Cigna and Evernorth Treatment Centers in Centennial, CO

Photo of Michelle Lefco Or Alyce Duckworth - Creekside Collaborative Therapy, Treatment Center
Creekside Collaborative Therapy
Treatment Center
Verified Verified
Centennial, CO 80111
Creekside Collaborative Therapy, PLLC, is a network of clinicians in private practice who specialize in trauma and complex mental health issues. Our therapists and prescribers share a common vision of providing quality mental health services which are trauma-informed and based on interventions that have been proven to be effective. We are experienced clinicians with a variety of specialties. Because of this, we are able to find the right provider for each client based on his or her individual needs. Our clinicians have long standing connections to the community and we believe in the power of partnership and collaboration.
Creekside Collaborative Therapy, PLLC, is a network of clinicians in private practice who specialize in trauma and complex mental health issues. Our therapists and prescribers share a common vision of providing quality mental health services which are trauma-informed and based on interventions that have been proven to be effective. We are experienced clinicians with a variety of specialties. Because of this, we are able to find the right provider for each client based on his or her individual needs. Our clinicians have long standing connections to the community and we believe in the power of partnership and collaboration.
(303) 872-0997 View (303) 872-0997
Photo of Denver Springs - Denver Springs, Treatment Center
Denver Springs
Treatment Center
Verified Verified
Centennial, CO 80015
Denver Springs is a leading provider of high-quality behavioral healthcare services. Our engaged and mission-driven team is dedicated to Changing People's Lives through a patient-centric approach to delivering superior outcomes. Our state-of-the-art facilities provide compassionate treatment of mental illness and addiction, offering a broad scope of inpatient services for our diverse patient population. We also offer high-quality outpatient treatment programs at our Englewood, Parker, and Westminster locations.
Denver Springs is a leading provider of high-quality behavioral healthcare services. Our engaged and mission-driven team is dedicated to Changing People's Lives through a patient-centric approach to delivering superior outcomes. Our state-of-the-art facilities provide compassionate treatment of mental illness and addiction, offering a broad scope of inpatient services for our diverse patient population. We also offer high-quality outpatient treatment programs at our Englewood, Parker, and Westminster locations.
(720) 669-0408 View (720) 669-0408
Photo of Our Addmissions Team - EDCare Denver, Treatment Center
EDCare Denver
Treatment Center
Verified Verified
Centennial, CO 80015
With over 23 years of experience, EDCare has become one of the nation's foremost centers for the diagnosis and treatment of eating disorders. We understand how difficult and scary the journey to recovery can be and believe the more support an individual has, the better. EDCare is committed to empowering individuals, ages 13 and older, to let go of their eating disorder identity by teaching the necessary tools to make healthy, long-lasting changes. By matching the skills, passion, and excellence of our interdisciplinary team with the specific needs of each patient, we strive to create an environment where both patients and staff are able to celebrate successful eating disorder recovery.
With over 23 years of experience, EDCare has become one of the nation's foremost centers for the diagnosis and treatment of eating disorders. We understand how difficult and scary the journey to recovery can be and believe the more support an individual has, the better. EDCare is committed to empowering individuals, ages 13 and older, to let go of their eating disorder identity by teaching the necessary tools to make healthy, long-lasting changes. By matching the skills, passion, and excellence of our interdisciplinary team with the specific needs of each patient, we strive to create an environment where both patients and staff are able to celebrate successful eating disorder recovery.
(720) 575-2259 View (720) 575-2259
Photo of Sandstone Care - Sandstone Care Teen & Young Adult Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A, Treatment Center
Sandstone Care Teen & Young Adult Treatment Center
Treatment Center
Verified Verified
Centennial, CO 80122
Sandstone Care provides substance use, addiction, and mental health treatment for young adults (ages 18 to 30) and adolescents (ages 13 to 18) including Residential Treatment, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming.
Sandstone Care provides substance use, addiction, and mental health treatment for young adults (ages 18 to 30) and adolescents (ages 13 to 18) including Residential Treatment, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming.
(720) 410-6246 View (720) 410-6246
Photo of Admissions Team - Embark Behavioral Health , Treatment Center
Embark Behavioral Health
Treatment Center
Verified Verified
Centennial, CO 80015
Embark Behavioral Health is a leading network of exceptional treatment and therapy programs across the United States. We specialize in helping adolescents, teens, and young adults struggling with anxiety, depression, and other mental health and substance abuse issues. Our programs include virtual IOPs, outpatient clinics that offer intensive outpatient programs (IOPs) and therapeutic day treatment programs, also known as a partial hospitalization program (PHPs), outdoor therapy, residential treatment centers, therapeutic boarding schools, and young adult transitional living options.
Embark Behavioral Health is a leading network of exceptional treatment and therapy programs across the United States. We specialize in helping adolescents, teens, and young adults struggling with anxiety, depression, and other mental health and substance abuse issues. Our programs include virtual IOPs, outpatient clinics that offer intensive outpatient programs (IOPs) and therapeutic day treatment programs, also known as a partial hospitalization program (PHPs), outdoor therapy, residential treatment centers, therapeutic boarding schools, and young adult transitional living options.
(720) 386-4937 View (720) 386-4937
Photo of Brice Hancock - Mile High Recovery Center, Treatment Center
Mile High Recovery Center
Treatment Center
Verified Verified
Centennial, CO 80122
At Mile High Recovery, we work with an individual until they are whole. Our levels of care range from residential to sober living and everything in between. We employ evidence-based clinical therapeutic approaches with holistic therapies to address the client’s body, mind, and spirit. We offer a multi-phase extended treatment options: Residential - 24/7 highly structured care with therapeutic activities most hours of the day Partial hospitalization program (PHP)–intensive, five days a week, with high accountability Intensive outpatient program (IOP)–less intense than PHP, with an expectation of reintegrating into the surrounding community while still receiving regular support Sober living or recovery housing–we started with sober living and know the value of a safe and supportive living environment conducive to recovery. Each of these treatment regimens will be tailored to your individual needs. At Mile High Recovery, we understand that addiction is different for everyone, and there is no one-size-fits-all. We believe that a long-term approach with a personalized treatment plan and community support is the best recipe for success.
At Mile High Recovery, we work with an individual until they are whole. Our levels of care range from residential to sober living and everything in between. We employ evidence-based clinical therapeutic approaches with holistic therapies to address the client’s body, mind, and spirit. We offer a multi-phase extended treatment options: Residential - 24/7 highly structured care with therapeutic activities most hours of the day Partial hospitalization program (PHP)–intensive, five days a week, with high accountability Intensive outpatient program (IOP)–less intense than PHP, with an expectation of reintegrating into the surrounding community while still receiving regular support Sober living or recovery housing–we started with sober living and know the value of a safe and supportive living environment conducive to recovery. Each of these treatment regimens will be tailored to your individual needs. At Mile High Recovery, we understand that addiction is different for everyone, and there is no one-size-fits-all. We believe that a long-term approach with a personalized treatment plan and community support is the best recipe for success.
(720) 728-0606 View (720) 728-0606
Photo of Keenan Van De Boogaard - NorthStar Transitions, Treatment Center
NorthStar Transitions
Treatment Center
Verified Verified
Centennial, CO 80015
NorthStar Transitions is a Joint Commission accredited facility that provides licensed drug and alcohol treatment for adults 18 and over. Our offerings include a full continuum of outpatient services such as Day Treatment (PHP) and Intensive Outpatient (IOP) programs. We accommodate a diverse client base through in-person (Boulder) and virtual formats, and we are in-network with a wide range of insurers, including Aetna, Anthem BCBS, Beacon, Cigna, Compsych, Humana, Kaiser Permanente, Mines and Associates, Multiplan, Optum (United Healthcare/UMR), Poudre Valley School District, Rocky Mountain Health Plan, TriCare TriWest (VA), TRU Pace, and UCHealth Employee Plan. Designed to integrate with clients’ daily lives, our programs allow participants to continue working or attending school while receiving treatment. To support recovery, clients undergo routine urine drug screens 2-3 times per week. Contact us for insurance verification and to learn more about how we can meet your needs!
NorthStar Transitions is a Joint Commission accredited facility that provides licensed drug and alcohol treatment for adults 18 and over. Our offerings include a full continuum of outpatient services such as Day Treatment (PHP) and Intensive Outpatient (IOP) programs. We accommodate a diverse client base through in-person (Boulder) and virtual formats, and we are in-network with a wide range of insurers, including Aetna, Anthem BCBS, Beacon, Cigna, Compsych, Humana, Kaiser Permanente, Mines and Associates, Multiplan, Optum (United Healthcare/UMR), Poudre Valley School District, Rocky Mountain Health Plan, TriCare TriWest (VA), TRU Pace, and UCHealth Employee Plan. Designed to integrate with clients’ daily lives, our programs allow participants to continue working or attending school while receiving treatment. To support recovery, clients undergo routine urine drug screens 2-3 times per week. Contact us for insurance verification and to learn more about how we can meet your needs!
(888) 988-5182 View (888) 988-5182
Photo of Robert J Johnson - A New Outlook Recovery Services, SAP, MAC, LAC, Treatment Center
A New Outlook Recovery Services
Treatment Center
Verified Verified
Centennial, CO 80112
A New Outlook Recovery Services is proud to offer Intensive Outpatient Programs (IOP) for both Substance Use Disorder and Mental Health Disorder patients. We also our offer a Partial Hospitalization Program (PHP) Day Treatment program. These programs are administered independently of each other, and our clinicians can customize a treatment plan based on each client’s needs.
A New Outlook Recovery Services is proud to offer Intensive Outpatient Programs (IOP) for both Substance Use Disorder and Mental Health Disorder patients. We also our offer a Partial Hospitalization Program (PHP) Day Treatment program. These programs are administered independently of each other, and our clinicians can customize a treatment plan based on each client’s needs.
(720) 594-6929 View (720) 594-6929
Photo of Alexa Hudmon - Denver Women's Recovery, Treatment Center
Denver Women's Recovery
Treatment Center
Verified Verified
Centennial, CO 80015
Denver Women's Recovery (DWR) provides a quality, clinically savvy, trauma-integrated Intensive Outpatient Program. We provide comprehensive services to allow you to meet your treatment goals while also continuing to work, take care of children, and/or other responsibilities. Our goal is to assist you in discovering alternative solutions for coping with life (trauma, depression, anxiety, etc) rather than through the use of mind-altering substances.
Denver Women's Recovery (DWR) provides a quality, clinically savvy, trauma-integrated Intensive Outpatient Program. We provide comprehensive services to allow you to meet your treatment goals while also continuing to work, take care of children, and/or other responsibilities. Our goal is to assist you in discovering alternative solutions for coping with life (trauma, depression, anxiety, etc) rather than through the use of mind-altering substances.
(844) 432-0510 View (844) 432-0510
Photo of Revive Health And Recovery - Revive Health and Recovery, Treatment Center
Revive Health and Recovery
Treatment Center
Verified Verified
Centennial, CO 80111
Medicaid Accepted! Easy Access to Public Transport! Revive Health and Recovery is here to support you during your toughest times. We are an accredited intensive mental health, alcohol, and drug outpatient facility offering individualized counseling and intensive outpatient programs. Our services cover primary mental health, substance use, and co-occurring disorders. At Revive Health and Recovery, we know that everyone's journey to recovery is unique. That's why we create customized treatment programs tailored to your specific needs, ensuring you get the best possible care. We are conveniently located in the Denver Metro area, just 100 feet from public RTD transport, making it easy for you to reach us. For those in remote areas of Colorado, we also offer virtual care options, so help is always within reach. Whether you need in-person or online support, Revive Health and Recovery is committed to helping you heal and recover.
Medicaid Accepted! Easy Access to Public Transport! Revive Health and Recovery is here to support you during your toughest times. We are an accredited intensive mental health, alcohol, and drug outpatient facility offering individualized counseling and intensive outpatient programs. Our services cover primary mental health, substance use, and co-occurring disorders. At Revive Health and Recovery, we know that everyone's journey to recovery is unique. That's why we create customized treatment programs tailored to your specific needs, ensuring you get the best possible care. We are conveniently located in the Denver Metro area, just 100 feet from public RTD transport, making it easy for you to reach us. For those in remote areas of Colorado, we also offer virtual care options, so help is always within reach. Whether you need in-person or online support, Revive Health and Recovery is committed to helping you heal and recover.
(720) 902-7395 View (720) 902-7395
Photo of Eating Recovery Center Colorado - Eating Recovery Center Colorado, Treatment Center
Eating Recovery Center Colorado
Treatment Center
Verified Verified
Centennial, CO 80015
Eating Recovery Center is the only national healthcare system dedicated to providing the best-in-class treatment for individuals and families struggling with serious eating disorders. Led by the world's leading experts in eating disorder treatment, Eating Recovery Center provides a full spectrum of eating disorder recovery services for patients at every stage of the illness through an unmatched network of 24 locations in seven states.
Eating Recovery Center is the only national healthcare system dedicated to providing the best-in-class treatment for individuals and families struggling with serious eating disorders. Led by the world's leading experts in eating disorder treatment, Eating Recovery Center provides a full spectrum of eating disorder recovery services for patients at every stage of the illness through an unmatched network of 24 locations in seven states.
(855) 305-0157 View (855) 305-0157
Photo of Eric Lapp - The Ranch at The Raleigh House, Treatment Center
The Ranch at The Raleigh House
Treatment Center
Verified Verified
Centennial, CO 80015
At The Raleigh House, our priority is the needs of our clients. Our clinical staff provides a high level of quality care with a client-focused approach. Our treatment philosophy encourages, motivates and supports clients in exploring their strengths and limitations to begin the healing process from addiction, trauma and other co-occurring disorders. Located in our beautiful ranch just 15 minutes from Denver, Colorado, we provide detoxification services, residential treatment services, as well as, a full continuum of care. Our wellness lodge called The Ranch has wide open skies, great views of the mountains and is a comfortable and serene place to heal. We offer holistic treatments like equine therapy, which offers a great way of treating mood irregularities on top of substance abuse. Our program is designed to treat underlying causes and conditions. We work with a variety of insurance types, as well as, financial institutions to help you get the services you need.
At The Raleigh House, our priority is the needs of our clients. Our clinical staff provides a high level of quality care with a client-focused approach. Our treatment philosophy encourages, motivates and supports clients in exploring their strengths and limitations to begin the healing process from addiction, trauma and other co-occurring disorders. Located in our beautiful ranch just 15 minutes from Denver, Colorado, we provide detoxification services, residential treatment services, as well as, a full continuum of care. Our wellness lodge called The Ranch has wide open skies, great views of the mountains and is a comfortable and serene place to heal. We offer holistic treatments like equine therapy, which offers a great way of treating mood irregularities on top of substance abuse. Our program is designed to treat underlying causes and conditions. We work with a variety of insurance types, as well as, financial institutions to help you get the services you need.
(855) 910-5822 View (855) 910-5822

More Treatment Centers Nearby

Photo of Bert Pace - St Raphael Counseling, PsyD, Treatment Center
St Raphael Counseling
Treatment Center, PsyD
Verified Verified
Greenwood Village, CO 80111
St. Raphael Counseling, a unique Catholic-based counseling program that offers individual, couple, family, and school-based counseling to the Denver Metro area. Additionally, we offer psychological testing for a variety of concerns. Our large clinical staff works with many concerns including depression, anxiety, OCD, trauma, couples issues, family struggles, ADHD, autism, and many other struggles.
St. Raphael Counseling, a unique Catholic-based counseling program that offers individual, couple, family, and school-based counseling to the Denver Metro area. Additionally, we offer psychological testing for a variety of concerns. Our large clinical staff works with many concerns including depression, anxiety, OCD, trauma, couples issues, family struggles, ADHD, autism, and many other struggles.
(720) 902-7319 View (720) 902-7319
Photo of Brooke R Tangen Huus - Tangen Counseling, Treatment Center
Tangen Counseling
Treatment Center
Verified Verified
Denver, CO 80237
At Tangen Counseling we believe that anyone who desires a positive change in their life and is ready to explore their substance use should have the opportunity in a safe and supportive environment. We specialize in the following demographics: young adults; codependency / family members struggling to cope with a loved one's substance use; history of trauma; impaired family dynamics; gender specific treatment approaches; involvement with the criminal justice system; and impaired professionals.
At Tangen Counseling we believe that anyone who desires a positive change in their life and is ready to explore their substance use should have the opportunity in a safe and supportive environment. We specialize in the following demographics: young adults; codependency / family members struggling to cope with a loved one's substance use; history of trauma; impaired family dynamics; gender specific treatment approaches; involvement with the criminal justice system; and impaired professionals.
(720) 815-3811 View (720) 815-3811
Photo of Aspenridge Recovery - AspenRidge Recovery Lakewood, Treatment Center
AspenRidge Recovery Lakewood
Treatment Center
Verified Verified
Lone Tree, CO 80112
AspenRidge Recovery offers a continuum of care focused on transitioning through each level and addressing underlying mental health issues. We believe that solving mental health, trauma, and family issues is the root of recovery. We focus on all mental aspects and provide each person with the tools to grow and sustain long-term recovery. As we address trauma, depression, anxiety, and other mental health-related problems, clients become empowered to integrate their knowledge and skills to grow into a life of recovery. We provide a safe, life-long community for individuals and their family members to stay connected through sober social events like sports, holiday parties, barbecues, educational webinars, and more. By working hand-in-hand with people, we empower them so they have the skills to help themselves and take ownership of their quality of life.
AspenRidge Recovery offers a continuum of care focused on transitioning through each level and addressing underlying mental health issues. We believe that solving mental health, trauma, and family issues is the root of recovery. We focus on all mental aspects and provide each person with the tools to grow and sustain long-term recovery. As we address trauma, depression, anxiety, and other mental health-related problems, clients become empowered to integrate their knowledge and skills to grow into a life of recovery. We provide a safe, life-long community for individuals and their family members to stay connected through sober social events like sports, holiday parties, barbecues, educational webinars, and more. By working hand-in-hand with people, we empower them so they have the skills to help themselves and take ownership of their quality of life.
(720) 408-7748 View (720) 408-7748
Photo of Bestmind Behavioral Health Of Colorado - BestMind Behavioral Health, Treatment Center
BestMind Behavioral Health
Treatment Center
Verified Verified
Greenwood Village, CO 80111
BestMind Behavioral Health offers best-in-class behavioral and mental health treatments. We provide psychiatric evaluations, medication management, and advanced outpatient treatments. We believe in inclusivity and accessibility to mental healthcare. We offer both in-person and telehealth appointments and accept most insurance plans.
BestMind Behavioral Health offers best-in-class behavioral and mental health treatments. We provide psychiatric evaluations, medication management, and advanced outpatient treatments. We believe in inclusivity and accessibility to mental healthcare. We offer both in-person and telehealth appointments and accept most insurance plans.
(720) 806-6964 View (720) 806-6964
Photo of Eric Lapp - The Raleigh House - Outpatient Treatment, Treatment Center
The Raleigh House - Outpatient Treatment
Treatment Center
Verified Verified
Denver, CO 80237
Adjusting back to your everyday life after addiction treatment can be challenging and uncomfortable. But a transition period in between can make your return easier to handle. At The Raleigh House, we offer an intensive outpatient program (IOP) designed to help you continue treatment as you slowly return back to normal life. We offer different levels of outpatient treatment depending on the type of care you require. Our outpatient program is part of our continuum of care after residential treatment, or you can enter into outpatient treatment directly if deemed appropriate. Learn more about our outpatient treatment program below or call us now to help you or your loved one get the treatment they need. At The Raleigh House, our goal is to match you with the right form of addiction treatment. Whether you’re coming from residential treatment or entering directly into outpatient, our team can help you determine the right level of care for your specific situation and needs.
Adjusting back to your everyday life after addiction treatment can be challenging and uncomfortable. But a transition period in between can make your return easier to handle. At The Raleigh House, we offer an intensive outpatient program (IOP) designed to help you continue treatment as you slowly return back to normal life. We offer different levels of outpatient treatment depending on the type of care you require. Our outpatient program is part of our continuum of care after residential treatment, or you can enter into outpatient treatment directly if deemed appropriate. Learn more about our outpatient treatment program below or call us now to help you or your loved one get the treatment they need. At The Raleigh House, our goal is to match you with the right form of addiction treatment. Whether you’re coming from residential treatment or entering directly into outpatient, our team can help you determine the right level of care for your specific situation and needs.
(719) 356-4939 View (719) 356-4939
Photo of Justin Zampino - Oceanfront Recovery, Treatment Center
Oceanfront Recovery
Treatment Center
Verified Verified
Cherry Hills Village, CO 80111
Offering individualized care in one of the premier beachfront recovery communities in the world, Oceanfront Recovery is a licensed Substance Abuse Disorder, Detox, and Dual-Diagnosis Treatment Center located in the heart of Laguna Beach. Oceanfront was founded with the goal of providing the best care and service possible, at an affordable price, and in a location where people would want to get well. Oceanfront Recovery is as unique as each client who comes here and we like it that way. The Oceanfront team set out to create a Treatment Program and environment that we believed in, providing purpose and opportunity to individuals who shared our ideals and deliver an effective treatment experience. Located in Laguna Beach, our properties each serve a purpose in the continuum of care and our commitment to small homes and groups fosters community and aids in the growth of our clients. Laguna Beach is a place where our clients want to get well. Detox and Residential programs are located in Laguna Beach, CA and specializing in the treatment of Professional Adults.
Offering individualized care in one of the premier beachfront recovery communities in the world, Oceanfront Recovery is a licensed Substance Abuse Disorder, Detox, and Dual-Diagnosis Treatment Center located in the heart of Laguna Beach. Oceanfront was founded with the goal of providing the best care and service possible, at an affordable price, and in a location where people would want to get well. Oceanfront Recovery is as unique as each client who comes here and we like it that way. The Oceanfront team set out to create a Treatment Program and environment that we believed in, providing purpose and opportunity to individuals who shared our ideals and deliver an effective treatment experience. Located in Laguna Beach, our properties each serve a purpose in the continuum of care and our commitment to small homes and groups fosters community and aids in the growth of our clients. Laguna Beach is a place where our clients want to get well. Detox and Residential programs are located in Laguna Beach, CA and specializing in the treatment of Professional Adults.
(949) 779-8208 View (949) 779-8208
Photo of Sandstone Care Teen Young Adult Treatment Center - Sandstone Care Teen & Young Adult Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A, Treatment Center
Sandstone Care Teen & Young Adult Treatment Center
Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A
Verified Verified
Lone Tree, CO 80112
Sandstone Care provides substance use, addiction, and mental health treatment for young adults (ages 18 to 30) and adolescents (ages 13 to 18) including Residential Treatment, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming.
Sandstone Care provides substance use, addiction, and mental health treatment for young adults (ages 18 to 30) and adolescents (ages 13 to 18) including Residential Treatment, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming.
(719) 417-8827 View (719) 417-8827
Photo of Intake Team - West Pines Behavioral Health, Treatment Center
West Pines Behavioral Health
Treatment Center
Verified Verified
Denver, CO 80238
West Pines Behavioral Health provides hope, healing and recovery for patients and their loved ones. Our qualified medical and clinical teams serve adults ages 18 and older with psychiatric conditions or substance use disorders. We help patients get back to a fulfilling life.
West Pines Behavioral Health provides hope, healing and recovery for patients and their loved ones. Our qualified medical and clinical teams serve adults ages 18 and older with psychiatric conditions or substance use disorders. We help patients get back to a fulfilling life.
(720) 734-7874 View (720) 734-7874

See more therapy options for Centennial

Cigna and Evernorth Treatment Centers

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