Frequently Asked Questions

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Frequently Asked Questions for Patients

We've compiled a list of answers to common questions.

General

Our cash rate for individual therapy is $120/session, and $135/session for families or couples. If you’re using insurance, copays can range from $5-$40, but we will check your coverage and confirm your out of pocket cost before scheduling your first session.

No, you are only responsible for your regular out of pocket expenses for your sessions. In other words, if you have a $20 copay, that is the only cost for your care.

Most sessions are one hour which includes 53 minutes of therapy time and 7 minutes of note-taking time for Providers.
We can usually schedule your first visit within a week.
Our network includes therapists, psychiatrists and facilities.
Our intake form includes sections for any provider preferences (gender, ethnicity, specialty areas) you might have, and your availability for appointments. We’ll also ask you to describe what you’re hoping to address with therapy so that we can identify a provider with expertise in those areas. We also ensure the provider is in-network with your insurance (if applicable) and has availability when you do.
Our therapists are bound by their licenses to only treat patients who are physically located in the state(s) with which they hold their license. Please discuss with your therapist prior to any travel.
Yes. We have providers who speak English, Spanish, Farsi, Vietnamese, ASL, Korean and many others. Our network is always growing, and we are always adding new providers.

We require a payment method to be kept on file for any out of pocket costs. Even if you’re starting with a free consult, we want to ensure your provider can schedule your next session seamlessly without waiting for more paperwork. We will only charge your card after your session is completed and your provider has documented their notes, usually within 24-48 hrs after your visit.

All of our providers conduct visits through telehealth via Zoom. You will receive an email with a link to your session 24 hrs before the scheduled appointment. It is a good idea to have Zoom downloaded to your phone or device before your meeting.
Please call us at 323.205.7088 or email us at care@pathccm.com to cancel your first appointment. After your first visit, you’ll work directly with your therapist to schedule and manage future appointments.
We do not participate in the EAP networks. You can use regular commercial coverage.

Path accepts kids age 5 and older.

Providing ESA letters is always at the therapist’s discretion and we usually recommend at least 2-3 sessions before a therapist provides an ESA letter.

Paying with Insurance

Path works with most major insurances including Aetna, Anthem, Blue Cross Blue Shield plans, Cigna, Humana, Optum, Oscar and United Healthcare. We can also work with some employer-based plans not listed, and can bill your insurance for out of network coverage as well. We do not currently accept Medicaid or Medicare plans, though we hope to in the future.

If your insurance plan has an annual deductible, you will pay our cash rate until your deductible is met. Our cash rate for individual therapy is $120/session, and $135/session for families or couples. After your deductible is met, your out-of-pocket costs will depend on your insurance plan. Usually, Path clients pay between $5 and $40 per session.

As a benefit of using Path, our team will contact your insurance provider to conduct an eligibility check. We will provide you with an estimate of your individual benefits to better understand your insurance and plan for your costs of care. You may also contact your insurance provider directly to confirm your expected out-of-pocket costs.

Path is in-network with insurance companies that we have a contract with to accept negotiated rates. If we do not have a contract with your insurance company, we will be out-of-network. We are adding more insurers, so please check back later to see if we’ve added yours.

If we are out-of-network with your insurance plan, your sessions would not be covered by your insurance. We offer a self pay option at $120 for individuals and $135 for family/couples per 60-minute therapy session.

A copay or copayment is a fixed amount ($) that you will pay Path for each session, depending on your health insurance plan. Copays can vary depending on your coverage, but are typically $5-$40.

A deductible is a specified annual amount you must pay out of pocket, before your insurance company will pay a claim. This means that you will pay for the full negotiated rate until you meet your deductible; then you will only have a coinsurance. Some insurance plans do not apply the deductible to therapy, so you will only be responsible for a copay. The deductible resets every calendar year.

A coinsurance is the portion (%) of the negotiated rate that you will pay Path for each session, after the deductible has been met, if applicable.

An OOP is the maximum out of pocket amount that you may pay each year for healthcare. The amount includes cost sharing, deductibles and any out of network expenses that a patient may pay towards care. Once the limit is reached, the plan pays for 100% of services.

Maybe! We will ask your insurance company and help you keep track of the number of visits that they will cover per calendar year.

If you have changed your insurance, please notify our Support team so that we can review your current insurance carrier and the impact that it may have on your coverage for services. Doing so may help avoid additional financial obligations.

We will charge your payment method on file after each visit; however, you may receive a bill later for the patient’s responsibility portion after insurance adjudication. Insurance can be confusing. Path strives to provide an accurate estimate upfront, but coverage may change, and what the insurance actually covers is not determined until they review or adjudicate a claim for payment. This can lead to invoices that do not match your estimate.

Yes! You may enter that card as the payment method on file, or you may submit a receipt for reimbursement.

In a PPO plan, you may have an out-of-network benefit to allow you to get care from providers who do not take the plan (out-of-network). Path will charge you the self pay rate, and you may submit a receipt to your insurer for possible reimbursement.

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