Carelon Behavioral Health Treatment Centers in North Billerica, MA
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Check out treatment centers located nearby or offering teletherapy in Massachusetts below.More Treatment Centers Nearby
![Photo of Gatehouse Treatment - GateHouse Treatment, Treatment Center](https://photos.psychologytoday.com/43b79e83-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
GateHouse is a private rehab facility providing intervention and treatment services to chemically dependent persons and individuals with co-occurring mental health issues. We offer treatment in a serene and luxurious setting. Our staff at GateHouse has decades of experience treating substance abuse and dual diagnosis clients. We provide individualized treatment in a small, gender-specific environment that promotes personal responsibility. GateHouse offers one of the only comprehensive vocational program in New England, which allows our clients to enroll or re-enroll in college or trade school. It will enable them to obtain a job in the career of their choice, and manage debt and legal problems. At GateHouse, evidence-based therapies are applied along with creative and innovative intervention methods. We provide extraordinary care and enable our clients to gain insight into the underlying factors that drive addictive and co-dependent behaviors. GateHouse helps clients learn how to set realistic goals, and achieve them while maintaining long-term sobriety. We want you to live a fulfilling productive and fruitful life. Your sobriety begins today. Call us to find your path to recovery.
GateHouse is a private rehab facility providing intervention and treatment services to chemically dependent persons and individuals with co-occurring mental health issues. We offer treatment in a serene and luxurious setting. Our staff at GateHouse has decades of experience treating substance abuse and dual diagnosis clients. We provide individualized treatment in a small, gender-specific environment that promotes personal responsibility. GateHouse offers one of the only comprehensive vocational program in New England, which allows our clients to enroll or re-enroll in college or trade school. It will enable them to obtain a job in the career of their choice, and manage debt and legal problems. At GateHouse, evidence-based therapies are applied along with creative and innovative intervention methods. We provide extraordinary care and enable our clients to gain insight into the underlying factors that drive addictive and co-dependent behaviors. GateHouse helps clients learn how to set realistic goals, and achieve them while maintaining long-term sobriety. We want you to live a fulfilling productive and fruitful life. Your sobriety begins today. Call us to find your path to recovery.
![Photo of Natalie Lender - Square TMS, Treatment Center](https://photos.psychologytoday.com/b3299ca4-3427-4032-b335-6a995e9d52a0/1/320x400.jpeg)
Square Medical Group (est. 2008) has been offering TMS treatment for depression to patients in the greater Boston area since 2016, utilizing Brainsway TMS technology. This is a safe, innovative, and effective treatment for persistent depression that has not responded to typical antidepressant medications or first-line psychotherapy treatments. Transcranial Magnetic Stimulation utilizes strong magnetic pulses to regulate activity in precisely targeted brain areas. The patient is awake and alert during the 30-minute sessions, which are scheduled daily Monday through Friday for about 8 weeks.
Square Medical Group (est. 2008) has been offering TMS treatment for depression to patients in the greater Boston area since 2016, utilizing Brainsway TMS technology. This is a safe, innovative, and effective treatment for persistent depression that has not responded to typical antidepressant medications or first-line psychotherapy treatments. Transcranial Magnetic Stimulation utilizes strong magnetic pulses to regulate activity in precisely targeted brain areas. The patient is awake and alert during the 30-minute sessions, which are scheduled daily Monday through Friday for about 8 weeks.
![Photo of Donna Whipple - Psychotherapy Associates of N. Reading & Amesbury, MA, LMHC, PsyD, Treatment Center](https://photos.psychologytoday.com/3d25f499-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Psychotherapy Associates of N. Reading & Amesbury
Treatment Center, MA, LMHC, PsyD
Verified Verified
Reading, MA 01867 (Online Only)
We have 19 therapists with many different approaches and specialties. We take almost all insurances including Mass Health. We have day, after school, evening and weekend appointments for the convenience of our clients. We have been providing mental health services in North Reading for 23 years. We specialize in child and adolescent issues but also have expertise in family issues and adult problems. To refer yourself or someone else, call our main number and ask for a referral coordinator. They will take some basic information about what you are looking for and match you with a therapist who has experience in your particular problem, has appointments when you need them, and can take your insurance. We are 100% telehealth at this time and don't anticipate in person sessions going forward.
We have 19 therapists with many different approaches and specialties. We take almost all insurances including Mass Health. We have day, after school, evening and weekend appointments for the convenience of our clients. We have been providing mental health services in North Reading for 23 years. We specialize in child and adolescent issues but also have expertise in family issues and adult problems. To refer yourself or someone else, call our main number and ask for a referral coordinator. They will take some basic information about what you are looking for and match you with a therapist who has experience in your particular problem, has appointments when you need them, and can take your insurance. We are 100% telehealth at this time and don't anticipate in person sessions going forward.
![Photo of Scott Milligan - Hospital for Behavioral Medicine, Treatment Center](https://photos.psychologytoday.com/5bfa3657-9504-4c25-b4c6-cbb8c9001e01/2/320x400.jpeg)
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.
![Photo of Our Office - Northeast Addictions Treatment Center, Treatment Center](https://photos.psychologytoday.com/45420e2c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
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.
![Photo of Susan Festa - Waltham Behavioral Health, LLC, Treatment Center](https://photos.psychologytoday.com/46b9096e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
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.
![Photo of Melody Stone - Acera Health - Mental Health Outpatient Programs, Treatment Center](https://photos.psychologytoday.com/62655e4e-cdd3-4bf9-83f6-e3588d827147/1/320x400.png)
Acera Health - Mental Health Outpatient Programs
Treatment Center
Verified Verified
Chelmsford, MA 01824
At Acera Health, we believe that change is possible for everyone. No matter what challenges you're facing, we'll be there to support you. 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 change is possible for everyone. No matter what challenges you're facing, we'll be there to support you. 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.
![Photo of Natalie Lender - Square Medical Group, Treatment Center](https://photos.psychologytoday.com/b32a1e1f-9860-48d4-9ef6-78559dec46d9/1/320x400.jpeg)
Founded in 2008, Square Medical Group is one of Massachusetts’ leading providers of comprehensive behavioral health services. We offer a wide range of services for mental health and substance use disorders with a continuum of care that includes: medication management, group therapy, IOP, PHP, day treatment, residential treatment, and TMS. Square Medical Group accepts all insurances including MassHealth, Medicare, Blue Cross Blue Shield, Tufts, United Healthcare, Aetna, Cigna and many more. Square Medical Group is an active participant in federally funded clinical trials and offers a range of professional services to outside healthcare organizations. Offering in-person and telehealth appointments in Newton, Weymouth, Woburn & Residential Treatment in Waltham and Framingham.
Founded in 2008, Square Medical Group is one of Massachusetts’ leading providers of comprehensive behavioral health services. We offer a wide range of services for mental health and substance use disorders with a continuum of care that includes: medication management, group therapy, IOP, PHP, day treatment, residential treatment, and TMS. Square Medical Group accepts all insurances including MassHealth, Medicare, Blue Cross Blue Shield, Tufts, United Healthcare, Aetna, Cigna and many more. Square Medical Group is an active participant in federally funded clinical trials and offers a range of professional services to outside healthcare organizations. Offering in-person and telehealth appointments in Newton, Weymouth, Woburn & Residential Treatment in Waltham and Framingham.
![Photo of Jim Reynolds - Sameem Behavioral Health, LLC, Treatment Center](https://photos.psychologytoday.com/b60b090b-ea03-420b-8893-c6c2737972c9/2/320x400.png)
For 40 years, Sameem has treated Substance Use Disorder, trauma, anxiety, stress, depression, and other disorders in adolescents and adults at our offices in Newton, Massachusetts. Our outpatient services include Intensive Outpatient Programs (IOP), individual therapy, group therapy, family therapy, Medication Assisted Treatment (MAT), and alcohol or drug testing. We help people move from crisis to enduring health.
For 40 years, Sameem has treated Substance Use Disorder, trauma, anxiety, stress, depression, and other disorders in adolescents and adults at our offices in Newton, Massachusetts. Our outpatient services include Intensive Outpatient Programs (IOP), individual therapy, group therapy, family therapy, Medication Assisted Treatment (MAT), and alcohol or drug testing. We help people move from crisis to enduring health.
![Photo of An Admissions Specialist - Newport Academy Outpatient, Treatment Center](https://photos.psychologytoday.com/f72a8b7a-977e-4f3e-8aac-3b49a951d71b/1/320x400.png)
At Newport Academy, our integrated approach to teen mental health is founded in compassion and driven by outcomes. Our philosophy of care recognizes teen behavioral issues, such as substance abuse, eating disorders, self-harm, and other co-occurring disorders, as symptoms of underlying mental health challenges—trauma, depression, and/or anxiety. To support our teens and their families in achieving long-term, sustainable healing from these issues, we address the root causes through comprehensive and solutions-focused treatment that involves the entire family in the healing process. Our mission to empower teens and restore families takes into account every aspect of a teen’s well-being—physical, psychological, social, familial, educational, and spiritual— so they can thrive when they return home to their families, schools, and communities. To ensure that our care is truly evidence-based, we track a variety of treatment goals and commission rigorous third-party evaluations of our programming. Data on our outcomes shows consistent positive results in measures of well-being, depression, and anxiety, with patients’ improvements, on average, exceeding levels of clinical significance.
At Newport Academy, our integrated approach to teen mental health is founded in compassion and driven by outcomes. Our philosophy of care recognizes teen behavioral issues, such as substance abuse, eating disorders, self-harm, and other co-occurring disorders, as symptoms of underlying mental health challenges—trauma, depression, and/or anxiety. To support our teens and their families in achieving long-term, sustainable healing from these issues, we address the root causes through comprehensive and solutions-focused treatment that involves the entire family in the healing process. Our mission to empower teens and restore families takes into account every aspect of a teen’s well-being—physical, psychological, social, familial, educational, and spiritual— so they can thrive when they return home to their families, schools, and communities. To ensure that our care is truly evidence-based, we track a variety of treatment goals and commission rigorous third-party evaluations of our programming. Data on our outcomes shows consistent positive results in measures of well-being, depression, and anxiety, with patients’ improvements, on average, exceeding levels of clinical significance.
![Photo of Chris Belhumeur - Topsail Addiction Treatment, Treatment Center](https://photos.psychologytoday.com/df97fb2b-1e22-477c-b549-8be0380b49ee/1/320x400.jpeg)
Topsail Addiction Treatment is the premier drug and alcohol addiction treatment center north of Boston. We are located in North Andover, MA and offer both in person and Telehealth programming for those seeking outpatient treatment. Topsail offers both full day and half day programs (commonly referred to by insurance companies as PHP and IOP). Topsail is licensed by the Massachusetts Bureau of Substance Abuse Services and is nationally recognized and accredited by the prestigious Joint Commission. If you or a loved one are looking for treatment for drug or alcohol addiction, please call Topsail today. Our Rapid Admissions team is available 24 hours a day, 7 days a week. 978-475-0002
Topsail Addiction Treatment is the premier drug and alcohol addiction treatment center north of Boston. We are located in North Andover, MA and offer both in person and Telehealth programming for those seeking outpatient treatment. Topsail offers both full day and half day programs (commonly referred to by insurance companies as PHP and IOP). Topsail is licensed by the Massachusetts Bureau of Substance Abuse Services and is nationally recognized and accredited by the prestigious Joint Commission. If you or a loved one are looking for treatment for drug or alcohol addiction, please call Topsail today. Our Rapid Admissions team is available 24 hours a day, 7 days a week. 978-475-0002
![Photo of George Mouzakis - Behavioral Solutions, P.C., LICSW, LEP, Treatment Center](https://photos.psychologytoday.com/3cda823c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Behavioral Solutions, P.C. is one of the premier private practices in Eastern Massachusetts. We currently have 40 + licensed mental health professionals who have served thousands of people of all ages in the past 20 years. We have more than 15 locations for your convenience, have generous office hours, accept all major insurance plans accept Medicaid, and have professionals experienced in all behavioral and emotional concerns except eating disorders. One call to our central office gives you access to our highly experienced intake coordinator who will insure that you are connected quickly with a therapist most suited to your location and your special concerns, and who will take the responsibility of managing all the matters regarding your insurance company so that your energies can be focused on personal problem-solving and wellness.
Behavioral Solutions, P.C. is one of the premier private practices in Eastern Massachusetts. We currently have 40 + licensed mental health professionals who have served thousands of people of all ages in the past 20 years. We have more than 15 locations for your convenience, have generous office hours, accept all major insurance plans accept Medicaid, and have professionals experienced in all behavioral and emotional concerns except eating disorders. One call to our central office gives you access to our highly experienced intake coordinator who will insure that you are connected quickly with a therapist most suited to your location and your special concerns, and who will take the responsibility of managing all the matters regarding your insurance company so that your energies can be focused on personal problem-solving and wellness.
![Photo of Banyan Massachusetts - Banyan Massachusetts, LMHC, Treatment Center](https://photos.psychologytoday.com/2d96a47e-99c7-4a6b-988b-6786f031c68b/1/320x400.png)
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.
![Photo of Spring Hill Recovery Center - Spring Hill Recovery Center, Treatment Center](https://photos.psychologytoday.com/373d7724-345c-463d-b8dc-3eab0fdbb9bb/1/320x400.jpeg)
Spring Hill Recovery Center is a licensed residential addiction treatment facility that provides a personal approach to care for men and women suffering from substance use and co-occurring mental health disorders. Our highly trained team of physicians, nurses, therapists and residential staff are addiction specialists who will get to know each patient in order to develop an individualized recovery plan. All treatment plans follow an evidence-based, comprehensive model of treatment that heals whole patients as well as their family systems to set them up for a successful life in recovery.
Spring Hill Recovery Center is a licensed residential addiction treatment facility that provides a personal approach to care for men and women suffering from substance use and co-occurring mental health disorders. Our highly trained team of physicians, nurses, therapists and residential staff are addiction specialists who will get to know each patient in order to develop an individualized recovery plan. All treatment plans follow an evidence-based, comprehensive model of treatment that heals whole patients as well as their family systems to set them up for a successful life in recovery.
Online Treatment Centers
![Photo of Mission Center - Recovery Centers of America at Westminster, Treatment Center](https://photos.psychologytoday.com/4cd48237-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Recovery Centers of America at Westminster
Treatment Center
Not Verified Not Verified
Westminster, MA 01473
Bringing world-class addiction treatment to New England. Located in northern Massachusetts, Recovery Centers of America at Westminster is an accredited drug & alcohol rehab center that serves those suffering with addiction and their loved ones. Our mission is to save the lives of adults struggling with addiction and co-occurring mental health disorders through our full continuum of care, inclusive of drug and alcohol detox, inpatient addiction treatment, and outpatient treatment (offered both in-person and online). At RCA’s drug and alcohol rehab center in Westminster, you and your family will be part of a large, supportive community of RCA team members who are dedicated to making your time in treatment successful. You have dreams, hopes and aspirations, and to achieve them you must no longer be captive to alcohol, heroin, fentanyl, cocaine, Xanax, meth or other substances. In our expert-led, evidence-based addiction treatment facility we will counsel, medically and emotionally support, and encourage you on your recovery journey.
Bringing world-class addiction treatment to New England. Located in northern Massachusetts, Recovery Centers of America at Westminster is an accredited drug & alcohol rehab center that serves those suffering with addiction and their loved ones. Our mission is to save the lives of adults struggling with addiction and co-occurring mental health disorders through our full continuum of care, inclusive of drug and alcohol detox, inpatient addiction treatment, and outpatient treatment (offered both in-person and online). At RCA’s drug and alcohol rehab center in Westminster, you and your family will be part of a large, supportive community of RCA team members who are dedicated to making your time in treatment successful. You have dreams, hopes and aspirations, and to achieve them you must no longer be captive to alcohol, heroin, fentanyl, cocaine, Xanax, meth or other substances. In our expert-led, evidence-based addiction treatment facility we will counsel, medically and emotionally support, and encourage you on your recovery journey.
![Photo of Cecile Reve - ARTrelief, LMHC, EXT, Treatment Center](https://photos.psychologytoday.com/bfc8b7b7-4a36-4601-b81f-c0b5dea0f3d8/1/320x400.png)
ARTrelief is an innovative and unique Community Wellness Hub where cultural and religious freedom, equity, inclusion and diversity are valued, celebrated and considered as strengths in our community. We specialize in expressive arts therapy, community mental health and wellness, training and education.
ARTrelief is an innovative and unique Community Wellness Hub where cultural and religious freedom, equity, inclusion and diversity are valued, celebrated and considered as strengths in our community. We specialize in expressive arts therapy, community mental health and wellness, training and education.
North Shore Counseling Center seeks to provide high quality behavioral health services with an emphasis on compassionate and evidence-based best practices. We serve individuals, couples, families and organizations in a supportive therapeutic environment with our dedicated interdisciplinary staff. We are committed to meeting the changing needs of our community through personalized care.
North Shore Counseling Center seeks to provide high quality behavioral health services with an emphasis on compassionate and evidence-based best practices. We serve individuals, couples, families and organizations in a supportive therapeutic environment with our dedicated interdisciplinary staff. We are committed to meeting the changing needs of our community through personalized care.
![Photo of Caroline Gregorio - Clear Steps Recovery-New Hampshire & Massachusetts, Treatment Center](https://photos.psychologytoday.com/f3bafe66-df49-408e-86bd-c1c676bccde4/1/320x400.jpeg)
Clear Steps Recovery-New Hampshire & Massachusetts
Treatment Center
Verified Verified
Needham, MA 02492
Conveniently located in both New Hampshire and Massachusetts, Clear Steps Recovery is a short drive away from Boston, the Beach, or the White Mountains. At Clear Steps Recovery, our team of compassionate professionals offers you and your loved ones a unique, health-based, intimate approach, ultimately providing you with a clear pathway to successful, long-term recovery. Health realization is a treatment program based on the principle that individuals have an innate capacity for health and well-being. This means the program is designed to empower individuals to tap into their inner resources to achieve sobriety and recovery. The program is based on the latest research in psychology and addiction recovery. Some of the benefits of the health realization program include empowering individuals to harness their own inner resources, addressing the underlying causes of addiction, offering a non-judgmental and supportive environment, creating a customized treatment plan for everyone, and providing a robust support network.
Conveniently located in both New Hampshire and Massachusetts, Clear Steps Recovery is a short drive away from Boston, the Beach, or the White Mountains. At Clear Steps Recovery, our team of compassionate professionals offers you and your loved ones a unique, health-based, intimate approach, ultimately providing you with a clear pathway to successful, long-term recovery. Health realization is a treatment program based on the principle that individuals have an innate capacity for health and well-being. This means the program is designed to empower individuals to tap into their inner resources to achieve sobriety and recovery. The program is based on the latest research in psychology and addiction recovery. Some of the benefits of the health realization program include empowering individuals to harness their own inner resources, addressing the underlying causes of addiction, offering a non-judgmental and supportive environment, creating a customized treatment plan for everyone, and providing a robust support network.
![Photo of New Horizons Medical Clinic - New Horizons Medical, Treatment Center](https://photos.psychologytoday.com/cefca291-6273-4fcc-abc0-6b8109b30ffc/1/320x400.jpeg)
New Horizons Medical offers outpatient services for psychotherapy, psychiatry, and substance use diagnoses for people over 18 years old. We create an inviting and accommodating atmosphere for our patients and staff. Over the years we have helped countless patients to overcome addiction, psychological traumas, and other mental health disorders. Learn more at www.newhorizonsmedical.org !
New Horizons Medical offers outpatient services for psychotherapy, psychiatry, and substance use diagnoses for people over 18 years old. We create an inviting and accommodating atmosphere for our patients and staff. Over the years we have helped countless patients to overcome addiction, psychological traumas, and other mental health disorders. Learn more at www.newhorizonsmedical.org !
Carelon Behavioral Health 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
Learn more about Insurance Coverage and Finding Affordable Therapy