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.
β In-network coverage
Your benefits apply directly β no superbills or out-of-network claims.
β Benefits verified upfront
We confirm your copay and deductible before your first session, at no charge.
β Telehealth covered
Your plan covers virtual sessions at the same rate as in-person specialist visits.
You might benefit from therapy ifβ¦
- βYou've gone from partners to coparents and you don't know how to get back to each other
- βYou're fighting about the same things over and over: chores, sleep, time, attention
- βYou feel invisible to your partner, or like they're invisible to you
- βYou've lost intimacy and you're not sure how to talk about it
- βYou're resentful in ways that scare you a little
- βOne 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 β the gold standard in perinatal mental health.
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Tiara Okoruwa
PhD, LCSW
Tiara is a Licensed Clinical Social Worker in Texas specializing in perinatal mental health, supporting expecting and new parents through anxiety, grief, and the transition to parenthood using a trauma-informed, integrative approach.
Licensed in TX

Lyndsay Ward
LCSW, PMH-C
Lyndsay is a Licensed Clinical Social Worker in New York dedicated to guiding parents through the unique challenges and transitions found in every stage of the family-building journey.
Licensed in NY

Sailys Concepcion
LMHC, LPC, LPCC, PMH-C
Sailys is a bilingual therapist who helps parents navigate the emotional journey of pregnancy, postpartum, infertility, and loss across California, Florida, Georgia, Arizona, Washington, and Louisiana.
Licensed in CA, LA, WA, AZ, GA, FL

Amanda Flowers
LPC, PMH-C
Amanda is a Licensed Professional Counselor in Texas and a Licensed Clinical Professional Counselor in Montana specializing in perinatal mental health, supporting clients through pregnancy, postpartum, and infertility using a collaborative, trauma-informed, and mind-body approach.
Licensed in TX, MT
Real clients. Real relief.
What our clients say about their experience.
βββββ
β"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."β
β new mom
βββββ
β"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."β
β mom of 2
βββββ
β"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."β
β dad of 1
βββββ
βWe 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.β
β Anna, mom of one
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 βReady to start Relationships & Couples therapy? Hereβs how it works.
The whole process takes about 5 minutes. We handle insurance β 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 Β· Most insurance accepted Β· Available this week
Common questions
- 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.
- 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 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 Β· Covered by insurance Β· Available this week
Learning resources
πRead our Relationships & Couples guides βOften goes alongside





