Aetna Treatment Centers in Winchester, VA

Photo of Newport Institute, Treatment Center in Winchester, VA
Newport Institute
Treatment Center
Verified Verified
Winchester, VA 22603
We work with most major insurance providers and work collaboratively with payers to optimize coverage for families. Many young adults who receive treatment from Newport Institute using insurance coverage do so through a Single Case Agreement, a special contract through which out-of-network providers can work with a family’s insurance company on an In-Network basis. Newport Institute maintains a full-time, in-house team dedicated to supporting families through the mental health insurance coverage and financing process. In order to secure sufficient insurance coverage, we will most likely need to conduct a series of clinical reviews and any requested provider-to-provider calls with the insurance company. While other facilities may charge for this service, we feel it is our responsibility to assist families with what can be a complex process. Our goal is to ensure that families receive the maximum coverage, so they can access the highest-quality treatment.
We work with most major insurance providers and work collaboratively with payers to optimize coverage for families. Many young adults who receive treatment from Newport Institute using insurance coverage do so through a Single Case Agreement, a special contract through which out-of-network providers can work with a family’s insurance company on an In-Network basis. Newport Institute maintains a full-time, in-house team dedicated to supporting families through the mental health insurance coverage and financing process. In order to secure sufficient insurance coverage, we will most likely need to conduct a series of clinical reviews and any requested provider-to-provider calls with the insurance company. While other facilities may charge for this service, we feel it is our responsibility to assist families with what can be a complex process. Our goal is to ensure that families receive the maximum coverage, so they can access the highest-quality treatment.
(703) 546-9383 View (703) 546-9383
Photo of The Freedom Center, Treatment Center in Winchester, VA
The Freedom Center
Treatment Center
Not Verified Not Verified
Winchester, VA 22603
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 Bridging the Gaps Inc, Treatment Center in Winchester, VA
Bridging the Gaps Inc
Treatment Center
Verified Verified
Winchester, VA 22601
Bridging the Gaps (BTG), an integrative residential addiction treatment facility located in historic Winchester, Virginia, provides treatment for adults suffering from the disease of addiction. We provide a phase based treatment structure consisting of 3 core phases with the opportunity for an extended 4th phase to better facilitate a client's transition back into the demands of day to day life. At BTG we provide treatment for substance use disorders by integrating traditional modalities of psycho-social-spiritual treatment with complementary approaches oriented towards physiological healing and wellbeing. Using the most progressive modalities available, coupled with a traditional "12 step" program, we help our clients recover their physical health as well as provide them with the psychological and spiritual tools they need for a life free from drug addiction and alcoholism. We offer integrative treatment modalities including education, individual and group counseling, intravenous therapy, oral nutrients, nutrition, acupuncture detoxification, fitness, massage, neurofeedback, meditation, yoga, and Reiki. We combine treatment approaches that incorporate healing of the whole person - mind, body, and spirit.
Bridging the Gaps (BTG), an integrative residential addiction treatment facility located in historic Winchester, Virginia, provides treatment for adults suffering from the disease of addiction. We provide a phase based treatment structure consisting of 3 core phases with the opportunity for an extended 4th phase to better facilitate a client's transition back into the demands of day to day life. At BTG we provide treatment for substance use disorders by integrating traditional modalities of psycho-social-spiritual treatment with complementary approaches oriented towards physiological healing and wellbeing. Using the most progressive modalities available, coupled with a traditional "12 step" program, we help our clients recover their physical health as well as provide them with the psychological and spiritual tools they need for a life free from drug addiction and alcoholism. We offer integrative treatment modalities including education, individual and group counseling, intravenous therapy, oral nutrients, nutrition, acupuncture detoxification, fitness, massage, neurofeedback, meditation, yoga, and Reiki. We combine treatment approaches that incorporate healing of the whole person - mind, body, and spirit.
(540) 346-4106 View (540) 346-4106
Photo of Prosperity Eating Disorders and Wellness Center, Treatment Center in Winchester, VA
Prosperity Eating Disorders and Wellness Center
Treatment Center
Verified Verified
Winchester, VA 22601
Prosperity is a warm, therapeutic, and friendly environment, where we provide highly effective eating disorder treatment by experts in the field. Programs offered: Adult Partial Hospitalization Program (PHP), Adolescent PHP program, Adult and Adolescent Intensive Outpatient Program, Binge Eating Disorder IOP, Virtual Adult IOP.
Prosperity is a warm, therapeutic, and friendly environment, where we provide highly effective eating disorder treatment by experts in the field. Programs offered: Adult Partial Hospitalization Program (PHP), Adolescent PHP program, Adult and Adolescent Intensive Outpatient Program, Binge Eating Disorder IOP, Virtual Adult IOP.
(571) 253-7529 View (571) 253-7529
Photo of Roxbury, Treatment Center in Winchester, VA
Roxbury
Treatment Center
Verified Verified
Winchester, VA 22601
Roxbury is an inpatient detox and rehab facility for adults with a specialty in treating co-occurring mental health disorders. Roxbury’s inpatient substance use disorder unit is also a contracted and certified Tricare facility and can treat active duty military members, their dependents, and veterans. Our program offers individualized treatment planning, 12 step programming, SMART Recovery, group therapy, individual and family therapy, as well as medication management and a full psychiatric evaluation. We also offer Medication Assisted Treatment in the forms of Suboxone, Sublocade, oral Naltrexone and Vivitrol.
Roxbury is an inpatient detox and rehab facility for adults with a specialty in treating co-occurring mental health disorders. Roxbury’s inpatient substance use disorder unit is also a contracted and certified Tricare facility and can treat active duty military members, their dependents, and veterans. Our program offers individualized treatment planning, 12 step programming, SMART Recovery, group therapy, individual and family therapy, as well as medication management and a full psychiatric evaluation. We also offer Medication Assisted Treatment in the forms of Suboxone, Sublocade, oral Naltrexone and Vivitrol.
(866) 655-7360 View (866) 655-7360
Photo of Piedmont Behavioral Services, Treatment Center in Winchester, VA
Piedmont Behavioral Services
Treatment Center
Verified Verified
Winchester, VA 22601
We offer full spectrum of behavioral health services ranging from medication management, Individual/Group therapy, Intensive Outpatient programs (IOP), Addiction, TMS therapy and Spravato treatment. Our team consists of Child, Adult Psychiatrists and therapists.
We offer full spectrum of behavioral health services ranging from medication management, Individual/Group therapy, Intensive Outpatient programs (IOP), Addiction, TMS therapy and Spravato treatment. Our team consists of Child, Adult Psychiatrists and therapists.
(984) 223-4190 View (984) 223-4190

Online Treatment Centers

Photo of Sandstone Care - Virginia, Treatment Center in Winchester, VA
Sandstone Care - Virginia
Treatment Center
Verified Verified
Reston, VA 20190
Sandstone Care provides substance use and co-occurring mental health treatment for young adults (ages 18 to 30) and adolescents (ages 13 to 18) including Residential, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming. We utilize evidence-based practices and take an integrated approach to care which is customized for the needs of each individual, addressing not only the substance use or addiction issues, but also any underlying mental health conditions (co-occurring disorders). In addition to substance abuse and co-occurring disorder treatment, we work with the whole ecosystem of an individual by providing academic & vocational support prior to every group session, weekly multi-family group sessions, weekly individual sessions, and participation in community events. Sandstone Care is state licensed and accepts most insurance providers. In addition, Sandstone Care is fully accredited by The Joint Commission for substance abuse and dual-diagnosis treatment. For more information, please visit www.SandstoneCare.com.
Sandstone Care provides substance use and co-occurring mental health treatment for young adults (ages 18 to 30) and adolescents (ages 13 to 18) including Residential, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming. We utilize evidence-based practices and take an integrated approach to care which is customized for the needs of each individual, addressing not only the substance use or addiction issues, but also any underlying mental health conditions (co-occurring disorders). In addition to substance abuse and co-occurring disorder treatment, we work with the whole ecosystem of an individual by providing academic & vocational support prior to every group session, weekly multi-family group sessions, weekly individual sessions, and participation in community events. Sandstone Care is state licensed and accepts most insurance providers. In addition, Sandstone Care is fully accredited by The Joint Commission for substance abuse and dual-diagnosis treatment. For more information, please visit www.SandstoneCare.com.
(571) 200-7334 View (571) 200-7334
Photo of Discovery Mood & Anxiety Programs, Treatment Center in Winchester, VA
Discovery Mood & Anxiety Programs
Treatment Center
Verified Verified
Fairfax, VA 22030
Since 1997, Discovery Mood & Anxiety Program has been helping thousands of patients build the confidence and skills they need to better navigate life’s challenges. We look at the person, not the diagnosis. We reveal what’s possible for those who have experienced a history of depression, anxiety or other mood disorders. With evidence-based treatment, complementary modalities, family therapy and ongoing support, we utilize our world-class continuum of care to turn lives around.
Since 1997, Discovery Mood & Anxiety Program has been helping thousands of patients build the confidence and skills they need to better navigate life’s challenges. We look at the person, not the diagnosis. We reveal what’s possible for those who have experienced a history of depression, anxiety or other mood disorders. With evidence-based treatment, complementary modalities, family therapy and ongoing support, we utilize our world-class continuum of care to turn lives around.
(833) 583-0169 View (833) 583-0169
Photo of Sandstone Care Teen & Young Adult Treatment Center, Treatment Center in Winchester, VA
Sandstone Care Teen & Young Adult Treatment Center
Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A
Verified Verified
Alexandria, VA 22312
Sandstone Care provides substance use, addiction, and mental health treatment for adolescents (ages 13 to 18) and young adults (ages 18 to 30) 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) and young adults (ages 18 to 30) including Residential Treatment, Day Treatment (PHP), Intensive Outpatient (IOP), and General Outpatient (OP) programming.
(703) 991-8529 View (703) 991-8529
Photo of National Capital Treatment & Recovery , Treatment Center in Winchester, VA
National Capital Treatment & Recovery
Treatment Center
Not Verified Not Verified
Arlington, VA 22203
We are passionate about healing individuals, families, and communities challenged by substance use disorders and related mental health conditions. For more than fifty-eight years, National Capital Treatment & Recovery (NCTR) has been the area's leader in drug rehabilitation, operating programs to serve residents of Virginia, Maryland, Washington, D.C., and beyond. NCTR offers a full continuum of care for patients struggling with substance use and co-occurring mental health disorders. These services include assessment, education, intensive outpatient, and medically managed gender-specific residential treatment. We know that with a thorough assessment, appropriate comprehensive care, and individualized treatment, those struggling with addiction and dual diagnosis disorders can recover and reclaim their lives. Additionally, we offer Medication Assisted Treatment (MAT) for opioids and alcohol. Family involvement is encouraged in the treatment process. We realize our mission through a focus on the distinct needs of every person. the innovation of best-in-class prevention, treatment, and recovery programs; and the promotion of greater understanding of addiction.
We are passionate about healing individuals, families, and communities challenged by substance use disorders and related mental health conditions. For more than fifty-eight years, National Capital Treatment & Recovery (NCTR) has been the area's leader in drug rehabilitation, operating programs to serve residents of Virginia, Maryland, Washington, D.C., and beyond. NCTR offers a full continuum of care for patients struggling with substance use and co-occurring mental health disorders. These services include assessment, education, intensive outpatient, and medically managed gender-specific residential treatment. We know that with a thorough assessment, appropriate comprehensive care, and individualized treatment, those struggling with addiction and dual diagnosis disorders can recover and reclaim their lives. Additionally, we offer Medication Assisted Treatment (MAT) for opioids and alcohol. Family involvement is encouraged in the treatment process. We realize our mission through a focus on the distinct needs of every person. the innovation of best-in-class prevention, treatment, and recovery programs; and the promotion of greater understanding of addiction.
(703) 420-4780 x1 View (703) 420-4780 x1
Photo of Sandstone Care Teen & Young Adult Treatment Center, Treatment Center in Winchester, VA
Sandstone Care Teen & Young Adult Treatment Center
Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A
Verified Verified
Fairfax, VA 22031
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.
(240) 434-0181 View (240) 434-0181
Photo of Sandstone Care Teen Residential Treatment Center, Treatment Center in Winchester, VA
Sandstone Care Teen Residential Treatment Center
Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A
Verified Verified
Reston, VA 20190
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 Recovery Unplugged Northern Virginia, Treatment Center in Winchester, VA
Recovery Unplugged Northern Virginia
Treatment Center
Verified Verified
Annandale, VA 22003
Music is our medicine at Recovery Unplugged, and we serve it up in heaping doses. All of our licensed therapists creatively blend clinically-proven methods of therapy with music to provide you with an effective, individualized, and unique rehab experience. Utilizing music in your care can act as a catalyst to gently break down barriers that you may have built up through years of addiction or alcoholism. Recovery Unplugged knows how to harness the healing power of music - our methodology has been proven to yield long-term recovery success rates 4x higher than the national average (Nova Southeastern University, 2018). You don't need to play an instrument for Recovery Unplugged to help you get sober - you just need to love music!
Music is our medicine at Recovery Unplugged, and we serve it up in heaping doses. All of our licensed therapists creatively blend clinically-proven methods of therapy with music to provide you with an effective, individualized, and unique rehab experience. Utilizing music in your care can act as a catalyst to gently break down barriers that you may have built up through years of addiction or alcoholism. Recovery Unplugged knows how to harness the healing power of music - our methodology has been proven to yield long-term recovery success rates 4x higher than the national average (Nova Southeastern University, 2018). You don't need to play an instrument for Recovery Unplugged to help you get sober - you just need to love music!
(571) 946-1868 View (571) 946-1868
Photo of GCL Psychological Services, LLC, Treatment Center in Winchester, VA
GCL Psychological Services, LLC
Treatment Center
Verified Verified
Alexandria, VA 22304  (Online Only)
GCL Psychological Services, LLC is a private mental health practice providing distance counseling for clients throughout Virginia. Our practice values diversity and works with you using strength based approaches to improve your life and achieve your goals for personal growth. ​We are here to provide therapeutic services for adults, couples, and families dealing with issues related to depression, anxiety, self-esteem, relationship difficulties, life changes, and stressors. Additionally, we conduct psychological assessments in anxiety, emotional intelligence, personality, critical thinking, post traumatic stress disorder (PTSD) and other areas. We also provide a comprehensive psychological consultation of the completed evaluations.
GCL Psychological Services, LLC is a private mental health practice providing distance counseling for clients throughout Virginia. Our practice values diversity and works with you using strength based approaches to improve your life and achieve your goals for personal growth. ​We are here to provide therapeutic services for adults, couples, and families dealing with issues related to depression, anxiety, self-esteem, relationship difficulties, life changes, and stressors. Additionally, we conduct psychological assessments in anxiety, emotional intelligence, personality, critical thinking, post traumatic stress disorder (PTSD) and other areas. We also provide a comprehensive psychological consultation of the completed evaluations.
(571) 601-2262 View (571) 601-2262
Photo of Front Royal Treatment Center, Treatment Center in Winchester, VA
Front Royal Treatment Center
Treatment Center, MA
Verified Verified
Front Royal, VA 22630
Front Royal Treatment Center, a Pinnacle Treatment Centers facility, in Front Royal, Virginia, is an outpatient opioid treatment program (OTP) providing medication-assisted treatment (MAT) with methadone and buprenorphine (Suboxone) to people struggling with opioid use disorder or addiction to opioids, heroin, synthetic opioids like fentanyl, and prescription painkillers oxycodone (OxyContin), hydrocodone (Vicodin), codeine, and morphine. Following a thorough clinical evaluation by professional addiction treatment experts, patients receive a personalized treatment plan that includes education classes on substance use disorders, psychoeducational programming, life skills training, trauma-informed care, and relapse prevention support. We aim to improve our patient’s lives and their relationships with their families through family counseling and family dynamics treatment.
Front Royal Treatment Center, a Pinnacle Treatment Centers facility, in Front Royal, Virginia, is an outpatient opioid treatment program (OTP) providing medication-assisted treatment (MAT) with methadone and buprenorphine (Suboxone) to people struggling with opioid use disorder or addiction to opioids, heroin, synthetic opioids like fentanyl, and prescription painkillers oxycodone (OxyContin), hydrocodone (Vicodin), codeine, and morphine. Following a thorough clinical evaluation by professional addiction treatment experts, patients receive a personalized treatment plan that includes education classes on substance use disorders, psychoeducational programming, life skills training, trauma-informed care, and relapse prevention support. We aim to improve our patient’s lives and their relationships with their families through family counseling and family dynamics treatment.
(540) 889-3005 View (540) 889-3005
Photo of Newport Academy, Treatment Center in Winchester, VA
Newport Academy
Treatment Center
Verified Verified
McLean, VA 22101
Newport Academy’s Virginia location offers treatment for teens between the ages of 12-17. Our integrated approach treats the trauma and attachment wounds underlying teen mental health and behavioral issues, such as anxiety, depression, and trauma/PTSD. We address these root causes through comprehensive, solution-focused treatment that involves the entire family in the healing process. To support our teens and their families in achieving long-term, sustainable healing, our clinical model takes into account every aspect of a teen’s well-being—physical, psychological, relational, and educational so they can thrive when they return home to their families, schools, and communities. Moreover, we are dedicated to ongoing research on the efficacy of our treatment. 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 gathered on our outcomes using industry-approved measurement tools shows consistent positive results in measures of well-being, depression, and anxiety, with patients’ improvements, on average, exceeding levels of clinical significance.
Newport Academy’s Virginia location offers treatment for teens between the ages of 12-17. Our integrated approach treats the trauma and attachment wounds underlying teen mental health and behavioral issues, such as anxiety, depression, and trauma/PTSD. We address these root causes through comprehensive, solution-focused treatment that involves the entire family in the healing process. To support our teens and their families in achieving long-term, sustainable healing, our clinical model takes into account every aspect of a teen’s well-being—physical, psychological, relational, and educational so they can thrive when they return home to their families, schools, and communities. Moreover, we are dedicated to ongoing research on the efficacy of our treatment. 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 gathered on our outcomes using industry-approved measurement tools shows consistent positive results in measures of well-being, depression, and anxiety, with patients’ improvements, on average, exceeding levels of clinical significance.
(571) 946-8300 View (571) 946-8300
Photo of Sandstone Care Teen & Young Adult Treatment Center, Treatment Center in Winchester, VA
Sandstone Care Teen & Young Adult Treatment Center
Treatment Center, MD, LPC, LAC, CAC-III, CSAC-A
Verified Verified
Fairfax, VA 22032
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.
(240) 858-0384 View (240) 858-0384
Photo of Apple Tree Counseling LLC, Treatment Center in Winchester, VA
Apple Tree Counseling LLC
Treatment Center, MS, LPC
Verified Verified
Occoquan, VA 22125
Here at Apple Tree Counseling we hope to gain those who feel they have tried everything and are starting to lose hope. You might be lost, but there is someone here who is happy to hear your story with zero judgement. We can also appreciate those who haven’t tried everything because they have no idea where to start!! No worries, that’s what we are here for! We will not talk down to you or your child, we are partners throughout the entire process! We offer mental health counseling in person and over telehealth!
Here at Apple Tree Counseling we hope to gain those who feel they have tried everything and are starting to lose hope. You might be lost, but there is someone here who is happy to hear your story with zero judgement. We can also appreciate those who haven’t tried everything because they have no idea where to start!! No worries, that’s what we are here for! We will not talk down to you or your child, we are partners throughout the entire process! We offer mental health counseling in person and over telehealth!
(434) 216-6613 View (434) 216-6613
Photo of Sandstone Care Teen & Young Adult Treatment Center, Treatment Center in Winchester, VA
Sandstone Care Teen & Young Adult Treatment Center
Treatment Center, CSAC-A, CAI-II, MD, LPC, LAC
Not Verified Not Verified
Fairfax, VA 22031
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.
(240) 847-0735 View (240) 847-0735
Photo of UVA Health Prince William Medical Center, Treatment Center in Winchester, VA
UVA Health Prince William Medical Center
Treatment Center
Verified Verified
Manassas, VA 20110
Substance abuse evaluations • Intensive outpatient programs • Family education and support • Inpatient detoxification referral • Relapse prevention group
Substance abuse evaluations • Intensive outpatient programs • Family education and support • Inpatient detoxification referral • Relapse prevention group
(703) 831-6768 View (703) 831-6768

See more therapy options for Winchester

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