Relationships & Couples therapy covered by Cigna
"We used to be close. Now we're just coparenting strangers."
+9 moreNo 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.
Does Cigna cover couples therapy after having a baby?
This is the one where the answer is genuinely 'it depends', and it is worth understanding why. Insurers pay to treat a diagnosed condition in one identified patient, not to improve a relationship. Counseling billed purely for relationship distress (coded Z63.0) is excluded from most Cigna plans. But when one partner has a diagnosable condition -- postpartum depression, perinatal anxiety, PTSD after a traumatic birth -- and the other partner takes part in treating it, that session is billable as family psychotherapy with the patient present (CPT 90847) under that partner's behavioral health benefit. In practice most postpartum couples work we do falls in the second category, because one partner is usually carrying a perinatal mood or anxiety disorder. We determine which applies at the assessment and tell you before you are charged, rather than letting you discover it on an EOB.
Phoenix Health is in-network with Cigna in Arizona, California, Florida, Georgia, Louisiana, Minnesota, Montana, New York, South Carolina, Texas and Washington, so we bill the plan directly and you pay only your copay or coinsurance. Cigna prices outpatient therapy as a specialist visit — a copay, commonly $20 to $50, once your deductible is met. Cigna is unusual in how it files behavioral health: the benefit sits under Evernorth, so a Cigna quote for a medical specialist visit will not always match what therapy actually costs. Ask about behavioral health specifically rather than 'specialist copay'.
Checking it yourself: Call the behavioral health number on the back of your card and ask three questions: is this provider in-network for outpatient behavioral health, what is my specialist copay, and has my deductible been met? We do this verification for you before your first session at no charge.
Your card might say any of these — all of them are Cigna:
✓ In-network coverage
Your benefits apply directly — no superbills or out-of-network claims.
✓ Benefits verified upfront
We confirm your copay and deductible before your first session, at no charge.
✓ Telehealth covered
Your plan covers virtual sessions at the same rate as in-person specialist visits.
You might benefit from therapy if…
- ✓You've gone from partners to coparents and you don't know how to get back to each other
- ✓You're fighting about the same things over and over: chores, sleep, time, attention
- ✓You feel invisible to your partner, or like they're invisible to you
- ✓You've lost intimacy and you're not sure how to talk about it
- ✓You're resentful in ways that scare you a little
- ✓One or both of you is depressed or anxious and it's spilling into the relationship
Dr. Emily Guarnotta
Psychologist & Founder
From our founder
Almost every couple I see in the postpartum phase tells me some version of the same story: we used to be close, and now we feel like roommates. That's not a verdict on your relationship. It's a description of what this phase does. The couples who do the work usually come out closer than they were before, and that's why I love this part of the practice.
What therapy looks like
Our Relationships & Couples specialists who accept Cigna
Most Phoenix Health therapists hold PMH-C certification — the gold standard in perinatal mental health.
Amanda Flowers
LPC, PMH-C · Licensed therapist
Works with perinatal OCD and neurodivergence, using body-based tools to calm the nervous system.
Licensed in TX, MT
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Natalia Cruz Navarro
EspañolLCSW · Licensed therapist
12+ years with families through high-risk pregnancies, fetal diagnoses, and NICU stays.
Licensed in CA
Lyndsay Ward
LCSW, PMH-C · Licensed therapist
An attachment theory expert who helps you unpack how your childhood shows up in your parenting.
Licensed in NY
Golda Fleischman
LMSW · Licensed therapist
A birth doula before she was a therapist, she helps you prepare for a birth or process a hard one.
Licensed in NY
Stories that may sound familiar
These are examples, not client reviews. We don't publish our clients' words. What's said in therapy stays there.
“"After our daughter arrived, neither of us knew how to talk about what had changed between us without it becoming a fight. Our therapist helped us understand that connection after a baby looks completely different, and that waiting for things to go back to how they were wasn't going to work. We had to build something new."”
“"Nobody told me the baby would bring up every unresolved thing in our relationship at once. Old fights I thought we were past. Patterns from our own families. Who I thought my partner would be as a parent versus who he actually was. Our couples therapist helped us figure out what we were actually arguing about instead of just circling the same argument."”
“"We went from a team to two separate people managing a crisis in the same house. I was keeping score without realizing it. She was exhausted in ways I couldn't see. Working with a therapist together helped us stop talking past each other and start talking to each other again. We're not the same couple we were before. We're better."”
“We were having the same fight every Sunday night for six months. Once we started couples work I realized we were both saying the same thing in different words. We needed someone to translate. It changed everything.”
In-network with
Cigna.
Most clients pay less than $20 per session.
Accepted Insurance Networks
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 →Ready to start Relationships & Couples therapy? Here’s how it works.
The whole process takes about 5 minutes. We handle insurance — you just show up.
- 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
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
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 · Most insurance accepted · Available this week
Common questions
- This is the one where the answer is genuinely 'it depends', and it is worth understanding why. Insurers pay to treat a diagnosed condition in one identified patient, not to improve a relationship. Counseling billed purely for relationship distress (coded Z63.0) is excluded from most Cigna plans. But when one partner has a diagnosable condition -- postpartum depression, perinatal anxiety, PTSD after a traumatic birth -- and the other partner takes part in treating it, that session is billable as family psychotherapy with the patient present (CPT 90847) under that partner's behavioral health benefit. In practice most postpartum couples work we do falls in the second category, because one partner is usually carrying a perinatal mood or anxiety disorder. We determine which applies at the assessment and tell you before you are charged, rather than letting you discover it on an EOB. Phoenix Health is in-network with Cigna in Arizona, California, Florida, Georgia, Louisiana, Minnesota, Montana, New York, South Carolina, Texas and Washington, so we bill the plan directly and you pay only your copay or coinsurance. Cigna prices outpatient therapy as a specialist visit — a copay, commonly $20 to $50, once your deductible is met. Cigna is unusual in how it files behavioral health: the benefit sits under Evernorth, so a Cigna quote for a medical specialist visit will not always match what therapy actually costs. Ask about behavioral health specifically rather than 'specialist copay'.
- It is extremely common, and that doesn't mean it's healthy to leave it alone. Most couples see a real dip in relationship satisfaction in the first year postpartum. Couples who get support tend to recover faster and more thoroughly than couples who try to wait it out.
- Individual therapy can still make a meaningful difference. Often when one partner starts doing their own work, the dynamic shifts enough that the other becomes more open. And many things that feel like couple problems are actually individual stress that's spilling over.
- Often both. For most couples in this phase, individual therapy for the partner who's struggling most (or both partners) alongside couples work is the most effective combination. Your therapist can help you decide what makes sense.
- Intimacy after a baby is its own area of work, and it usually doesn't fix itself. Many couples find that the emotional repair has to happen first, and then physical intimacy follows. Talking about it explicitly with a therapist makes it much more likely to come back.
- PMH-C (Perinatal Mental Health Certification) is awarded by Postpartum Support International (PSI) to clinicians who have completed advanced training in perinatal mental health — covering postpartum depression, anxiety, OCD, birth trauma, and related conditions. It represents the gold standard of specialization in this field.
- If you're struggling — with your mood, your thoughts, your relationship, or just how you're coping — 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 relationships & couples
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.
The sooner you start,
the sooner you'll
feel like yourself again.
You've been surviving. It's time to start healing.
No commitment · Covered by insurance · Available this week
Learning resources
💑Read our Relationships & Couples guides →Often goes alongside