Alright, let’s talk about health insurance, specifically for us therapists in private practice. It’s a headache, right? But a necessary one. So, I started looking into this a while back, and boy, was it a journey.
First off, I started by checking out the big names. You know, the ones you see ads for all the time. One that caught my eye was UnitedHealthcare. They seem to have a pretty good setup, especially for mental health, with their 24/7 online support and stuff. So I started exploring this option.

Then, I started digging around local practices here in Charlotte, places like Therapy Charlotte, just to see what they had to say about insurance. I figured they’d have some good insights, being in the same boat. This step was for gathering some information.
Here’s the thing I realized: taking insurance is a double-edged sword. On one hand, it opens you up to more clients, which is great, especially when you’re starting out. But on the other hand, it’s a whole lot of paperwork and dealing with insurance companies.
One big thing I learned is that when you take insurance, you gotta diagnose your clients with a medical code. That’s just how it works. It’s not a big deal for some, but it’s something to think about. After thinking about this, I decided to look into the pros and cons of paneling with insurance providers in detail.
I also stumbled upon this psychologist, Melissa Todd, out in Oregon. She had some interesting takes on dealing with insurance companies, based on her own experiences. It was eye-opening, to say the least. I took notes about the pros and cons based on her sharing.
Then, I got to figuring out the whole “paneling” thing – basically getting on the list of approved providers for different insurance companies. It sounds simple, but it’s not. Each company has its own process, its own set of rules. I started to make a list of steps to take and documents to gather for the paneling process.
So, I started reaching out to a few insurance companies, just to get a feel for what their requirements were. It was a lot of phone calls, a lot of emails, and a whole lot of waiting. But I slowly started to piece it all together.
After gathering all that info, I sat down and really weighed the pros and cons. More clients vs. more paperwork. Higher visibility vs. potentially lower rates. It was a tough call. I made a table comparing different options.

- Pros:
- More clients, steady stream of referrals.
- Increased visibility and credibility.
- Some clients can only afford therapy with insurance.
- Cons:
- Lots of paperwork and administrative hassle.
- Lower rates compared to private pay.
- Dealing with insurance company bureaucracy.
- Having to provide a medical diagnosis.
My Decision
Ultimately, I decided to take insurance, but only from a select few companies. It was the best balance I could find. I chose two insurance providers that seemed to have the most straightforward process and reasonable rates. I completed their application forms and submitted the required documents.
It’s not perfect, but it’s working for me. I’m getting more clients, which is great, but I’m also spending a good chunk of time on admin stuff. I hired a part-time assistant to help with the paperwork. It has been working well so far. I’ll keep adjusting my strategy as needed.
Look, there’s no easy answer when it comes to insurance. You just gotta figure out what works best for your practice and your sanity. Hopefully, my little journey here helps you out a bit. Good luck!