mother/baby, and pediatric nursing.
![Photo of Jill Mutavdzic - Always Hope LLC, MSN, APRN, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/f21b3eda-d34e-4643-b4d5-daa1b3ab788e/1/320x400.jpeg)
Always Hope LLC
Psychiatric Nurse Practitioner, MSN, APRN, PMHNPBC
Verified Verified
1 Endorsed
Baton Rouge, LA 70816
Jill Mutavdzic has been an RN for over 18 years. She has a bachelor's degree in Speech Pathology, before returning to school to become an RN. She was born and raised in New Orleans and moved to Madisonville, La. after Katrina where she raised her three daughters. She recently moved to Baton Rouge to be closer to her girls who all are students at LSU.
Jill Mutavdzic has been an RN for over 18 years. She has a bachelor's degree in Speech Pathology, before returning to school to become an RN. She was born and raised in New Orleans and moved to Madisonville, La. after Katrina where she raised her three daughters. She recently moved to Baton Rouge to be closer to her girls who all are students at LSU.
![Photo of Ashley Clark - Serenity Mental Health Services, DNP, APRN, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/74fccb90-5022-4271-90e7-3df679b9ca64/1/320x400.jpeg)
Serenity Mental Health Services
Psychiatric Nurse Practitioner, DNP, APRN, PMHNPBC
Verified Verified
2 Endorsed
Baton Rouge, LA 70827 (Online Only)
Serenity Mental Health Services provides telehealth/virtual mental health consultations to individuals across Louisiana. Specializing in medication management, our services cater to patients aged 8 and above facing emotional or behavioral challenges. We welcome individuals seeking evaluation and medical treatment for psychiatric disorders. It's important to note that we do not typically prescribe benzodiazepines (such as Xanax, Klonopin, Valium, Ativan, etc.).
Serenity Mental Health Services provides telehealth/virtual mental health consultations to individuals across Louisiana. Specializing in medication management, our services cater to patients aged 8 and above facing emotional or behavioral challenges. We welcome individuals seeking evaluation and medical treatment for psychiatric disorders. It's important to note that we do not typically prescribe benzodiazepines (such as Xanax, Klonopin, Valium, Ativan, etc.).
![Photo of Eric Palmer - Always Hope LLC, DNP, PHMNPBC, NP-C, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/0b9c0820-7205-4dc1-81a0-04dc18c7432d/2/320x400.jpeg)
Always Hope LLC
Psychiatric Nurse Practitioner, DNP, PHMNPBC, NP-C
Verified Verified
2 Endorsed
Baton Rouge, LA 70816 (Online Only)
I am New York transplant who received his Masters degree as a Nurse Practitioner from South University in Savannah Georgia and then went on to pursue a Doctorate of Nursing Practice at Chamberlain University. I am nationally board certified in Psychiatric/Mental/Behavioral medicine, Family Medicine, and Emergency medicine. I practice in 3 locations Baton Rouge, Metairie and the Prairieville Office. I believe that mental health is the foundation for physical health. Working as a team with the other medical providers, I want to help patients build that strong foundation.
I am New York transplant who received his Masters degree as a Nurse Practitioner from South University in Savannah Georgia and then went on to pursue a Doctorate of Nursing Practice at Chamberlain University. I am nationally board certified in Psychiatric/Mental/Behavioral medicine, Family Medicine, and Emergency medicine. I practice in 3 locations Baton Rouge, Metairie and the Prairieville Office. I believe that mental health is the foundation for physical health. Working as a team with the other medical providers, I want to help patients build that strong foundation.
![Photo of Judy Carol Edo - Jovin Healthcare and Behavioral Services, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/316c7254-8e47-48f5-846f-3977cf927e40/1/320x400.jpeg)
Jovin Healthcare and Behavioral Services
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Baton Rouge, LA 70806
Hello! I am a dedicated psychiatric nurse practitioner, committed to providing comprehensive and compassionate care to individuals struggling with mental and behavioral health challenges. At Jovin Healthcare and Behavioral services, I offer expertise in: bipolar disorder, schizophrenia, anxiety, depression, PTSD, insomnia, mood disorder, etc.
Hello! I am a dedicated psychiatric nurse practitioner, committed to providing comprehensive and compassionate care to individuals struggling with mental and behavioral health challenges. At Jovin Healthcare and Behavioral services, I offer expertise in: bipolar disorder, schizophrenia, anxiety, depression, PTSD, insomnia, mood disorder, etc.
![Photo of Yulanda Renee King - Hope Psychiatric Consultants, Yulanda, DNP, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/92086bf8-b01c-4dbe-9681-52db58660609/1/320x400.jpeg)
Hope Psychiatric Consultants
Psychiatric Nurse Practitioner, Yulanda, DNP, PMHNP
Verified Verified
1 Endorsed
Baton Rouge, LA 70805
From the moment I enrolled in Jacksonville State University where I eventually earned both my master’s and Doctorate of Nursing with a specialty in Adult Gerontology Acute Care to my travels to the University of Texas where I earned my specialty in Primary Mental Health Nurse Practitioner. As the proud owner of Hope Psychiatric Consultants. The “Hope” in Hope Psychiatric Consultants happily stands for “Handing Out Positive Energy.” I ideated and implemented this telehealth psych platform to give those in need the medical attention and listening ear they need for their mental health.
From the moment I enrolled in Jacksonville State University where I eventually earned both my master’s and Doctorate of Nursing with a specialty in Adult Gerontology Acute Care to my travels to the University of Texas where I earned my specialty in Primary Mental Health Nurse Practitioner. As the proud owner of Hope Psychiatric Consultants. The “Hope” in Hope Psychiatric Consultants happily stands for “Handing Out Positive Energy.” I ideated and implemented this telehealth psych platform to give those in need the medical attention and listening ear they need for their mental health.
![Photo of Brittany Johnson - Always Hope LLC, DNP, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/69722027-8c72-4d8c-bf28-08feddf4c53d/1/320x400.png)
Always Hope LLC
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
1 Endorsed
Baton Rouge, LA 70816
Brittany Johnson is a board certified psychiatric mental health nurse practitioner (PMHNP-BC), with a doctorate in nursing practice (DNP). She graduated with her BSN in 2013 from Louisiana State University Health Sciences Center in New Orleans. She gained her experience as a RN in a variety of settings including mental health. She later earned her DNP as an adult gerontology nurse practitioner (AGACNP) in 2019.
Brittany Johnson is a board certified psychiatric mental health nurse practitioner (PMHNP-BC), with a doctorate in nursing practice (DNP). She graduated with her BSN in 2013 from Louisiana State University Health Sciences Center in New Orleans. She gained her experience as a RN in a variety of settings including mental health. She later earned her DNP as an adult gerontology nurse practitioner (AGACNP) in 2019.
![Photo of Ellie Parrish - Always Hope LLC, APRN, PMHNPBC, FNP-C, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/5e16d792-82db-4c46-a156-7b4cd9619f63/1/320x400.jpeg)
Always Hope LLC
Psychiatric Nurse Practitioner, APRN, PMHNPBC, FNP-C
Verified Verified
1 Endorsed
Baton Rouge, LA 70816 (Online Only)
I am a Psychiatric Mental Health Nurse Practitioner board certified through American Nurses Credentialing Center. I am passionate about providing quality, compassionate, and comprehensive mental health services. I possess strong clinical skills enhanced by natural ability to build rapport with clients. I follow evidence-based guidelines blended with clinical experience, personal observation, and intuition. I see clients at 3 locations - Prairieville, Baton Rouge and our Metairie location.
I am a Psychiatric Mental Health Nurse Practitioner board certified through American Nurses Credentialing Center. I am passionate about providing quality, compassionate, and comprehensive mental health services. I possess strong clinical skills enhanced by natural ability to build rapport with clients. I follow evidence-based guidelines blended with clinical experience, personal observation, and intuition. I see clients at 3 locations - Prairieville, Baton Rouge and our Metairie location.
![Photo of Khristopher Fuselier, PMHNP, FNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/4daff225-178f-4b07-b00b-8fa21283a347/1/320x400.jpeg)
Khristopher Fuselier
Psychiatric Nurse Practitioner, PMHNP, FNP
Verified Verified
Baton Rouge, LA 70806
I am driven to provide the finest mental health treatment for my patients. I am accepting new patients for telehealth/phone call visits for Louisiana residents, or in-person visits. I am also currently able to get patients scheduled quickly. As a dual certified nurse practitioner, I offer the ability for the patient to get both their medical and psychiatric needs addressed and managed, and will be offering primary care option in the future.
I am driven to provide the finest mental health treatment for my patients. I am accepting new patients for telehealth/phone call visits for Louisiana residents, or in-person visits. I am also currently able to get patients scheduled quickly. As a dual certified nurse practitioner, I offer the ability for the patient to get both their medical and psychiatric needs addressed and managed, and will be offering primary care option in the future.
![Photo of Tina Malonson - Gulf Coast Behavioral Health, PMHNP-B, FNP-C, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/1dd840ec-a3b0-47e9-9279-e24e246cb1de/1/320x400.jpeg)
Gulf Coast Behavioral Health
Psychiatric Nurse Practitioner, PMHNP-B, FNP-C
Verified Verified
1 Endorsed
Baton Rouge, LA 70803
As a dedicated Psychiatric Mental Health Nurse Practitioner, I provide specialized care for various mental health challenges. With expertise in psychiatric assessment, diagnosis, therapy interventions, and medication management. My services are tailored to meet your unique needs, fostering a nurturing and empathetic environment where your
As a dedicated Psychiatric Mental Health Nurse Practitioner, I provide specialized care for various mental health challenges. With expertise in psychiatric assessment, diagnosis, therapy interventions, and medication management. My services are tailored to meet your unique needs, fostering a nurturing and empathetic environment where your
More Psychiatrists Nearby
![Photo of Felix Geller - Modern Psychiatry, MD, LCSW, LMFT, Psychiatrist](https://photos.psychologytoday.com/fbe60142-9036-4c7e-ba21-40af658b3b07/1/320x400.jpeg)
Now Accepting New Patients- - -Most Insurance Plans Accepted- - - We are a team of psychiatrists, psychiatric nurse practitioners, therapists, case managers and primary care physicians offering convenient and comprehensive mental health treatment across multiple states, both in-person and virtually. We specialize in treating a multitude of conditions therefore are able to match you with a provider best suited to meet your specific needs. Let us help you achieve a higher quality of life and overall sense of wellbeing. Contact us today!
Now Accepting New Patients- - -Most Insurance Plans Accepted- - - We are a team of psychiatrists, psychiatric nurse practitioners, therapists, case managers and primary care physicians offering convenient and comprehensive mental health treatment across multiple states, both in-person and virtually. We specialize in treating a multitude of conditions therefore are able to match you with a provider best suited to meet your specific needs. Let us help you achieve a higher quality of life and overall sense of wellbeing. Contact us today!
![Photo of Tina Duncan Malonson - Gulf Coast Behavioral Health, FNP-C, PMHNP-B, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/a2129a2c-2da9-4e53-b4b3-9441e8d68b8a/2/320x400.jpeg)
Gulf Coast Behavioral Health
Psychiatric Nurse Practitioner, FNP-C, PMHNP-B
Verified Verified
Hammond, LA 70401
At Gulf Coast Behavioral Health, we believe that mental health is just as important as physical health. We strive to provide our clients with the tools and support they need to achieve optimal mental wellness and lead fulfilling lives.
At Gulf Coast Behavioral Health, we believe that mental health is just as important as physical health. We strive to provide our clients with the tools and support they need to achieve optimal mental wellness and lead fulfilling lives.
Online Psychiatrists
![Photo of Latoya Mason - Always Hope LLC, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/bfddda9f-43d7-4a26-a008-3ae6379307d4/1/320x400.jpeg)
Always Hope LLC
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
2 Endorsed
Prairieville, LA 70769
My name is LaToya Mason, a passionate healthcare professional. Originating from the vibrant city of New Orleans, Louisiana, my academic journey led me to Dillard University, where I earned my Bachelor of Science degree in nursing. Over the span of a decade, the fast-paced world of the emergency room became my professional home.Here, amidst the chaos, I honed my skills and embraced the challenges that came with providing crucial healthcare services. The experiences in the emergency room not only sharpened my clinical expertise but also fueled my desire to delve deeper into mental health care.
My name is LaToya Mason, a passionate healthcare professional. Originating from the vibrant city of New Orleans, Louisiana, my academic journey led me to Dillard University, where I earned my Bachelor of Science degree in nursing. Over the span of a decade, the fast-paced world of the emergency room became my professional home.Here, amidst the chaos, I honed my skills and embraced the challenges that came with providing crucial healthcare services. The experiences in the emergency room not only sharpened my clinical expertise but also fueled my desire to delve deeper into mental health care.
![Photo of Michael Santone - Always Hope LLC, DNP, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/4ed4e8d1-e4ac-409a-a1d6-bf3ae7d725cf/1/320x400.jpeg)
Always Hope LLC
Psychiatric Nurse Practitioner, DNP, PMHNP
Verified Verified
1 Endorsed
Metairie, LA 70002
Michael D. Santone, DNP, APRN-BC is a nationally certified Psychiatric Nurse Practitioner. He is fully licensed by the Louisiana State Board of Nursing and fully credentialed by the American Nurses Credentialing Center (ANCC). Mike earned his Doctorate of Nursing Practice from Chatham University, Pittsburgh, PA., in 2010. D. Santone has over 25 years experience in behavioral health and chemical dependency. He works with the adult population 18-70 years old and treats all Mood and Thought Disorders. His experience involves private practice, inpatient and outpatient hospitalization, and correctional facilities.
Michael D. Santone, DNP, APRN-BC is a nationally certified Psychiatric Nurse Practitioner. He is fully licensed by the Louisiana State Board of Nursing and fully credentialed by the American Nurses Credentialing Center (ANCC). Mike earned his Doctorate of Nursing Practice from Chatham University, Pittsburgh, PA., in 2010. D. Santone has over 25 years experience in behavioral health and chemical dependency. He works with the adult population 18-70 years old and treats all Mood and Thought Disorders. His experience involves private practice, inpatient and outpatient hospitalization, and correctional facilities.
![Photo of Bryant Dronette, PMHNPBC, FNP-C, MBA, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/4d13621d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Bryant Dronette
Psychiatric Nurse Practitioner, PMHNPBC, FNP-C, MBA
Verified Verified
1 Endorsed
Lafayette, LA 70508
I am Board Certified Psychiatric and Mental Health and Family Practice Nurse Practitioner. I am a graduate of Vanderbilt University, Nashville, TN. I have 20+ years of patient care experience and with my extensive training and experience, I can close the gap between medical and psychiatric care, treating patients with psychiatric disorders across the lifespan and across practice settings, from hospitals to outpatient clinics. My humanistic holistic approach to care for both mind and body, allows me to give individualized, personalized, comprehensive care for my patients.
I am Board Certified Psychiatric and Mental Health and Family Practice Nurse Practitioner. I am a graduate of Vanderbilt University, Nashville, TN. I have 20+ years of patient care experience and with my extensive training and experience, I can close the gap between medical and psychiatric care, treating patients with psychiatric disorders across the lifespan and across practice settings, from hospitals to outpatient clinics. My humanistic holistic approach to care for both mind and body, allows me to give individualized, personalized, comprehensive care for my patients.
Alpha health services LLC
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
New Orleans, LA 70114 (Online Only)
At Alpha Health Services, we provide a wide range of mental health services to patients and families alike. We diagnose, conduct therapy, and prescribe medications for patients with psychiatric disorders, medical organic brain disorders or substance abuse problems. We provide emergency psychiatric services, psychosocial and physical assessment of patients, treatment plans, and manage patient care. Our focus is on psychiatric diagnosis, including the differential diagnosis of medical disorders with psychiatric symptoms, and medication treatment for psychiatric disorders.
At Alpha Health Services, we provide a wide range of mental health services to patients and families alike. We diagnose, conduct therapy, and prescribe medications for patients with psychiatric disorders, medical organic brain disorders or substance abuse problems. We provide emergency psychiatric services, psychosocial and physical assessment of patients, treatment plans, and manage patient care. Our focus is on psychiatric diagnosis, including the differential diagnosis of medical disorders with psychiatric symptoms, and medication treatment for psychiatric disorders.
![Photo of Laura Kight, PMHNP, BC, MBA, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/ad1f4b0b-992a-4306-a286-ba74325b262d/2/320x400.jpeg)
Laura Kight
Psychiatric Nurse Practitioner, PMHNP, BC, MBA
Verified Verified
31 Endorsed
Lafayette, LA 70506
Fast Appointments for Suboxone in 1 or 2 days: Just ASK! Are you ready for a better life? Addiction is Tough but Recovery is Possible! Medication-Assisted Treatment (MAT), such as Suboxone and Sublocade, are proven options for the treatment of opioid addiction. In-person or remote (online) visits. We treat Pain Pill Addiction and Opioid Addiction.
Fast Appointments for Suboxone in 1 or 2 days: Just ASK! Are you ready for a better life? Addiction is Tough but Recovery is Possible! Medication-Assisted Treatment (MAT), such as Suboxone and Sublocade, are proven options for the treatment of opioid addiction. In-person or remote (online) visits. We treat Pain Pill Addiction and Opioid Addiction.
![Photo of Ashley Navarre - Empowered Mind Solutions LLC, Ashley, Navarre, PMHNP, BC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/88924ba9-8a54-4613-98f5-9fc65ecafa55/1/320x400.jpeg)
Empowered Mind Solutions LLC
Psychiatric Nurse Practitioner, Ashley, Navarre, PMHNP, BC
Verified Verified
5 Endorsed
La Place, LA 70068
I am a board certified family psychiatric nurse practitioner that services clients across the life span inpatient and outpatient. I offer an integrative mind-body approach for comprehensive, compassionate psychiatric care. My goal is to promote psychological wellbeing. My philosophy is patient-centered, addressing the whole body, mind, social, and spiritual health and wellness. Providing thorough and thoughtful assessments are paramount in order to achieve effective, successful treatment and coordination of care. I work closely with my clients and their therapists to develop a treatment plan best suited to their lives and resources.
I am a board certified family psychiatric nurse practitioner that services clients across the life span inpatient and outpatient. I offer an integrative mind-body approach for comprehensive, compassionate psychiatric care. My goal is to promote psychological wellbeing. My philosophy is patient-centered, addressing the whole body, mind, social, and spiritual health and wellness. Providing thorough and thoughtful assessments are paramount in order to achieve effective, successful treatment and coordination of care. I work closely with my clients and their therapists to develop a treatment plan best suited to their lives and resources.
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Nearby Medicaid Psychiatrists Searches for Baton Rouge
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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 benefit plans that help defray the cost of couples therapy.
Learn more about Insurance Coverage and Finding Affordable Therapy
Learn more about Insurance Coverage and Finding Affordable Therapy