We Tested More Than 65 Online Therapy Companies — These Are the 12 Best That Accept Health Insurance

Let’s be honest: Most of us could use some support these days, and therapy may be exactly what we need. But long wait times, lack of insurance acceptance, and high out-of-pocket prices can be major stumbling blocks to care. If you’ve tried to find a therapist who accepts your insurance but struck out, you’re not alone. A recent study found that roughly one-third of private practice therapists in the United States don’t accept insurance. It also determined that cash pay rates average about $143 a session (or even higher in some parts of the country), making therapy without insurance financially out of reach for many folks.

Psychiatry appointments are also challenging to secure.

Luckily, online therapy is becoming increasingly popular and is expanding access to high-quality, affordable care.

We personally tested dozens of online therapy companies, assessing each service on its overall quality, features, convenience, appointment availability, provider qualifications, and therapy types. For this article, we were particularly interested in the number of insurance plans accepted and the ease of using insurance to access the service. These are our top picks for the best online therapy with insurance.

Our Top Picks for Best Online Therapy With Insurance

  • Best for Ease of Use?Grow Therapy
  • Best for Psychiatry?Talkiatry
  • Best for Teens?Fort Health
  • Best for Couples?Rula
  • Best for Trauma?WellQor
  • Best for EMDR Therapy?Innerwell
  • Best for Seniors?Zocdoc
  • Best Directory?Headway
  • Best for Anxiety?Brightside Health
  • Best for Alcohol Use Disorder?Monument
  • Best for Diverse Communities?Inclusive Therapists
  • Best Subscription Service?Talkspace

What if I’m Having Thoughts of Harming Myself?

If you or a loved one is experiencing significant distress or having thoughts about suicide and need support, call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24–7. If you need immediate help, call 911.
Grow

Best for Ease of Use

Grow Therapy

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Pros

  • Accepts plenty of insurance plans
  • Lots of providers to choose from
  • Easy to get started

Cons

  • Video platform can be glitchy
  • A few providers don’t accept any insurance plans
  • Cost: Prices vary by provider and location; you can expect to pay between $150 to $275 per session out-of-pocket
  • Therapy formats: Video
  • Types of therapy offered: Individual, couples, families, teens, children, psychiatry
  • Medication management:?Yes

When you’re looking for a therapist who accepts insurance, you may feel pressed to compromise on factors that are important to you, like your preferred therapy modality, therapist identity, and copay price. Grow Therapy is an online therapy company that has search features to ensure you find exactly what you’re looking for. We love how modern, inviting, and easy to navigate the website is and how many insurance plans are accepted. In total, Grow Therapy accepts 51 insurance plans, though the exact plans accepted by each provider will vary. Luckily, you can verify if your selected provider accepts your insurance when scheduling your first appointment.

We were also impressed by the diversity of the providers on the directory — you can filter your search based on the racial, cultural, and gender identity of the provider. Part of what makes this platform so easy to use is that you can find a provider, see if they accept your insurance, check their immediate availability, and book a session all within the search results. This means there is no time wasted having to call therapists only to find out they don’t accept your insurance or don’t have any appointments within the timeframe you need.

While the video platform was glitchy during the sessions we tested, our therapist managed this issue with ease by moving sessions to a private Zoom account with a reliable connection. Plus, we noticed there were a few providers on the directory who didn’t accept insurance at all. While we found that odd, there were very few, so it wasn’t a big deal. All in all, Grow Therapy is a great platform to get started with therapy quickly.

Talkiatry transparent logo

Best for Psychiatry

Talkiatry

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Pros

  • Offers services for adults and children
  • Can prescribe controlled substances (pending state laws)
  • Quick intake process

Cons

  • Doesn’t accept Medicaid
  • Cannot select your own provider
  • Cost: Varies depending on insurance coverage. Talkiatry states the average copay is $30 per session. You will also have to pay for your prescription medication, the pricing of which will again vary based on insurance coverage.
  • Therapy formats: Video
  • Types of therapy offered: Psychiatry services for children and adults, therapy upon referral
  • Medication management:?Yes
It’s difficult to find a psychiatrist who accepts insurance. A study on psychiatry availability published in 2023 found that more than half of psychiatrists were not taking new patients — and even fewer practitioners may be available if you need one who takes insurance.

Talkiatry?is working to change this. By focusing on only working with folks who have insurance coverage, Talkiatry is expanding access to psychiatry. Talkiatry is in-network with more than 60 major insurers, including Aetna, BlueCross Blue Shield, Cigna, and UnitedHealthcare. Talkiatry even has a?tool?to verify if your insurance is accepted, but they recommend you reach out to your insurance company to get an estimate on how much you may pay per session.

Medication management can be tricky — when you need to speak with your doctor for a medication change, chances are you don’t want to wait long. We were pleased that we were able to see a provider within just two days when we tested the service. Talkiatry matches you with a provider. While this may not be everyone’s preference, we appreciate how matching can speed up the process of getting the care you need. Plus, we enjoyed the provider we worked with and were impressed with their qualifications.

We liked how quick the intake process was, and appreciated that the intake session was a full hour (instead of the 30-minute intakes offered at some of the other therapy and psychiatry providers we tested). It’s essential that online therapy companies screen their clients to ensure virtual services are a good fit, because they may not be right for someone experiencing severe mental health issues or someone at risk for suicide.

You can also expect to speak to an intake coordinator before getting started, which can be a great solution if you’re looking for a brief intake process.

Best for Teens

Fort Health

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Pros

  • Parents are involved in the treatment
  • Unlimited messaging with providers between sessions
  • Treats a wide age range of young people (4 to 24)

Cons

  • Only available in New Jersey, New York, and Pennsylvania
  • Emphasis on short-term therapy
  • Cost: For therapy and caregiver coaching, you can expect to pay $180 for the first 55-minute session. All subsequent sessions are $150. Psychiatry appointments are $400 for the initial 60-minute evaluation and $200 for 30-minute follow-ups.
  • Therapy formats: Video
  • Types of therapy offered: Individual therapy for youth ages 4 to 24, caregiver coaching, psychiatry
  • Medication management:?Yes
Finding a therapist for your teen is no easy feat. It can be difficult for providers to engage and connect with young people, yet mental health care for young people has never been more important. Research suggests adolescents are suffering from a mental health crisis made worse by the psychiatric impacts of the COVID-19 pandemic.

?With this in mind, we were eager to find a service that felt like a good match for teens without leaving parents and caregivers totally in the dark. This is where Fort Health enters the picture. Fort Health is an online platform dedicated to therapy and psychiatry for people 4 to 24 years old.

Fort Health is only available in three states, which is its greatest drawback, but it does offer expansive insurance coverage. Fort Health accepts all commercial insurance plans in New Jersey and most commercial plans in New York and Pennsylvania. The company encourages prospective clients to contact them directly to see if their plan is accepted.

In our experience, services were fantastic both for the teen and the parent. Our therapist was able to quickly connect with our teen, and Fort Health’s model encourages parent involvement by offering intermittent 30-minute sessions for the caregiver. The length of treatment Fort Health provides may be a pro or con, depending on your needs; 12 to 20 weeks is considered the normal length of treatment at the company, which isn’t long enough for folks who have more severe needs. That being said, it could be perfect for teens who respond well to solution-focused treatment.

Best for Couples

Rula

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Pros

  • Accepts insurance
  • Can choose your own therapist
  • Appointments are available quickly
  • Additional forms of therapy are available
  • Psychiatry services are available

Cons

  • Self-pay prices are expensive
  • Not available nationwide
  • Cost: If using insurance, your fees will vary depending on your coverage. Out of pocket, you can expect to pay $150 per session for individual therapy, $165 per session for couples and families, $350 for an initial psychiatry intake, and $150 for 30-minute follow-up sessions.
  • Therapy formats: Video
  • Types of therapy offered: Individual, couples, families, children, teens, psychiatry
  • Medication management:?Yes

Finding a couples therapist who accepts insurance can be quite a feat. Many insurance companies prohibit providers from getting reimbursed for couples therapy sessions, thus creating obstacles for couples seeking care. Part of what makes couples therapy tricky is that insurance companies usually provide reimbursement for one person. This means one person will need to have a diagnosis. You’ll want to consult your insurance company and therapy provider to ensure services are covered. Thank goodness for Rula: an online therapy platform that offers individual, family, and couples therapy and accepts insurance.

We had a great experience signing up for and receiving care. We were able to book a therapy appointment within a week and found our provider to be highly skilled. We are impressed by the variety of modalities available for couples, including the evidence-based technique called emotionally focused couples therapy (EFT).

Plus, it is great that you can also find an individual therapist or even psychiatrist through the platform, too. Rula accepts most major plans, including ones from Aetna, Anthem, Cigna, and even Kaiser. You will need to contact Rula directly to confirm that they accept your insurance. Heads up — in the event couples therapy isn’t covered by your insurance, Rula does have cash pay rates, allowing you to still see their roster of therapists.

Best for Trauma

WellQor

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Pros

  • Great therapist matching
  • Fantastic customer service
  • Easy sign-up process
  • Therapy available for adults and teens

Cons

  • No psychiatry services are available
  • Does not list self-pay rates on their website
  • Cost: If using insurance, your final cost will vary depending on your coverage. Otherwise, you can expect to pay $125 per session out-of-pocket.
  • Therapy formats: Video
  • Types of therapy offered: Individual, couples, teens
  • Medication management:?No
Therapy for trauma can look a bit different from therapy for other issues. An approach to care known as “trauma-informed” integrates five critical tenets: safety, trustworthiness, choice, collaboration, and empowerment.

?When it comes to online therapy, we believe trauma-informed care happens from the second a client begins the intake process. WellQor, an online therapy company for adults and teens, offers excellent care — not just clinically, but from a customer service standpoint, too.

We had a unique experience with WellQor. Because of a natural disaster, our provider had to cancel multiple therapy sessions. Though things got off to a rocky start, the clinical director reached out to us directly to discuss the situation and get us assigned to a new clinician. This experience left us feeling supported and cared for. WellQor’s approach to client care is refreshing, especially when other companies have simply canceled therapy sessions with no notice, or worse, never showed up to appointments.

WellQor’s services are covered by most commercial insurance (including Aetna, Anthem, Cigna, and Molina) plus Medicare, and Medicare Advantage plans. You’ll need to contact the company to verify your benefits prior to beginning treatment.

WellQor also offers modalities that are especially great for helping heal trauma. For example, it has therapists on staff who specialize in eye movement desensitization reprocessing (EMDR) therapy. This evidence-based modality has shown efficacy in decreasing symptoms of post-traumatic stress disorder (PTSD).

?This attention to up-and-coming modes of healing has us feeling confident that those who are healing from trauma may find a lot of support on this platform.

Best for EMDR Therapy

Innerwell

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Pros

  • Offers innovative treatments
  • Excellent quality of care
  • Can sign up for multiple services (i.e. ketamine treatments and individual therapy)
  • Client portal offers free mood tracker, journal, and playlists

Cons

  • Insurance is only available in four states
  • Have to contact customer services to change therapists
  • Cost: With insurance, cost depends on coverage. Out-of-pocket pricing is as follows:
    • EMDR and talk therapy sessions:?$165 per 50-minute session
    • Psychiatry sessions:?Initial hourlong intake is $350, 30-minute follow-ups are $200 each
    • Ketamine infusions:?$83 to $125 per treatment, billed on a monthly basis. Packages are available
    • Psychedelic preparation and integration sessions: $100 for 30 minutes, $165 for 50 minutes
  • Therapy formats: Video
  • Types of therapy offered: Individual, EMDR, psychedelic integration, ketamine treatment, psychiatry
  • Medication management:?Yes
Those who have a trauma history are likely to benefit from EMDR therapy.

But finding a platform that offers the modality can entail trial and error. This is where Innerwell comes in. Innerwell is an online therapy platform that offers everything from EMDR and ketamine infusions to traditional psychiatry sessions. Plus, it accepts insurance.

We love that Innerwell prioritizes offering appointments within one week of sign-up. We also had a fantastic experience with our provider. We found our therapist to be attuned and intuitive, and she had very impressive qualifications and training.

Our biggest con for this platform is that insurance is accepted in only four states — California, Colorado, New York, and Washington. Seventeen plans are accepted in total, with each state averaging about three to five plans each. While this is disheartening, we feel so strongly about the value and uniqueness of the company’s services that we had to include it in this roundup. You’ll want to contact Innerwell’s care team to see if your insurance is accepted.

ZocDoc Logo Transparent

Best for Seniors

Zocdoc

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Pros

  • Easy to use
  • Therapist appointment times are viewable on the results page
  • Quick availability
  • Wide range of therapists and modalities available

Cons

  • Insurance acceptance varies by provider
  • Some providers don’t keep their schedules up-to-date
  • Cost: Final price will vary based on insurance coverage. Out-of-pocket rates vary widely, from $150 to $550 per session for therapy and psychiatry offerings. Some therapists offer sliding scale rates.
  • Therapy formats: Video
  • Types of therapy offered: Individual, couples, family, children, teens, psychiatry
  • Medication management:?Yes
There are many benefits associated with aging: wisdom, resilience, and accomplishment. But these benefits often go unrecognized in our culture, leaving seniors dealing with stigma and a lack of accessible care.

?Couple this with how complicated it is to navigate new forms of tech, and some seniors may be turned off of online therapy altogether. If this sounds familiar, hang in there. We found Zocdoc to be extremely easy to use, and it accepts over 1,000 insurance plans (including major commercial plans) and has a range of pricing for out-of-pocket situations.

We were sold on Zocdoc immediately. It was easy to navigate, there were tons of therapists to choose from, and you could see all the important details, including schedules, without signing up. Plus, we had an excellent experience with the care we received there. We found the therapists highly qualified and offering an eclectic range of modalities.

We did notice that some providers didn’t keep their schedules up-to-date. But in the event we booked a session that actually wasn’t available, our provider reached out promptly to rectify the situation, so it didn’t end up impacting the quality of our care.

Headway transparent logo

Best Directory

Headway

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Pros

  • Therapy is available for children as young as 6
  • Wide range of appointments available, including nights and weekends
  • Same-day and next-day appointments available

Cons

  • Only available with insurance
  • Limited customer service resources
  • Cost: Services are available only to folks with insurance, and final pricing will depend on your unique insurance coverage.
  • Therapy formats: Video
  • Types of therapy offered: Individual, couples, families, children, teens, psychiatry
  • Medication management:?Yes

While we find plenty of benefits to online therapy platforms, we also appreciate the benefits of a therapy directory. With a directory, you’re not beholden to any one company’s policies or glitchy video platform. Instead, you get to search for therapists within your preferred criteria and peruse a range of search results that match your exact needs.

We love that Headway is a directory that works specifically with providers who take insurance. They accept more than 45 major insurance plans, including Aetna, Anthem, Cigna, Oscar, and UnitedHealthcare. While other directories might have you digging to find therapists who accept your specific insurance, you can count on Headway to make the process much easier.

Something we appreciated about Headway was its abundance of search filters. You can search for providers based on general availability, gender, ethnicity, insurance, age, language, and modalities. You can even find providers who offer in-person sessions if you decide online therapy isn’t quite your thing.

A major drawback? Headway doesn’t offer expansive customer service support — no phone number or email. While we wish there were a direct customer service contact, when we reached out to its customer support team through a contact form, we received a response within just a few hours.

brightside health logo

Best for Anxiety

Brightside Health

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Pros

  • Exclusively offers cognitive behavioral therapy
  • Provides ample tools for use outside of sessions
  • Flexible scheduling
  • Easy to communicate with providers between appointments

Cons

  • A big part of the platform relies on progress tracking, which isn’t for everyone
  • Cognitive behavioral therapy isn’t for everyone
  • Cost: If you’re using insurance, pricing will depend on your coverage. Out-of-pocket fees are as follows:
    • Monthly Therapy – $299 per month for weekly 45-minute sessions, plus access to coping tools and unlimited therapist messaging. Additional 45-minute sessions are just $59 each.
    • Psychiatry – $95 per month, which includes brief monthly check-ins with your provider, messaging, and access to coping tools. The cost of medication is not included in this monthly fee.
    • Psychiatry & Therapy To bundle both the monthly therapy and psychiatry plan, it costs $349 per month.
    • Crisis Care & Psychiatry Those who indicate they are struggling with suicidal thoughts when signing up for the platform may be recommended to take part in Brightside’s Crisis Care plan. It costs $299 to access Crisis Care and Psychiatry services.
  • Therapy formats: Video
  • Types of therapy offered: Individual therapy for adults, crisis care, psychiatry
  • Medication management:?Yes
Anxiety is a common mental health disorder that impacts a high percentage of our population. The National Institutes of Health estimates nearly 20 percent of adults suffer from an anxiety disorder in any given 12-month period, and another 31 percent will meet criteria for an anxiety disorder at some point in their life.

?Luckily, there are effective treatments for anxiety, one of which is cognitive behavioral therapy (CBT). CBT focuses on addressing negative thoughts with the goal of decreasing unhelpful actions and mental patterns that drive anxiety.

When looking for the best anxiety therapy with insurance, we specifically looked for a platform that specialized in CBT, had excellent customer care, and offered reasonable out-of-pocket pricing. Brightside Health hit all these notes and then some.

In our experience with Brightside, we loved the program’s design. There are weekly 45-minute sessions, and our provider was highly skilled and easy to work with. Additionally, there are lessons between sessions that teach coping tools. Plus, we could message our therapist anytime and were prompted to track our symptoms so our provider could see how we were doing. Brightside accepts more than 20 insurance plans, including major insurers like Aetna, Anthem, Blue Shield, UnitedHealthcare, and some Medicaid and Medicare plans.

Brightside also offers a crisis care program, which sets it apart in the online therapy market. Most platforms simply refer someone who discloses suicidal thoughts during the intake process to emergency services. Instead, Brightside has a program that specifically targets suicidal thoughts, working to decrease them over time.

While we have many praises to sing about Brightside, we also understand that progress tracking can trigger a sense of inadequacy in some folks, leaving them feeling like they aren’t seeing change fast enough. Plus, the cause of anxiety can vary from person to person, and CBT may not be the best fit for all clients.

monument transparent logo

Best for Alcohol Use Disorder

Monument

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Pros

  • Offers medication for alcohol use disorder, which is rare for online therapy platforms
  • Free access to support groups facilitated by therapists
  • Great alternative for those who do not wish to engage in 12-step programs

Cons

  • Focus on decreasing alcohol consumption, rather than full abstinence, may not be for everyone
  • May not be enough support for some
  • Cost: As with most platforms, the final cost depends on insurance coverage. Monument’s out-of-pocket pricing is as follows:
    • Community Membership? $14.99 per month. This basic membership tier offers access to support groups, affirmations, and a 24/7 anonymous forum. It’s worth noting that this tier is never covered by insurance.
    • Physician Appointment $100 per appointment. If deemed appropriate, the physician may prescribe you medication.
    • Bi-Weekly Therapy? $149 per month
    • Weekly Therapy $249 per month
  • Therapy formats: Video
  • Types of therapy offered: Individual therapy, support groups, psychiatry
  • Medication management:?Yes
Alcohol use disorder is an especially challenging condition to live with, largely because our culture tends to center alcohol in social events. But it’s an important disorder to address — alcohol use is associated with an estimated 88,000 deaths in the United States each year.

It was important to us that we find a reputable platform offering evidence-based treatment for alcohol use disorder. When we discovered Monument, we were impressed with its offerings and relieved to learn it also accepts insurance. After our experience with Monument, we knew it belonged on our best-of list.

Monument accepts a number of insurance plans, including Aetna, Oscar, Cigna, and Medicare. Monument takes a holistic approach to alcohol use disorder. Offering a community membership that prioritizes building social connections, individual psychotherapy, and medication to curb alcohol cravings, we feel this is a great option for folks who are looking to decrease alcohol consumption. It’s also a great option for those who don’t feel they’re a good fit for rehab and don’t resonate with the popular 12-step recovery program.

If you’re interested in full abstinence from alcohol, rather than decreasing usage, Monument’s focus may not be your best bet. We’d recommend exploring rehabilitation programs and 12-step meetings in your area.

Best for Diverse Communities

Inclusive Therapists

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Pros

  • Lots of search filters
  • Easy to use
  • Focus on providing care to diverse communities

Cons

  • Not all therapists respond in a timely fashion
  • Some therapists on the directory aren’t taking clients
  • Cost: Varies based on provider and insurance plan
  • Therapy formats: Video
  • Types of therapy offered: Individual, couples, families, teens, children, support groups, psychiatry
  • Medication management:?Yes
Finding a therapist you can relate to and feel safe with as a person of color or a member of the Black or Indigenous communities is no easy feat. Many people of color prefer to work with a practitioner of color in the hopes that a shared identity will minimize oppressive experiences in their treatment.

?Yet, this can prove difficult; in 2015, 86 percent of the psychology workforce was white — and while more racial and ethnic minorities are entering this workforce, the total number of early-career psychologists that same year was still 66 percent.

?Similar issues exist for members of the LGBTQIA+ community.

With this in mind, we were eager to find a service that prioritized members of marginalized communities and highlighted providers who accept insurance. Inclusive Therapists is an online therapy directory that offers tons of search filters to support people looking for a therapist they can relate to and who understands how their identity shapes their mental health. You can also search based on insurance, a feature we appreciate.

While insurance coverage will vary by provider, you can expect some major plans like Aetna, Anthem, Humana, and Molina to be accepted. In our experience with the directory, we found it to be one of the most thorough options out there. From religion and spiritual orientation to disability accessibility, there is truly a filter for nearly every need.

We did notice that some providers did not respond promptly (or at all) to new client inquiries. Other providers weren’t accepting new clients but didn’t have that noted anywhere on their profiles. This isn’t an issue exclusive to Inclusive Therapists — many directories struggle to feature therapists who keep their availability updated, but it is worth noting regardless. Because of ?the unique nature of the directory and the support it offers, we are still confident that this service is worth it, even if it takes a little bit of trial and error to find your preferred provider.

Talkspace

Best Subscription Service

Talkspace

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Pros

  • Easy sign-up process
  • Can change providers quickly
  • Various appointment formats are available

Cons

  • Allegations of data misuse
  • Video sessions are short
  • Cost: When using insurance, the final cost will depend on coverage. Out-of-pocket rates are as follows:
    • Messaging Plan? $69 per week, billed monthly. This option allows for unlimited messaging with the promise of guaranteed responses during regular business hours
    • Messaging and Video Sessions? $99 per week, billed monthly. This includes everything in the messaging plan, plus four 30-minute sessions per month.
    • Messaging, Video, and Workshop? $109 per week billed monthly. This includes everything above plus access to various workshops on mental health topics.
    • Couples Therapy $109 per week for weekly 30-minute sessions
    • Psychiatry Services – $299 for intake session; follow-up sessions are $175 each
  • Therapy formats: Video, messaging, audio
  • Types of therapy offered: Individual and couples therapy
  • Medication management:?Yes

One of the biggest contenders in the online therapy market is Talkspace. Like its competitor BetterHelp, it was one of the first companies to merge tech with online therapy, with its use of an app and text message-based therapy. We like that there are various subscriptions to choose from — you can opt for a plan with just text-message therapy, video and messaging therapy, or video and messaging therapy plus unlimited access to live mental health workshops. We also like that you can add psychiatry services as needed. Unlike BetterHelp, Talkspace accepts major insurance plans like Aetna, Cigna, Optum, Carelon, and Regence.

We had a quick sign-up process and were pleased to be matched with a therapist within minutes, making this a super easy platform to get started with. Plus, if your first match isn’t the best fit, switching to a new provider quickly is simple.

We feel this platform is best suited for someone who is new to therapy or doesn’t need intensive trauma support. With sessions being just 30 minutes long, it may not work for those who want to do in-depth work. Also, Talkspace has come under fire in the past for misusing client data and fostering a toxic work environment.

?Be sure to give the company’s privacy policy a good read and don’t be afraid to have a direct conversation with your therapist about how to get the most out of your sessions.

Comparison Table

Out-of-Pocket Pricing
Top Insurance Plans Accepted
Therapy Formats
Types of Therapy Offered
Number of Sessions per Month
Therapy Session Length
Medication Management Available?
Grow Therapy
$150 – $275+?
Aetna, Anthem, Cigna, Blue Cross Blue Shield, UnitedHealthcare
Video
Individual, couples, families, teens, children, psychiatry
Varies based on your treatment plan — pay-per-session
50–60 minutes
Yes
Talkiatry
Varies based on insurance; no out-of-pocket care available
Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare
Video
Psychiatry services for children and adults; therapy upon referral
Varies based on your treatment plan — pay-per-session
For adults, an initial evaluation is 1 hour and follow-ups are 30 minutes. For children, the initial session is 75 minutes and follow-ups are 45 minutes.
Yes
Fort Health
$150 – $400
Aetna, Cigna, Humana, Optum
Video
Youth ages 4–24, caregiver coaching, psychiatry
Varies based on your treatment plan — pay-per-session
55 minutes
Yes
Rula
$150 per session for individual, $165 for couples and families, $350 for psychiatry intake, $150 for psychiatry follow-ups
Aetna, Anthem, Cigna, Kaiser
Video
Individual, couples, families, children, teens, psychiatry
Varies based on your treatment plan — pay-per-session
50–60 minutes
Yes
WellQor
$125 per session
Aetna, Anthem, Cigna, Molina, UnitedHealthcare
Video
Individual, couples, teens
Varies based on your treatment plan — pay-per-session
50 minutes
No
Innerwell
$100 – $350 per session, ketamine infusions begin at $83 per treatment
Aetna, Anthem Blue Cross of California, Cigna, UnitedHealthcare
Video
Individual, EMDR, psychedelic integration, ketamine treatment, psychiatry
Varies based on your treatment plan — pay-per-session
Varies — standard therapy session is 50 minutes long
Yes
Zocdoc
$150 – $550, varies based on provider, sliding scale available
Aetna, Anthem, BlueCross BlueShield, Cigna, UnitedHealthcare?
Video
Individual, couples, family, children, teens, psychiatry
Varies based on your treatment plan — pay-per-session
50–60 minutes
Yes
Headway
Varies based on insurance; no out-of-pocket care available
Aetna, Blue Cross Blue Shield, Cigna, Oscar, UnitedHealthcare
Video
Individual, couples, families, children, teens, psychiatry
Varies based on your treatment plan — pay-per-session
50–60 minutes
Yes
Brightside Health
$95 – $349 per month
Aetna, Anthem, Blue Shield, United Healthcare
Video
Individual therapy for adults, crisis care, psychiatry
4
45 minutes
Yes
Monument
$14.99 – $249 per month
Aetna, Cigna, Oscar, Medicare
Video
Individual therapy, support groups, psychiatry
2 – 4
50 minutes
Yes
Inclusive Therapists
Varies based on provider
Aetna, Anthem, Blue Shield, Humana, Molina
Video
Individual, couples, families, teens, children, support groups, psychiatry
Varies based on your treatment plan – pay-per-session
Varies based on provider
Yes
Talkspace
$69 – $109 per week, billed monthly. Couples therapy is $109 per week, billed monthly. Psychiatry services are $299 for the intake session and follow-up sessions are $175 each.
Aetna, Cigna, Carelon, Optum, Regence
Video, messaging, audio
Individual and couples therapy
4
30 minutes
Yes

Other Noteworthy Services We Tried

Narrowing this list down to 12 companies wasn’t easy. There were plenty of online therapy platforms that didn’t make the cut. For example, we love Octave’s services. Octave offers online individual, couples, and family therapy, employs highly skilled therapists, and has excellent customer service. We also had a positive experience testing Octave. Unfortunately, it’s currently only in-network with employer-sponsored health plans from major insurers like Anthem Blue Cross of CA, Aetna, Health Net, Cigna, and more. That means those who aren’t using employer-sponsored plans aren’t eligible to use their insurance coverage to offset Octave’s costs.

Another company that deserves honorable mention is Open Path Collective, a directory that features therapists who offer individual and couples sessions from $30 to $70. While there are plenty of fantastic providers on the directory, they don’t accept insurance, so they weren’t included in our roundup. If you don’t have insurance or are underinsured, consider checking out Open Path for affordable, quality care.

We also considered Doctor On Demand. This platform accepts most major insurance plans, and we had a great experience with their teen psychiatry. On the other hand, our experience with individual adult therapy wasn’t as glowing, so we decided against including it. Consider checking it out if your teen needs medication management that is covered by insurance.

How We Tested the Best Online Therapy Companies With Insurance

To find the best online therapy services, we assigned people to personally test 65 companies. Many of our testers are veterans of the mental health field, from long-term therapy users to mental health professionals themselves. We scored each platform on accessibility, affordability, provider qualifications, quality of care, and company ethics. We asked each tester to answer questions about how their sessions went, the ease of use for each platform, and whether or not they’d recommend it.

Furthermore, this roundup was written by a therapist. I’m a licensed clinical social worker and a subject matter expert who owns a private practice. I’ve tested over a dozen online therapy platforms and have written many articles about mental health, racial disparities, and ways to increase access to quality mental health support.

What to Look For in a Therapy Platform

When you’re looking for an online therapy platform, there are a few things to keep in mind. First, consider the sort of treatment you’d like. Consider what type of therapy you’re interested in trying, whether you’d prefer your therapist to have a certain identity or qualification, and what issue you are hoping to address. Not all therapy platforms offer all therapy modalities or address all diagnoses.

You’ll also want to make sure you understand your insurance benefits. Before signing up, make sure you’re aware of what your mental health benefits are under your specific plan. If you’re not sure where to begin, call the contact number on your insurance card and ask to speak to someone versed in mental health benefits to gather more details, such as the number of sessions covered, if there are any provider qualification requirements, and if they can give you an estimate of your copayment or coinsurance per appointment. You can also contact customer service at the therapy platform or practice you’re interested in using to ensure your specific plan is accepted and find out how payment works.

Finally, consider how you’d like to receive therapy. Do you want to have the freedom of perusing a directory and scheduling consultation calls with providers as you please? Would you like the ease of a subscription or the convenience of text or audio-only sessions? Most importantly, don’t be afraid to change therapists or even platforms if you need to.

Am I a Good Candidate for Online Therapy?

A few factors determine the best candidates for online therapy. Some providers insist that those experiencing more severe mental health issues, like trauma, suicidal thoughts, or personality disorders, aren’t the best fit for online therapy because of the higher level of support needed.

?If this sounds like you, don’t be discouraged. Brightside Health’s new crisis care program offers support for those who may typically feel like they aren’t a good fit for online therapy because of the severity of their needs.

How Can I Learn What My Insurance Benefits Are?

Give your insurance company a call and ask them to explain your plan benefits. The contact number is typically on the back of the insurance card. Ask them what sort of coverage they offer for providers who are in-network with your plan. Then, ask if you have any coverage for providers who are out-of-network. You can also ask them to share a list of therapists who take your insurance, just to give you some extra options.

FAQs

Is online therapy private?
Yes, online therapy is legally required to be private in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This means that your personal information, digital data, and clinical details are required to remain private, with exceptions if there is reasonable cause to believe you are a danger to yourself or others. If you have any questions, be sure to ask your therapist to explain more about their approach to privacy practices.
How is online therapy different from in-person therapy?
While you may be used to sitting in traffic and searching for parking only to sit in a waiting room before your appointment, online therapy allows you to log on from the comfort of your own home, with no driving necessary. While this is a major draw for many, it can be a drawback for others. For example, some may not have access to a private space where they can consistently hold online therapy sessions. Additionally, those who aren’t as tech-savvy may prefer to see their provider in person. Further, those with more severe symptoms or serious diagnoses may be referred to in-person care.
How should I prepare for my first session?
Make sure you are somewhere comfortable and private with a strong internet connection. You might want to take some notes of what you’d like to work on in therapy, though that isn’t necessary or expected for a first session. A comfy blanket, plenty of tissues, and a glass of water can also help you feel more comfortable.

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Our Experts

Julia Childs Heyl, MSW

Author

Julia Childs Heyl, MSW, is a California-based clinical social worker and mental health writer. Her writing often focuses on mental health disparities and uses critical race theory as her preferred theoretical framework. She has been published by Verywell Mind, Health, Parents, Shape, Yahoo, and more.

In her clinical work, Julia specializes in treating people of color experiencing anxiety, depression, and trauma through depth therapy and EMDR (eye movement desensitization and reprocessing) trauma therapy. Identifying as a holistic-minded clinician, Julia views mental health as a relationship between the soul, self, and systemic structures in our lives. Her formative training includes developing mental health programming specifically for Black survivors of domestic violence and sexual assault and conducting research on generational trauma within the Black community.

seth-gillihan-bio

Seth Gillihan, PhD

Medical Reviewer
Seth Gillihan, PhD, is a licensed psychologist in private practice in Ardmore, Pennsylvania, who helps people find personal growth by making important changes in their thoughts and habits. His work includes books, podcasts, and one-on-one sessions. He is the the host of the Think Act Be podcast and author of multiple books on mindfulness and CBT, including Retrain Your Brain, Cognitive Behavioral Therapy Made Simple, and Mindful Cognitive Behavioral Therapy.

He completed a doctorate in psychology at the University of Pennsylvania where he continued as a full-time faculty member from 2008 to 2012. He has been in private practice since 2012.

Amy Marschall, PsyD

Tester

Amy Marschall, PsyD, is a freelance mental health writer and a licensed clinical psychologist.

She received her doctoral degree in clinical psychology from the University of Hartford in West Hartford, Connecticut, in 2015. She completed her pre-doctoral internship through the National Psychology Training Consortium (Central Region) and her post-doctoral residency at Family Psychological Center P.A. in Harrison, Arkansas.

Dr. Marschall has been a licensed psychologist since 2016 and currently owns a private practice,?RMH-Therapy, where she provides therapy primarily to children and adolescents and does psychological evaluations. Her clinical specializations include trauma-informed care, neurodiversity-affirming care, rural mental health, and tele–mental health. She is licensed to practice psychology in Florida, Montana, New York, North Dakota, South Carolina, South Dakota, and Wisconsin, and is in the process of registering with?PsyPact. She is also a?registered psychologist?in New Zealand and provides ADHD assessments through?ADHD Online?and therapy services through?Spring Health,?Lyra Health, and?Modern Health.

She is also the clinical director of?A Change for Better, an organization promoting affordable and accessible mental health care and resources, and the chair of the clinical committee at the?ACFB Fund, a charitable organization that funds mental health services. She is also the resident neurodiversity expert with?Grayce.

As a mental health writer, she has contributed to Parents, Health, and Spring Health, among other outlets.

In her spare time, Marschall enjoys reading, making jewelry, and spending time with her cats.

Erin Heger

Tester

Erin Heger is a freelance journalist with more than 10 years combined experience in health writing and healthcare advocacy. Her reporting and essays have covered mental health, wellness, fitness, nutrition, and healthcare policy. You can find her byline in The Atlantic, Business Insider, HuffPost, and many other publications.

Before freelancing full time, Erin worked in healthcare advocacy as a community organizer for a reproductive rights organization and as a health insurance navigator at a community health center.

As a writer, Erin strives to empower readers with clear, accessible information to help readers make the best choices for themselves and their families.

Outside of work, Erin enjoys reading fiction, listening to podcasts, running, and watching reality TV. She lives in Kansas City with her husband and three children.

Raki Swanson

Tester

Raki Swanson is a?Minnesota-based freelance health writer and married mother to two adult children. She has experience covering mental health, fitness, food, and lifestyle topics, as well as significant experience reviewing and testing products for the Marketplace team, including online therapy, fitness gear, and food.

She received a bachelor's degree in applied psychology from St. Cloud University in Minnesota. She has also worked as a business development manager at a Fortune 500 company in Minnesota, and spent several years living in the south of France while growing up, which inspired her love of travel and food.

When she's not writing, you can find her reading, blogging, and enjoying being an empty nester with her husband, two dogs, and tabby cat named Kevin.

Olivia Campbell

Tester

Olivia Campbell is the New York Times bestselling author of?Women in White Coats: How the First Women Doctors Changed the World of Medicine?and?Sisters in Science: How Four Women Physicists Escaped Nazi Germany and Made Scientific History. She is a freelance editor at Dotdash Meredith and a freelance journalist. Her work has appeared in The Atlantic, National Geographic, New York Magazine, Health, Parents, History, and The Guardian, among other outlets.

Campbell received a journalism degree from Virginia Commonwealth University and a master's in science writing from Johns Hopkins University, where she now acts as a thesis advisor. She is a member of the National Association of Science Writers.

Campbell lives outside Philadelphia with her husband, three children, and two cats.

Jen Sinclair

Tester

Jen Sinclair Is a freelance health and wellness writer who has spent the last two years writing feature articles and reviews of mental health and medical services and products. Her work has been published by Verywell Mind, Verywell Health, Health, and Parents. Prior to this, she worked for six years as a copywriter and blog writer for several legal and healthcare businesses, and as a paralegal for 15 years.

Jen currently lives with her husband and children in St. Augustine, Florida, where she enjoys spending time outdoors paddling waterways, driving around with the top?off?her Jeep, or trekking around with her writer hiker pals.

Brittany Vargas

Tester

Brittany Elyse Vargas has been a professional writer and journalist for over a decade and has been exploring topics around mental health, mind-body medicine, health, wellness, and psycho-spiritual development for the past 20 years.

As a trauma-informed health journalist, she is a regular contributor to Everyday Health, Medscape and Verywell Mind. Her byline has also appeared in Yahoo Life, Shape, Integrative Practitioner, Business Insider, and BBC Travel, among others.

Brittany is also a certified Reiki Master who has been practicing since 2010.

She received her bachelor's degree from the University of California at Santa Barbara and is a proud Californian. In her spare time, she loves practicing yoga, dancing, hiking, and traveling.

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Editorial Sources and Fact-Checking

Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.

Sources

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