This step-by-step guide will walk you through how to locate a Humana therapist, understand your current Humana mental-health coverage, and book an in-person or virtual visit.
Plan Type | In-Network Therapy & Psychiatry Cost* | Key Points |
---|---|---|
Humana Medicare Advantage (HMO/PPO) | $0–$35 copay in office** · $0 virtual on many plans | No visit limits; mental health shares your medical deductible if one exists |
Humana Medicare Supplement (Medigap) + Original Medicare | 20 % of the Medicare-approved amount after the Part B deductible ($257 in 2025) | Medigap typically pays that 20 % for you |
Humana Medicaid (select states) | $0 copay | Unlimited medically necessary visits |
Legacy Employer PPO/HMO (shrinking segment) | $0–$40 copay in network; 20 % after deductible on high-deductible plans | Check your Evidence of Coverage |
*Figures are 2025 averages—always confirm your own Summary of Benefits or Medicaid member handbook.
Coverage fast facts
Provider Type | Typical Role |
---|---|
Therapist / Counselor (LCSW, LMFT, LPC) | Weekly talk therapy, coping skills, family sessions |
Psychologist (PhD, PsyD) | Psychological testing, trauma-focused or specialty modalities |
Psychiatrist (MD/DO) | Diagnosis, medication management, complex cases |
Anita, 67, retired nurse in Tampa, carries a Humana Gold Plus Medicare Advantage HMO. She’s been struggling with grief after losing a sibling. Here’s her 12-day path from symptoms to care:
Total out-of-pocket cost: $0. Total time from search to first appointment: 3 days.
Stay In-Network (highly recommended) | Go Out-of-Network (Medicare Supplement & some PPO only) |
Predictable copay/coinsurance | Pay full fee up front, submit a claim for partial reimbursement |
Claims filed automatically | You handle paperwork |
Integrated with Humana case-management tools | Useful for niche specialties if the network is thin |
If you can’t secure an in-network appointment within 10 business days, ask Humana for a network-adequacy exception. They must help you find care or approve out-of-network reimbursement at in-network rates.
Platform | Services | Typical Member Cost | Who’s Eligible |
---|---|---|---|
Humana Virtual Therapy (Teladoc-powered) | Video therapy & psychiatry | $0 on most MA plans; $0–$30 on commercial PPO | Medicare Advantage, employer legacy plans |
State Medicaid Telehealth | Video or audio-only therapy | $0 | Medicaid members (coverage varies by state) |
Self-Guided Tools | On-demand CBT, mindfulness tracks | $0 | All members via MyHumana Wellness hub |
Telehealth visits count toward your out-of-pocket max just like office visits.
Setting | Medicare Advantage | Medigap + Original Medicare | Medicaid | Legacy Employer Plan |
---|---|---|---|---|
In-office therapy (45 min) | $0–$35 copay | 20 % (often paid by Medigap) | $0 | $0–$40 copay |
Network tele-therapy | Often $0 | 20 % (Medigap pays) | $0 | Deductible, then $0 |
Initial psychiatry eval | $0–$50 copay | 20 % | $0 | $40–$60 copay |
If the first match isn’t ideal, reopen the directory—switching therapists that take Humana is quick and penalty-free.
1. Keep a Record Write down every provider you contact. Include:
This documentation will help if you need to escalate.
2. Contact Humana Care Management: Call the number on your Humana insurance card and ask to speak with a Behavioral Health Care Manager. They can help you search for cancellations or providers with sooner availability—even across different ZIP codes.
3. Request a Network Adequacy Exception: If no in-network provider is available within 10 business days, you have the right to request a network adequacy exception. Humana may approve care with an out-of-network provider at in-network rates to meet timely access standards.
4. File a Grievance Through MyHumana: If you're still facing delays, submit a formal grievance via your MyHumana account. Humana must respond within 30 days, and many members report faster resolution after filing.
Bottom line: Be polite, persistent, and organized. Members who keep good notes and ask the right questions often secure faster access to in-network Humana psychologists or psychiatrists.
Does Humana cover therapy? Yes. Outpatient therapy with enrolled, in-network clinicians is a core medical benefit across Medicare Advantage, Medicaid, and remaining employer plans. Typical cost: $0–$35 per session or 20 % coinsurance for Original Medicare.
How do I find therapists that take Humana near me? Log in to MyHumana → Find a Doctor → Behavioral Health and filter by ZIP, specialty, and availability.
What’s the difference between a Humana therapist and a Humana psychologist? “Therapist” (LCSW, LMFT, LPC) is a broad counseling designation. “Psychologist” (PhD/PsyD) can also conduct testing. Both are covered if in network.
Are Humana psychiatrists accepting new patients? Many are—especially via virtual visits. Use the “Accepting new patients” filter and consider tele-slots.
Will my virtual session count toward my deductible? Yes. Telehealth visits apply to the same deductible and out-of-pocket max as office visits.
Remember, recovery is possible. With early intervention, a supportive network, and the right professional care, you can overcome the challenges of Humana and build a fulfilling life. We are here to help you find care.