Medically reviewed by Gabriela Asturias, MD on June 24, 2024Wellcare, a Centene company, offers mental health coverage through Medicare Advantage, Medicaid, and Marketplace plans like “Ambetter from Wellcare.” While benefits vary by plan and state, most Wellcare members have access to outpatient therapy, psychiatry, and counseling services. This guide will walk you through exactly how to find an in-network Wellcare therapist, psychologist, or psychiatrist—and how to book a covered session, often within days.
Licensed Clinical Social Worker (LCSW)
1631 Midtown Place, Raleigh, North Carolina 27609
TaBrea Sledge is a Licensed Clinical Social Worker (LCSW) in Raleigh, North Carolina and has been in practice for 5 years. They treat Life Transitions, Attention Deficit Hyperactivity Disorder (ADHD), Depression.
My passion for mental health stems from my deep belief in the resilience in the human spirit.
Licensed Clinical Mental Health Counselor (LCMHC), Certified Addiction Counselor (CAC), Licensed Professional Counselor (LPC)
3725 NATIONAL DR, Raleigh, North Carolina 27612
Dava Muserallo is a Licensed Clinical Mental Health Counselor (LCMHC) in Raleigh, North Carolina. They treat Loneliness/Isolation, Social Anxiety, Depression.
If you feel alone or worried, know that there is help. Making the phone call is hard, but change is possible.
Licensed Clinical Mental Health Counselor (LCMHC)
Remote only
Caroline Gregory is a Licensed Clinical Mental Health Counselor (LCMHC) in undefined, undefined and has been in practice for 5 years. They treat Spiritual/Religious Concerns, Self-Esteem, Career.
Caroline offers a warm and safe space to those seeking individual therapy utilizing a dynamic and integrative approach of evidence based therapies.
Licensed Clinical Mental Health Counselor (LCMHC)
8406 Six Forks Road, Raleigh, North Carolina 27615
Stephanie Phillips LCMHCS is a Licensed Clinical Mental Health Counselor (LCMHC) in Raleigh, North Carolina and has been in practice for 15 years. They treat Adjustment, Generalized Anxiety Disorder, Major Depressive Disorders.
I offer a counseling relationship where you can feel safe to work on issues that are truly important to you, at a pace that meets your needs.
Licensed Clinical Social Worker (LCSW)
Remote only
Dr. Libia Casas, LCSW, BCD is a Licensed Clinical Social Worker (LCSW) in undefined, undefined and has been in practice for 34 years. They treat Divorce, Grief and Loss, Racial Identity.
In private practice for over 30 years. Doctorate in Social Work. Psychotherapist and Parenting Coordinator.
Licensed Clinical Social Worker (LCSW)
Remote only
Sharika Bazemore is a Licensed Clinical Social Worker (LCSW) in undefined, undefined and has been in practice for 9 years. They treat School Concerns, Relationship(s) with Friends/Roommates, Conflict Resolution.
Sometimes a response is not needed. Oftentimes, people simply want to be heard. I listen to understand and not to respond.
| Plan Type | In-Network Cost for Therapy & Psychiatry* | Key Points |
|---|---|---|
| Medicare Advantage HMO/PPO (e.g., Wellcare Simple Open PPO) | $0–$35 copay per individual or group session | No visit limit; same copay for therapy & medication-management |
| Dual Eligible “Dual Access” (HMO D-SNP) | $0 copay for all outpatient mental-health visits | Medicare & Medicaid share the bill, so you pay nothing |
| Medicaid Managed-Care (various states) | $0 copay | Unlimited medically necessary visits |
| Marketplace Bronze/Silver (“Ambetter from Wellcare”) | $20–$40 copay after deductible | Parity with medical visits; no visit cap |
*Always open your own Summary of Benefits or Medicaid handbook to confirm numbers in your ZIP code.
Plan Hilights
| Provider Type | What They Do |
|---|---|
| Therapist / Counselor (LCSW, LMFT, LPC) | Weekly talk therapy, coping skills, family sessions |
| Psychologist (PhD, PsyD) | Psychological testing, trauma-focused therapies (CBT, EMDR) |
| Psychiatrist (MD/DO) | Diagnosis, medication management |
All three license types appear in Wellcare’s “Find a Provider” tool and the Teladoc portal—and they bill under the same mental-health benefit tier.
Day 1 Sharon (67, Tampa) logs into wellcare.com → clicks Find a Provider → selects Behavioral Health. She sees 8 therapists within 15 miles who accept her Wellcare Open PPO plan. She applies filters: Telehealth, CBT, and Evening Hours. Now 3 therapists remain—all listed as Accepting New Patients.
Day 2 The cost estimator shows:
Day 3 Sharon books a Thursday 7 p.m. video session with Angela Ruiz, LCSW—an in-network Wellcare therapist. Copay: $0
Day 10 After two sessions, Angela recommends exploring medication (an SSRI).
Day 12 Sharon schedules a 30-minute Teladoc consultation with a Wellcare psychiatrist for the following morning. Copay: $0
From search to first session: 3 days Total out-of-pocket to date: $0
Remember, recovery is possible. With early intervention, a supportive network, and the right professional care, you can overcome the challenges of WellCare and build a fulfilling life. We are here to help you find care.
