Insurance guide

Does Cigna cover therapy?

What Cigna plans cover for therapy, psychiatry, TMS and Spravato, what you'll likely pay, and how to find an in-network provider through myCigna.

Last updated · October 5, 2026

Yes. Cigna plans cover mental health care, including therapy, psychiatry and medication. Cigna's behavioral health benefits are managed by Evernorth Behavioral Health, part of The Cigna Group, so you may see that name on letters or claims. For routine outpatient visits, like weekly therapy with an in-network provider, Cigna generally doesn't require prior authorization. What you pay depends on your plan's copay, coinsurance and deductible.

What does Cigna cover for mental health?

Most Cigna medical plans include:

  • Outpatient therapy with licensed therapists, counselors, social workers and psychologists
  • Psychiatry: evaluations and medication management
  • Prescription medications through your plan's drug list (often managed by Express Scripts, also part of The Cigna Group)
  • Higher levels of care such as intensive outpatient, partial hospitalization and inpatient programs, which usually need pre-authorization
  • TMS and Spravato for treatment-resistant depression when you meet Cigna's medical criteria, with prior authorization

Coverage details differ between employer plans, individual plans and Cigna Medicare plans, so check your own plan's summary of benefits.

How do I find a Cigna therapist or psychiatrist?

  • Search the directory: log in to myCigna (website or app) to see in-network behavioral health providers that match your plan, or use Cigna's public provider directory.
  • Get help finding someone: Cigna offers Personal Advocates who can help find in-network behavioral health providers, check availability and answer coverage questions, by phone or chat through myCigna.
  • Use the number on your card: the behavioral health or member services number on your Cigna ID card can explain your benefits and point you to providers.

If you have a Cigna Employee Assistance Program (EAP) through work, call it first. EAPs often include a few free counseling sessions, and Cigna recommends starting there so you get the most out of your benefits.

Does Cigna cover online therapy?

Most Cigna plans cover video visits with in-network therapists and psychiatrists, and many in-network providers offer them. Your cost for a virtual visit is usually the same as or lower than an in-person visit; check your plan.

How much does therapy cost with Cigna?

It depends on your plan. With a copay plan you pay a set amount per visit. With a deductible plan you may pay Cigna's negotiated rate until the deductible is met, then coinsurance. In-network providers cost much less than out-of-network ones. See how much does therapy cost for typical prices.

Does Cigna cover out-of-network therapy?

Some Cigna plans, such as Open Access Plus plans with out-of-network benefits, partly reimburse out-of-network therapists after you meet a separate deductible. You pay the therapist and file a claim with an itemized receipt. Many other Cigna plans only cover in-network care except in emergencies.

Before you book: questions to ask your plan

Call the member services or behavioral health number on your insurance card, or check your member account, and ask:

  • Is this provider in-network for my plan?
  • What do I pay for a therapy or psychiatry visit: a copay, or a percentage (coinsurance)?
  • Do I have a deductible to meet first, and how much of it is left this year?
  • Do I need a referral or prior authorization for therapy, psychiatry, TMS or Spravato?
  • Are video (telehealth) visits covered the same way as in-person visits?
  • Do I have out-of-network benefits, and how do I get reimbursed?

Write down the date, the name of the person you spoke with and a reference number for the call. If your plan can’t find an in-network provider who can see you in a reasonable time, ask about a "network gap exception" so you can see an out-of-network provider at in-network cost.

If you need help right now

If you’re thinking about hurting yourself or feel you can’t stay safe, call or text 988 (the Suicide & Crisis Lifeline) any time, free. If you’re in immediate danger, call 911 or go to the nearest emergency room.

Sources

This guide is general information, not medical advice or a diagnosis. Talk to a qualified clinician about your own situation.