The cost of out-of-network CBT vs. seeing someone in your insurance network

Only 12% of the mental health profession is well-versed in true evidence-based treatments for anxiety and depression, and this percentage gets even smaller when specializing in children and adolescents. Most providers who specialize in this type of treatment have received years and years of extra training and experience to provide top of the line services. However, because of this, there are few and far between that accept insurance; most are out-of-network providers.

Don’t let this deter you from getting the right services. Here are some points to consider:

  1. Cognitive-behavioral therapy (evidence-based treatment for anxiety and depression and children and adults) takes approximately 3-6 months (costing approximately $3500-$7000).
  2. Patients who see “generalists” (not specialized in evidence-based treatments for anxiety/depression/behavioral disorders) usually end up spending approximately the SAME amount, but take 3-5 years to complete treatment (as a side note, we see a lot of those patients in our practice when the “generalized” approach does not work).
  3. Due to the paucity of providers, especially those in network, patients stand a higher chance of a good rate of reimbursement from their insurance companies (in our practice it is roughly 60-90% per session)–pretty darn great, but make sure to check with your own plan and insurance provider.
  4. You can use services that do the billing for you (send receipts to insurance companies).  I like this page for tips and tricks: https://www.thebalance.com/if-you-have-to-file-a-health-insurance-claim-form-2645672

Happy thanksgiving!!!

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Author:

I am a clinical psychologist with approximately 15 years of experience assessing and treating anxiety and depressive disorders in young children, adolescents, young adults, adults and geriatric populations. I completed a 6-year predoctoral training award at the National Institute of Mental Health, and postdoctoral training at the Anxiety Disorders Center at the Institute of Living/Hartford Hospital. From my clinical and research experiences, I have come to see the struggles of many families deciding when to pursue professional help and feeling very lost in the process. I will address several mental health issues that will help educate and empower my readers to make better mental health decisions for themselves. Welcome to my blog! Johanna Kaplan, Ph.D. Disclaimer-This blog is not and cannot be used in replace of formal therapy. This blog is used to inform and educate and is not a form of informal or formal advice.

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