Navigating your insurance plan can feel overwhelming, especially when it comes to deductibles. This guide will help you understand how high-deductible plans work and what they might mean for your therapy costs.
Key Points
A deductible is the set amount you must pay out-of-pocket before your insurance company begins covering part of your therapy costs.
With a high-deductible plan, you'll have to pay more sessions entirely out-of-pocket before insurance coverage begins, compared to a low-deductible plan.
Review your plan details, estimate potential costs, and contact your insurance company if you need clarification on your benefits.
What is a deductible?
A deductible is a set amount of out-of-pocket spending. With a deductible plan, the out-of-pocket price per session is determined by your insurance company. Once you've reached your deductible amount, your insurance company will start contributing to your therapy costs. Your plan determines the set amount or percentage they cover.
How do high-deductible plans work for therapy?
With a high-deductible plan, you'll need to pay more out-of-pocket before your insurance company contributes. The difference in deductibles between plans can mean you spend more months paying the full session cost out-of-pocket before insurance coverage starts. For example:
Plan Type | Deductible | Session Cost | Sessions Required | Time Required |
Low Deductible | $1000 | $100 | 10 | ~2.5 months |
High Deductible | $3000 | $100 | 30 | ~7.5 months |
But remember, this example only covers therapy costs. If you plan to receive other care that counts toward your deductible, the sessions and duration before your insurance coverage begins could change a lot.
Key things to consider
🗓️ Therapy timeline
Many clients find that 3–6 months of therapy aligns with their goals. With a high deductible, you may complete treatment before reaching insurance coverage.
🏥 Other medical care
If you plan to receive additional care that will count towards your deductible, the sessions and time required may change dramatically. The example above is for illustrative purposes and only considers Grow Therapy costs.
Next steps
Review your insurance plan details carefully to see your deductible and what's covered. Try estimating the number of therapy sessions you might need and what that would cost. If you're unsure how your deductible applies to therapy, contact your insurance company for details.