UnitedHealthcare UHC | UBH Treatment Centers in Auburn, WA

Photo of South Sound Behavioral Hospital - South Sound Behavioral Hospital, Treatment Center
South Sound Behavioral Hospital
Treatment Center
Verified Verified
Auburn, WA 98001
South Sound Behavioral Hospital is dedicated to meeting the diverse mental health needs of our community. Through comprehensive, compassionate care, innovative evidence-based treatment programs, and a commitment to continuous improvement, we strive to support every individual on their journey to recovery. Our team of professionals works tirelessly to ensure that each patient receives personalized care, fostering a safe and supportive environment for healing and growth.
South Sound Behavioral Hospital is dedicated to meeting the diverse mental health needs of our community. Through comprehensive, compassionate care, innovative evidence-based treatment programs, and a commitment to continuous improvement, we strive to support every individual on their journey to recovery. Our team of professionals works tirelessly to ensure that each patient receives personalized care, fostering a safe and supportive environment for healing and growth.
(360) 763-0670 View (360) 763-0670
Photo of Our Office - Alternative Counseling Inc, Treatment Center
Alternative Counseling Inc
Treatment Center
Verified Verified
Auburn, WA 98002
Our goal at Alternative Counseling is to provide a variety of quality treatment services at reasonable rates. We understand that people suffer from a wide variety of self-destructive behaviors and that each person is unique with unique treatment needs. At Alternative Counseling, we strive to provide the latest in evidence-based treatment options. Our professional staff constantly strives to find what works best for each individual and to treat everyone with respect and compassion. We believe behavior is learned, and behaviors learned can be modified or changed. We offer flexible scheduling with evening and weekend appointments and provide help with additional resources such as community self-help programs and other referrals.
Our goal at Alternative Counseling is to provide a variety of quality treatment services at reasonable rates. We understand that people suffer from a wide variety of self-destructive behaviors and that each person is unique with unique treatment needs. At Alternative Counseling, we strive to provide the latest in evidence-based treatment options. Our professional staff constantly strives to find what works best for each individual and to treat everyone with respect and compassion. We believe behavior is learned, and behaviors learned can be modified or changed. We offer flexible scheduling with evening and weekend appointments and provide help with additional resources such as community self-help programs and other referrals.
(425) 212-1362 View (425) 212-1362
Photo of Kris Peterson - NeuroStim Depression Treatment Center, Treatment Center
NeuroStim Depression Treatment Center
Treatment Center
Verified Verified
1 Endorsed
Auburn, WA 98001
We specialize in TMS Therapy, a revolutionary FDA-Approved treatment that is providing new HOPE and HEALING to thousands of patients who suffer from Depression, Anxiety, PTSD and similar disorders. TMS is a safe and highly effective treatment that treats the actual SOURCE of the disorder -- NOT the symptoms. It works by stimulating areas of the brain that are under-active in patients with severe depression, anxiety, and similar disorders. TMS (Transcranial Magnetic Stimulation) provides substantial relief and even complete remission in those who have not obtained benefit from medications, or prefer not to take medications for any reason.
We specialize in TMS Therapy, a revolutionary FDA-Approved treatment that is providing new HOPE and HEALING to thousands of patients who suffer from Depression, Anxiety, PTSD and similar disorders. TMS is a safe and highly effective treatment that treats the actual SOURCE of the disorder -- NOT the symptoms. It works by stimulating areas of the brain that are under-active in patients with severe depression, anxiety, and similar disorders. TMS (Transcranial Magnetic Stimulation) provides substantial relief and even complete remission in those who have not obtained benefit from medications, or prefer not to take medications for any reason.
(888) 963-9467 View (888) 963-9467
Photo of Freda Haines - F.H. Counseling & Associates Tx Agency, LMHC, SAP, DVITP, MRT&DVM, SUDP, Treatment Center
F.H. Counseling & Associates Tx Agency
Treatment Center
Verified Verified
Auburn, WA 98003
We provide services to Adult (ages 18-64) that are seeking Behavioral Health Services, Mental health Counseling and Outpatient Substance Use Treatment. This includes Mental Health Evaluations, Outpatient Substance Use (OP) Treatment, Intensive Substance Outpatient Treatment, DUI Assessments, DV Assessments, Anger Assessments, 8-hour Alcohol Drug information School, Substance Use Assessment only, PEER services, Moral Reconation Therapy (MRT) & DV- Moral Reconation Therapy (DV-MRT )and Deferred prosecution.
We provide services to Adult (ages 18-64) that are seeking Behavioral Health Services, Mental health Counseling and Outpatient Substance Use Treatment. This includes Mental Health Evaluations, Outpatient Substance Use (OP) Treatment, Intensive Substance Outpatient Treatment, DUI Assessments, DV Assessments, Anger Assessments, 8-hour Alcohol Drug information School, Substance Use Assessment only, PEER services, Moral Reconation Therapy (MRT) & DV- Moral Reconation Therapy (DV-MRT )and Deferred prosecution.
(253) 400-4517 View (253) 400-4517
Photo of Jesse Adams - SeattleNTC - Tacoma Bellevue Bellingham Seattle, MD, Treatment Center
SeattleNTC - Tacoma Bellevue Bellingham Seattle
Treatment Center
Verified Verified
Auburn, WA 98001  (Online Only)
Only 2/3 of patients with depression experience substantial relief of their symptoms with medications and therapy, and most of those individuals recover in their first 2 antidepressant trials (source: STAR*D study)! For the other 1/3 - nearly 6 million Americans - TMS, esketamine, ECT, and other treatments offer hope. Between these three treatments, nearly 90% of our patients improve. If your depression continues despite multiple medications and psychotherapy, we can help.
Only 2/3 of patients with depression experience substantial relief of their symptoms with medications and therapy, and most of those individuals recover in their first 2 antidepressant trials (source: STAR*D study)! For the other 1/3 - nearly 6 million Americans - TMS, esketamine, ECT, and other treatments offer hope. Between these three treatments, nearly 90% of our patients improve. If your depression continues despite multiple medications and psychotherapy, we can help.
(206) 965-8738 View (206) 965-8738

More Treatment Centers Nearby

Photo of Lily Hoover - Eastside TMS and Wellness Center, Treatment Center
Eastside TMS and Wellness Center
Treatment Center
Verified Verified
Kent, WA 98030
Depression symptoms are traditionally treated with psychotherapy and antidepressant medications, and these treatments are considered the first-line treatments. While medication has a positive effect for many, they do not work for all and even when medication are effective, there can still be some serious side effects to consider. Recent research into Transcranial Magnetic Stimulation (TMS) has created a new alternative treatment for depression. TMS activates and raises the levels of neurotransmitters in areas shown to be under-performing in people suffering from depression. Eastside TMS and Wellness Center provides an alternative treatment of major depression using the revolutionary FDA approved treatment, Transcranial Magnetic Stimulation. We provide individually-tailored, evidence-based treatment for major depression, and are staffed with an experienced team of experts in the field of Brain Stimulation therapies. Our trained staff is dedicated to working directly with patients to provide the safest and most cutting-edge treatment of TMS therapy. www.eastsidetmswellness.com
Depression symptoms are traditionally treated with psychotherapy and antidepressant medications, and these treatments are considered the first-line treatments. While medication has a positive effect for many, they do not work for all and even when medication are effective, there can still be some serious side effects to consider. Recent research into Transcranial Magnetic Stimulation (TMS) has created a new alternative treatment for depression. TMS activates and raises the levels of neurotransmitters in areas shown to be under-performing in people suffering from depression. Eastside TMS and Wellness Center provides an alternative treatment of major depression using the revolutionary FDA approved treatment, Transcranial Magnetic Stimulation. We provide individually-tailored, evidence-based treatment for major depression, and are staffed with an experienced team of experts in the field of Brain Stimulation therapies. Our trained staff is dedicated to working directly with patients to provide the safest and most cutting-edge treatment of TMS therapy. www.eastsidetmswellness.com
(425) 357-7183 View (425) 357-7183
Photo of Newport Academy - Newport Academy, Treatment Center
Newport Academy
Treatment Center
Verified Verified
Tacoma, WA 98401
Rather than an afterthought, as it is in many treatment programs, Newport Academy’s educational program is an essential aspect of our clinical model. Our educational program is fully accredited and provides enhanced tutoring within a therapeutic environment, with individualized educational plans. When teens return to their home school after completing treatment with us, they bring with them concrete study and organizational skills along with enhanced engagement. Our specialized curriculum is designed to close proficiency gaps and help students grow their strengths, while building executive functioning, time management, and motivation. Newport’s educational program also offers credit recovery options for students who have failed classes or missed pertinent instruction as a result of their mental health. We ensure that students stay on track with their education and their college and career goals while receiving the compassionate and comprehensive treatment they need to achieve long-term healing.
Rather than an afterthought, as it is in many treatment programs, Newport Academy’s educational program is an essential aspect of our clinical model. Our educational program is fully accredited and provides enhanced tutoring within a therapeutic environment, with individualized educational plans. When teens return to their home school after completing treatment with us, they bring with them concrete study and organizational skills along with enhanced engagement. Our specialized curriculum is designed to close proficiency gaps and help students grow their strengths, while building executive functioning, time management, and motivation. Newport’s educational program also offers credit recovery options for students who have failed classes or missed pertinent instruction as a result of their mental health. We ensure that students stay on track with their education and their college and career goals while receiving the compassionate and comprehensive treatment they need to achieve long-term healing.
(360) 382-2379 View (360) 382-2379
Photo of Eating Recovery Center Washington - Eating Recovery Center Washington, Treatment Center
Eating Recovery Center Washington
Treatment Center
Verified Verified
Kent, WA 98032
Eating Recovery Center, Washington is part of Eating Recovery Center, the only national vertically integrated health care system dedicated to the treatment of serious eating disorders. Eating Recovery Center offers best-in-class care for individuals and families struggling with anorexia, bulimia, binge eating and other unspecified eating disorders through an unmatched network of 24 centers in 7 states.
Eating Recovery Center, Washington is part of Eating Recovery Center, the only national vertically integrated health care system dedicated to the treatment of serious eating disorders. Eating Recovery Center offers best-in-class care for individuals and families struggling with anorexia, bulimia, binge eating and other unspecified eating disorders through an unmatched network of 24 centers in 7 states.
(425) 329-3821 View (425) 329-3821
Photo of Admissions Specialist - Elevation Behavioral Health Mental Health Retreats, Treatment Center
Elevation Behavioral Health Mental Health Retreats
Treatment Center
Verified Verified
Kent, WA 98032
Elevation Behavioral Health is one of the few private inpatient mental health facilities that focuses on assessing and effectively treating primary mental health conditions in conjunction with detoxification and addiction interventions. We are proud to offer a robust clinical program that provides the most individual therapy sessions in the industry and while respecting and honoring each client's journey. We are committed to providing clients with exceptional treatment in a compassionate environment. We make a positive, measurable difference in the physical, emotional and spiritual health of the people we serve while building up their confidence and respecting their dignity.
Elevation Behavioral Health is one of the few private inpatient mental health facilities that focuses on assessing and effectively treating primary mental health conditions in conjunction with detoxification and addiction interventions. We are proud to offer a robust clinical program that provides the most individual therapy sessions in the industry and while respecting and honoring each client's journey. We are committed to providing clients with exceptional treatment in a compassionate environment. We make a positive, measurable difference in the physical, emotional and spiritual health of the people we serve while building up their confidence and respecting their dignity.
(424) 395-3461 View (424) 395-3461
Photo of An Admissions Specialist - Newport Academy, Treatment Center
Newport Academy
Treatment Center
Verified Verified
Tacoma, WA 98401
Newport Academy’s philosophy of care is mental health primary: We address the underlying trauma and attachment wounds that catalyze mental health conditions and co-occurring disorders, including depression, anxiety, mood disorders, substance abuse, self-harm, and eating disorders. Our integrated, evidence-based approach guides teens and their families to achieve long-term, sustainable healing. We remove the stigma around mental health treatment and substance abuse issues and provide compassionate care that leads to self-awareness, confidence, and self-esteem. Based in clinical expertise and compassionate care, our whole-person treatment model takes into account the physical, psychological, social, educational, and spiritual needs of adolescents. We support young people ages 12 and up in building authentic connection with self; restoring harmony in the family system; and developing supportive relationships with peers. Our mission is to empower teens and restore families.
Newport Academy’s philosophy of care is mental health primary: We address the underlying trauma and attachment wounds that catalyze mental health conditions and co-occurring disorders, including depression, anxiety, mood disorders, substance abuse, self-harm, and eating disorders. Our integrated, evidence-based approach guides teens and their families to achieve long-term, sustainable healing. We remove the stigma around mental health treatment and substance abuse issues and provide compassionate care that leads to self-awareness, confidence, and self-esteem. Based in clinical expertise and compassionate care, our whole-person treatment model takes into account the physical, psychological, social, educational, and spiritual needs of adolescents. We support young people ages 12 and up in building authentic connection with self; restoring harmony in the family system; and developing supportive relationships with peers. Our mission is to empower teens and restore families.
(425) 242-3464 View (425) 242-3464
Photo of Benchmark Montclair - Benchmark Transitions at Montclair, Treatment Center
Benchmark Transitions at Montclair
Treatment Center
Verified Verified
Tacoma, WA 98402
The Leading Mental Health and Substance Abuse Treatment Center Located In The Heart Of Downtown Montclair, CA. Our comprehensive and nationally-recognized program is dedicated to delivering the highest quality evidence-based care, regardless of where you or your loved one are in their journey to recovery. Whether you're seeking support for yourself or a family member grappling with mental health and substance abuse issues, we are here to assist you.
The Leading Mental Health and Substance Abuse Treatment Center Located In The Heart Of Downtown Montclair, CA. Our comprehensive and nationally-recognized program is dedicated to delivering the highest quality evidence-based care, regardless of where you or your loved one are in their journey to recovery. Whether you're seeking support for yourself or a family member grappling with mental health and substance abuse issues, we are here to assist you.
(626) 702-2348 View (626) 702-2348
Photo of Mehri Moore - THIRA Health, MD, PhD, Treatment Center
THIRA Health
Treatment Center, MD, PhD
Verified Verified
Federal Way, WA 98001
At THIRA, we specialize in Dialectical Behavioral Therapy, and even have Dr. Kathryn Korslund (a key researcher and developer of DBT methods and training) on staff. Originally developed at the University of Washington by Marsha Linehan, Ph.D., DBT was first designed to treat interpersonal chaos, intense emotional swings, impulsiveness, confusion about the self (identity), and suicidal behavior. It is based on a bio-social theory that states that problems develop from the interaction of biological factors (physiological makeup) and environmental factors (learning history), which together create difficulty managing emotions. DBT is therefore appropriate for a range of additional problems that relate to emotion dysregulation such as depression, anxiety disorders, eating disorders, anger-related problems, and substance use problems. A great deal of research has been conducted on the effectiveness of DBT and, in general, DBT appears as effective or more effective than other “talk based” psychotherapies for the problems mentioned above.
At THIRA, we specialize in Dialectical Behavioral Therapy, and even have Dr. Kathryn Korslund (a key researcher and developer of DBT methods and training) on staff. Originally developed at the University of Washington by Marsha Linehan, Ph.D., DBT was first designed to treat interpersonal chaos, intense emotional swings, impulsiveness, confusion about the self (identity), and suicidal behavior. It is based on a bio-social theory that states that problems develop from the interaction of biological factors (physiological makeup) and environmental factors (learning history), which together create difficulty managing emotions. DBT is therefore appropriate for a range of additional problems that relate to emotion dysregulation such as depression, anxiety disorders, eating disorders, anger-related problems, and substance use problems. A great deal of research has been conducted on the effectiveness of DBT and, in general, DBT appears as effective or more effective than other “talk based” psychotherapies for the problems mentioned above.
(425) 336-0406 View (425) 336-0406
Photo of Jesse Mcclelland - TMS Washington, MD, MPH, Treatment Center
TMS Washington
Treatment Center, MD, MPH
Verified Verified
Puyallup, WA 98371
Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. It is a technique that uses powerful, focused magnetic field pulses to stimulate the neurons of the brain. TMS stimulates areas of the brain that are underactive because of depression. It is a safe, non-invasive procedure that uses electromagnetic energy.
Transcranial magnetic stimulation (TMS) provides safe and effective treatment for depression. It is a technique that uses powerful, focused magnetic field pulses to stimulate the neurons of the brain. TMS stimulates areas of the brain that are underactive because of depression. It is a safe, non-invasive procedure that uses electromagnetic energy.
(206) 538-2735 View (206) 538-2735
Photo of Free By The Sea - Free by the Sea, Treatment Center
Free by the Sea
Treatment Center
Verified Verified
Tacoma, WA 98404
Free by the Sea is a dual diagnosis addiction treatment center located on the Washington Coast. We provide a continuum of care including residential, partial hospitalization (PHP), intensive outpatient (IOP), and outpatient services (OP). Our peaceful setting has inspired a program of holistic healing, designed to meet your individualized needs. 30, 60, and 90+ day programs available, with options for long-term care and sober living. Our sober living accommodations provide a safe and supportive environment to further establish and reinforce a routine in recovery while utilizing specific coping skills to thrive in your daily life. The campus is just steps away from the beach, offering an abundance of recreational activities such as pickleball and volleyball. Mindfulness skills are incorporated throughout the program to deepen attunement with self and others, and to emphasize the importance of being present in each moment life. A meditation room is available to those who want to deepen their meditation practice, or to simply have some moments of silence. Yoga and sound baths are optionally available for those interested in deepening their mind, body, and spirit connection.
Free by the Sea is a dual diagnosis addiction treatment center located on the Washington Coast. We provide a continuum of care including residential, partial hospitalization (PHP), intensive outpatient (IOP), and outpatient services (OP). Our peaceful setting has inspired a program of holistic healing, designed to meet your individualized needs. 30, 60, and 90+ day programs available, with options for long-term care and sober living. Our sober living accommodations provide a safe and supportive environment to further establish and reinforce a routine in recovery while utilizing specific coping skills to thrive in your daily life. The campus is just steps away from the beach, offering an abundance of recreational activities such as pickleball and volleyball. Mindfulness skills are incorporated throughout the program to deepen attunement with self and others, and to emphasize the importance of being present in each moment life. A meditation room is available to those who want to deepen their meditation practice, or to simply have some moments of silence. Yoga and sound baths are optionally available for those interested in deepening their mind, body, and spirit connection.
(360) 665-7112 View (360) 665-7112
Touchstone TMS
Treatment Center, MD
Verified Verified
Puyallup, WA 98372
Our treatment center offers specialty Psychiatry services TMS (transcranial magnetic stimulation) and Spravato (esketamine) for treatment-resistant depression cases. These services also can have some ancillary benefits for Anxiety, PTSD, and OCD, but our primary treatment focus is on MDD (major depressive disorder).
Our treatment center offers specialty Psychiatry services TMS (transcranial magnetic stimulation) and Spravato (esketamine) for treatment-resistant depression cases. These services also can have some ancillary benefits for Anxiety, PTSD, and OCD, but our primary treatment focus is on MDD (major depressive disorder).
(253) 367-7052 View (253) 367-7052
Photo of Olympia Center For Tms And Psychiatry - Olympia Center for TMS and Psychiatry, Treatment Center
Olympia Center for TMS and Psychiatry
Treatment Center
Verified Verified
Tacoma, WA 98401
We are a family-owned outpatient clinic focused on TMS treatment for depression, psychiatric evaluations, medication management, and treatment of injured workers. Dr. David Penner, MD, founded our clinic to provide high-quality mental health care tailored toward each patient. Our clinic is staffed with highly-trained professionals. We have a dedicated nurse, four registered nurse practitioners, a physician assistant, and a psychiatrist, each with unique backgrounds and experience in the military, community mental health, child and adolescent psychology, and nursing.
We are a family-owned outpatient clinic focused on TMS treatment for depression, psychiatric evaluations, medication management, and treatment of injured workers. Dr. David Penner, MD, founded our clinic to provide high-quality mental health care tailored toward each patient. Our clinic is staffed with highly-trained professionals. We have a dedicated nurse, four registered nurse practitioners, a physician assistant, and a psychiatrist, each with unique backgrounds and experience in the military, community mental health, child and adolescent psychology, and nursing.
(360) 516-1618 View (360) 516-1618

Online Treatment Centers

Photo of Smokey Point Behavioral Hospital - Smokey Point Behavioral Hospital, Treatment Center
Smokey Point Behavioral Hospital
Treatment Center
Verified Verified
Marysville, WA 98271
Smokey Point Behavioral Hospital's mission is to provide a supportive, compassionate, and innovative environment of patient centered care. Located in Marysville, WA -- Smokey Point Behavioral opened its doors in June 2017 to meet the needs of a rapidly growing North Sound region with a 115-bed, state-of-the-art, freestanding psychiatric facility. Six units provide group-facilitated, short-term specialized treatment for behavioral health and co-occurring disorders (mental illness and substance abuse) for both adults and adolescents within a secure unit.
Smokey Point Behavioral Hospital's mission is to provide a supportive, compassionate, and innovative environment of patient centered care. Located in Marysville, WA -- Smokey Point Behavioral opened its doors in June 2017 to meet the needs of a rapidly growing North Sound region with a 115-bed, state-of-the-art, freestanding psychiatric facility. Six units provide group-facilitated, short-term specialized treatment for behavioral health and co-occurring disorders (mental illness and substance abuse) for both adults and adolescents within a secure unit.
(360) 548-6997 View (360) 548-6997
Photo of Stacey Shaw - Northpoint Washington, LSWIC, DSW, SUDP, Treatment Center
Northpoint Washington
Treatment Center, LSWIC, DSW, SUDP
Verified Verified
Edmonds, WA 98026
Northpoint Washington offers residential substance use disorder treatment for adults 18+. During treatment at Northpoint, patients will receive dual-diagnosis treatment, which addresses the substance use disorder and any underlying mental health conditions. Our caring staff is dedicated to providing the help and proper coping skills to those ready to achieve long-term sobriety.
Northpoint Washington offers residential substance use disorder treatment for adults 18+. During treatment at Northpoint, patients will receive dual-diagnosis treatment, which addresses the substance use disorder and any underlying mental health conditions. Our caring staff is dedicated to providing the help and proper coping skills to those ready to achieve long-term sobriety.
(425) 470-6147 View (425) 470-6147
Photo of Shifa Support Staff - Shifa Health, Treatment Center
Shifa Health
Treatment Center
Verified Verified
Everett, WA 98208
MISSION: At Shifa health, our mission is to prevent and decrease suffering, improve functioning and enhance mental wellbeing by providing cutting-edge, highest quality, and evidence-based mental health services.
MISSION: At Shifa health, our mission is to prevent and decrease suffering, improve functioning and enhance mental wellbeing by providing cutting-edge, highest quality, and evidence-based mental health services.
(425) 428-4570 View (425) 428-4570
Photo of Fairfax Admissions - Adult & Adolescent Outpatient | Fairfax Behavioral, MD, LMHC, Treatment Center
Adult & Adolescent Outpatient | Fairfax Behavioral
Treatment Center, MD, LMHC
Verified Verified
Kirkland, WA 98034
Adult, Young Adult (18-30), 50+, and Adolescent (13-17) PHP, partial hospitalization, programs. Using CBT and ACT programming, medication management, nursing groups, rec and music therapy, the Partial Hospitalization Program provides treatment for people struggling with depression, anxiety, bipolar disorder, PTSD and other mood disorders. Patients participate in group therapy for six hours a day, five days per week. The Adolescent PHP program is available virtually or on-site.
Adult, Young Adult (18-30), 50+, and Adolescent (13-17) PHP, partial hospitalization, programs. Using CBT and ACT programming, medication management, nursing groups, rec and music therapy, the Partial Hospitalization Program provides treatment for people struggling with depression, anxiety, bipolar disorder, PTSD and other mood disorders. Patients participate in group therapy for six hours a day, five days per week. The Adolescent PHP program is available virtually or on-site.
(425) 517-1895 View (425) 517-1895

UnitedHealthcare UHC | UBH 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 benefit plans that help defray the cost of couples therapy.

Learn more about Insurance Coverage and Finding Affordable Therapy