Medically reviewed by Gabriela Asturias, MD on May 23, 2025Aetna®—now part of CVS Health—covers a wide range of services, from talk therapy to inpatient treatment and digital self-help apps. What’s confusing is how to unlock that coverage without surprise bills, denials, or week-long phone marathons. This article walks you through every step, in plain English, so you can focus on feeling better instead of fighting paperwork.
Licensed Professional Counselor (LPC)
5409 Gateway Centre Boulevard, Flint, Michigan 48507
Nikki Moorman is a Licensed Professional Counselor (LPC) in Flint, Michigan and has been in practice for 7 years. They treat Chronic Illness/Pain, Trauma, Childhood Abuse.
I offer a warm and non-judgmental environment so my clients will feel comfortable to explore emotions, concerns, and other issues impacting their lives.
Licensed Clinical Social Worker (LCSW)
910 Broad St, Durham, North Carolina 27705
Emily Porter is a Licensed Clinical Social Worker (LCSW) in Durham, North Carolina and has been in practice for 11 years. They treat Social Anxiety Disorder (Social Phobia), Sexual Identity, Sexuality.
I create a space that is warm and accepting as we collaborate toward your therapy goals. *I am in-nework with Duke Student Health Insurance
Licensed Clinical Social Worker Associate (LCSWA)
Remote only
Benjamin Ingraham is a Licensed Clinical Social Worker Associate (LCSWA) in undefined, undefined and has been in practice for 7 years. They treat Alcohol Use, Social Anxiety, Self-Harm.
You don't have to face life's challenges alone. Everyone deserves a supportive place to explore their thoughts and begin their own journey.
Licensed Clinical Professional Counselor (LCPC)
Remote only
Nicholas Del Pesco is a Licensed Clinical Professional Counselor (LCPC) in undefined, undefined and has been in practice for 13 years. They treat Anxiety, Panic, Social Anxiety.
Offering individual online counseling for PA residents ages 18 and above.
Licensed Clinical Social Worker (LCSW), Licensed Clinical Social Worker Associate (LCSWA), Psychotherapist, Counselor, Licensed Clinical Marriage and Family Therapist, Licensed Marriage and Family Therapist (LMFT), Licensed Mental Health Counselor (LMHC)
211 East Six Forks Road, Raleigh, North Carolina 27609
SoCorro Miles is a Licensed Clinical Social Worker (LCSW) in Raleigh, North Carolina and has been in practice for 13 years. They treat Academic Concerns, Intimacy Concerns, Work/Life Balance.
At Solace we think therapy truly works when you are truly Seen and Heard. Stop the suffering and give us a try.
Advanced Practice Registered Nurse (APRN), Psychiatric Nurse Practitioner, Psychiatric Nurse
2000 South Dixie Highway, Miami, Florida 33133
Yi Duan Low is a Advanced Practice Registered Nurse (APRN) in Miami, Florida and has been in practice for 12 years. They treat Immigration/Acculturation, Binge-Eating Disorder, School Concerns.
Peace of Mind is your Birthright! You do not have to suffer alone.
The depth of provider info meant zero guesswork—my friend’s been with the same, right-fit clinicians for two years.
— Kate
Short answer: yes. When a licensed clinician decides that counseling or psychiatry is medically necessary, Aetna treats it like any other covered medical service. Most HMO, EPO, and employer PPO plans list a $0–$40 copay for in-network, 45-minute individual sessions, while high-deductible plans apply 20 %–30 % coinsurance after you meet the deductible.
Key takeaways:
No preset visit cap: session frequency is driven by clinical need, not a number in your handbook.
No referral required: you can self-refer directly to a mental-health provider on almost every commercial plan.
Prior authorization is rare: only higher-intensity programs (IOP, residential, ketamine, TMS) normally require extra paperwork.
Medicare Advantage (MA): most Aetna MA plans quote a $40 copay per individual outpatient visit.
Pro tip: Open the Aetna Health app → Find Coverage Details and plug in the exact therapist you’re considering. The estimator tool tells you your copay or coinsurance before you ever pick up the phone.
| Provider type | What they do |
|---|---|
| Therapist (LCSW, LMFT, LPC) | Weekly talk therapy for anxiety, depression, life transitions |
| Psychologist (PhD, PsyD) | Psychological testing; advanced modalities like EMDR & DBT |
| Psychiatrist (MD/DO) | Diagnosis, medication management, complex co-morbidities |
Many members mix and match: weekly sessions with a therapist that accepts Aetna plus quarterly med check-ins with an in-network psychiatrist.
Day 1, 9 AM — Online check-in. Jordan, a 29-year-old product manager, opens the Aetna portal, completes the five-minute mental-health screener, and picks a triage-call slot for noon.
Day 1, 12 PM — Care Options Call. The case manager explains that CVS Health Virtual Care can do video therapy tomorrow, while local therapists that take Aetna have openings in about 12 days.
Day 1, 3 PM — Directory Deep Dive. Using filters (evening hours, CBT, LGBTQ+ friendly), Jordan picks Marina Ortiz, LCSW—an Aetna therapist three miles away.
Day 12 — First in-person session, $25 copay on a mid-tier PPO.
Jordan’s path shows how quickly you can connect with a therapist that accepts Aetna once you know where to click and what to ask.
| Step | Action | Why it matters |
|---|---|---|
| 1. Self-refer online or by phone | Online: sign in to Aetna Health → Behavioral Health. Phone: call 1-888-632-3862 (TTY 711) and say, “I’d like to schedule therapy.” Directories like MiResource.com are often easier to use and more frequently updated with accurate information about in-network providers. However, it’s always a good idea to double-check that any provider you find is also listed in your official Aetna directory to confirm coverage. | No primary-care referral needed; you’re in control of the process. |
| 2. Complete the quick screening | Five minutes of questions on symptoms, safety, and preferences. | Be honest - but if relevant - flag urgent concerns (e.g., thoughts of self-harm) to unlock 24- to 48-hour options. |
| 3. Filter the directory | Set distance, specialty, telehealth, language, evening hours; look for the green “Accepting New Patients” badge. | Add keywords like “CBT,” “trauma,” or “ADHD” to drill down. |
| 4. Confirm cost | Click Cost Estimator in each profile. | HDHP members see the exact contracted rate until their deductible is met. |
| 5. Book the slot | Pick in-person, CVS Health Virtual Care (often same week), or Teladoc. | CVS advertises many mental-health visits within seven days—or same day if you’re flexible. |
| 6. Activate free digital supports | Most plans bundle Calm, Sanvello, or myStrength. | Use them as homework between sessions or while you wait for the first visit. |
| Stay In-Network | Go Out-of-Network |
|---|---|
| Predictable copay/coinsurance; claims filed for you. | Pay full fee up front, then submit a superbill for partial reimbursement. |
| Integrated chart and pharmacy. | Access niche specialties or shorter waits in saturated cities. |
If you can’t book an in-network appointment within 10 business days—Aetna’s own standard for routine mental-health care —call Member Services and request a network gap exception (also called a “single-case agreement”). Aetna will either (1) find you a faster in-network slot, or (2) approve out-of-network care at in-network rates. Keep the reference number they give you.
Recovery is possible. With early intervention, a supportive community, and the right professional care, you can overcome challenges and build a fulfilling life. We’re here to help you find the support you need.
