Medically reviewed by Gabriela Asturias, MD on June 24, 2024EmblemHealth covers outpatient therapy across all its plans—HIP HMO, GHI PPO/EPO, Medicaid, Marketplace, and Medicare Advantage—but copays, telehealth rules, and provider networks differ by plan. This step-by-step guide shows you how to confirm your exact benefits and book an in-network Emblem Health therapist, Emblem Health psychologist, or an Emblem Health psychiatrist this week.
Licensed Clinical Social Worker (LCSW)
372 Kingston Avenue, Brooklyn, New York 11213
Eli Rosenblatt is a Licensed Clinical Social Worker (LCSW) in Brooklyn, New York. They treat Relationship(s) with Partner/Husband/Wife.
It's never too late to be a happier you!
Licensed Mental Health Counselor (LMHC), Licensed Professional Counselor (LPC)
232 Entin Road, Clifton, New Jersey 07014
Melissa Badia is a Licensed Mental Health Counselor (LMHC) in Clifton, New Jersey and has been in practice for 9 years. They treat Avoidant Personality, Disruptive Mood Dysregulation Disorder, Personality Disorders.
I am a Licensed Professional Counselor in NJ and a Licensed Mental Health Counselor in New York. I have my PhD in Mental Health Counseling.
Licensed Mental Health Counselor (LMHC), Psychotherapist
Remote only
JESSICA MCMULLAN is a Licensed Mental Health Counselor (LMHC) in undefined, undefined. They treat Body Image, Loneliness/Isolation, Depression.
I Invite You to Embark on a Journey of Healing, Transformation, and Self Discovery.
| Plan | In-Network Therapy / Psychiatry Cost* | Key Points |
|---|---|---|
| Medicaid (Health Insurance Plan of NY) | $0 copay | Unlimited medically necessary visits |
| Essential Plan 1 (Marketplace) | $15 copay per visit | One combined deductible; no visit cap |
| Select Care Gold (Marketplace HMO) | $25 copay after deductible | Same rate for therapy & psychiatry |
| City of NY GHI Senior Care | $15 copay per visit | Applies to retirees’ mental-health visits |
| EmblemHealth Medicare Advantage | $0–$35 copay office & virtual | Copay shown in Evidence of Coverage |
*Always open your own Summary of Benefits or Medicaid member handbook; numbers above are 2025 averages.
EmblemHealth Mental Health Coverage highlights
| Clinician Type | What They Do |
|---|---|
| Therapist / Counselor (LCSW, LMFT, LPC) | Talk therapy, coping skills, family sessions |
| Psychologist (PhD, PsyD) | Psychological testing, trauma-focused modalities |
| Psychiatrist (MD/DO) | Diagnosis, medication management |
All three license types appear in the online directory and the Teladoc platform—each bills at the same copay tier shown in your plan.
How Maira Found an EmblemHealth Therapist in 3 Days—At No Cost
Maira, a 30-year-old from Queens, needed mental health support. Here’s how she found care quickly using her EmblemHealth plan:
Total time from search to first therapy session: 3 days. Total out-of-pocket cost: $0.
Remember, recovery is possible. With early intervention, a supportive network, and the right professional care, you can overcome the challenges of Emblem and build a fulfilling life. We are here to help you find care.
