Find a therapist that accepts Medicare
Thriveworks partners with Medicare to connect you with a mental health provider covered by your plan. Book your first appointment online or by phone—we’ll verify your insurance for peace of mind.
How Thriveworks works with Medicare
Thriveworks collaborates with Medicare to provide truly accessible mental health services for their members. Our partnership allows Medicare members to use their insurance for online and in-person therapy and psychiatry services, with copays typically ranging from $0 to $55 per session.
Members have access to personalized mental health services—including therapy for individuals, couples, families, and children—to address their unique needs and preferences. This partnership ensures Medicare members receive timely and affordable mental health care through Thriveworks dedicated team of licensed clinicians.
Your estimated copay with Medicare
Thriveworks will verify your provider is in-network with your plan before your appointment. Copay data are based on Medicare-insured Thriveworks sessions in the past 12 months. Actual costs may vary by plan.
Your copay could be as low as
$0
Average Medicare copays are
$24
78% of Medicare-covered sessions cost $35 or less
Want to book by phone? Call 855-604-9873
Medicare-covered providers available this week
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How it works
-
1
Find a provider who accepts Medicare
Call us for personalized matching assistance or explore our providers online to find one who accepts Medicare and meets your preferences, such as location, specialty, and more.
-
2
Verify your insurance coverage
We’ll verify your provider is in-network before your appointment, but we recommend contacting Medicare directly to confirm your coverage details and avoid unexpected costs.
-
3
Meet with your provider and pay after
After your session, Thriveworks will bill Medicare directly and charge you any remaining balance—typically a co-pay of $ per session.
FAQs about using Medicare at Thriveworks
Are there any types of therapy not covered by Medicare?
Federal regulations prevent certain provider types from accepting Medicare, including licensed professional counselors (LPCs) and marriage and family therapists (MFTs). Before booking, please confirm your chosen provider accepts Medicare to avoid any billing issues. Most Thriveworks psychiatric providers, clinical psychologists, and clinical social workers accept Medicare.
What insurance plans does Thriveworks accept?
Thriveworks accepts a wide range of insurance plans, covering more than 168 million Americans. Some of the most common insurance plans accepted include:
- UnitedHealthcare
- Humana
- BlueCross BlueShield
- Aetna
- Cigna
- Optum
- Anthem
- Tricare
- Ambetter
- Medicare
We also accept many other insurance plans, which can vary by location and provider. You can see which insurance plans individual providers accept on their profile page, or call us to confirm before booking.
Can I book a session without insurance?
Yes, you can book a session at Thriveworks without insurance using our self-pay options.
Self-pay rates for talk therapy range from $200 to $240 for intake sessions and $160 to $195 for follow-ups, depending on your state. For psychiatry services, self-pay intake sessions are $300 to $375, with follow-ups ranging from $210 to $300.
You can see individual provider’s self-pay rates on their profile page, or call us to confirm your rate before booking. We’re here to help!
How does Thriveworks verify my insurance?
Thriveworks follows a specific process to verify your insurance coverage for mental health services:
1. When you book an appointment, you’ll be asked to provide your current insurance information. This can be done online or over the phone.
2. Thriveworks will attempt to verify your benefits on your behalf. We use this information to confirm that you are active with your insurance and estimate your coverage and potential out-of-pocket costs.
3. While Thriveworks verifies your provider is in-network before your appointment, we do not handle pre-authorization requests. Some insurance plans require advance approval for certain treatments. If this applies to you, you’ll need to contact your insurance company directly.
4. We strongly recommend checking with your insurance provider directly to confirm coverage details and avoid unexpected costs. When contacting your insurance provider, ask about:
- Whether Thriveworks is in-network with your plan
- What your benefits include
- Your deductible amount
- Co-payment or co-insurance amounts
- Whether pre-authorization is required for your treatment
What Thriveworks services are covered by insurance?
Thriveworks accepts a wide range of insurance plans for various mental health services, including but not limited to:
1. Individual therapy
2. Couples therapy
3. Family therapy
4. Psychiatry and medication management
To determine the exact coverage for Thriveworks services under your insurance plan, we recommended contacting your insurance provider directly to confirm your mental health benefits before you book your first session.
Can I get a personal cost estimate?
Yes, to get a personal price estimate, you can:
1. Call us directly to discuss your specific situation and get detailed pricing information.
2. Check the profile of a specific clinician on our website, which lists their exact self-pay rates for a first (intake) session and subsequent sessions.
If using insurance, many clients only pay a co-pay ranging from $0 to $55 per session. The exact amount depends on your plan’s specific benefits.
To avoid any surprise costs, we recommend calling your insurance to ask “Do I need approval before starting therapy?” Some plans require this approval in advance (called pre-authorization), and we can’t get it for you.
If I’m prescribed medication, does insurance cover that cost?
It depends on your specific insurance plan. Coverage for prescription medications is separate from the coverage for psychiatric services, so we recommend contacting your insurance provider directly to ask about your prescription drug benefits. Inquire about any co-pays or deductibles that may apply to psychiatric medications, as well as any restrictions or prior authorization requirements.
How much does a psychiatry appointment cost with insurance? And without insurance?
With insurance, the cost of a psychiatry appointment typically involves a co-pay ranging from $0 to $55. For those out-of-network or without insurance, we offer self-pay options: Psychiatry intake sessions range from $300 to 375 and follow-ups range from $210 to 300, depending on your location and provider.
How much does a therapy appointment cost with insurance?
The cost of talk therapy with insurance typically involves a co-pay ranging from $0 to $55 per session. Exact costs depend on your location, provider, and specific insurance plan.
Does Thriveworks accept Medicare?
Yes, the majority of our providers accept Medicare. However, certain provider types are not eligible to accept Medicare, per federal regulations. We recommend confirming your preferred provider accepts Medicare before booking.
Does Thriveworks accept Medicaid?
No, Thriveworks does not accept Medicaid at this time. We recommend contacting Medicaid directly for assistance on finding services covered under your plan.
What are the self-pay rates at Thriveworks?
If you don’t have insurance or your plan doesn’t cover mental health services, you can choose to pay out-of-pocket. Below is a breakdown of our self-pay rates by service and state.
| Talk therapy | ||
|---|---|---|
| State | First Session | Subsequent Sessions |
| Georgia | $200 | $160 |
| DC / Maryland / Virginia | $220 | $160 |
| North Carolina | $200 | $160 |
| Pennsylvania | $220 | $180 |
| Massachusetts | $240 | $195 |
| All other states | $200 | $170 |
| Psychiatry/medication management | ||
|---|---|---|
| State | First Session | Subsequent Sessions |
| Georgia | $325 | $210 |
| DC / Maryland / Virginia | $350 | $255 |
| North Carolina | $325 | $210 |
| Pennsylvania | $325 | $210 |
| Massachusetts | $375 | $300 |
| All other states | $300 | $210 |
You can also check the exact self-pay rate for each clinician on their profile or contact us directly, and we’ll confirm the self-pay costs before you book an appointment.
What payment methods are available at Thriveworks?
Thriveworks accepts the following payment methods:
Credit and debit cards:
- Visa, MasterCard, Discover, and American Express
Health savings accounts:
- HSA (Health savings account)
- HRA (Health reimbursement account)
- FSA (Flexible spending account)
Payment notes:
- Care Credit is not accepted at this time.
- Payment is processed after each session.
When will I be charged?
You won’t be charged until after your therapy or psychiatry session. If using insurance, you’ll be charged for any remaining out-of-pocket costs on the Wednesday after your insurance claim is processed. If paying out-of-pocket, you’ll be charged on the first Wednesday following your session.
Is there a membership fee at Thriveworks?
No, Thriveworks does not have a membership fee.
What is Thriveworks’ cancellation policy?
Our flexible cancellation policy allows clients to reschedule or cancel an appointment up to 48 hours in advance.
If you cancel or reschedule your appointment less than 48 hours before the scheduled time, fail to show up, or arrive late beyond specified limits (10 minutes for a 30-minute session or 15 minutes for a 60-minute session), you will be charged a $135 late-cancellation fee. Learn more about our cancellation policy here.
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