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🌱Infertility

Infertility therapy covered by Cigna

"Every month is a cycle of hope and grief. Nobody warns you it's this hard."

Infertility affects 1 in 8 couples β€” the emotional toll is comparable to a cancer diagnosis.

βœ“See a specialist this weekβœ“PMH-C Certified Therapistsβœ“Telehealth Β· see anyone from homeβœ“Accepts Cigna
In network with
CignaEvernorth+9 more

No commitment. We'll confirm your coverage before your first session.

Using your Cigna benefits

Phoenix Health is in-network with Cigna, including plans branded as Evernorth. If your card says Evernorth, that's Cigna's behavioral health division, and the coverage and network are the same. Cigna is one of the larger national insurers we work with, and their telehealth mental health coverage has expanded significantly. Our PMH-C certified therapists support Cigna members through pregnancy and the postpartum period, treating postpartum depression, perinatal anxiety, birth trauma, and related concerns. Most Cigna plans cover outpatient therapy at a specialist copay once your deductible is met, and they've been strong on telehealth parity, meaning your video sessions are covered the same way as in-person visits. Under the Mental Health Parity and Addiction Equity Act, Cigna plans must cover behavioral health at the same level as physical health, so you shouldn't face higher copays or stricter visit limits for therapy than you would for a comparable medical appointment. Before your first session, we confirm your specific Cigna plan benefits, including whether prior authorization is needed (some Cigna plans require it for ongoing therapy after an initial evaluation). Sessions are FSA and HSA eligible. To verify yourself, call member services and ask: 'Do I have in-network outpatient mental health benefits? What is my copay and has my deductible been met?' We're also happy to handle this verification as part of getting you started.

Also accepted as:Evernorth

βœ“ In-network coverage

Your benefits apply directly β€” no superbills or out-of-network claims.

βœ“ Benefits verified upfront

We confirm your copay and deductible before your first session, at no charge.

βœ“ Telehealth covered

Your plan covers virtual sessions at the same rate as in-person specialist visits.

You might benefit from therapy if…

  • βœ“You've been trying to conceive for months or years and the emotional weight is becoming hard to carry
  • βœ“You're dreading social events, baby announcements, or pregnancy reveals from friends
  • βœ“Your relationship has changed under the pressure, and intimacy doesn't feel like intimacy anymore
  • βœ“You feel angry at your body, at your partner, or at people who got pregnant easily
  • βœ“You're isolating from people who don't understand, and that isolation is making it harder
  • βœ“You're holding it together for work and family and you're exhausted from the performance
Dr. Emily Guarnotta

Dr. Emily Guarnotta

Psychologist & Founder

From our founder

Infertility is one of the most underestimated experiences in my practice. The cumulative weight of each month, each appointment, each negative test, is enormous, and most people are carrying it without anyone really seeing it. Therapy doesn't shorten the road. It does change what it's like to walk it.

What therapy looks like

Therapy during infertility usually combines CBT, ACT, and grief-informed work. Cognitive Behavioral Therapy helps with the thought patterns that fuel rumination and shame. Acceptance and Commitment Therapy is particularly useful because so much of infertility involves uncertainty you can't control. Grief work shows up because each cycle, each loss, and each missed milestone is its own loss that often doesn't get acknowledged. Most Phoenix Health therapists hold PMH-C certification, and several have additional training in reproductive mental health. Sessions might focus on coping during a treatment cycle, processing a recent failed cycle, decision-making around treatment options, relationship strain, or grief about a path that's taking longer or looking different than you imagined. Some clients work weekly during active treatment and then move to less frequent sessions during pauses. A typical course of work is 3 to 6 months, but many clients stay in therapy throughout treatment because having a steady relationship with someone who already knows the picture is itself part of the support. The goal isn't to make the pain go away. It's to keep your life from being entirely defined by the trying.

Our Infertility specialists who accept Cigna

Most Phoenix Health therapists hold PMH-C certification β€” the gold standard in perinatal mental health.

Real clients. Real relief.

What our clients say about their experience.

⭐⭐⭐⭐⭐

β€œ"What nobody tells you about infertility is that it changes how you see pregnant people. I couldn't go to baby showers. I hid from social media. I felt like a horrible person for feeling what I was feeling. My therapist helped me understand that grief doesn't follow rules and that I was allowed to feel all of it without shame."”

β€” TTC, 2 years

⭐⭐⭐⭐⭐

β€œTwo years of treatments and nobody talked about what it does to your relationship, your identity, your sense of self. I felt like my body had failed me. My therapist helped me separate my worth from my fertility, and helped my husband and I find each other again in the middle of it. Still trying. Feeling more like myself than I have in years.”

β€” TTC, 3 years

⭐⭐⭐⭐⭐

β€œMy emergency C-section left me with nightmares and panic attacks. I couldn't talk about the birth without shaking. Therapy helped me process the trauma and reclaim my story. I'm pregnant again now, and I actually feel ready.”

β€” expecting mom of 1

⭐⭐⭐⭐⭐

β€œI had stopped telling people we were trying because I couldn't handle one more well-meaning comment. My therapist understood the language and the timing, and I never had to explain a single thing twice. After six months I felt like I had my life back, even though we were still in treatment.”

β€” Nina, in treatment 2 years

In-network with
Cigna.

Most clients pay less than $20 per session.

Accepted Insurance Networks

Cigna
Evernorth
Aetna
Blue Cross Blue Shield
UnitedHealthcare

Your rights under federal parity law

Under the Mental Health Parity and Addiction Equity Act (MHPAEA), your insurer cannot impose more restrictive limits on mental health coverage than on comparable medical or surgical benefits.

See full coverage map β†’

Ready to start Infertility therapy? Here’s how it works.

The whole process takes about 5 minutes. We handle insurance β€” you just show up.

  1. 1

    Book your free call

    A quick 15-minute chat to hear what you're going through, answer your questions, and make sure we're a great fit for your needs. No cost, no commitment.

  2. 2

    Get matched

    We'll pair you with the right specialist for your specific situation. We'll also check your insurance, so you know your exact cost per session before moving forward.

  3. 3

    Start your first session

    Meet your therapist from the comfort of home. No commute, no waiting rooms, no judgment. Most clients notice a real difference within just 2 to 3 sessions.

No commitment Β· Most insurance accepted Β· Available this week

Common questions

  • It helps. A generalist may inadvertently say things that don't land well. A therapist trained in reproductive mental health understands the medical timeline, the language, the relationship strain, and the specific kind of grief that infertility produces.
  • Yes, and it's also something therapy can help with directly. Infertility puts couples under sustained pressure, and partners often process it differently. Individual therapy can help, and sometimes couples work added in is the right call.
  • No. Setting limits on what you can attend is a reasonable response to grief, and your therapist can help you figure out how to communicate that without losing relationships you care about. It is not a moral failing to take care of yourself.
  • Therapy is not a fertility treatment. What therapy does is reduce the stress, isolation, and depression that come with infertility, which improves quality of life during a very hard chapter. Some research suggests that lower distress may have modest effects on treatment outcomes, but the primary value is in how you live, not in the outcome.
  • Most Cigna plans cover telehealth behavioral health sessions at the same rate as in-person care under the Mental Health Parity and Addiction Equity Act. Phoenix Health verifies your specific plan benefits before your first session. Your out-of-pocket cost typically depends on your deductible and copay structure.
  • PMH-C (Perinatal Mental Health Certification) is awarded by Postpartum Support International (PSI) to clinicians who have completed advanced training in perinatal mental health β€” covering postpartum depression, anxiety, OCD, birth trauma, and related conditions. It represents the gold standard of specialization in this field.
  • If you're struggling β€” with your mood, your thoughts, your relationship, or just how you're coping β€” that's enough of a reason to talk to someone. You don't need a diagnosis. A free consultation is a low-commitment first step.

From the Phoenix Health resource center

Articles and guides about infertility

The Best Books for the IVF and Infertility Journey

The infertility community recommends books that don't offer toxic positivity or quick fixes. Here are the ones people actually pass around β€” for understanding what you're going through, processing a failed cycle, and getting through the two-week wait.

Read article β†’

30 Affirmations for the Infertility Journey (When Hope Is Hard to Hold)

Infertility is a grief that repeats every month. These affirmations are for the sustained emotional toll of not knowing, the body you feel has failed you, and the hope that keeps asking to be held.

Read article β†’

What to Say to Someone Going Through IVF (A Guide for Friends and Family)

IVF is expensive, painful, and emotionally brutal, and most people supporting someone through it have no idea what to say. This guide covers what not to say and what actually helps.

Read article β†’

Trusted by leading voices in parenting and mental health

OBs, doulas, and pediatricians refer their patients to us because we specialize in maternal mental health.

  • Parents.com
  • Postpartum Support International
  • Healthline
  • HuffPost
  • Fatherly
  • Choosing Therapy

The sooner you start,
the sooner you'll
feel like yourself again.

You've been surviving. It's time to start healing.

No commitment Β· Covered by insurance Β· Available this week

Learning resources

🌱Read our Infertility guides β†’

Often goes alongside

πŸ”¬Fertility & IVFπŸ•ŠοΈGrief & LossπŸ’‘Relationships & Couples