Many people prefer not to use their insurance for a variety of reasons. If you prefer to use insurance (other than Aetna), we are an out-of-network provider but we do accept HSA and FSA accounts and clients can submit documentation to their insurance for potential reimbursement. It is the client's responsibility to check with their insurance about out-of-network and telehealth coverage; depending on the plan, insurance could cover any range between none to all of the fees. Most insurances will usually cover some of the fees. Clients pay for sessions up front and then submit documentation to insurance for reimbursement.