Looking for a NYSHIP Empire Plan Therapist in New York?

Out-of-network NYSHIP therapy, explained clearly

I am an out-of-network provider for the NYSHIP Empire Plan. I am not an in-network (participating) Empire Plan provider. For many members, that still means therapy can be partially covered: eligible Empire Plan members may have out-of-network behavioral health benefits that reimburse a portion of the cost of sessions.

Insurance shouldn't be a barrier to getting started. My practice can assist with benefit verification and claims submission through a professional billing service, so you aren't left sorting through forms on your own.

What determines your reimbursement

Actual reimbursement depends on your individual plan benefits, including:

• Your out-of-network deductible and whether it has been met
• Coinsurance percentages
• Applicable reimbursement limits or allowed amounts set by the plan

Because every member's situation is different, I can't guarantee a particular reimbursement amount or copayment. What I can promise is transparency: you will receive information about your financial responsibilities before beginning treatment.

Who this is for

New York State employees, retirees, and eligible dependents covered by the Empire Plan who want an experienced, independent LCSW rather than a large therapy platform. Sessions are online, so you can attend from home or another private location anywhere in New York State.

This page is general information, not a statement of your benefits. Please confirm coverage details with your plan. See also Insurance & Fees and the FAQ.