For the lowest out-of-pocket costs and seamless care coordination, stay within the Kaiser system whenever possible. But if you're facing long wait times, you have the legal right to seek external care. Kaiser offers 24/7 mental health support and self-care tools to help bridge the gap—and you can request an outside referral or file a grievance if timelines aren’t met. You deserve timely, high-quality care. This guide will show you exactly how to get it.
Kaiser Permanente mental health services are rooted in a medical-necessity model. If a licensed clinician determines therapy is clinically appropriate, Kaiser must cover it just as it covers a blood test or an X-ray. That said, every Kaiser region writes its own Evidence of Coverage (EOC), so visit limits and co-pays vary. In 2025, the most common plans still feature:
Provider | Typical Role |
---|---|
Kaiser Therapist (LMFT, LCSW, LPC) |
Talk therapy for anxiety, depression, life transitions |
Kaiser Psychologist (PhD, PsyD) |
Testing, complex psychotherapy, specialty modalities |
Kaiser Psychiatrist (MD/DO) |
Diagnosis, medication, complex co-morbidities |
All three can be booked directly from your member portal or by calling the Appointment & Advice line.
Maria, a 34-year-old new mom in Oregon, felt lingering sadness and brain fog months after giving birth. Here’s how she found a therapist covered by Kaiser:
Maria’s story shows how quickly you can move from symptoms to support when you understand the process.
Step | What to do | Why it matters / pro-tips |
---|---|---|
1. Start the request (no referral needed) | Online: Sign in at kp.org → Appointments → Mental Health (or use the KP app). Phone: Call Member Services 800-464-4000 (24/7; TTY 711). Say: “I’d like to schedule therapy.” The agent will transfer you to your region’s Behavioral-Health Access Center. |
Have your medical-record # ready. If you live outside California, the agent will give you the local number, or you can read it off your ID card. |
2. Complete the 15–20 min intake call | A licensed screener asks about symptoms, safety risks, schedule, language, and therapist preferences. Answer honestly — your responses set the clinical priority and match you to the right provider. | Mention any urgent concerns (e.g., thoughts of self-harm) so they can expedite care, often within 24 h. |
3. Choose in-house vs. community care | Kaiser clinic: integrated records, coordinated med-management; typical wait 2–6 wks. External network provider: Kaiser-contracted private-practice or telehealth clinicians if you need an opening ≤ 7 days or a specialty Kaiser doesn’t offer. Ask the screener for the first available option in each setting. |
If the first offer is too far out, ask: “Can you search community-network availability within X mile radius or via video?” |
4. Check your cost share | Open your 2025 Evidence of Coverage (EOC) → “Outpatient Mental Health,” or use kp.org/costestimator. HMO & POS plans usually charge $0–$30 per visit once any deductible is met; HDHP plans pay the contract rate (~$120) until the deductible is satisfied, then the normal copay/coinsurance applies. | Confirm whether virtual visits bill at the same rate as in-person (in most regions they do). |
5. Book and confirm | Pick video, phone, or office. You’ll get a confirmation in Messages → Appointments that lists the therapist’s name, license, date, and connection link or address. Add it to your calendar and arrive/check-in 10 min early. | If you need to reschedule, you can do it directly from the confirmation message or by calling the Behavioral-Health scheduling line in your After-Visit Summary. |
6. Use digital supports while you wait | Same-day, no-cost access to Calm, Headspace Care (text coaching + meditations), and myStrength Complete CBT modules at kp.org/selfcareapps. | Log in with your kp.org credentials; enrollment takes < 2 minutes and can help bridge the gap before therapy starts. |
7. Follow-up & re-book | After the first session, decide whether to keep or change providers. Re-book through the KP app or by calling the number in step 1 to maintain momentum. | Consistent scheduling (weekly or bi-weekly) improves outcomes and secures your spot in busy clinics. |
Following these seven steps will help you find a therapist Kaiser members speak highly of—often within 2 to 14 days, depending on region and urgency.
Remember, recovery is possible. With early intervention, a supportive network, and the right professional care, you can overcome the challenges of Kaiser Permanente and build a fulfilling life. We are here to help you find care.