Does Ambetter Cover Marriage Counseling?

Mental health resources can be found online through organizations like the National Alliance of Mental Illness or by calling support organizations in your state. Ambetter insurance plans offer essential health benefits such as emergency services, outpatient or ambulatory services, preventive and wellness services, maternity and newborn care, and pediatric care. However, Ambetter may have limited coverage options for issues such as grief and loss, couples counseling, and marriage counseling.

Marriage counseling, also known as couples therapy, is a form of psychotherapy that helps married couples resolve conflict, enhance communication skills, and strengthen their relationship. The cost of marriage counseling ranges from $75 to $200 per session, depending on factors like the therapist’s expertise and location. Some therapists offer sliding scale fees, and insurance may cover a portion of the costs.

In the United States, the average hourly charge for marriage counseling, couples therapy, or family therapy from a professional equivalent to those covered through Medicare insurance is between $75.00 and $150.00. Medicare covers a yearly depression screening by a healthcare provider for no out-of-pocket cost, which may be a requirement for marriage counseling to determine if other issues are contributing to the marital issues. For additional counseling services, Medicare pays 80% of the cost, leaving Part B beneficiaries with 20% of the financial burden.

Most Ambetter insurance plans cover therapy, and individuals can find therapists and counselors who take Ambetter by viewing their profiles and booking in-person sessions or telehealth video therapy appointments.