How to find out if your therapist is covered by insurance?
Asked by: Kylee Tremblay Jr. | Last update: January 21, 2026Score: 4.8/5 (5 votes)
- Ask your insurance provider in person or via phone call or contact form. The answer may also be on their website.
- Ask the therapist's practice in person, over the phone, or via email. The answer may also be on their website.
How do you know if a therapist is covered by insurance?
Check your description of plan benefits—it should include information on behavioral health services or coverage for mental health and substance-use disorders. If you still aren't sure, ask your human resources representative or contact your insurance company directly.
How to find a therapist that is covered by insurance?
Generally you go to your insurance company's website, find the ``find a doctor'' feature that should be there somewhere, select the type of doctor you want, and go from there. It should give you a list of therapists, or psychiatrists, or podiatrists, etc in your area.
How do I check if my insurance covers something?
Here are some ways you can find out what your insurance plan covers: If you have access to it, read your insurance manual. There should be a Summary of Benefits section that lists out covered services, costs, etc. Visit your health plan's website.
Why is it so hard to find a therapist that takes my insurance?
- The credentialing process is long and cumbersome
- Claims processing is slow and inconsistent across insurers
- Not every service is covered by insurers
- There's a shortage of qualified therapists
How to Find a Therapist Covered by Insurance and In-Network
How much does it cost to see a therapist with insurance?
If you have insurance with mental health coverage, the cost of a therapy session with an in-network therapist is usually the same as your co-pay to see a medical specialist. On average, specialist co-pays are about $30 to $50 per session.
Is it normal for therapists to not take insurance?
Demand for therapy is so high that some mental health professionals, especially those that are highly sought-after, don't accept insurance or work with a very limited number of insurers. This is simply because there is an abundance of patients who will pay out-of-pocket.
Why is mental health not covered by insurance?
In addition to inadequate mental health provider networks, health insurance companies also sometimes use restrictive standards to limit coverage for mental health care. These standards often include criteria that plan members must meet in order to qualify for coverage or treatment.
How do therapists get paid by insurance?
In simple words, a covered patient comes to see you for therapy services: you provide care services, prepare a bill, and submit an insurance claim for therapists to their health insurer, and the insurer reimburses you.
How much does Blue Cross Blue Shield pay for therapy?
If you choose a therapist who is in-network with Blue Cross Blue Shield, your therapy sessions likely cost between $15 - $50 per session, after you meet your deductible. The $15 - $50 amount is your copay, or the fixed amount that you owe at each therapy visit.
Do therapists bill insurance?
Some therapists choose to be an in network provider for some insurance companies but not for others while some prefer to stay out of network provider for all health insurance companies as they prefer not to deal with insurance billing.
What is the copay for therapy?
A copay is the set fee you pay at every medical session, including therapy. When you see a therapist who is in-network with your insurance plan, you pay them a copay at each therapy session. Then, your therapist sends a claim to the insurance company to receive the remainder of the fee they're owed.
How long does it take for insurance to pay a therapist?
In most cases, it will take at least 30 days from the date the insurer receives a claim to when your mental health practice will receive reimbursement. Some insurers move faster, with turnaround times of two to three weeks, but, as a rule, 30 days is what most practices can expect.
Which insurances pay therapists the most?
The amount insurance pays therapists, known as reimbursement rates, can vary quite a bit based on: The insurance company: Some companies like Blue Cross Blue Shield and Aetna typically offer higher reimbursement rates than others. Medicare and Medicaid, government programs, usually pay on the lower end of the spectrum.
How to find a therapist covered by insurance?
You can access an online directory of insurance companies or see a list of all the providers in your network on your insurance's website. You can also call your insurance company to determine if a therapist is in-network. It's important to consider your needs before deciding who you want to work with.
What is the hardest mental illness to live with?
Borderline personality disorder is one of the most painful mental illnesses since individuals struggling with this disorder are constantly trying to cope with volatile and overwhelming emotions.
Is anxiety covered by insurance?
Health insurance for mental health provides coverage for mental illnesses like depression, anxiety, OCD, PTSD, schizophrenia, etc. It covers persons with mental illness for the treatment of mental or psychological disorders, making medical insurance more inclusive for them.
How do I know if my therapist takes insurance?
If it is still unclear if your therapist takes your insurance, here are some actions to take: Ask your insurance provider in person or via phone call or contact form. The answer may also be on their website. Ask the therapist's practice in person, over the phone, or via email.
Are therapists free with insurance?
Does health insurance cover the cost of therapy? The short answer is: it depends. Most plans in the United States cover mental health similarly to how they cover other medical costs, meaning that sessions could be billed with a co-pay or go toward your deductible.
What happens if you can't pay for therapy?
Ask your therapist about sliding scale options, discounted rates, or shorter sessions. If you don't have health insurance or your therapist doesn't take insurance, you may still have options.
Can I get free therapy?
Community centers, hospitals, schools, and places of worship sometimes offer free or low-cost counseling. Many community organizations also host peer-support groups (groups run by people facing the same issues) and recovery groups which can provide additional care.
Do you pay before or after therapy?
Many therapists prefer to take care of payment up front, or to have clients pay for several sessions in advance; that way, both therapist and client avoid the awkward experience of having to discuss payment after a particularly difficult session. When should I ask about insurance coverage?
Is online therapy cheaper than in person?
Online therapy can be cheaper than in-person therapy due to reduced overhead costs. In some cases, insurance may cover some or all the cost of a therapy session. However, there may be a limit to the number of sessions a person can access with insurance.
How to get therapy when insurance doesn t cover it?
- Medicaid. ...
- Sliding Scale Therapists. ...
- Online Therapy. ...
- Employee Assistance Programs (EAPs) ...
- College Healthcare Centers. ...
- Disability Benefits. ...
- Group Therapy. ...
- Support Groups.
Do therapists have to bill insurance?
Getting Credentialed with Insurance Companies
Medical credentialing is the process through which a therapist joins an insurer's provider panel. Therapists who are not credentialed with insurers cannot bill insurance directly. Instead, the client must seek reimbursement from the insurer.