INSURANCE & PAYMENT

Less paperwork.
More peace of mind.

Making therapy a little easier to access.

At Théla Psychotherapy Clinic, we understand that navigating insurance benefits can feel overwhelming. That's why we offer direct billing to participating insurance providers whenever possible.

When direct billing is available and your claim is approved, your insurer pays the eligible amount directly, reducing what you need to pay out of pocket.

THE BENEFITS

One less thing to manage.

Direct billing can make the financial side of therapy more straightforward.

PARTICIPATING INSURERS

Insurance providers we work with.

We offer direct billing through participating insurance networks. Availability may depend on your plan, treating clinician, and the insurer's claim submission rules.

SIMPLE STEPS

How direct billing works.

We'll guide you through the process, so you know what to expect.

BEFORE YOUR FIRST SESSION

A little preparation goes a long way.

If you'd like to use direct billing, please contact us before your first appointment whenever possible.

We recommend beginning the process at least two to three days in advance to allow time to review billing arrangements.

Please do not send photographs of insurance cards or sensitive policy information through ordinary email. Our team can explain how to provide the required details securely.

Information we may need

Name of your insurance provider

Policy or group number

Member or certificate number

Name of the policyholder

Any required authorization or insurer-specific claim information

UNDERSTANDING YOUR BENEFITS

What does your insurance cover?

Psychotherapy benefits differ between plans, even when they are provided by the same insurer.

Questions to ask your insurer

Does my plan cover psychotherapy provided by my clinician's professional designation?

What is my annual or per-session coverage limit?

What percentage of each appointment is reimbursed?

Do I need a physician referral or pre-authorization?

Are virtual appointments covered?

Does my plan permit direct billing or assignment of benefits for this service?

FAMILY & DEPENDENT COVERAGE

Using insurance held by someone else?

If your therapy benefits are provided through a spouse, parent, or another policyholder, additional authorization may be required before we can submit claims.

Théla requires appropriate policyholder consent where applicable, along with any authorization required by the insurer.

For children and separated or divorced families, insurance authorization and consent for treatment are separate matters. Our clinic will address the relevant requirements before billing begins.

IMPORTANT TO KNOW

What if insurance doesn't cover the full fee?

Sometimes an insurance claim is only partially approved, delayed, or denied. This can happen for several reasons, including exhausted benefits or plan-specific eligibility restrictions.

We can help clarify the billing outcome, but coverage decisions are made by your insurance provider.

If a claim is not approved

We'll let you know about the claim outcome.

You remain responsible for any unpaid portion of the session fee.

We can provide an appropriate receipt for manual submission where applicable.

You may contact your insurer to request clarification or review the claim decision.

FREQUENTLY ASKED QUESTIONS

Questions about direct billing?

Does direct billing mean therapy is free?

Not necessarily. Your insurance plan determines how much of the session fee is covered. You are responsible for any amount that is not paid by your insurer.

Can you guarantee that my claim will be approved?

No. Insurance providers determine eligibility, coverage amounts, and claim approval. A successful submission does not guarantee payment.

Can I use my partner's or parent's insurance?

You may be eligible as a covered dependent. We will need to confirm the applicable policyholder consent and insurer requirements.

What if my insurance provider isn't listed?

Contact us. We can review whether direct billing is available or whether you would need to submit a receipt for reimbursement yourself.

Do all Théla clinicians qualify under my benefits?

Not necessarily. Insurers may distinguish between psychologists, registered psychotherapists, qualifying clinicians, social workers, and student therapists. Please confirm coverage for your specific treating clinician.

What happens when my annual benefits run out?

Once your available benefits are exhausted, you are responsible for any remaining session fees. We recommend monitoring your coverage throughout the year.