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FEES 

No surprises
about the
money.

 

We're a small private practice, and we'd rather you knew the numbers up front than be guessing on the way in. Here's what we charge, what insurance does, and how we handle it when full rate isn't possible.

STANDARD OUT-OF-POCKET INDIVIDUAL SESSION RATES
 

Three tiers, set by experience.

Same 45-50-minute session, same evidence-based approach. The difference is how long your therapist has been at it.

ASSOCIATE · MHC - LP

Associate therapist 

 

3+ years' experience. Master's level clinician, working under supervision.

$175/45-50 min

O  45-50 minute weekly session

O  Weekly clinical supervision

O  In-person or virtual

O  Aetna in-network

O  OON-only with all other insurers - we file

O  the claims for you

STAFF THERAPIST · LMHC

Staff therapist 

 

3+ years' experience. New York State licensed mental health counselors.

$200/45-50 min

O  45-50 minute weekly session

O  Specialty training

O  Virtual sessions

O  OON-only with all insurers - we

O  file the claims for you

SENIOR THERAPIST · LMHC

Senior therapist 

 

8+ years' experience. New York State licensed mental health counselors. Complex cases.

$250/45-50 min

O  45-50 minute weekly session

O  Advanced training and certification

O  Virtual sessions

O  Aetna in-network with most

O  OON-only with all other insurers - we

O  file the claims for you

INSURANCE
 

The whole Insurance story.
 

Some of our therapists are in-network with Aetna. For most other plans we're out-of-network, but unlike most practices we file the claim on your behalf — so you don't have to pay the full fee up front or chase your insurance for reimbursements. 

HOW IT WORKS

 

What "in-network" and "out-of-network" actually means for your wallet, how reimbursement works plan-by-plan, and what to expect from each of the major insurers we see most often.

IN NETWORK · HOW IT WORKS

Aetna with some of our therapists.

 

 

You pay a discounted rate until your deductible is met. Once your deductible is met, you pay only your copay or coinsurance; we bill Aetna directly for the rest. Most clients see a copay between $20-$50 per session.

  1. Send us your plan info in your inquiry.

  2. We verify your copay and deductible status within one business day.

  3. If your deductible is not met, you pay the discounted rate at each session.

  4. We submit the claim in 1-2 days. You see it in your portal in a week or two.

  5. Aetna applies it to your in-network deductible (if not met).

  6. Once met, you pay your copay. Nothing more.

OUT OF NETWORK · HOW IT WORKS

Anthem, United, Cigna, and most others. 

 

You pay the out-of-pocket session fee up front until your deductible is met. Thereafter, you pay only the agreed-upon copay. Depending on your out-of-network benefits, most clients see a copay between $80-$150 per session.

 

  1. Send us your plan info in your inquiry.

  2. We verify your copay and deductible status within one business day.

  3. If your deductible is not met, you pay the full session rate ($175 - $250) at each session.

  4. We submit the claim in 1-2 days.

  5. Your insurer applies an "allowed amount" per session to your deductible (if not met).

  6. Once met, you pay the agreed-upon copay ($80-$150). No paperwork. No waiting for reimbursement.

BY INSURER
 

What to expect with your specific plan.
 

We see these five most often. The numbers below are typical, not guaranteed — your actual coverage depends on your specific plan*. We'll verify before your first session.

*The dollar ranges below reflect what we typically see for PPO plans in NY for individual sessions.

Aetna

Our only in-network relationship. Some of our therapists are in-network with Aetna. Once your deductible is met, you typically owe only a copay per session. If you work with an in-network therapist:

DEDUCTIBLE

(TYPICAL)

$0 - $1,500

RATE BEFORE DEDUCTIBLE MET

$120

COPAY AFTER MEETING DEDUCTIBLE

$20 - $50

ALLOWED AMOUNT

PER SESSION

$120

If you work with an out-of-network therapist:

DEDUCTIBLE

(TYPICAL)

$500 - $6,000

RATE BEFORE DEDUCTIBLE MET

$175 - $250

COPAY AFTER MEETING DEDUCTIBLE

$80 - $150

ALLOWED AMOUNT

PER SESSION

$150 - $400

Anthem/BCBS

Coverage varies with BCBS — sub-plans differ widely. Some plans reimburse us the provider directly; some plans reimburse the members directly. We file the claim for you in 1-2 days. No paperwork but you may need to forward the reimbursement to us or pay the full fee upfront. 

DEDUCTIBLE

(TYPICAL)

$750 - $6,000

RATE BEFORE DEDUCTIBLE MET

$175 - $250

COPAY AFTER MEETING DEDUCTIBLE

$80 - $150

ALLOWED AMOUNT

PER SESSION

$142 - $400

Cigna

Coverage varies more with Cigna than any other carrier. We file the claim for you in 1-2 days. 

DEDUCTIBLE

(TYPICAL)

$500 - $6,000

RATE BEFORE DEDUCTIBLE MET

$175 - $250

COPAY AFTER MEETING DEDUCTIBLE

$80 - $155

ALLOWED AMOUNT

PER SESSION

$120 - $175

NYCE PPO
Plan

NYC Employees PPO a premium-free health plan offered jointly by EmblemHealth and UnitedHealthcare. Consistent and predictable (so far). We file the claim for you in 1-2 days.

DEDUCTIBLE

(TYPICAL)

$200

RATE BEFORE DEDUCTIBLE MET

$175 - $250

COPAY AFTER MEETING DEDUCTIBLE

$80 - $125

ALLOWED AMOUNT

PER SESSION

$125

United Healthcare

UHC, Oxford, UMR OON plans, often self-funded by your employer, vary the most — coverage can range from generous to minimal. We'll verify your specific plan before session one. We file the claim for you in 1-2 days.

DEDUCTIBLE

(TYPICAL)

$500 - $5,000

RATE BEFORE DEDUCTIBLE MET

$175 - $250

COPAY AFTER MEETING DEDUCTIBLE

$80 - $165

ALLOWED AMOUNT

PER SESSION

$125 - $340

SLIDING SCALE
 

When money is

the reason.
 

We hold a small number of reduced-fee slots for clients for whom full rate isn't realistic. Here's how we handle the conversation.

01

Tell us in your inquiry.

 

Just write a sentence. No pay stubs, no W-2s, no proof. We trust you to know your own situation.

02

We talk through what's possible.

We'll discuss a rate that's honest and sustainable for both sides. Our lowest out-of-pocket rate without insurance is $125.

03

We commit to the rate for 12 months.

That gives the work time to actually work. We revisit at the one-year mark (earlier if your situation changes).

Insight & Action Therapy logo

Insight & Action Therapy
Mental Health Counselors

CONTACT

(347)327-3698
info@insightandactiontherapy.com
6 E 39th St, Suite 602
New York, NY 10016

HOURS

Mon - Fri 9a-9p
Sat 11a-5p
Sun by appointment

 

Accepting new clients. In-person in Midtown. Virtual across New York State.

(c) 2026 Insight Action Mental Health Counseling, PLLC

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