Does Health Insurance Cover Individual Therapy in Dallas, Texas?

Individual therapy sessions ensure you have a safe space to explore your thoughts, emotions, and personal challenges with a trained provider. These sessions are designed to build coping strategies, foster self-understanding, and support healthy growth during this transitional life stage. The clinicians at BreakThrough by BasePoint understand mental health challenges during young adulthood and are ready to help.

Call us today. Health insurance does cover individual therapy in Dallas, and our admission specialist can verify your coverage and offer a free and confidential assessment with treatment recommendations. We ensure that your questions are answered, and you have the necessary information to make treatment decisions. While it may not be easy to ask for help, our compassionate and caring team will be with you every step of the way.

What Is Individual Therapy for Mental Health Disorders?

Individual therapy is a personalized form of treatment where you meet one-on-one with a licensed provider to address challenges that may be affecting your daily life. These individual sessions give you the opportunity to talk openly about your experiences, emotions, and thought patterns in a safe, supportive setting. Depending on your needs, your provider may use different evidence-based approaches.

These can include Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), or other methods to help you develop healthier coping skills, improve relationships, and work through mental health conditions such as anxiety disorders, depression, or Post-Traumatic Stress Disorder (PTSD). At BreakThrough by BasePoint, we provide individualized care that supports your journey toward lasting stability and emotional well-being, with each session tailored to your unique goals and circumstances.

Signs and Symptoms of Mental Health Disorders

Recognizing when you need help is a crucial step toward recovery. Mental health disorders’ signs and symptoms often affect how you think, feel, and function each day. Common signs may include persistent sadness, loss of interest, or ongoing feelings of worry and fear. You might notice changes in sleep or appetite, difficulty concentrating, or sudden shifts in mood.

Some individuals experience overwhelming stress, irritability, or withdraw from their friends and family. Physical symptoms such as fatigue, headaches, or unexplained aches can also be connected to underlying mental health concerns. At BreakThrough by BasePoint, we understand how disruptive these symptoms can feel, and we are here to provide you with professional care and support tailored to your needs and goals.

Does Health Insurance Cover Individual Therapy in Dallas, Texas?

Yes, individual therapy insurance coverage in Dallas can include mental health or substance use treatment. However, what is covered depends largely on your policy. At BreakThrough by BasePoint, we accept most major insurance providers and can verify your benefits so you know what your potential out-of-pocket costs will be, including copays, coinsurance, deductibles, and session limits.

Federal laws, like the Mental Health Parity and Addiction Equity Act, require most insurers to offer coverage for mental health services and substance use treatment comparable to medical or surgical care. However, there may be exceptions depending on whether your insurance is employer-sponsored or self-funded, whether the therapist is in-network, and whether prior authorization is required.

BasePoint BreakThrough Accepts Insurance for Mental Health Treatment

Our free assessment with a licensed clinician will provide you with a recommendation for the appropriate level of mental health treatment for young adults. We can also check your insurance coverage levels.

Call us today to schedule a same-day assessment at (972) 325-2633 or fill out our inquiry form.

Aetna insurance logo
BCBS insurance logo
Carelon insurance logo
Cigna Insurance logo
UMR insurance logo
UHC insurance logo

Free Insurance Coverage Check

This field is for validation purposes and should be left unchanged.
Name(Required)

Does Health Insurance Cover Outpatient Individual Therapy?

Yes, health insurance does cover individual therapy in Dallas, including outpatient therapy as part of their behavioral or mental health benefits. This can include therapy sessions that happen outside of a hospital setting, often in a therapist’s office or clinic, whether in person or via telehealth. The level of your coverage depends on several factors.

These factors include whether your provider is in-network or out-of-network, your deductible, copay, coinsurance, and whether your plan requires prior authorization. At BreakThrough by BasePoint, we can help you verify your benefits, so you know what outpatient therapy is covered under your plan. We can also schedule a same-day, free, and confidential assessment with treatment recommendations.

Does Health Insurance Cover Individual Therapy PHPs?

Most health insurance plans in Dallas do include coverage for Partial Hospitalization Programs (PHPs) that offer individual therapy, often as part of a broader structured treatment model. PHPs are more intensive than standard outpatient therapy. You attend during the day, receiving individual as well as group counseling, medication management, and behavioral therapy, before returning home each night.

Whether your insurance will fully cover a PHP depends on the specifics of your policy. These specifics include whether you are seeing an in-network vs. out-of-network provider, deductibles, copays, coinsurance, and whether prior authorization is required. At BreakThrough by BasePoint, we verify your insurance benefits to clarify what your out-of-pocket costs will be for PHP treatment, helping you make an informed choice. If your insurance coverage is not sufficient, we can also connect you with our financial counselors to help you find a solution that allows you to receive treatment.

Does Health Insurance Cover Individual Therapy IOPs?

Yes, most health insurance plans in Dallas cover Intensive Outpatient Programs (IOPs) that include individual therapy as part of their services, keeping the provider in compliance with federal law. At BreakThrough by BasePoint, we collaborate with most health insurance providers in Texas and closely work with your provider to verify your benefits, ensuring you understand what your plan covers.

IOPs typically provide care multiple days per week in structured sessions combining therapeutic techniques like individual or group therapy, and often family therapy or psychiatric support. However, your coverage depends on several factors, including whether the program is in-network or out-of-network, whether prior authorization is required, your deductible, copay, and coinsurance. When you call us, we can also connect you with our financial counselor, schedule a tour of our facility, and schedule a free assessment to streamline your ability to receive psychological intervention.

Does Health Insurance Cover Medications Prescribed During Individual Therapy Sessions?

Most health insurance plans do cover medications prescribed as part of mental health treatment, including those you might be prescribed during individual therapy when medication management is part of your customized treatment plan. Coverage depends on your plan’s formulary, which is the list of approved drugs. Your plan may also limit coverage based on several other factors.

The factors include whether the prescriber is in-network, whether prior authorization is needed, and how much your copay or coinsurance will be. Medications may be prescribed for conditions like depression, anxiety, bipolar disorder, schizophrenia, or ADHD. Federal laws also require many insurers to provide coverage for prescription medications to treat mental health conditions or substance use disorders. 

Which Health Insurance Providers Cover Individual Therapy?

We work with most major private health insurance plans so that you can access individual therapy more easily. Some of the more common providers include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, Carelon Behavioral Health, Humana, Magellan, Meritain Health, Optum, TRICARE, UMR, and Anthem. We understand how confusing insurance can be, which is why we handle it for you.

If you’re unsure whether your insurance is included or if you have an out-of-network plan, the admission specialist at BreakThrough by BasePoint can help verify your benefits at no cost. We can also schedule a free and confidential assessment with treatment recommendations. Having this information up front lets us guide you toward mental wellness that’s covered under your policy, so you know what to expect.

Which Individual Therapy Programs for Mental Health Are Covered by Health Insurance?

Health insurance often covers a range of individual therapy options, though the exact programs depend on your plan and provider network. The examples below highlight some common types of covered services, but it is not an exhaustive list. Call or contact us so we can help you explore the programs available to you through your insurance benefits.

What to Expect from Individual Therapy in Texas

When you attend individual therapy in Texas, you can expect a safe, private environment where you work directly with a licensed provider to address your personal goals. Sessions typically last between 45 and 60 minutes and may involve discussing recent challenges, exploring thought patterns, and developing healthier coping strategies. The type of psychiatric treatment depends on your needs.

Treatment options include evidence-based approaches such as Cognitive Behavioral Therapy (CBT) or Dialectical Behavior Therapy (DBT), which may be used to guide treatment. Over time, therapy can help you build emotional resilience, manage symptoms of mental health conditions, and strengthen relationships. At BreakThrough by BasePoint, our providers take time to understand your unique needs and create a treatment plan that supports your progress, offering you structured, compassionate care close to home.

How Much Does Individual Therapy Cost with Insurance Coverage?

The cost of individual therapy with insurance depends on your plan’s benefits, often significantly reducing your expenses. Many health insurance policies cover a portion of your therapy sessions, requiring you to pay only a copay or coinsurance. Copays may range from $20 to $100 per session, while coinsurance is typically a percentage of the session fee.

Your total cost also depends on whether your provider is in-network or out-of-network. At BreakThrough by BasePoint, we work directly with your insurance company to verify benefits and explain your potential costs before treatment begins. This helps you plan while focusing on the care and support you need through individualized therapy.

Individual Therapy Programs That Accept Insurance in Texas

BreakThrough by BasePoint works with most major health insurance providers in Texas to reduce your financial burden. When you call or contact us, we can answer your questions about our young adult programs, verify your insurance coverage, schedule a free and confidential assessment with treatment recommendations, and schedule a tour of our facilities.

basepoint breakthrough locations arlington frisco forney mckinney map

Discover More About BreakThrough by BasePoint Today

Call Us

(972) 325-2633

Admission Hours

7:00 AM to 7:00 PM (CST)

7 Days a Week

How Much Does Individual Therapy Cost Without Insurance Coverage?

The cost of individual therapy without insurance can vary depending on the provider’s training, experience, and location. In Texas, session fees commonly range from $100 to $300 per appointment. The cost of group therapy is typically on the lower end of the scale, while psychiatry services are on the higher end.

Other costs can include medication, medication management, skills-building workshops, and psychiatric evaluations.  When you call us, we understand that cost can be a barrier, which is why our team helps you explore affordable options and seek financial solutions to meet your needs. Our goal is to ensure you receive individualized therapy and the professional support necessary for your mental health journey.

Checking Health Insurance for Individual Therapy at Basepoint

It’s essential to check the cost of individual therapy with insurance and how it applies to your care. Our admission specialist verifies your insurance coverage and will review your benefits. This helps us explain what services are covered. We contact your provider directly to confirm details such as copays, coinsurance, deductibles, and any prior authorization requirements.

This process helps you know what portion of therapy costs your plan will pay and what your out-of-pocket responsibility may be. Whether you have private insurance, employer-sponsored coverage, or another type of plan, we walk you through the details so there are no surprises. Our goal is to make starting therapy as smooth as possible, allowing you to focus entirely on your care and progress.

How to Get Health Insurance to Cover Individual Therapy

The best way to get your health insurance to cover therapy is to understand the benefits, limitations, and documentation requirements. When you call us, we can verify your insurance coverage and help you understand the key terms that influence your potential out-of-pocket expenses. Your premium is determined by an actuary who uses data compiled during the underwriting process.

This process estimates the loss you may represent for the company, helping to determine the liability to the company. Your policy may include exclusions that limit your coverage, an endorsement that modifies the policy to suit your needs, or an umbrella policy that provides extra coverage beyond the standard limits. Most policies include outpatient therapy as part of essential health benefits, but the details can vary, such as the number of sessions allowed, copays, or prior authorization.

After a claim is submitted, the insurance adjuster determines the settlement that should be sent to the provider. At BreakThrough by BasePoint, we simplify the process by verifying your insurance coverage and working with you to find solutions that keep care accessible if your plan has restrictions. Taking these steps ensures you maximize your insurance benefits while focusing on what matters most, getting the personalized support you need from individual therapy.

How Frequently Does Health Insurance Cover Individual Therapy?

How frequently your individual therapy insurance coverage in Dallas provides for treatment depends on your plan. Some policies provide unlimited sessions as long as they are medically necessary, while others may limit the number of visits allowed each year. Common restrictions include a set number of therapy sessions per calendar year or periodic reviews to confirm ongoing need.

Coverage may also vary depending on whether your provider is in-network, since out-of-network benefits are often more limited and come with higher out-of-pocket costs. At BreakThrough by BasePoint, our admission specialist verifies your benefits directly with your insurer to determine how often your sessions are covered. We explain session limits, renewal requirements, and any copay or coinsurance responsibilities. This helps you plan your care realistically and ensures that your therapy schedule fits within your insurance benefits.

Can You Get Individual Therapy Without Health Insurance in Texas?

You can receive individual therapy in Texas without health insurance, though you will be responsible for paying the full cost of each session. Fees often range from $100 to $300 per appointment, depending on the provider’s experience, location, and the type of therapy offered. At BreakThrough by BasePoint, we understand the challenge of mental health conditions during young adulthood.

Even without insurance, we encourage you to call us at 972-325-2633 to inquire about treatment. We recognize how challenging it can be to ask for help. But when you call us, you’ll work with a compassionate and caring team. Our team will discuss available options with you so that finances do not prevent you from accessing care. Whether through payment arrangements or exploring local resources, we work to make treatment attainable. This ensures you can begin therapy and receive consistent, professional support for your mental health needs, even without insurance coverage.

  • A 2022 study confirmed that your and your psychotherapist's perception of a supportive therapy alliance is crucial to achieving positive results during psychotherapy. No other factor increases the quality of your mental health functioning more than others.
  • Data demonstrates that a person-centered approach to psychotherapy and individual sessions may help overcome some difficulties found in a therapeutic relationship, including how the specific interventions are implemented and the nuances of the interaction between the patient and therapist.
  • Psychotherapy is a mental health treatment designed to help individuals not only alleviate symptoms but also identify psychological root causes, so you can function better and improve your healing. Individual therapy sessions are a setting in which a psychotherapist can choose to use many different forms of psychotherapy, such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), motivational interviewing, and more.
  • In one 6-country study of psychologists, counselors, psychiatrists, and nurses, researchers looked at the prevalence of personal therapy, finding that 87% of the overall sample had individual therapy at least once and 73% saw cognitive behavioral therapists.
  • A 2025 meta-analysis of 177 studies from 24 countries found that clients valued outcome measures from individual psychotherapy beyond reducing symptoms, including a better understanding of their deeper self and greater social engagement.