Aetna Treatment Centers in Baltimore, MD

Photo of Durwood Whitten - Complete Wellness, Inc, PhD, Treatment Center
Complete Wellness, Inc
Treatment Center
Verified Verified
Baltimore, MD 21201
Complete Wellness was founded on the idea that superior treatment for conditions caused by mental illness and substance abuse should be available to everyone regardless of their social standing or socioeconomic status. We also believe that wellness can be achieved through conventional treatments as well as holistic treatments and life style changes.
Complete Wellness was founded on the idea that superior treatment for conditions caused by mental illness and substance abuse should be available to everyone regardless of their social standing or socioeconomic status. We also believe that wellness can be achieved through conventional treatments as well as holistic treatments and life style changes.
(443) 438-7863 View (443) 438-7863
Photo of Patrick Okpah - Transformation Healthcare INC, CRNP, PMH, Treatment Center
Transformation Healthcare INC
Treatment Center
Verified Verified
Baltimore, MD 21212
Transformation Healthcare INC. (THI) is a family strengthened organization; a community-based Outpatient and inpatient program. THI provides mental health and substance use treatment to further assist individuals looking to improve living conditions and access to resources they may not have otherwise.
Transformation Healthcare INC. (THI) is a family strengthened organization; a community-based Outpatient and inpatient program. THI provides mental health and substance use treatment to further assist individuals looking to improve living conditions and access to resources they may not have otherwise.
(410) 498-8843 View (410) 498-8843
Photo of Intake Specialist - Strategic Wellness Advocates , LMSW, LCSW-C, LCPC, CRNP-PM, PhD, Treatment Center
Strategic Wellness Advocates
Treatment Center
Verified Verified
Baltimore, MD 21215
Congratulations on taking steps toward establishing a more fulfilling, healthy, and successful life! SWA is a community-based Outpatient Mental Health Clinic that provides integrated behavioral health services utilizing a person-centered approach to children, adolescents, and adults. We provide individual, family, and group therapy, medication management, therapeutic mentorship, and behavioral consultation. In therapy, we work collaboratively with you to enhance your understanding of the internal and environmental factors that impact life, emerge as relational patterns, and potentially impede success.
Congratulations on taking steps toward establishing a more fulfilling, healthy, and successful life! SWA is a community-based Outpatient Mental Health Clinic that provides integrated behavioral health services utilizing a person-centered approach to children, adolescents, and adults. We provide individual, family, and group therapy, medication management, therapeutic mentorship, and behavioral consultation. In therapy, we work collaboratively with you to enhance your understanding of the internal and environmental factors that impact life, emerge as relational patterns, and potentially impede success.
(410) 883-7756 View (410) 883-7756
Photo of Pactrick Okpah - Transformation Healthcare INC, CRNP-PM, Treatment Center
Transformation Healthcare INC
Treatment Center
Verified Verified
Baltimore, MD 21212
Transformation Healthcare INC. (THI) is a family strengthened organization; a community-based Outpatient and inpatient program. THI provides mental health and substance use treatment to further assist individuals looking to improve living conditions and access to resources they may not have otherwise.
Transformation Healthcare INC. (THI) is a family strengthened organization; a community-based Outpatient and inpatient program. THI provides mental health and substance use treatment to further assist individuals looking to improve living conditions and access to resources they may not have otherwise.
(410) 878-1085 View (410) 878-1085
Photo of Jim Tedone - TruHealing Gaithersburg - Outpatient Program, Treatment Center
TruHealing Gaithersburg - Outpatient Program
Treatment Center
Verified Verified
Baltimore, MD 21202
TruHealing Gaithersburg (formerly Fresh Start Recovery Center) is committed to helping you achieve and maintain long term recovery. Our main services are outpatient treatment for primary mental health disorders and co-occurring disorders. We provide high quality outpatient services in an intimate and individualized setting, where you will feel right at home. Our goal is to provide an optimum healing opportunity for each individual. Individuals struggling with mental health and substance abuse issues face many challenges.
TruHealing Gaithersburg (formerly Fresh Start Recovery Center) is committed to helping you achieve and maintain long term recovery. Our main services are outpatient treatment for primary mental health disorders and co-occurring disorders. We provide high quality outpatient services in an intimate and individualized setting, where you will feel right at home. Our goal is to provide an optimum healing opportunity for each individual. Individuals struggling with mental health and substance abuse issues face many challenges.
(240) 301-1320 View (240) 301-1320
Photo of Kaitlin Newberger - The Bergand Group, Treatment Center
The Bergand Group
Treatment Center
Verified Verified
Baltimore, MD 21202
The Bergand Group is a treatment center treating addictions, mental health, and related disorders. We offer varying levels of outpatient treatment including Intensive Outpatient, Outpatient, Addiction Psychiatry, Outpatient Detox, Psychotherapy, DUI Education, Individual Therapy, Family, Therapy, and Anger Management. Our Addiction Medicine Board-certified doctors conduct all initial assessments and evaluations and follow our clients through their entire treatment - a truly unique feature for substance abuse providers in the area. You will be seen by a doctor specially trained in Addictions and Psychiatry, not just a therapist or counselor. This provides our clients with confidence that they are receiving the highest possible level of care. Our doctors have over 25 years experience each in treating substance abuse and related mental health issues. What does our experience mean for you? Experience means that our doctors actually provide treatment.
The Bergand Group is a treatment center treating addictions, mental health, and related disorders. We offer varying levels of outpatient treatment including Intensive Outpatient, Outpatient, Addiction Psychiatry, Outpatient Detox, Psychotherapy, DUI Education, Individual Therapy, Family, Therapy, and Anger Management. Our Addiction Medicine Board-certified doctors conduct all initial assessments and evaluations and follow our clients through their entire treatment - a truly unique feature for substance abuse providers in the area. You will be seen by a doctor specially trained in Addictions and Psychiatry, not just a therapist or counselor. This provides our clients with confidence that they are receiving the highest possible level of care. Our doctors have over 25 years experience each in treating substance abuse and related mental health issues. What does our experience mean for you? Experience means that our doctors actually provide treatment.
(410) 504-1764 View (410) 504-1764
Photo of Admissions Department - Ashley Addiction Treatment, MA, Treatment Center
Ashley Addiction Treatment
Treatment Center
Verified Verified
Baltimore, MD 21201
Ashley Addiction Treatment is a private, non-profit, Joint Commission accredited, 100-bed, inpatient addiction and chronic pain treatment center located on a picturesque, 147-acre campus on the banks of the Chesapeake Bay in Northern Maryland. Ashley is south of New York City and Philadelphia, and north of Baltimore and Washington, D.C. We offer full medical detox services and our Pain Recovery Program that provides chronic pain treatment for those needing pain management and help to reduce their dependence on opiates and other pain medications. We have tracks for men and women as well as programs for young adults, first treatment and those who have suffered a relapse. We over comprehensive medical services and psychotherapeutic addiction therapy. We have four physicians, over 30 nurses, including full-time pain physician and a full time addiction psychiatrist. We offer holistic therapies including art, music, physical therapy and functional restoration, massage, acupuncture, yoga, recreation and 12 step support meetings. Founded in 1983, we've treated over 40,000 patients and have special weekend programs for families with addicted loved-ones and our Children's Program for children living in a home with addiction.
Ashley Addiction Treatment is a private, non-profit, Joint Commission accredited, 100-bed, inpatient addiction and chronic pain treatment center located on a picturesque, 147-acre campus on the banks of the Chesapeake Bay in Northern Maryland. Ashley is south of New York City and Philadelphia, and north of Baltimore and Washington, D.C. We offer full medical detox services and our Pain Recovery Program that provides chronic pain treatment for those needing pain management and help to reduce their dependence on opiates and other pain medications. We have tracks for men and women as well as programs for young adults, first treatment and those who have suffered a relapse. We over comprehensive medical services and psychotherapeutic addiction therapy. We have four physicians, over 30 nurses, including full-time pain physician and a full time addiction psychiatrist. We offer holistic therapies including art, music, physical therapy and functional restoration, massage, acupuncture, yoga, recreation and 12 step support meetings. Founded in 1983, we've treated over 40,000 patients and have special weekend programs for families with addicted loved-ones and our Children's Program for children living in a home with addiction.
(800) 799-4673 View (800) 799-4673
Photo of Ahaoma Nnebedum - Passionate Behavioral Health Center Inc, NP, PMH, Treatment Center
Passionate Behavioral Health Center Inc
Treatment Center
Verified Verified
Baltimore, MD 21201
My name is Ahaoma Nnebedum, a Psychiatric Mental Health Nurse Practitioner. I graduated from Walden University's Psychiatric Mental Health Nurse Practitioner Master’s degree program, and currently enrolled in Brandman's university DNP program with an anticipated completion date of May 2021. I practice both in an in-patient and out-patient setting treating patients with varying psychiatric diagnosis which include- schizophrenia, bipolar disorder, mood disorders, anxiety disorders, substance use disorder, PTSD and other behavioral problems.
My name is Ahaoma Nnebedum, a Psychiatric Mental Health Nurse Practitioner. I graduated from Walden University's Psychiatric Mental Health Nurse Practitioner Master’s degree program, and currently enrolled in Brandman's university DNP program with an anticipated completion date of May 2021. I practice both in an in-patient and out-patient setting treating patients with varying psychiatric diagnosis which include- schizophrenia, bipolar disorder, mood disorders, anxiety disorders, substance use disorder, PTSD and other behavioral problems.
(410) 397-5066 View (410) 397-5066
Photo of Port Recovery - Port Recovery, CAC-AD, LGPC, CRNP, LMSW, Treatment Center
Port Recovery
Treatment Center
Verified Verified
Baltimore, MD 21212
Are you feeling anxious, stressed, struggling with depression, trauma, feelings of hopelessness or other challenges? We provide a non-judgemental supportive atmosphere to help overcome obstacles, build better insight into relationships and achieve your best quality of life.
Are you feeling anxious, stressed, struggling with depression, trauma, feelings of hopelessness or other challenges? We provide a non-judgemental supportive atmosphere to help overcome obstacles, build better insight into relationships and achieve your best quality of life.
(410) 438-8382 View (410) 438-8382
Photo of My Ally Aws - Alliance Wellness Solutions , OMHC, Treatment Center
Alliance Wellness Solutions
Treatment Center
Verified Verified
1 Endorsed
Baltimore, MD 21212
Alliance Wellness Solutions is a licensed and accredited Outpatient Mental Health Clinic In Maryland. Our ideal clients are young adults, adults, youth, and teens recognizing the need for change and seeking support for personal growth. They may struggle with depression, anxiety, adjustment issues, ADHD, or trauma. Clients seek compassionate, skilled therapists to guide them in understanding emotions, developing coping mechanisms, and improving mental health for a better future.
Alliance Wellness Solutions is a licensed and accredited Outpatient Mental Health Clinic In Maryland. Our ideal clients are young adults, adults, youth, and teens recognizing the need for change and seeking support for personal growth. They may struggle with depression, anxiety, adjustment issues, ADHD, or trauma. Clients seek compassionate, skilled therapists to guide them in understanding emotions, developing coping mechanisms, and improving mental health for a better future.
(443) 733-6674 View (443) 733-6674
Photo of Admissions Now - Avenues Recovery Center at Prince Frederick, LCPC, LCSW, MD, MA, Treatment Center
Avenues Recovery Center at Prince Frederick
Treatment Center
Verified Verified
Baltimore, MD 21201
Avenues Recovery Center at Prince Frederick is a 48-bed residential facility which offers drug and alcohol detox and inpatient rehabilitation services. Newly remodeled, fresh and inviting, our expansive building brings all services under one roof and gives clients a five-star experience as they begin their recovery. Our unparalleled medical and clinical team are on call 24/7 to respond to every need, and consistently provide care in the most dignified and compassionate manner possible. The atmosphere – created by staff and clients alike – is one of acceptance, hope, and healing, and contributes greatly to each client’s recovery.
Avenues Recovery Center at Prince Frederick is a 48-bed residential facility which offers drug and alcohol detox and inpatient rehabilitation services. Newly remodeled, fresh and inviting, our expansive building brings all services under one roof and gives clients a five-star experience as they begin their recovery. Our unparalleled medical and clinical team are on call 24/7 to respond to every need, and consistently provide care in the most dignified and compassionate manner possible. The atmosphere – created by staff and clients alike – is one of acceptance, hope, and healing, and contributes greatly to each client’s recovery.
(443) 432-2441 View (443) 432-2441
Photo of Admissions Team - Sandstone Care Teen Residential Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A, Treatment Center
Sandstone Care Teen Residential Treatment Center
Treatment Center
Verified Verified
Baltimore, MD 21215
Sandstone Care provides substance use, addiction, and mental health treatment for 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 adolescents (ages 13 to 18) including Residential Treatment, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming.
(240) 209-9780 View (240) 209-9780
Photo of Sandstone Care Teen Young Adult Treatment Center - Sandstone Care Teen & Young Adult Treatment Center, MD, LPC, LAC, CAC-lll, CSACA, Treatment Center
Sandstone Care Teen & Young Adult Treatment Center
Treatment Center
Verified Verified
Baltimore, MD 21201
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.
(443) 234-0383 View (443) 234-0383
Photo of Kaitlin Newberger - The Bergand Group, Treatment Center
The Bergand Group
Treatment Center
Verified Verified
Baltimore, MD 21201
The Bergand Group is a treatment center treating addictions, mental health, and related disorders. We offer varying levels of outpatient treatment including Intensive Outpatient, Outpatient, Addiction Psychiatry, Outpatient Detox, Psychotherapy, DUI Education, Individual Therapy, Family, Therapy, and Anger Management. Our Addiction Medicine Board-certified doctors conduct all initial assessments and evaluations and follow our clients through their entire treatment - a truly unique feature for substance abuse providers in the area. You will be seen by a doctor specially trained in Addictions and Psychiatry, not just a therapist or counselor. This provides our clients with confidence that they are receiving the highest possible level of care. Our doctors have over 25 years experience each in treating substance abuse and related mental health issues. What does our experience mean for you? Experience means that our doctors actually provide treatment.
The Bergand Group is a treatment center treating addictions, mental health, and related disorders. We offer varying levels of outpatient treatment including Intensive Outpatient, Outpatient, Addiction Psychiatry, Outpatient Detox, Psychotherapy, DUI Education, Individual Therapy, Family, Therapy, and Anger Management. Our Addiction Medicine Board-certified doctors conduct all initial assessments and evaluations and follow our clients through their entire treatment - a truly unique feature for substance abuse providers in the area. You will be seen by a doctor specially trained in Addictions and Psychiatry, not just a therapist or counselor. This provides our clients with confidence that they are receiving the highest possible level of care. Our doctors have over 25 years experience each in treating substance abuse and related mental health issues. What does our experience mean for you? Experience means that our doctors actually provide treatment.
(410) 202-0419 View (410) 202-0419
Photo of An Admissions Specialist - Newport Academy Outpatient, Treatment Center
Newport Academy Outpatient
Treatment Center
Verified Verified
Baltimore, MD 21202
At Newport Academy, we know that treatment financing can make all the difference in receiving quality treatment. To that end, we promote collaborative relationships with all healthcare payers to optimize the benefit coverage for families in need. We accept all major insurance, and up to 100 percent of our services are covered. Our goal is to partner with insurers to address the adolescent and young adult mental health crisis, by reaching more families and helping them achieve sustainable recovery. If you’re interested in exploring the possibility of treatment at Newport Academy for your loved one’s mental health, behavioral health, or substance abuse issues, we can begin the insurance verification process immediately. Furthermore, we are happy to obtain your insurance policy information and seek verification on your behalf. You can also expedite this process by completing the insurance verification form on our website. There is no obligation to either Newport Academy or to your insurance provider.
At Newport Academy, we know that treatment financing can make all the difference in receiving quality treatment. To that end, we promote collaborative relationships with all healthcare payers to optimize the benefit coverage for families in need. We accept all major insurance, and up to 100 percent of our services are covered. Our goal is to partner with insurers to address the adolescent and young adult mental health crisis, by reaching more families and helping them achieve sustainable recovery. If you’re interested in exploring the possibility of treatment at Newport Academy for your loved one’s mental health, behavioral health, or substance abuse issues, we can begin the insurance verification process immediately. Furthermore, we are happy to obtain your insurance policy information and seek verification on your behalf. You can also expedite this process by completing the insurance verification form on our website. There is no obligation to either Newport Academy or to your insurance provider.
(833) 842-7445 View (833) 842-7445
Photo of Sandstone Care Teen Residential Treatment Center - Sandstone Care Teen Residential Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A, Treatment Center
Sandstone Care Teen Residential Treatment Center
Treatment Center
Verified Verified
Baltimore, MD 21201
Sandstone Care provides substance use, addiction, and mental health treatment for 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 adolescents (ages 13 to 18) including Residential Treatment, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming.
(240) 209-9886 View (240) 209-9886
Photo of Tywanna Hamilton - Healing Mind Wellness, Treatment Center
Healing Mind Wellness
Treatment Center
Verified Verified
Baltimore, MD 21202
Healing Mind Wellness Outpatient Mental Health Clinic offers therapy and psychiatric services to individuals of all ages, paralleling evidence-based therapeutic frameworks including Trauma-Informed Care, Compassion-Focused Therapy (CFT), Mindfulness-Based Cognitive Therapy (MBCT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Eye Movement Desensitization & Reprocessing (EMDR), and Psychodynamic Therapy with each client’s needs. Our goal is to uniquely individualize care while guiding the healing process. The Healing Mind Wellness treatment team provides individual therapy, group therapy, art therapy, couples/marital counseling, psychiatric medication management, and medication assisted treatment to support individuals experiencing Depression, Anxiety, Post-Traumatic Stress Disorder, Substance Use Disorder, Grief/Loss, and Marital/Relationship issues. Healing Mind Wellness further enhances each patient’s treatment experience offering alternative therapies including acupuncture, meditation, reiki, yoga to promote holistic care.
Healing Mind Wellness Outpatient Mental Health Clinic offers therapy and psychiatric services to individuals of all ages, paralleling evidence-based therapeutic frameworks including Trauma-Informed Care, Compassion-Focused Therapy (CFT), Mindfulness-Based Cognitive Therapy (MBCT), Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Eye Movement Desensitization & Reprocessing (EMDR), and Psychodynamic Therapy with each client’s needs. Our goal is to uniquely individualize care while guiding the healing process. The Healing Mind Wellness treatment team provides individual therapy, group therapy, art therapy, couples/marital counseling, psychiatric medication management, and medication assisted treatment to support individuals experiencing Depression, Anxiety, Post-Traumatic Stress Disorder, Substance Use Disorder, Grief/Loss, and Marital/Relationship issues. Healing Mind Wellness further enhances each patient’s treatment experience offering alternative therapies including acupuncture, meditation, reiki, yoga to promote holistic care.
(410) 656-6752 View (410) 656-6752
Photo of Jim Tedone - TruHealing Baltimore , Treatment Center
TruHealing Baltimore
Treatment Center
Verified Verified
Baltimore, MD 21201
TruHealing Baltimore (formerly Foundations Recovery Center) is committed to helping you achieve and maintain long term recovery. We provide outpatient services in an intimate and individualized setting. Our goal is to provide healing to each individual, in a safe, secure environment. We offer a unique perspective in helping individuals heal from the disease of addiction and make a lasting recovery. Our compassionate staff understands where clients are coming from because many on our team are in recovery themselves. Thus, they see the challenges facing clients and can offer them just the right support through our partial hospitalization, intensive outpatient, and outpatient programs. Our perspectives and professional expertise paired with our comprehensive therapeutic services mean that when individuals come to us, they can heal and change their life for the better.
TruHealing Baltimore (formerly Foundations Recovery Center) is committed to helping you achieve and maintain long term recovery. We provide outpatient services in an intimate and individualized setting. Our goal is to provide healing to each individual, in a safe, secure environment. We offer a unique perspective in helping individuals heal from the disease of addiction and make a lasting recovery. Our compassionate staff understands where clients are coming from because many on our team are in recovery themselves. Thus, they see the challenges facing clients and can offer them just the right support through our partial hospitalization, intensive outpatient, and outpatient programs. Our perspectives and professional expertise paired with our comprehensive therapeutic services mean that when individuals come to us, they can heal and change their life for the better.
(240) 616-4371 View (240) 616-4371
Photo of The Freedom Center - The Freedom Center, Treatment Center
The Freedom Center
Treatment Center
Not Verified Not Verified
Baltimore, MD 21205
Successful addiction and alcoholism treatment for those unable to attend residential rehab centers. The Freedom Center is an intensive outpatient program covering all types of drug and alcohol addiction that offers a flexible and affordable solution that has the ability to change the lives of those suffering in addiction. During outpatient treatment, clients receive therapy while continuing other life responsibilities like school, work or family responsibilities; and unlike residential programs, at The Freedom House, the client has the ability to live at home or in a sober living environment. Unlike many traditional rehab centers, our goal is to treat all of the underlying causes of addiction effectively, including trauma and mental health conditions.
Successful addiction and alcoholism treatment for those unable to attend residential rehab centers. The Freedom Center is an intensive outpatient program covering all types of drug and alcohol addiction that offers a flexible and affordable solution that has the ability to change the lives of those suffering in addiction. During outpatient treatment, clients receive therapy while continuing other life responsibilities like school, work or family responsibilities; and unlike residential programs, at The Freedom House, the client has the ability to live at home or in a sober living environment. Unlike many traditional rehab centers, our goal is to treat all of the underlying causes of addiction effectively, including trauma and mental health conditions.
(240) 702-2768 View (240) 702-2768
Photo of George Kolodner - Kolmac Integrated Behavioral Health, Treatment Center
Kolmac Integrated Behavioral Health
Treatment Center
Verified Verified
Baltimore, MD 21201
Kolmac Integrated Behavioral Health is committed to treating individuals who lives have been impacted by substance use and mental health disorders. We do this by providing compassionate and evidence base treatment, aimed at improving the quality of life for those who we serve. Kolmac has been a leader in providing drug and alcohol outpatient recovery services since 1973. Our expert medical and clinical teams offer safe and efficient treatment allowing patience the flexibility focus on their own recovery without disturbing their career education or family life.
Kolmac Integrated Behavioral Health is committed to treating individuals who lives have been impacted by substance use and mental health disorders. We do this by providing compassionate and evidence base treatment, aimed at improving the quality of life for those who we serve. Kolmac has been a leader in providing drug and alcohol outpatient recovery services since 1973. Our expert medical and clinical teams offer safe and efficient treatment allowing patience the flexibility focus on their own recovery without disturbing their career education or family life.
(855) 697-5759 View (855) 697-5759
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See more therapy options for Baltimore

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