Medically reviewed by Gabriela Asturias, MD on May 23, 2025EmblemHealth 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 Mental Health Counselor (LMHC)
80 SW 8th St., Suite 2000 Office #1, Miami, Florida 33130
Andrea Brunetti is a Licensed Mental Health Counselor (LMHC) in Miami, Florida. They treat Work/Life Balance, Trauma, Alcohol Use.
Together, we’ll explore how to prioritize your needs, reconnect with what matters, and create a sense of safety and grounding.
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!
Certified Mental Performance Consultant, Sport Psychologist
Remote only
Craig Cypher is a Certified Mental Performance Consultant in undefined, undefined. They treat Burnout, Anger Issues, Grief and Loss.
Expertise in mental performance for athletes and elite performers, psychological aspects of injury recovery, and athlete mental health.
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 Social Anxiety Disorder (Social Phobia), Posttraumatic Stress Disorder (PTSD), Persistent Depressive Disorder (Dysthymia).
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 Self-Esteem, Immigration/Acculturation, Body Image.
I Invite You to Embark on a Journey of Healing, Transformation, and Self Discovery.
I appreciated how current the therapist profiles were on MiResource. Knowing their details were recently updated gave me confidence in my choice.
— Lucia
EmblemHealth offers mental health benefits across Medicaid, Marketplace, Medicare, and retiree plans, with costs that vary by coverage type.
If you’re enrolled in EmblemHealth Medicaid (HIP of New York), all therapy and psychiatry visits are covered at $0 per session, with unlimited medically necessary visits.
On the Essential Plan 1 (Marketplace), members pay about $15 per visit for either therapy or psychiatry. These visits apply to your combined medical deductible, but there’s no cap on the number of sessions.
For Select Care Gold Marketplace HMO members, therapy and psychiatry visits are covered at $25 per visit after the deductible. Both services share the same rate.
If you’re a retiree on the City of New York GHI Senior Care plan, mental health visits carry a $15 copay, keeping costs predictable for ongoing support.
With EmblemHealth Medicare Advantage, therapy and psychiatry are typically $0–$35 per visit, whether you choose in-person or virtual care. Exact copays are listed in your Evidence of Coverage.
Tip: These costs reflect 2025 averages, but always double-check your Summary of Benefits or Medicaid handbook to confirm your exact share.
EmblemHealth Mental Health Coverage highlights
EmblemHealth’s network includes a full range of licensed mental health professionals, so you can choose the type of support that fits your needs best.
All three provider types are listed in EmblemHealth’s online directory and also available through the Teladoc platform. No matter which clinician you choose, billing falls under the same copay tier outlined 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.
EmblemHealth makes it easy to connect with a mental health professional from home through its partnership with Teladoc. Members can schedule video therapy and psychiatry visits between 7 a.m. and 9 p.m., with costs ranging from $0 to $25 per session. Many plans now cover these visits at no cost.
If video isn’t possible, audio-only phone sessions are also allowed and billed at the same cost share as a video visit.
Tip: Just like in-person appointments, all virtual visits count toward your deductible and out-of-pocket maximum. Choosing telehealth doesn’t change your cost share—it simply gives you more flexibility and faster access to care.
Your cost for therapy or psychiatry with EmblemHealth depends on the plan you have, but most options keep mental health care affordable.
If you’re on Medicaid, all therapy and psychiatry visits are covered at $0, whether you go in person or use Teladoc.
With the Essential Plan 1 (Marketplace), in-office therapy sessions cost about $15, while Teladoc video therapy is free ($0).
For Select Care Gold (Marketplace HMO), therapy visits are $25 after the deductible, and Teladoc sessions usually range from $0 to $25, depending on your plan’s design.
If you’re covered under City of New York GHI Senior Care, both in-office therapy and Teladoc visits carry a $15 copay.
With EmblemHealth Medicare Advantage, costs are typically $0–$35 per visit, whether in person or through Teladoc, for both therapy and psychiatry.
Tip: Psychiatric evaluations bill at the same rate as therapy sessions for every plan, so you won’t face a surprise higher cost for your first visit.
If you’re having trouble finding a mental health appointment within a reasonable timeframe, here’s how to take action:
1. Keep a Call Log
For each provider you contact, write down:
This record is essential if you need to request an exception or file a complaint.
2. Call EmblemHealth Behavioral Health Customer Service: Use the number on your EmblemHealth ID card and ask for Behavioral Health Customer Service. They can help you check for cancellations or search across neighboring ZIP codes for sooner availability.
3. Request a Network Adequacy Waiver: If no in-network provider has an appointment within 10 business days, you have the right to ask for a network adequacy exception. EmblemHealth may authorize care with an out-of-network provider at in-network rates to ensure timely access.
4. File a Grievance: If delays continue, submit a grievance through your EmblemHealth member portal or by calling Member Services. By law, they must respond within 30 calendar days.
Does EmblemHealth cover therapy?
Yes. All EmblemHealth plans pay for outpatient therapy and psychiatry with no yearly visit limit. Copays range from $0 (Medicaid, many Teladoc slots) to $40 (some Marketplace office visits).
How do I find an EmblemHealth therapist near me?
Log in → Find Care → Behavioral Health, enter your ZIP, and filter by “Accepting patients” or “Telehealth.”
What’s the difference between an EmblemHealth therapist and an Emblem Health psychologist?
Therapists (LCSW, LMFT, LPC) provide counseling. Psychologists (PhD/PsyD) can also run psychological tests. Both bill at the same copay tier.
Are EmblemHealth psychiatrists accepting new patients?
Many are—especially via Teladoc. Use the telehealth filter and look for “Accepting patients.”
Will my virtual visit count toward my deductible?
Yes. Telehealth sessions apply to the same deductible and out-of-pocket maximum as office visits.
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.
