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Does my insurance cover Nema treatment?

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Major plans accepted
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Blue Cross Blue Shield logo with text encouraging to check local plan for coverage.
Also accepted: ConnectiCare, Harvard Pilgrim, Mass General Brigham, UMR, and more.

States where we offer care

Map of the United States with California, Texas, Florida, Michigan, Illinois, Ohio, Pennsylvania, New York, Massachusetts, New Jersey, Maryland, and Virginia highlighted in brown.
Treatment is currently available in these states:
California
Connecticut
Delaware
Florida
Illinois
Maryland
Massachusetts
Michigan
New Jersey
New York
Ohio
Pennsylvania
Texas
Virginia
Washington D.C.
Don’t see your state? We're actively expanding our coverage. Check back with us soon!

Frequently asked questions

See all FAQs

How much will care cost me with insurance?

Your out-of-pocket cost depends on your specific insurance plan and may include:

  • A copay
  • Coinsurance (a percentage of the program cost)
  • A deductible that must be met before coverage applies

Nema has negotiated special arrangements with the insurance plans we accept to reduce the number of copays that you may pay, so copays are not necessarily required with every appointment you may have. These arrangements vary by insurance plan. 

We review benefits in advance and aim to provide clear cost estimates before you begin care, so you understand your financial responsibility upfront. 

Do you offer out-of-network or self-pay options?

Yes. If Nema isn't in-network with your plan, you may still be able to use out-of-network benefits or pay privately through our self-pay option. We can help explain your options and provide documentation for reimbursement (such as a superbill) if your plan allows it. Please note that we don't offer sliding scale pricing or payment plans at this time.

  • Clinical Evaluation (75 min): $400
  • Re-Evaluation Session (75 min): $300
  • Therapy Sessions, including Care Session, Follow-Up Session, Mental Health Check-In (50 min): $275
  • Peer Mentor Session (30 min): $50*
  • Support System Session (30 min): $50
  • Peer Group Session (60 min): $25
  • Clinical Group Session, including Graduate Group, Skills Group, DBT Skills Studio (60min): $50
  • Physician (Medication) Evaluation (60 min): $300
  • Physician Visit (Medication Management) (25 min): $175

*2 Peer Mentor Sessions are included free of charge (1 during intensive care and 1 at the beginning of Rise); any additional Peer Mentor Sessions are $50/session.

If you have an HSA, FSA, or HRA, you can typically use those funds for online therapy — we recommend checking with your account manager to confirm your plan covers it.

What insurance do you take?

Check coverage using our one-step screener here. We are actively continuing to add new insurance partners. Please check back for updates on our expansion.

For in-network patients, we work with your insurance company to ensure coverage. If Nema is considered out-of-network, patients can self-pay and we are able to provide a superbill for reimbursement through your out-of-network benefits.

We also work with select worker’s comp and Office of Victim Services programs—and offer a cash pay option, too.

Will my insurance require prior authorization or a referral?

Some, but not all, insurance plans require an authorization before starting care with Nema. These are typically for administrative purposes only. If authorization is required, Nema handles the process for you. Our admissions team will guide you through any plan-specific requirements so your care is not delayed unnecessarily.

Are there any upfront costs, and when will I be billed?

There are no upfront costs or long-term contracts that are routinely required from Nema. Your insurance plan may require you to pay coinsurance (a percentage of the program cost) or a deductible depending on the plan you have chosen. Nema will inform you of these costs and assist you with payment. Any expected financial responsibility is discussed before care begins.

When you are billed depends on whether you use insurance or pay out of pocket. For patients using insurance, you may receive a bill about a month after the service date due to insurance plan processing time. If you are paying out of pocket, charges are usually billed about a day after the appointment occurs. 

Who can help me understand my benefits if I’m confused?

Insurance benefits can be hard to interpret. If you have questions about:

  • Deductibles, copays, or coinsurance
  • Authorization requirements
  • Out-of-network coverage

Our admissions team is available to walk you through your benefits and help you make an informed decision. They can verify insurance and explain your benefits on a live call. You can book an info call here.

I was injured on the job. Do you accept worker’s compensation patients?

Yes, we have extensive experience caring for work-related injury survivors. We are able to coordinate with worker’s compensation teams, including third-party administrators and other stakeholders in your care. Please book an info call today to learn more.

I was in an accident. Can you bill auto insurance or accept settlement funds?

It depends on your situation. If you've been in an accident and received a cash settlement, you're welcome to use those funds for therapy—you'd simply be treated as a self-pay patient.

If your case is still active, coverage may be available through your medical insurance, which can sometimes work directly with the at-fault driver's auto insurance to recover costs. The best first step is to contact us directly so we can help figure out what options are available to you.