Online Therapy That Takes Insurance

Most major insurance plans now cover online therapy, and with BetterHelp, you can check your coverage, see what you'll pay, and get matched with a licensed therapist—$23/session for eligible members.*

Find a covered therapist *Average co-pay based on insured BetterHelp members. Actual costs vary by plan, provider, and therapist availability.
 
Cigna Aetna Optum UnitedHealthcare Anthem CareFirst Highmark Curative

Online Therapy Covered by Insurance:
What Most Plans Include

Most major health insurance plans now include therapy as part of their outpatient mental health benefits—including virtual sessions with licensed therapists through platforms like BetterHelp.

Under federal mental health parity laws, insurance plans must cover mental health comparably to medical services. Many states also require insurers to cover virtual therapy at the same rate as in-person sessions, so online therapy is typically billed and covered as telehealth.

  • If your therapist is in-network, you may pay a copay per session rather than the full session rate
  • BetterHelp members with insurance pay an average of $23 per session
  • Without insurance, BetterHelp online therapy costs $70 to $100 per week including messaging, live sessions, and in-app features
  • In-person therapy without insurance can run $100 to $350 per session
talking with therapist on laptop Lady

What Mental Health Services Are Typically Covered by Insurance

Insurance plans may cover outpatient mental health services for various conditions, including:

talking with therapist on laptop Lady
  • Individual therapy for anxiety, depression, stress, grief, and life transitions
  • Mood disorders such as depression and bipolar disorder
  • Anxiety disorders including generalized anxiety and panic disorder
  • Trauma-related conditions such as PTSD

Check with your insurance carrier as coverage for mental health services varies by plan, and some insurance policies may include benefits for different therapeutic approaches provided by licensed clinicians. For the most accurate information about your specific plan, contact your insurance company directly or check your member portal. For a deeper look at how mental health coverage works, see our full guide on does health insurance cover therapy.

*Subscription pricing is based on factors such as your location, referral source, preferences, therapist availability and any applicable discounts or promotions that might apply.

Insurance vs. Out-of-Pocket Online Therapy: Key Differences to Know

BetterHelp offers two ways to access care. Here's an honest look at both.

Insurance-based visits

  • One covered live session per week
  • Copay applies (avg. $23/session for eligible members)
  • Deductible may apply
  • Available in select states

Subscription plan

  • Live sessions plus messaging
  • Digital journal & worksheets
  • Flexible scheduling & pricing
  • Available worldwide

States Where Online Therapy Is Covered by Insurance

Many providers who deliver care through BetterHelp are in-network with major insurance carriers, including Cigna, Aetna, Curative, Optum, and UnitedHealthcare, along with a broad network of state-specific Blue Cross Blue Shield plans including Anthem, CareFirst, and Highmark.

In 30+ states, many providers on BetterHelp are in-network with major insurance plans:

 

Don't see your state?

We're actively working with insurance carriers to expand coverage across the United States. In the meantime, our flexible subscription plan continues to be a quality option for accessing care from our extensive therapist network.

Find in-network therapists available in your state

Check your coverage

How Online Therapy Costs Compare: Insurance, Subscription, and Pay-Per-Session

Compare online and in-person therapy options at a glance

Factor (Online Therapy with Insurance) (Online Therapy Subscription) Typical Pay-Per-Session Platform
Average session cost
~$23 copay (for eligible members) $70–$100/week $100–$350/session
Billing model
Insurance copay Weekly or monthly subscription Per session
Messaging between sessions
Not included Included ✓ Rarely included
Therapist matching
Tailored matching Tailored matching Self-directed search
Insurance accepted
Major carriers in select states N/A Varies by provider
Time to first session
As little as 2 days As little as 2 days Varies widely

BetterHelp's network includes more than 30,000 licensed therapists globally. Whether you're using insurance or the subscription plan, the matching process, the quality of care, and the flexibility of the platform stay the same.

Co-pay pricing is based on BetterHelp members who have a co-pay. Your costs may differ and depend on your specific health plan. Weekly cost is based on your location, source, preferences, and therapist availability. *Source

How to Check If Your Insurance Covers Online Therapy

Online therapy with BetterHelp is designed to be simple, discreet, and effective.
Get started to check your coverage. Here's how it works:

Take a short quiz

Answer a few questions about your needs, goals, and preferences to help us find your right match.

Verify your insurance coverage

Enter your insurance info — we'll check your eligibility and show your estimated cost before you commit. Major insurance plans are now accepted for mental health care.

Get matched with a licensed therapist

If your provider on BetterHelp is in-network, schedule one covered live session each week.

With BetterHelp, you can go from sign-up to your first session in as little as two days.

Get started today
72%

of BetterHelp users experienced a reduction in symptoms in 12 weeks*

4.9 out of 5

average rating for a live session, from over 1.7 million client ratings*

82%

of clients in treatment likely to recommend their therapist to others*

93%

of use preferences met when matching with a therapist*

Source: BetterHelp Platform Quality & Outcomes (2024)    *Metrics reflect outcomes from BetterHelp subscription clients (not insurance-based visits). Results may vary.

Why Choose an Online Therapy Platform for Support

Benefits of BetterHelp Online Therapy

pricing icon

Affordable pricing

With or without insurance

appointments icon

Discreet appointments

Sessions from anywhere with an internet connection

network icon

One of the world's largest networks of therapists

More than 30,000 providers

matching icon

Tailored matching

that considers your needs, preferences, and goals

check icon

The right therapist for you

Switch therapists at no extra cost

results icon

Proven results

Industry-leading member satisfaction

 

Frequently asked questions

More FAQs

Does health insurance cover online therapy?

Many health insurance plans cover online therapy, also called telehealth or virtual therapy, including sessions delivered through licensed providers on BetterHelp. Under federal mental health parity laws, insurance plans that offer mental health benefits must provide comparable coverage to medical services. Coverage depends on your specific health plan, whether your therapist is in-network, and your deductible, copay, or coinsurance. To confirm whether your plan covers online therapy, contact your insurance provider or check your member portal.

How do I actually check what my insurance plan covers for mental health therapy?

Start with the Summary of Benefits document for your plan, which you can usually find in your insurer's member portal or by calling the number on the back of your insurance card. Look for the section labeled "Outpatient Mental Health" or "Behavioral Health Benefits."

Key things to check:

  • Whether telehealth or virtual therapy sessions are covered
  • What your copay or coinsurance is for mental health visits
  • Whether you need to meet your deductible first
  • Whether prior authorization is required

When signing up for BetterHelp, you can enter your insurance information directly in the flow to check your eligibility and estimated costs.

How do I find therapists who take my insurance?

Check your insurance company's online provider directory, call the number on the back of your insurance card, and ask whether online therapy is covered. Confirm whether the provider is in-network before booking. When signing up for BetterHelp, you can check whether providers in your state accept your specific insurance plan. BetterHelp's therapist directory lets you filter by insurance carrier to find in-network providers available in your state.

Does BetterHelp take insurance for online therapy?

Yes. Many providers on BetterHelp now accept major insurance carriers. In 30+ states, many therapists on BetterHelp may be in-network with select insurance plans. Coverage depends on your plan, provider, and availability. When sessions are covered, members who have a copay typically pay an average of about $23 per session. For a full breakdown of how BetterHelp works with insurance plans, see our detailed guide on is BetterHelp covered by insurance.

What insurance plans are accepted on BetterHelp?

Many independent providers on BetterHelp accept insurance from major carriers, including Cigna, Aetna, OptumCurative, UnitedHealthcare, and several state-specific Blue Cross Blue Shield plans such as Anthem, CareFirst, and Highmark. Coverage varies by state and by provider availability. BetterHelp is actively working with additional carriers to expand access. If your plan isn't yet available, our flexible subscription model starting at $70 to $100* per week is a quality alternative. *Subscription pricing is based on factors such as your location, referral source, preferences, therapist availability and any applicable discounts or promotions that might apply.

Does BetterHelp take Cigna?

Yes. Many providers on BetterHelp accept Cigna insurance, including Cigna Healthcare and Evernorth behavioral health plans. Cigna is one of the more broadly available carriers on BetterHelp, with in-network providers across multiple states. When sessions are covered, members typically pay an average copay of about $23 per session. Coverage depends on your plan, provider, and therapist availability.

Does BetterHelp take UnitedHealthcare?

Yes. Many providers on BetterHelp accept UnitedHealthcare (UHC) plans, including employer-sponsored plans and individual marketplace coverage. UnitedHealthcare is one of the largest insurers in the U.S. and covers behavioral telehealth in most states where BetterHelp operates. When sessions are covered, members typically pay an average copay of about $23 per session. Coverage depends on your plan, provider, and therapist availability.

Does BetterHelp take Blue Cross Blue Shield?

Yes. BetterHelp providers accept several regional Blue Cross Blue Shield plans, including Anthem, CareFirst, and Highmark. Because BCBS operates as a network of independent regional plans, coverage varies significantly by state. Always verify your specific BCBS plan during sign-up. When sessions are covered, members typically pay an average copay of about $23 per session.

Does BetterHelp take Aetna?

Yes. Many providers on BetterHelp accept Aetna insurance across select states. BetterHelp is actively expanding Aetna coverage. If it's not yet available in your state, the flexible subscription plan ($70 to $100 per week) remains an option while coverage expands. When sessions are covered, members typically pay an average copay of about $23 per session.

Does BetterHelp take Medicaid, Medicare, or TRICARE?

At this time, providers on BetterHelp do not directly accept Medicaid, Medicare, or TRICARE. These government-sponsored plans often have specific network requirements for behavioral health and telehealth services. Medicare Part B covers outpatient mental health services, including telehealth sessions with approved providers. For the most current information on Medicare telehealth coverage, visit medicare.gov. Medicaid coverage for online therapy varies by state. Visit medicaid.gov to check your state's telehealth benefits. If you have one of these plans and need additional support finding care, contact your state Medicaid office, Medicare plan, or TRICARE regional contractor.

How do I check if my insurance is accepted on BetterHelp?

You can check your eligibility through the signup flow. If insurance is available in your state, you'll see it as a payment option and can enter your insurance information. We'll run an eligibility check and show your estimated cost before you decide whether to continue. Existing members can also switch to insurance payment in states where this option is available through account settings in the BetterHelp app.

What types of therapy are typically covered by insurance?

Insurance often covers individual therapy, family and couples counseling when deemed medically necessary, and psychiatric services including medication management. Online therapy and telehealth sessions are covered by many plans at the same rate as in-person care. Please note that providers on BetterHelp do not prescribe medications. Contact your insurance provider directly to verify your specific coverage.

What costs should I expect when using insurance for therapy?

You may have copays, coinsurance, deductibles, and other out-of-pocket expenses depending on your plan. Reviewing your insurance coverage can help you understand these costs.

If insurance doesn’t fully cover therapy costs, there are options that include:

  • Using health savings accounts (HSA) or flexible spending accounts (FSA)
  • Seeking providers who offer sliding scale fees or payment plans
  • Exploring community mental health resources
  • Checking with your employer to see if they offer EAPs that provide free or low-cost therapy sessions to employees and their families

What's the difference between in-network and out-of-network therapy?

In-network therapists have contracts with your insurance company and typically offer lower out-of-pocket costs. Out-of-network therapists do not have contracts with your insurer. You may pay the full session fee upfront and submit claims for partial reimbursement if your plan includes out-of-network benefits. Out-of-network reimbursement depends on your plan's deductible, reimbursement rate, and session limits.

How does out-of-network reimbursement for online therapy work?

Out-of-network reimbursement means you pay for therapy upfront and submit a claim to your insurance company for partial repayment. The amount you receive may depend on:

  • Your annual deductible
  • Your coinsurance rate
  • Your plan's allowed amount for therapy
  • How many therapy sessions your plan covers

Before starting therapy, contact your insurance provider and ask whether your plan covers out-of-network online therapy, what claim forms you need, and what documents are required for reimbursement.

Should you use insurance or pay out of pocket for online therapy?

  • Insurance may be best if your plan covers online therapy, your deductible is low, and your therapist is in-network.
  • Out-of-pocket therapy may be best if you want faster access to care, more flexibility, or more predictable pricing.
  • Out-of-network benefits may help if your plan reimburses part of the cost of therapy.
  • Total cost matters more than sticker price, since deductibles, copays, and reimbursement rules can change what you actually pay.

Can I switch my payment method to insurance if I'm already a BetterHelp member?

Yes. Existing members can switch to insurance payment in all states where this option is available, subject to plan coverage and eligibility. Within the BetterHelp app, go to account settings to switch your payment option to insurance. If you're a new member, select insurance as a payment option during the signup flow if it's available in your state.

What if my insurance does not cover BetterHelp?

If your insurance plan doesn't cover BetterHelp, our flexible subscription model is a quality option for accessing care from our extensive therapist network, with subscriptions starting at $70 to $100 per week. In-person therapy can cost $100 to $350 per session without insurance, making online therapy a more affordable alternative for many people. If insurance isn't an option right now, there are still ways to get support. See our guide to affordable therapy without insurance.

How much does BetterHelp cost without insurance?

Without insurance, BetterHelp typically costs $70 to $100 per week, billed weekly or monthly. That includes messaging with your therapist, in-app features like a digital journal and worksheets, and live sessions. Subscription pricing is based on factors such as your location, referral source, preferences, therapist availability, and any applicable discounts or promotions.

What are typical copays for online therapy with insurance?

Insured members using BetterHelp typically pay an average copay of about $23 per session. Typical copays for online therapy covered by insurance generally range from $20 to $50 per session, depending on your specific health plan and insurance provider. Some plans offer lower copays for in-network therapists. Check your insurance coverage details to understand your exact copay amounts and any session limits.

Can you use HSA or FSA to pay for BetterHelp therapy?

Yes. Many people can use Health Savings Accounts (HSA) or Flexible Spending Accounts (FSA) to pay for BetterHelp, since therapy is generally considered a qualified medical expense. Eligibility may vary, so check with your plan administrator to confirm. Learn more about using HSA or FSA for BetterHelp with our guide.

Does BetterHelp work with Employee Assistance Programs (EAPs)?

EAPs are employer-sponsored mental health benefits that often cover a set number of free therapy sessions per year. BetterHelp does not currently accept EAP programs directly. If your EAP benefit has been used or doesn't apply, our subscription plan is designed to be one of the most affordable ways to access licensed therapy online. To find out whether your employer offers an EAP, check your HR portal or benefits documentation, or call the number on your health insurance card and ask about behavioral health benefits.

Is online therapy actually as effective as seeing a therapist in person?

Yes, and the research supports this. Studies consistently show that online therapy produces outcomes comparable to in-person care for many of the most common reasons people seek support, including anxiety, depression, stress, and relationship challenges. On BetterHelp specifically, 72% of members experienced a meaningful reduction in symptoms within 12 weeks. The format is different, but the care is real.

Get Started More FAQs

Ready to check your insurance coverage?

Navigating insurance doesn't have to stand between you and the support you're looking for. BetterHelp connects you with licensed therapists who are in-network with major insurance carriers, so you can focus on what matters: getting the care that fits your life.

Check your coverage, see what you'll pay, and get matched with a therapist who's right for you.

Check your coverage