Please note: effect 10.1.25 with the end of the telehealth extension for Medicare (as your Primary Insurance), you are required to have your initial session in person. Subsequent sessions can be via telehealth.

Medicare Part B: Covers Counseling & Psychotherapy Services to treat mental health issues.

To use your Medicare benefits, Medicare requires that you are seen by an in-network Medicare provider.

We accept the following Types of Medicare Plans:

  • Straight Medicare
  • Medicare Advantage (Complete) Plan: Medicare Advantage plans cover everything original Medicare covers and generally offers extra benefits (Part B – for mental health).
  • Medicare Supplemental (Medigap) Plan: Medicare Supplemental Insurance is a plan that you buy from a private insurance company that pays for some of the cost sharing in Medicare. Medicare sends claims directly to them for processing if the client has coordinated their benefits.

We offer in-network providers with the following Medicare plans:

Advantage Plans (COMPLETE 1 Plan).

  • AARP Medicare Complete
  • Aetna Medicare Complete
  • Kaiser Medicare Advantage
  • Regence Medicare Advantage
  • UnitedHealthcare Group Medicare Advantage

Supplemental Plans (MEDIGAP 2 Plans).

  • AARP Medicare Supplemental
  • Anthem Blue Cross Supplemental
  • Cigna Medicare/Loyal American Life Supplemental
  • Colonial Penn Life Insurance
  • Humana Medicare Supplemental
  • Independence Administrators
  • MODA Medicare Supplemental Plan
  • Mutual of Omaha
  • Philadelphia American Life Insurance
  • Premera Medicare Supplemental Plan
  • Soundpath Health
  • State Farm Medicare Supplemental Health
  • Tricare for Life
  • USAA Medicare Supplemental Plan F

If you do not see your plan listed, please contact us at 425.869.2644, ext. 0 to check as some plans are carved out to a third-party administrator (TPA) and use one of the networks previously listed. For plan specific information, we recommend you contact your insurance plan to understand what is covered and that your provider will be covered in-network. Customer Service numbers are located on the back of your insurance card.

*Please note, we are not enrolled or accepting the following insurance plans: Medicaid, state-supplemented insurance plans, Labor and Industry (L&I) claims and or PIP (car accident claims).

Medicare Scenarios

  • If you are on disability or 65+ and have Medicare as a Secondary insurance, your group health plan generally pays first and if you have you have coordinated your benefits then Medicare can be billed for your remainder (you would still need to be seen by an in-network Medicare provider to use this benefit). That said, you’ll have to pay any costs Medicare or the group health plan doesn’t cover.
  • If you are 65+ and work for a company that has 20+ employees, your group health plan generally pays first and (you would still need to be seen by an in-network Medicare provider to use this benefit) if you have you have coordinated your benefits then Medicare can be billed for your remainder That said, you’ll have to pay any costs Medicare or the group health plan doesn’t cover.
  • When you have Medicare as Primary with a Supplement or Secondary Plan: When you have insurance coverage including a Medicare plan, claims can only be processed through Medicare when you are seen by an in-network Medicare provider. Claims submitted by a non-in network provider will be rejected by Medicare therefore any secondary plan would not be able to process.

If you have questions about Medicare coverage, please call them directly at 1-800-633-4227 or visit www.medicare.gov.