Aetna Treatment Centers in Boston, MA

Photo of Tonn Q Cao - TCA Counseling Group, PhD, Treatment Center
TCA Counseling Group
Treatment Center
Verified Verified
Boston, MA 02116
TCA Counseling Group was founded by Dr. Tonn Q. Cao in 2011 specializing in treatments for Millennials. Our philosophy is that every individual should be treated with respect and integrity despite his or her background, identity or experiences. This is particularly true when they are at their most vulnerable as they seek counseling services. We offer a safe refuge where individuals, couples and families are encouraged to explore their tribulations as they succeed at leading healthier and happier lives. By combining our specializations, our therapists can help our clients from many different perspectives and increase the chances of their success in meeting their treatment goals.
TCA Counseling Group was founded by Dr. Tonn Q. Cao in 2011 specializing in treatments for Millennials. Our philosophy is that every individual should be treated with respect and integrity despite his or her background, identity or experiences. This is particularly true when they are at their most vulnerable as they seek counseling services. We offer a safe refuge where individuals, couples and families are encouraged to explore their tribulations as they succeed at leading healthier and happier lives. By combining our specializations, our therapists can help our clients from many different perspectives and increase the chances of their success in meeting their treatment goals.
(617) 341-8209 View (617) 341-8209
Photo of William Heran - Providence Treatment Boston, Treatment Center
Providence Treatment Boston
Treatment Center
Verified Verified
Boston, MA 02215
At Providence Treatment, we provide individual, group and family therapies in a comfortable and a highly confidential environment, intended for and proven to meet the needs of successful professionals. Our program is unique and designed for high achieving individuals seeking a personal transformation in an intimate, serene and comfortable setting, while utilizing best-practice treatment support. Many professionals have difficulty mainstreaming their treatment due to the specific requirements from their Licensing Boards and work commitments. At Providence Treatment, we work with you and customize your treatment and position you for a promising and sustainable recovery from substance use disorders. We also assist our clients with histories of trauma, depression, anxiety and other non-acute behavioral health disorders.
At Providence Treatment, we provide individual, group and family therapies in a comfortable and a highly confidential environment, intended for and proven to meet the needs of successful professionals. Our program is unique and designed for high achieving individuals seeking a personal transformation in an intimate, serene and comfortable setting, while utilizing best-practice treatment support. Many professionals have difficulty mainstreaming their treatment due to the specific requirements from their Licensing Boards and work commitments. At Providence Treatment, we work with you and customize your treatment and position you for a promising and sustainable recovery from substance use disorders. We also assist our clients with histories of trauma, depression, anxiety and other non-acute behavioral health disorders.
(857) 371-8418 View (857) 371-8418
Pax Psychiatric Associates
Treatment Center
Verified Verified
Boston, MA 02114
Pax Psychiatric Associates provides mental health treatment including comprehensive assessment, individual therapy and medication management for a wide variety of conditions including anxiety, depression, mood disorders and attention-deficit disorder.
Pax Psychiatric Associates provides mental health treatment including comprehensive assessment, individual therapy and medication management for a wide variety of conditions including anxiety, depression, mood disorders and attention-deficit disorder.
(508) 689-7482 View (508) 689-7482
Photo of Our Office - Northeast Addictions Treatment Center, Treatment Center
Northeast Addictions Treatment Center
Treatment Center
Verified Verified
Boston, MA 02109
With extensive experience working in the substance use disorder field, Northeast Addictions Treatment Center (NEATC) knows the difference between average treatment and excellence in treatment. While most addiction centers provide clinical therapy as well as medical assistance, the length of stay does not provide the time needed to uncover the underlying causes and conditions of substance use disorder. However, at NEATC, our team of therapists, medical doctors, and clinicians will help you unearth the underlying causes of your substance use. We then address them directly and assist you in understanding the crux of the problem that leads you back down the path of drinking and using drugs.
With extensive experience working in the substance use disorder field, Northeast Addictions Treatment Center (NEATC) knows the difference between average treatment and excellence in treatment. While most addiction centers provide clinical therapy as well as medical assistance, the length of stay does not provide the time needed to uncover the underlying causes and conditions of substance use disorder. However, at NEATC, our team of therapists, medical doctors, and clinicians will help you unearth the underlying causes of your substance use. We then address them directly and assist you in understanding the crux of the problem that leads you back down the path of drinking and using drugs.
(857) 337-1881 View (857) 337-1881
Photo of Southcoast Behavioral Health Adult Inpatient - Southcoast Behavioral Health - Adult Inpatient, Treatment Center
Southcoast Behavioral Health - Adult Inpatient
Treatment Center
Verified Verified
Boston, MA 02128
Southcoast Behavioral Health offers a clinically excellent inpatient program for adults age 18 and older who have mental health concerns and co-occurring addictions. We treat mental health concerns like anxiety, bipolar disorder, depression, posttraumatic stress disorder, self-harm, and suicidal ideation. In addition, we provide care for adults who are suffering from co-occurring addictions to substances like alcohol, benzodiazepines, heroin, and prescription painkillers. In our inpatient program, our goal is to help patients who are experiencing mental health crises stabilize so that they can return home or step down to a lower level of care. Patients in our adult inpatient program stay with us on average for five to seven days, though the exact length of stay depends on their progress and needs. Our patients can benefit from the collective experience of our care team, which includes physicians, registered nurses, nurse practitioners, social workers, therapists, and clinicians.
Southcoast Behavioral Health offers a clinically excellent inpatient program for adults age 18 and older who have mental health concerns and co-occurring addictions. We treat mental health concerns like anxiety, bipolar disorder, depression, posttraumatic stress disorder, self-harm, and suicidal ideation. In addition, we provide care for adults who are suffering from co-occurring addictions to substances like alcohol, benzodiazepines, heroin, and prescription painkillers. In our inpatient program, our goal is to help patients who are experiencing mental health crises stabilize so that they can return home or step down to a lower level of care. Patients in our adult inpatient program stay with us on average for five to seven days, though the exact length of stay depends on their progress and needs. Our patients can benefit from the collective experience of our care team, which includes physicians, registered nurses, nurse practitioners, social workers, therapists, and clinicians.
(844) 345-1122 View (844) 345-1122
Photo of Southcoast Behavioral Health Adolescent Inpatient - Southcoast Behavioral Health - Adolescent , Treatment Center
Southcoast Behavioral Health - Adolescent
Treatment Center
Verified Verified
Boston, MA 02113
Located in Dartmouth, Massachusetts, Southcoast Behavioral Health is a premier provider of inpatient treatment for children and adolescents ages 5-17. Our expert staff provides care for young people who are struggling with mental health concerns like depression, attention-deficit/hyperactivity disorder (ADHD), psychosis, suicidal ideation, and self-harm. In our adolescent inpatient program, we can help young people who are experiencing mental health crises stabilize so that they can step down to a lower level of care or return home. While in our inpatient unit, children and adolescents can receive focused care in a safe setting so that they can regain a sense of security and well-being. Our multidisciplinary staff provides evidence-based, patient-centered treatments such as motivational interviewing, dialectical behavior therapy, and cognitive behavioral therapy. The typical length of stay in our adolescent inpatient program is around five to seven days, though the actual time each person spends in our care depends on their needs.
Located in Dartmouth, Massachusetts, Southcoast Behavioral Health is a premier provider of inpatient treatment for children and adolescents ages 5-17. Our expert staff provides care for young people who are struggling with mental health concerns like depression, attention-deficit/hyperactivity disorder (ADHD), psychosis, suicidal ideation, and self-harm. In our adolescent inpatient program, we can help young people who are experiencing mental health crises stabilize so that they can step down to a lower level of care or return home. While in our inpatient unit, children and adolescents can receive focused care in a safe setting so that they can regain a sense of security and well-being. Our multidisciplinary staff provides evidence-based, patient-centered treatments such as motivational interviewing, dialectical behavior therapy, and cognitive behavioral therapy. The typical length of stay in our adolescent inpatient program is around five to seven days, though the actual time each person spends in our care depends on their needs.
(844) 299-5809 View (844) 299-5809
Photo of John Labieniec - Continuum Recovery Services, LCSW, Treatment Center
Continuum Recovery Services
Treatment Center
Verified Verified
Boston, MA 02101
Continuum Recovery Services (CRS) at Continuum of Care consists of 4 levels of residential treatment and care for adults ages 18 and up who are challenged with mental health and potentially co-occurring disorders. Clients can access treatment to any of these levels of care and move to a higher or a lower level of care as their needs change. Continuum offers short-term and long-term residential treatment in an intimate personalized setting. Clients live in a home-like setting that provides low stimulation compared to traditional institutional settings. Continuum believes each path to mental health recovery is a unique and extraordinary journey. We are an inclusive community, dedicated to working with those searching for their path to recovery. We provide a safe, nurturing home environment designed to assist you in regaining connections, meaning, and hope, and a new life of recovery. Our unique wellness centered approach is embedded in our programs to assist you in all paths to stabilization and rebuilding the mind, body and spirit.
Continuum Recovery Services (CRS) at Continuum of Care consists of 4 levels of residential treatment and care for adults ages 18 and up who are challenged with mental health and potentially co-occurring disorders. Clients can access treatment to any of these levels of care and move to a higher or a lower level of care as their needs change. Continuum offers short-term and long-term residential treatment in an intimate personalized setting. Clients live in a home-like setting that provides low stimulation compared to traditional institutional settings. Continuum believes each path to mental health recovery is a unique and extraordinary journey. We are an inclusive community, dedicated to working with those searching for their path to recovery. We provide a safe, nurturing home environment designed to assist you in regaining connections, meaning, and hope, and a new life of recovery. Our unique wellness centered approach is embedded in our programs to assist you in all paths to stabilization and rebuilding the mind, body and spirit.
(203) 493-2744 View (203) 493-2744
Photo of Avalon Admissions - Avalon Malibu, PsyD, Treatment Center
Avalon Malibu
Treatment Center
Verified Verified
Boston, MA 02199
Avalon Malibu Mental Health & Addiction Treatment Center is a Licensed Addiction & Mental Health Treatment Center. Utilizing experiential methodologies, expressive arts and research based psychotherapies, we offer a place which provides a nurturing and therapeutic environment. Clients are encouraged to participate actively in their recovery. We provide five levels of care: Licensed Addiction Residential Treatment (Detoxification), Licensed Mental Health Residential Treatment, Partial Hospitalization Program, Intensive Outpatient Treatment Program Happiness is a choice of attitude. Resolve to choose gratefulness over regret until joy becomes your default setting. The process of healing is one of self-realization, the peeling away of the fears and negativity that obscure the light of your core self.
Avalon Malibu Mental Health & Addiction Treatment Center is a Licensed Addiction & Mental Health Treatment Center. Utilizing experiential methodologies, expressive arts and research based psychotherapies, we offer a place which provides a nurturing and therapeutic environment. Clients are encouraged to participate actively in their recovery. We provide five levels of care: Licensed Addiction Residential Treatment (Detoxification), Licensed Mental Health Residential Treatment, Partial Hospitalization Program, Intensive Outpatient Treatment Program Happiness is a choice of attitude. Resolve to choose gratefulness over regret until joy becomes your default setting. The process of healing is one of self-realization, the peeling away of the fears and negativity that obscure the light of your core self.
(310) 359-0186 View (310) 359-0186
Arbour Hospital, Jamaica Plan & Quincy
Treatment Center
Verified Verified
Boston, MA 02119
Arbour Hospital has a long history of providing a continuum of quality behavioral health care in the greater Boston area. We serve adolescents and adults experiencing mental health and substance use challenges in Jamaica Plain and Quincy.
Arbour Hospital has a long history of providing a continuum of quality behavioral health care in the greater Boston area. We serve adolescents and adults experiencing mental health and substance use challenges in Jamaica Plain and Quincy.
(617) 819-0548 View (617) 819-0548
Photo of Susan Festa - Waltham Behavioral Health, LLC, Treatment Center
Waltham Behavioral Health, LLC
Treatment Center
Verified Verified
Boston, MA 02115
At Waltham Behavioral Health we are committed to providing client-centered mental health to individuals of all ages. The WBH team consists of providers with varied areas of expertise including psychologists, licensed clinical social workers specializing in adult, child and adolescent therapy as well as psychopharmacologists available to prescribe to all patients with psychiatric disorders and medication-management needs.
At Waltham Behavioral Health we are committed to providing client-centered mental health to individuals of all ages. The WBH team consists of providers with varied areas of expertise including psychologists, licensed clinical social workers specializing in adult, child and adolescent therapy as well as psychopharmacologists available to prescribe to all patients with psychiatric disorders and medication-management needs.
(781) 570-5129 View (781) 570-5129
Photo of Washburn House - Washburn House, Treatment Center
Washburn House
Treatment Center
Not Verified Not Verified
Boston, MA 02101
At the Washburn House addiction treatment center in Worcester, Massachusetts, we strive to provide a higher level of care. Our vision includes constantly enhancing and perfecting our techniques to provide our clients with the best therapeutic options possible. Through a close knit community of staff, residents, and family, we can build a brand new life for our clients.
At the Washburn House addiction treatment center in Worcester, Massachusetts, we strive to provide a higher level of care. Our vision includes constantly enhancing and perfecting our techniques to provide our clients with the best therapeutic options possible. Through a close knit community of staff, residents, and family, we can build a brand new life for our clients.
(508) 859-9178 View (508) 859-9178
Photo of Melody Stone - Acera Health - Mental Health Treatment For Adults, Treatment Center
Acera Health - Mental Health Treatment For Adults
Treatment Center
Verified Verified
Boston, MA 02116
At Acera Health, we believe that everyone has the potential to create a life that they love. However, sometimes life can get in the way, and it can be challenging to know where to turn. That's where we come in. We offer a range of services to help restore your mind and transform your life. Whether you're struggling with anxiety, depression, or addiction, we'll be there to support you every step of the way. We know that change can be difficult, but we also know that it's possible. With our help, you can create the life you've always wanted. Contact us today to learn more about our services and how we can help you create lasting change in your life.
At Acera Health, we believe that everyone has the potential to create a life that they love. However, sometimes life can get in the way, and it can be challenging to know where to turn. That's where we come in. We offer a range of services to help restore your mind and transform your life. Whether you're struggling with anxiety, depression, or addiction, we'll be there to support you every step of the way. We know that change can be difficult, but we also know that it's possible. With our help, you can create the life you've always wanted. Contact us today to learn more about our services and how we can help you create lasting change in your life.
(949) 779-3482 View (949) 779-3482
Photo of Scott Milligan - Hospital for Behavioral Medicine, Treatment Center
Hospital for Behavioral Medicine
Treatment Center
Verified Verified
Boston, MA 02101
The Hospital for Behavioral Medicine (HBM) offers innovative inpatient services for children, adolescents, adults, and older adults. Inpatient services focus on crisis stabilization, medication management, group treatment and discharge/transition planning. Our dedicated staff of doctors, nurses, case managers, and mental health technicians are committed to providing the highest quality of patient care, bringing creativity, expressive arts, and best practices to manage and reduce unsafe behaviors.
The Hospital for Behavioral Medicine (HBM) offers innovative inpatient services for children, adolescents, adults, and older adults. Inpatient services focus on crisis stabilization, medication management, group treatment and discharge/transition planning. Our dedicated staff of doctors, nurses, case managers, and mental health technicians are committed to providing the highest quality of patient care, bringing creativity, expressive arts, and best practices to manage and reduce unsafe behaviors.
(774) 214-2845 View (774) 214-2845
Photo of Banyan Massachusetts - Banyan Massachusetts, LMHC, Treatment Center
Banyan Massachusetts
Treatment Center
Verified Verified
1 Endorsed
Boston, MA 02110
At Banyan Massachusetts, we offer a host of programs designed to help those struggling with addictions. All of our Massachusetts drug and alcohol treatment programs provide comprehensive care to address the unique needs of each patient in relation to physical, mental, and emotional health. Our certified team at Banyan is comprised of physicians, psychiatrists, registered nurses, clinicians, case managers, and other addiction professionals. Many of our staff have firsthand knowledge of the life-changing challenges and issues that men and women commonly face when beginning a recovery lifestyle.
At Banyan Massachusetts, we offer a host of programs designed to help those struggling with addictions. All of our Massachusetts drug and alcohol treatment programs provide comprehensive care to address the unique needs of each patient in relation to physical, mental, and emotional health. Our certified team at Banyan is comprised of physicians, psychiatrists, registered nurses, clinicians, case managers, and other addiction professionals. Many of our staff have firsthand knowledge of the life-changing challenges and issues that men and women commonly face when beginning a recovery lifestyle.
(339) 217-7397 View (339) 217-7397
Photo of Admissions Line - Drug & Alcohol Rehab at Brook Recovery Center, Treatment Center
Drug & Alcohol Rehab at Brook Recovery Center
Treatment Center
Not Verified Not Verified
Boston, MA 02101
Brook Recovery Center works to offer the highest quality treatment. We believe in looking deep within and treating the underlying causes of our clients substance use. We look at each clients case on a personalized level. Our program is centered around clinical treatment delivered by our masters level clinicians but is not limited to it. We offer a full continuum of care and a wholistic approach including nutritional counseling, employment counseling, yoga, mindfulness therapy, 12 step immersion and more. Conveniently located outside of Boston, MA.
Brook Recovery Center works to offer the highest quality treatment. We believe in looking deep within and treating the underlying causes of our clients substance use. We look at each clients case on a personalized level. Our program is centered around clinical treatment delivered by our masters level clinicians but is not limited to it. We offer a full continuum of care and a wholistic approach including nutritional counseling, employment counseling, yoga, mindfulness therapy, 12 step immersion and more. Conveniently located outside of Boston, MA.
(781) 423-3096 View (781) 423-3096
Photo of Admissions Office - CooperRiis Healing Community, Treatment Center
CooperRiis Healing Community
Treatment Center
Not Verified Not Verified
Boston, MA 02110
Our healing mission is to improve the lives of individuals impeded by mental health challenges or mental illness to achieve their highest levels of functioning and fulfillment. CooperRiis’ progressive residential healing communities and transitional living program are located in the scenic mountains of Western North Carolina in Asheville and Mill Spring. We offer hope and healing to adults who struggle with mental health challenges. Our approach is not based on “quick fixes” but grounded in research and the proven healing power of community in a residential setting. Our philosophy: mind and heart working together. Simply put, we believe that whole person care, delivered in a community setting is the most powerful and effective way to address challenging mental health issues. With an integrated system of care, CooperRiis offers six levels of treatment, The CooperRiis at Asheville Program (residential treatment), The Farm at Mill Spring (residential treatment), Extended Care at the Farm (semi-transitional), The Asheville Community Program (transitional living with two levels of support), and a Partial Hospitalization Program or "PHP" (outpatient care).
Our healing mission is to improve the lives of individuals impeded by mental health challenges or mental illness to achieve their highest levels of functioning and fulfillment. CooperRiis’ progressive residential healing communities and transitional living program are located in the scenic mountains of Western North Carolina in Asheville and Mill Spring. We offer hope and healing to adults who struggle with mental health challenges. Our approach is not based on “quick fixes” but grounded in research and the proven healing power of community in a residential setting. Our philosophy: mind and heart working together. Simply put, we believe that whole person care, delivered in a community setting is the most powerful and effective way to address challenging mental health issues. With an integrated system of care, CooperRiis offers six levels of treatment, The CooperRiis at Asheville Program (residential treatment), The Farm at Mill Spring (residential treatment), Extended Care at the Farm (semi-transitional), The Asheville Community Program (transitional living with two levels of support), and a Partial Hospitalization Program or "PHP" (outpatient care).
(828) 521-0265 View (828) 521-0265
Photo of Our Program - Recovering Champions, Treatment Center
Recovering Champions
Treatment Center
Not Verified Not Verified
Boston, MA 02106
Recovering Champions is a comprehensive treatment program specializing in substance abuse and co-occurring disorders. To give our clients the best chance of recovery, we offer a structured yet personalized approach that fosters life-changing experiences of hope and freedom.
Recovering Champions is a comprehensive treatment program specializing in substance abuse and co-occurring disorders. To give our clients the best chance of recovery, we offer a structured yet personalized approach that fosters life-changing experiences of hope and freedom.
(508) 388-5641 View (508) 388-5641
Photo of Admissions Team - Seabrook, Treatment Center
Seabrook
Treatment Center
Verified Verified
Boston, MA 02117
Seabrook is a non-profit, CARF accredited alcohol and drug rehabilitation center focusing on the 12-step principles of recovery as well as co-occurring mental health disorders. We have been in business for over 45 years. Using a foundation of Alcoholics Anonymous, our facility utilizes a holistic approach, including individualized and gender-specific therapy, with a special focus on relapse prevention, trauma, and our renowned Family Matrix program. Seabrook is a true dual diagnosis facility with a full-time licensed psychiatrist and 3 psychiatric nurse APN's.
Seabrook is a non-profit, CARF accredited alcohol and drug rehabilitation center focusing on the 12-step principles of recovery as well as co-occurring mental health disorders. We have been in business for over 45 years. Using a foundation of Alcoholics Anonymous, our facility utilizes a holistic approach, including individualized and gender-specific therapy, with a special focus on relapse prevention, trauma, and our renowned Family Matrix program. Seabrook is a true dual diagnosis facility with a full-time licensed psychiatrist and 3 psychiatric nurse APN's.
(866) 564-3844 View (866) 564-3844
Photo of Admissions Office - Sunrise Detox Millbury, Treatment Center
Sunrise Detox Millbury
Treatment Center
Not Verified Not Verified
Boston, MA 02101
Sunrise Detox Millbury is a licensed drug and alcohol medical detoxification facility. Dedicated to helping people who struggle with substance abuse, alcoholism, and co-occurring disorders recover, our staff is made up of caring, and licensed professionals in substance abuse treatment.
Sunrise Detox Millbury is a licensed drug and alcohol medical detoxification facility. Dedicated to helping people who struggle with substance abuse, alcoholism, and co-occurring disorders recover, our staff is made up of caring, and licensed professionals in substance abuse treatment.
(774) 808-5096 View (774) 808-5096
Photo of Intake Department - Brighton-Allston Mental Health Association , LICSW, LMHC, MA, Treatment Center
Brighton-Allston Mental Health Association
Treatment Center
Verified Verified
Boston, MA 02134
Brighton-Allston Mental Health Association (BAMHA), a program of Italian Home for Children (IHC) is a diverse community mental health agency that has been servicing the Brighton/Allston community and surrounding Metro Boston area since 1964. BAMHA also has an outpatient satellite office in Jamaica Plain. We offer individual and group therapy treatment, psychopharmacology, as well as family and couples counseling services. BAMHA services clients ages 4-80+. Our BAMHA clinicians are trained in various treatment modalities including: traditional psychotherapy, dialectical behavioral therapy, cognitive behavioral therapy, expressive therapy, and play therapy. We also offer In-Home Therapy, Therapeutic Mentoring, In-Home Behavioral, and ABA services for children ages 4-20 through our partner Community Based Programs (CBP) at Italian Home. Our clinicians speak over a dozen languages, including Spanish. We now have immediate openings in all of our CBP programs, and offer telehealth services for your convenience and safety.
Brighton-Allston Mental Health Association (BAMHA), a program of Italian Home for Children (IHC) is a diverse community mental health agency that has been servicing the Brighton/Allston community and surrounding Metro Boston area since 1964. BAMHA also has an outpatient satellite office in Jamaica Plain. We offer individual and group therapy treatment, psychopharmacology, as well as family and couples counseling services. BAMHA services clients ages 4-80+. Our BAMHA clinicians are trained in various treatment modalities including: traditional psychotherapy, dialectical behavioral therapy, cognitive behavioral therapy, expressive therapy, and play therapy. We also offer In-Home Therapy, Therapeutic Mentoring, In-Home Behavioral, and ABA services for children ages 4-20 through our partner Community Based Programs (CBP) at Italian Home. Our clinicians speak over a dozen languages, including Spanish. We now have immediate openings in all of our CBP programs, and offer telehealth services for your convenience and safety.
(617) 917-2782 View (617) 917-2782
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Aetna 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