Cigna and Evernorth Psychiatrists in Garner, NC
![Photo of Brooke Dionne Walker, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/da125778-7536-42e2-b9c5-57dcf5f88557/1/320x400.jpeg)
Brooke Dionne Walker
Psychiatric Nurse Practitioner, PMHNP
Verified Verified
1 Endorsed
Garner, NC 27529 (Online Only)
Hello, I am a board-certified Psychiatric Nurse Practitioner with over 10 years of experience in correctional and mental health nursing as a Registered Nurse. I am passionate about serving those with mental health needs and reducing the stigma associated with mental health, as mental health affects us all either directly or indirectly. We seek dental care for our teeth, dermatological services for our skin, so why is there shame/embarrassment placed on obtaining routine care and maintenance on the most important and complex organ in our bodies...the brain?
Hello, I am a board-certified Psychiatric Nurse Practitioner with over 10 years of experience in correctional and mental health nursing as a Registered Nurse. I am passionate about serving those with mental health needs and reducing the stigma associated with mental health, as mental health affects us all either directly or indirectly. We seek dental care for our teeth, dermatological services for our skin, so why is there shame/embarrassment placed on obtaining routine care and maintenance on the most important and complex organ in our bodies...the brain?
![Photo of Sheila Marano, MSN, FNP-C, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/20a8e1fa-f799-47d5-b030-f6d7c5b873d8/1/320x400.png)
Sheila Marano
Psychiatric Nurse Practitioner, MSN, FNP-C, PMHNP
Verified Verified
1 Endorsed
Garner, NC 27529 (Online Only)
The journey towards mental health and wellness is a marathon and not a race. As a dually certified Psychiatric Nurse Practitioner and Family Nurse Practitioner, the foundation of my training is seeing and treating the person holistically. My goal is to partner with each individual client to foster the highest quality of life which is sustainable over time. Most clients benefit from a combination of medication management and brief psychotherapy.
The journey towards mental health and wellness is a marathon and not a race. As a dually certified Psychiatric Nurse Practitioner and Family Nurse Practitioner, the foundation of my training is seeing and treating the person holistically. My goal is to partner with each individual client to foster the highest quality of life which is sustainable over time. Most clients benefit from a combination of medication management and brief psychotherapy.
![Photo of Amy K Tracy, DNP, PMHNP, BC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/010b0295-d597-449b-a8c3-d383f3a92a32/3/320x400.jpeg)
Amy K Tracy
Psychiatric Nurse Practitioner, DNP, PMHNP, BC
Verified Verified
1 Endorsed
Garner, NC 27529
New appointments can be booked online at www.swiftcreekmhs.com. I provide holistic and individual care to people with mental health concerns. My experience ranges from mild to severe mental illness in the areas of depression, anxiety, bipolar disorder, schizophrenia, autism spectrum disorder, ADHD, and adjustment disorders. I see children and adults. I have worked in mental health since 2007, in all levels of care, residential, out patient, intensive outpatient and inpatient. I began treating patients as an APRN in 2015. Not In Network with Medicaid!
New appointments can be booked online at www.swiftcreekmhs.com. I provide holistic and individual care to people with mental health concerns. My experience ranges from mild to severe mental illness in the areas of depression, anxiety, bipolar disorder, schizophrenia, autism spectrum disorder, ADHD, and adjustment disorders. I see children and adults. I have worked in mental health since 2007, in all levels of care, residential, out patient, intensive outpatient and inpatient. I began treating patients as an APRN in 2015. Not In Network with Medicaid!
![Photo of Dr. Lindsey Renee Goldberg, DNP, MSN-Ed, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/2200a748-8b73-4f39-aa6b-d8b796ea85f6/1/320x400.jpeg)
Dr. Lindsey Renee Goldberg
Psychiatric Nurse Practitioner, DNP, MSN-Ed, PMHNP
Verified Verified
1 Endorsed
Garner, NC 27529 (Online Only)
I focus on mindfulness, lifestyle, nutrition, spiritual and natural methods, as well as medication management. The foundation matters I take my time, and with that, I get to know my clients and our safe space emerges. I have training in working with all ages, predominantly 14-95, any gender, sexuality, polyamorous or open relationships, sex work/er. pregnancy, birth, postpartum, abuse (sexual, physical, emotional), trauma, body image, PTSD, grief & loss, anxiety, depressive disorders, bipolarity/mood, neurodivergent disorders, personality, and anyone in recovery (or guests to listen).
I focus on mindfulness, lifestyle, nutrition, spiritual and natural methods, as well as medication management. The foundation matters I take my time, and with that, I get to know my clients and our safe space emerges. I have training in working with all ages, predominantly 14-95, any gender, sexuality, polyamorous or open relationships, sex work/er. pregnancy, birth, postpartum, abuse (sexual, physical, emotional), trauma, body image, PTSD, grief & loss, anxiety, depressive disorders, bipolarity/mood, neurodivergent disorders, personality, and anyone in recovery (or guests to listen).
More Psychiatrists Nearby
![Photo of Robin Trivette, PMHNPBC, MSN-Ed, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/1a31d1bd-a20a-41ed-9c1d-3eb500291fb5/2/320x400.png)
Accepting New Clients: Are you seeking a more personalized approach to your mental health care? At my practice, I prioritize listening to your concerns and actively involving you in your treatment plan. Combining medication management with therapy, I ensure you receive thorough education and consistent follow-up. With expertise in mood disorders, anxiety, trauma, OCD, personality disorders, substance abuse, and ADHD. I offer a holistic approach to your mental health. Experience a different kind of care where your well-being is at the forefront.
Accepting New Clients: Are you seeking a more personalized approach to your mental health care? At my practice, I prioritize listening to your concerns and actively involving you in your treatment plan. Combining medication management with therapy, I ensure you receive thorough education and consistent follow-up. With expertise in mood disorders, anxiety, trauma, OCD, personality disorders, substance abuse, and ADHD. I offer a holistic approach to your mental health. Experience a different kind of care where your well-being is at the forefront.
![Photo of Dolapo F Opebiyi - Oasis Wellness and Behavioral Center, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/9f79e030-c728-4f91-8c4a-05a2b0b38cf5/2/320x400.jpeg)
Oasis Wellness and Behavioral Center
Psychiatric Nurse Practitioner, PMHNPBC
Verified Verified
2 Endorsed
Raleigh, NC 27606
Joy has worked for 12 years as Psychiatric Nurse with all ages and in different settings. These include inpatient, community, nursing home and group home settings. Joy also worked outpatient providing psychotherapy for patients with drug use and addiction. Joy is a culturally sensitive provider, a good listener, empathetic and always ready to help.
Joy has worked for 12 years as Psychiatric Nurse with all ages and in different settings. These include inpatient, community, nursing home and group home settings. Joy also worked outpatient providing psychotherapy for patients with drug use and addiction. Joy is a culturally sensitive provider, a good listener, empathetic and always ready to help.
![Photo of Meredith Rappaport, PA, Physician Assistant](https://photos.psychologytoday.com/535ce393-0b22-44b9-a23e-23124daf5ef8/2/320x400.jpeg)
Meredith Rappaport
Physician Assistant, PA
Verified Verified
1 Endorsed
Raleigh, NC 27610 (Online Only)
I feel incredibly fortunate to contribute to the mental health field, where prioritizing mental well-being is neither shameful nor taboo. Our bodies inherently safeguard our most crucial organ: the brain. It serves as the powerhouse for the entire body, and its well-being is as vital as that of our heart, pancreas, or lungs. My journey in the mental health field began as a social worker and psychotherapist. Over time, I evolved into a physician assistant, equipped to prescribe medications and offer comprehensive medical care. To enhance my capabilities, I pursued and attained additional certification in psychiatry
I feel incredibly fortunate to contribute to the mental health field, where prioritizing mental well-being is neither shameful nor taboo. Our bodies inherently safeguard our most crucial organ: the brain. It serves as the powerhouse for the entire body, and its well-being is as vital as that of our heart, pancreas, or lungs. My journey in the mental health field began as a social worker and psychotherapist. Over time, I evolved into a physician assistant, equipped to prescribe medications and offer comprehensive medical care. To enhance my capabilities, I pursued and attained additional certification in psychiatry
![Photo of Mariah Hazen, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/455abe47-0adb-42fd-b762-7ad79e8b51ea/1/320x400.jpeg)
Please EMAIL for faster response. Mariah Hazen is a Board-Certified Psychiatric Nurse Practitioner trained to evaluate, diagnose, and treat patients across the lifespan. Her integrative approach to treatment allows her to deliver care that is holistic and patient-centered. She has over 18+ years in the nursing field and has a special interest in treating bipolar disorders in addition to depression, anxiety, and PTSD symptoms. She works closely with her clients during their treatment and provides plans tailored to fit their needs.
Please EMAIL for faster response. Mariah Hazen is a Board-Certified Psychiatric Nurse Practitioner trained to evaluate, diagnose, and treat patients across the lifespan. Her integrative approach to treatment allows her to deliver care that is holistic and patient-centered. She has over 18+ years in the nursing field and has a special interest in treating bipolar disorders in addition to depression, anxiety, and PTSD symptoms. She works closely with her clients during their treatment and provides plans tailored to fit their needs.
![Photo of Nicole Brooker, PMHNP-B, AGPCNP, BSN, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/e678451c-b182-4bc4-8687-63fcd61b9b66/2/320x400.png)
Nicole Brooker
Psychiatric Nurse Practitioner, PMHNP-B, AGPCNP, BSN
Verified Verified
Knightdale, NC 27545
Journeys in Mental Health & Wellness is an outpatient mental health and addiction clinic. Our mission is to provide high quality mental health services to our patients by using evidence-based treatments combined with compassionate, person-centered care. Our patients and families learn to manage their symptoms, beat their addiction and gain a better quality of life.
Journeys in Mental Health & Wellness is an outpatient mental health and addiction clinic. Our mission is to provide high quality mental health services to our patients by using evidence-based treatments combined with compassionate, person-centered care. Our patients and families learn to manage their symptoms, beat their addiction and gain a better quality of life.
![Photo of Akelah Woody - Akelah With Wellness In Motion 4 Life!, PMHNP-C, FNP-BC , Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/fafdec32-8115-4ba1-9a9b-4107cc09aec4/5/320x400.jpeg)
Akelah With Wellness In Motion 4 Life!
Psychiatric Nurse Practitioner, PMHNP-C, FNP-BC
Verified Verified
Raleigh, NC 27602
You Were Born To Win! Serving ages 15 years old and up, I specialize in Medication Management along with Brief Therapeutic Counseling for a wide range of mental health/psychiatric disorders. I have diverse knowledge in the treatment of Anxiety, Depression, Bipolar disorder, and ADHD. I believe an individual cannot focus on improving their Physical Wellbeing without first becoming Strong Mentally! Having worked as a Family Nurse Practitioner first, I have tremendous appreciation for individuals striving towards Lifelong Wellness In ALL They Do! Allow me the privilege to meet, partner with, and to support you and your family!
You Were Born To Win! Serving ages 15 years old and up, I specialize in Medication Management along with Brief Therapeutic Counseling for a wide range of mental health/psychiatric disorders. I have diverse knowledge in the treatment of Anxiety, Depression, Bipolar disorder, and ADHD. I believe an individual cannot focus on improving their Physical Wellbeing without first becoming Strong Mentally! Having worked as a Family Nurse Practitioner first, I have tremendous appreciation for individuals striving towards Lifelong Wellness In ALL They Do! Allow me the privilege to meet, partner with, and to support you and your family!
![Photo of Luke Romanow, MD, Psychiatrist](https://photos.psychologytoday.com/03f1af69-2b25-46d0-8940-7a6f9c969264/1/320x400.jpeg)
Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry.He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training.After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia.
Dr. Romanow is double board-certified in Adult Psychiatry and Forensic Psychiatry.He graduated summa cum laude from the University of Pittsburgh with a Bachelor of Science degree in Sports Medicine/Athletic Training and then attended Drexel University College of Medicine. After medical school, he completed his residency in Adult Psychiatry at the University of Virginia, where he obtained a certificate in additional psychotherapy training.After residency, Dr. Romanow completed a fellowship in Forensic Psychiatry at the University of Virginia.
![Photo of Leistey Tindall, RN, MSN, FNP-BC, PMHNP-, BC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/95a4136b-7ddd-48a3-a545-a007629b4d14/2/320x400.jpeg)
Leistey Tindall
Psychiatric Nurse Practitioner, RN, MSN, FNP-BC, PMHNP-, BC
Verified Verified
Raleigh, NC 27603 (Online Only)
Mind & Body Wellness is a premier Mental Health Practice headquartered in Rockingham, North Carolina. Serving all of North Carolina, including Raleigh, Durham, Charlotte, Mecklenburg and surrounding areas. We also offer telemedicine in the state of Florida. All appointments are held virtually and our focus is on your journey in building and managing a healthier you. As a dual Board Certified Nurse Practitioner specializing in Psychiatric Mental Health and Primary Care I am compassionate about the individual needs of each patient and together we will design a customized and comprehensive care plan for your continued care.
Mind & Body Wellness is a premier Mental Health Practice headquartered in Rockingham, North Carolina. Serving all of North Carolina, including Raleigh, Durham, Charlotte, Mecklenburg and surrounding areas. We also offer telemedicine in the state of Florida. All appointments are held virtually and our focus is on your journey in building and managing a healthier you. As a dual Board Certified Nurse Practitioner specializing in Psychiatric Mental Health and Primary Care I am compassionate about the individual needs of each patient and together we will design a customized and comprehensive care plan for your continued care.
![Photo of Tabitha Bowman, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/1a10df79-d646-4815-ae5d-4aa6b1d9b3b1/3/320x400.jpeg)
Tabitha Bowman
Psychiatric Nurse Practitioner
Verified Verified
1 Endorsed
Raleigh, NC 27602 (Online Only)
As a board-certified Psychiatric Nurse Practitioner, I approach care with a holistic approach. I am dedicated to providing compassionate, individualized care across the lifespan. My practice focuses on supporting the mental health of adults, adolescents, and seniors, with specialized expertise in perinatal psychiatry. Together, we will work to create a treatment plan that meets your unique needs, empowering you on your journey toward mental wellness.
As a board-certified Psychiatric Nurse Practitioner, I approach care with a holistic approach. I am dedicated to providing compassionate, individualized care across the lifespan. My practice focuses on supporting the mental health of adults, adolescents, and seniors, with specialized expertise in perinatal psychiatry. Together, we will work to create a treatment plan that meets your unique needs, empowering you on your journey toward mental wellness.
![Photo of Stephanie Price, DO, Psychiatrist](https://photos.psychologytoday.com/22bff30c-ae37-4510-b69b-66bbe8346568/1/320x400.jpeg)
Dr. Stephanie Price is a board-certified psychiatrist. Her practice focuses on medication management and supportive therapy. She believes in a collaborative approach to treatment planning because shared decision-making helps provide the best outcome for patients. She went to college at the University of Rochester in Rochester, NY and received her degree in Microbiology. She completed her medical education at Edward Via College of Osteopathic Medicine in Spartanburg, SC, and completed her residency training at Creighton University School of Medicine-Valleywise Health in Phoenix, AZ.
Dr. Stephanie Price is a board-certified psychiatrist. Her practice focuses on medication management and supportive therapy. She believes in a collaborative approach to treatment planning because shared decision-making helps provide the best outcome for patients. She went to college at the University of Rochester in Rochester, NY and received her degree in Microbiology. She completed her medical education at Edward Via College of Osteopathic Medicine in Spartanburg, SC, and completed her residency training at Creighton University School of Medicine-Valleywise Health in Phoenix, AZ.
![Photo of Adrienne Emery Ramirez, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/de4c3c6a-0931-4260-bc62-8a2b8125a387/1/320x400.jpeg)
Have you been neglecting your mental health needs? Do you feel that there is some aspect of your mental health and life goals that you could improve upon? You are not alone! I have experience working with individuals across the lifespan. I work with various diagnosis including major depressive disorder, generalized anxiety, social anxiety, ADHD, bipolar disorder, OCD, and adjustment disorders. Together we will tailor your care plan to address the areas of your life you consider to be most important. I find it best to use a combination of medication management, CBT, coaching, and mindfulness therapies to help you reach your goals.
Have you been neglecting your mental health needs? Do you feel that there is some aspect of your mental health and life goals that you could improve upon? You are not alone! I have experience working with individuals across the lifespan. I work with various diagnosis including major depressive disorder, generalized anxiety, social anxiety, ADHD, bipolar disorder, OCD, and adjustment disorders. Together we will tailor your care plan to address the areas of your life you consider to be most important. I find it best to use a combination of medication management, CBT, coaching, and mindfulness therapies to help you reach your goals.
![Photo of Dr. Ami Pearse, DNP, APRN, PMHNPBC, FNP-BC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/67600a21-4586-4bd0-815a-d11ce3763b23/1/320x400.jpeg)
Dr. Ami Pearse
Psychiatric Nurse Practitioner, DNP, APRN, PMHNPBC, FNP-BC
Verified Verified
Raleigh, NC 27603
“As the influence behind Peace of Mind Center, PLLC, I bring a wealth of experience and expertise honed over a diverse career in healthcare. From a solid foundation built on 20 years of critical care nursing, I’ve more than 30 years of dedicated service allowing me to possess a unique perspective that informs my approach to psychiatry. My journey as a psychiatric provider has been shaped by profound understandings of the human experience, from the ICU and ER settings to complexities of mental health. This background equips me with invaluable insights into the interconnectedness of physical and mental wellness to offer holistic care.
“As the influence behind Peace of Mind Center, PLLC, I bring a wealth of experience and expertise honed over a diverse career in healthcare. From a solid foundation built on 20 years of critical care nursing, I’ve more than 30 years of dedicated service allowing me to possess a unique perspective that informs my approach to psychiatry. My journey as a psychiatric provider has been shaped by profound understandings of the human experience, from the ICU and ER settings to complexities of mental health. This background equips me with invaluable insights into the interconnectedness of physical and mental wellness to offer holistic care.
![Photo of Shari Sengupta, MD, Psychiatrist](https://photos.psychologytoday.com/aa5d8597-efc3-4221-8dfb-0afd34c69480/2/320x400.jpeg)
Dr. Shari Sengupta attended the University of OK as a National Merit Scholar and went on to graduate from from Eastern Virginia Medical School. She specialized in Adult Psychiatry at the University of NC Hospitals where she was a chief resident. She received psychotherapy training in insight-oriented and cognitive-behavioral approaches and trained at the Psychoanalytic Institute of the Carolinas. She has 18 years of experience providing medication management and psychotherapy in both private practice and community mental health settings and over 10 years of experience in telepsychiatry providing care to underserved communities.
Dr. Shari Sengupta attended the University of OK as a National Merit Scholar and went on to graduate from from Eastern Virginia Medical School. She specialized in Adult Psychiatry at the University of NC Hospitals where she was a chief resident. She received psychotherapy training in insight-oriented and cognitive-behavioral approaches and trained at the Psychoanalytic Institute of the Carolinas. She has 18 years of experience providing medication management and psychotherapy in both private practice and community mental health settings and over 10 years of experience in telepsychiatry providing care to underserved communities.
![Photo of Lori Jackson-Bogle - Cornerstone Behavioral Health, PA-C, Physician Assistant](https://photos.psychologytoday.com/ac6bf992-5e37-4026-9794-682b0627cd38/2/320x400.jpeg)
Welcome, and thank you for considering me as a partner in your mental health journey. My name is Lori Jackson-Bogle PA-C and I am a dedicated Physician Associate with 11 years experience in psychiatry, committed to providing compassionate, personalized care tailored to your unique needs. In my practice, I believe that understanding and empathy are the cornerstones of effective mental health treatment. I strive to create a safe, non-judgmental space where you feel heard, valued, and supported.
Welcome, and thank you for considering me as a partner in your mental health journey. My name is Lori Jackson-Bogle PA-C and I am a dedicated Physician Associate with 11 years experience in psychiatry, committed to providing compassionate, personalized care tailored to your unique needs. In my practice, I believe that understanding and empathy are the cornerstones of effective mental health treatment. I strive to create a safe, non-judgmental space where you feel heard, valued, and supported.
![Photo of Savitha R Upadhya - Alpha Psychiatric Associates PLLC, MD, Psychiatrist](https://photos.psychologytoday.com/3cf82819-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am a Board Certified Psychiatrist practicing in Cary area since 2008. I focus on comprehensive, thoughtful, and coordinated approach to understanding and solving emotional problems helping you and your loved ones achieve a healthier life. I work with your primary care physicians to attain overall improvement of your health. My specialties include treatment of symptoms such as depression, mood disorders, ADHD/OCD/PTSD, Post-partum Depression, anxiety.
I am a Board Certified Psychiatrist practicing in Cary area since 2008. I focus on comprehensive, thoughtful, and coordinated approach to understanding and solving emotional problems helping you and your loved ones achieve a healthier life. I work with your primary care physicians to attain overall improvement of your health. My specialties include treatment of symptoms such as depression, mood disorders, ADHD/OCD/PTSD, Post-partum Depression, anxiety.
![Photo of Katasha Jarrin, PMHNP-C, FNP-C, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/81ec93e3-4a5f-41ad-947e-e456f97145f7/1/320x400.jpeg)
Katasha Jarrin
Psychiatric Nurse Practitioner, PMHNP-C, FNP-C
Verified Verified
1 Endorsed
Raleigh, NC 27601
Hello, I am Katasha, a dedicated and compassionate Mental Health and Family Nurse Practitioner. Are you looking for a Mental Health Provider that is culturally understanding, and convenient to meet with? I have a profound passion for mental health care, and I have devoted my career to helping individuals regain control of their lives through personalized medication management solutions. I bring extensive experience in assessing, diagnosing, and tailoring treatment plans to suit each client's unique needs. My approach is rooted in empathy, active listening, and a commitment to fostering a safe and non-judgmental environment.
Hello, I am Katasha, a dedicated and compassionate Mental Health and Family Nurse Practitioner. Are you looking for a Mental Health Provider that is culturally understanding, and convenient to meet with? I have a profound passion for mental health care, and I have devoted my career to helping individuals regain control of their lives through personalized medication management solutions. I bring extensive experience in assessing, diagnosing, and tailoring treatment plans to suit each client's unique needs. My approach is rooted in empathy, active listening, and a commitment to fostering a safe and non-judgmental environment.
See more therapy options for Garner
Nearby Cigna and Evernorth Psychiatrists Searches for Garner
See More Cigna and Evernorth PsychiatristsCigna and Evernorth 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