Clone of CTNYC Concierge Out-of-Network Benefits Lookup

1
Are you on Medicaid, Medicare, or does your insurance card indicate "HMO" or "EPO?"* This field is required.
YESNO
2
It looks like your insurance plan doesn’t include out-of-network benefits.

We still want to help you find the right support. Below are trusted resources to help you continue your search with care:

psychologytoday.com - search for therapists and filter by criteria and fee

helloalma.com - in-network therapists

mywellbeing.com - free therapist matching

openpathcollective.org - affordable therapy under $70

manhattanalternative.com - LGBTQIA+ and sex-positive therapist directory

Once you’ve noted any resources, you can simply close this tab.
3
Please check my benefits for* This field is required.Select all that apply
Individual Therapy
Couples Therapy
Family Therapy with patient present
Family Therapy without patient present
4
Email* This field is required.
example@example.com
5
Are you currently a client?* This field is required.
YESNO
6
Have you had a consultation?* This field is required.
YESNO
7
Therapist Name* This field is required.
Please Select
Please Select
Stephanie Dawber
Alyssa Digges
Melanie Eley
Chas Elmer
Nia Millington
Michelle Riganti
8
Client Name* This field is required.
First Name
Last Name
9
Client date of birth* This field is required.
Date
Month
Day
Year
10
Zip code* This field is required.
11
State of your address* This field is required.
Please Select
Please Select
NY
NJ
CT
AL
AK
AZ
AR
CA
CO
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NM
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
12
Client relationship to member/insured* This field is required.
Self
Spouse
Child
Other
13
Name of member/insured (if different from client as shown on insurance card)* This field is required.
First Name
Last Name
14
Date of birth of member/insured (if different from client)* This field is required.
Date
Month
Day
Year
15
Member ID* This field is required.Please enter your member ID as it appears on your insurance card
16
Group Number
17
Name of Insurance Company* This field is required.
18
Provider Customer Service Phone* This field is required.Please enter the phone number found on your insurance card
Area Code
Phone Number
19
Upload an image of the front and back of your insurance card* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Should be Empty:

It looks like your insurance plan doesn’t include out-of-network benefits.