Wellfleet Student Health Plan | Mental Health Insurance Coverage — Zencare

Wellfleet Student Health Plan for Therapy

Wellfleet partners with many academic institutions across the country to provide their students with health insurance plans. Wellfleet, a part of the Consolidated Health Plan (CHP) health insurance company, uses the Cigna network to power its plans. Students who have a Wellfleet Student health insurance plan provides access to many benefits — including therapy services! These plans vary based on the university or academic institution, which means their coverage is different depending on the school.

Does the Wellfleet Student health insurance plan cover therapy?

Yes, all Wellfleet Student health insurance plans provide coverage for therapy services. However, the amount of the therapy cost they cover depends on your unique health insurance plan. Because each university creates their own health insurance offering through Wellfleet Student, the coverage for services varies from plan to plan. This means that coverage for outpatient mental health services also varies widely.

However, some of the Wellfleet Student plans provide coverage for both in-network and out-of-network providers. This means that you can use your mental health benefits with any therapist, not just those within the Cigna network — which opens the opportunity to find a great therapist in your area.

Wellfleet Student also offers its members access to their online mental health platform, CareConnect. CareConnect is a resource center to learn about mental health, wellness practices, and a place to speak with mental health professionals when needed.

How do I check if my Wellfleet Student health insurance plan covers therapy?

To check if your Wellfleet student health insurance plan covers therapy services, head over to your Summary and Benefits document. You can generally find your specific school’s policy information through your school’s website, which may link you to your Summary and Benefits document. Within the policy documents section, you’ll find the different rates of coverage — including copayment or coinsurance amounts — for each type of service available. Look for the line that includes “outpatient mental illness” or “substance use disorder treatment” to see your coverage for therapy.

Example Outpatient Mental Health section of a Wellfleet Student Health Plan Summary of Benefits document.

If your Summary and Benefits document does not share this information with you, give the phone number on the back of your insurance card a call. The Wellfleet Student customer service department will share with you the coverage available to you through your specific university’s plan.

How much does therapy cost with the Wellfleet Student health insurance plan?

When using your Wellfleet Student health insurance plan’s mental health benefits, expect to pay a copayment between $25-60 for each visit with your in-network therapist. Often, you must meet your deductible before you receive this coverage, which means that you need to pay for services out-of-pocket until a certain amount. Some plans offer coinsurance rates for therapy with out-of-network therapists, which is a percentage of the therapist’s session fees that’s your responsibility to cover. This coinsurance rate generally ranges from 10% - %50.

Because each Wellfleet Student health insurance plan is different based on the specific school’s policy, how much you will pay for therapy out of pocket varies depending on your school, specific plan, and whether or not the therapist is in-network — so be sure to learn more about your coverage before you begin therapy.

What types of mental health conditions does the Wellfleet Student health insurance plan cover?

The Wellfleet Student health insurance plan covers many mental health conditions. To reimburse therapists or clients, Welllfleet requires that the client receive a diagnosis from their therapist. This diagnosis guides treatment and insurance coverage.

Examples of eligible mental health conditions include:

There are many more diagnosable — and reimbursable — mental health conditions, all of which Wellfleet covers.

What types of therapy does the Wellfleet Student health insurance plan cover?

The Wellfleet Student health insurance plan covers many different types of therapy. As long as the therapist provides an evidence-based, clinically rigorous therapy modality that is appropriate for the given diagnosis, Wellfleet will provide coverage.

These evidence-based therapy modalities include, but are not limited to:

What types of therapy does the Wellfleet Student health insurance plan NOT cover?

Wellfleet will not provide coverage for therapy costs associated with services that are not evidence-based. This means that all treatment modality needs to have empirical research backing its efficacy.

The Wellfleet Student health insurance plan does not cover life coaching and career coaching, as these disciplines are less based on evidence and are more reliant on goal-setting and achievement outcomes. There is also no coverage for holistic approaches to treatment like aromatherapy, massage therapy, acupuncture, reiki healing, or nutritional therapy. They also do not cover ketamine and psychedelic treatments, even if the purpose of this treatment is for a mental health condition.

Does the Wellfleet Student health insurance plan cover online therapy?

Yes, the Wellfleet Student health insurance plan offers coverage for online therapy. This opens the doors for many clients who aren’t able to physically attend therapy sessions each week, whether for a physical limitation or because of the constraints of a busy student schedule.

In general, your coverage for therapy costs will remain the same, whether you visit your therapy in-person or online. This includes the same copayments or coinsurance rates. However, in some cases, you may be responsible for a greater out-of-pocket cost when using teletherapy as a means of meeting with your therapist — so be sure to learn about your teletherapy or telemedicine costs.

Does the Wellfleet Student health insurance plan cover couples therapy?

No, Wellfleet Student does not provide coverage for couples therapy. They also do not offer coverage for family or marital counseling. Often, health insurance companies do not have mental health benefits for couples because of the lack of a reimbursable diagnosis, so it is not uncommon for this health insurance plan to deem couples therapy ineligible.

However, many couples still benefit from seeing a therapist together. If your Wellfleet Student health insurance plan does not include a couples counseling benefit, there may be ways to decrease the cost of couples counseling, such as sliding scale.

Do I need to see my primary doctor before starting therapy?

Whether or not you need a referral from your primary care physician before you start therapy depends on the type of plan your school offers. If your plan is an HMO plan, then you will need to see your primary care physician to attain a referral for mental health services before Wellfleet will begin its coverage. However, if you have a PPO plan, then you will not need a referral and can begin your therapy journey when you’re ready.

It’s important to understand your school’s policies around therapy referrals before you begin your search for a great therapist. Many schools require that their student health center providers meet with you before you seek support from a non-university affiliated therapist. To learn more about your school’s requirements, visit your student health center’s website and look for mental health resources.