If you are seeking mental health care and find the process frustrating, you are not alone. In 2019, only 40% of people that needed therapy<\/a> received professional health care. The reasons people did not receive them include a lack of access, embarrassment, and lack of insurance. <\/p>\n\n\n\n
In this post, we'll cover:<\/p>\n
In some ways, online therapy is like in-person therapy\u2014a person seeks help from a trained therapist<\/a> for issues affecting their mental health. Therapists provide support with marital counseling, anxiety, anger management, and depression, among others. <\/p>\n\n\n\n
Online therapy is an attempt to solve those problems.<\/p>\n\n\n\n
Unlike face-to-face therapy, there are numerous ways to receive care with online therapy. Treatment can happen through videoconferencing. But it can also occur through text messaging, email, real-time chats, internet phone services, and mobile device apps. This means that even people without laptops or computers can receive therapy from their smartphones.<\/p>\n\n\n\n
Online therapy<\/a> is new enough that there haven’t been enough studies to determine how effective it is in treating mental health conditions. The studies that have been done show that online therapy<\/a> is most useful for anxiety, stress, and minor depression. <\/p>\n\n\n\n
There’s good news and bad news. The good news is many insurance companies will cover online therapy. The bad news is that figuring out what your health care provider will cover will not be easy. Having to deal with these hassles when you are already stressed out is unfortunate, but there are some steps you can take to make it less stressful.<\/p>\n\n\n\n
First, making a plan can be helpful. To create a plan, you need to know what steps to take. Sometimes planning is straightforward\u2014like a shopping list where you see what you need, go to the store, buy your groceries, and then take them home. Finding an online therapist that takes insurance is not straightforward like that.<\/p>\n\n\n\n
These are the steps you will need to take:<\/p>\n\n\n\n
You can take these steps in practically any order. Maybe it makes the most sense to start with your insurance and see what coverage you have. If your coverage isn’t from a major company like Blue Cross\/Blue Shield, then your options might be more limited than you realize.<\/p>\n\n\n\n
Another approach is to start by finding a therapist. Since counselors must go through a lengthy process to become approved by an insurance company, you can search to locate a therapist who takes your insurance.<\/p>\n\n\n\n
Or you could start with figuring out what kind of therapy you want. This includes both how\u2014do you want to use a text-based service or videoconferencing and what kind of modality (that is therapist-speak for their approach) you want.<\/p>\n\n\n\n
If you find that figuring out what your insurance covers and who is in-network are complicated, you are not alone. The federal government, insurance companies, and therapists are also confused. State laws vary, governmental requirements change, and insurance companies are continually adjusting their policies to reflect the uncertainty around those changes.<\/p>\n\n\n\n
And that was before COVID impacted online therapy.<\/p>\n\n\n\n
Figuring out what your insurance covers can be done via phone call or the web. If you call, most likely: a. you will have to wait to speak to someone, and b. that person will tell you to check out the website. So skip the phone call, at least at first.<\/p>\n\n\n\n
The website will be of some help. You will be able to find out what is covered and costs for in-network versus out of network. However, sites might not have current information regarding the coronavirus changes, meaning that it will not indicate whether teletherapy is covered. <\/p>\n\n\n\n
Also, listings of therapists might be outdated or not include those who have joined the network recently.<\/p>\n\n\n\n
Usually, counselor profiles will show what types of insurance they take. Do not be surprised if individual therapists or those who work for national online groups don’t take any insurance. <\/p>\n\n\n\n
The process of becoming a network provider is challenging for therapists. They must request to apply and then provide information about licensing and training. Rates also must be negotiated, and insurance companies typically don’t want to pay counselors market rates. <\/p>\n\n\n\n
There are two main ways to find providers online:<\/p>\n\n\n\n
If you use Google, the top search results will be national health care providers, which you will learn about later. If you want local results, then type in one of those terms followed by your city. The top results will give you local providers and some that have networks throughout your state. <\/p>\n\n\n\n
Once you click on a therapist or network of providers, be ready to do further investigation. Some counselors will clearly show whether they work with insurance, but others will require you to search through their site. <\/p>\n\n\n\n
It can be somewhat confusing. Sometimes sites will claim that they are not in-network but then say they work with Tricare<\/a>, insurance coverage for those in the military. You can also run across sites that suggest you talk with your insurance company or that they will go over insurance costs and reimbursements at your first appointment.<\/p>\n\n\n\n
Often one of the search results will link back to Psychology Today.<\/p>\n\n\n\n
Not everyone will take this step first, but there are some reasons to consider doing so:<\/p>\n\n\n\n
Psychology Today’s Types of Therapy<\/a> lists over 50 different approaches, modalities and describes what to expect from such therapy, how it works, and what to look for in the therapists. <\/p>\n\n\n\n
Up to now, the focus has been on insurance and local online therapists. You are not limited to counselors who live nearby. As long as the therapist is licensed to practice in your state, it doesn’t matter if they are next door or across the country. At least that is the idea behind online therapy companies like Talkspace, Betterhelp, and Amwell. <\/p>\n\n\n\n
Therapists do not need to rent office space, pay an agency to handle insurance reimbursements, and save on other expenses. Plus, they have the flexibility for where and when they work. <\/p>\n\n\n\n
What about these companies and insurance? The good news is that some accept insurance. The bad news is that most of them don’t let you know whether you will be covered until you go through the sign-up process. We will explore some of them. Ultimately, even if the company takes insurance, you will have to check to see if yours will be accepted.<\/p>\n\n\n\n
Unlike other online providers that offer only therapy, Amwell<\/a> provides additional medical services. Medical doctors can diagnose and offer treatment on urgent care conditions, dieticians, pregnancy and menopause counseling, pediatricians, and therapy (and psychiatry).<\/p>\n\n\n\n
Amwell claims that its insurance coverage covers 80 million people in the United States. To see whether you are one of those 80 million, check out Amwell’s Insurance Coverage<\/a> page, which lists the plans they currently work with. <\/p>\n\n\n\n
Amwell provides a variety of telemedicine and therapy services. Although it is easier to find out if your insurance will cover their services, you or the provider will need to submit the claim.<\/p>\n\n\n\n
Like Amwell, Doctors on Demand<\/a> provides telemedicine and teletherapy visits. Along with therapy, they have preventative, chronic, and urgent care services. Both licensed therapists and psychiatrists<\/a> are available through this platform.<\/p>\n\n\n\n
Prices for services are listed on the FAQ page<\/a>. One thing to note is that therapy prices are steep. The nationwide average for therapy is listed as $100 per hour (although that varies greatly). Currently, psychology rates for a 25-minute consultation are $129, or $179 for 50 minutes.<\/p>\n\n\n\n
Doctors on Demand accepts insurance, but to find out whether they will take yours, you will need to sign up (which is free).<\/p>\n\n\n\n
MD Live<\/a> is another telemedicine and teletherapy provider. They provide medical care for a range of ailments, including dermatology, therapy, and psychiatry. Their What Does it Cost<\/a> lists a range of prices\u2014such as $0-$108 for therapy and that the price depends on insurance. <\/p>\n\n\n\n
Finding out whether they will take your insurance requires signing up. One concerning issue is that the main page includes tabs for businesses and providers. Although communication with both is essential, the primary page should be focused on patients.<\/p>\n\n\n\n
Talkspace’s<\/a> slogan is, “Feeling better starts with a single message.” Therapy on Talkspace uses text and voice messaging, as well as videoconferencing. If you want to communicate with your therapist, it’s as simple as sending a text. <\/p>\n\n\n\n
Talkspace partners<\/a> with several insurance companies and individual companies such as Lending Tree and Whole Foods, universities, fraternities, and sororities. Cigna and Humana are the largest carriers they work with.<\/p>\n\n\n\n
Talkspace takes a 21st-century approach to therapy through a focus on messaging. Video chats are also available at a higher price. Insurance coverage is limited, and if you are looking for more traditional therapy, then Talkspace probably isn’t for you.<\/p>\n\n\n\n
One of the best resources for choosing a therapist, whether in person or online, is referrals. Ask around for referrals from friends, acquaintances, and friends of friends. If they give you a name, ask what it is they like about their therapists. <\/p>\n\n\n\n
If that doesn’t work and you choose to go online, look for the following as you make your choices:<\/p>\n\n\n\n
Open Path<\/a> is not free, nor does it take insurance, but the costs per session might only be a little more than copays. You need to qualify for income limitations, and there is a one-time membership fee of $59. Sessions are between $30-$60, and therapists indicate whether online therapy is available. <\/p>\n\n\n\n
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