Find your therapist, covered by Premera Blue Cross

Yes! Premera Blue Cross covers therapy with licensed therapists and psychologists in Washington and Alaska. Whether you're working through anxiety, depression, trauma, or relationship challenges, your care is covered.

Premera Blue Cross members typically pay $20 per session through Rula. We verify your exact out-of-pocket cost before your first appointment—no surprises.

Your cost depends on your specific Premera Blue Cross plan and whether you've met your deductible. Most members pay between $20 per session.

Typical costs by plan type:

• Premera Blue Cross PPO: $20-$40 per session

• Premera Blue Cross HMO: $15-$35 per session

• High-deductible plans: Full contracted rate until deductible met, then $15-$40

We check your coverage during signup and show you the exact cost before booking.

Appointments are available as soon as tomorrow. Most Rula patients meet with their provider within 5 days, with flexible scheduling including:

• Next-day availability

• Evening and weekend appointments

• Early morning and late evening slots

You can complete registration and book your first session in as little as 3 minutes—no referral from your primary care physician required for PPO/EPO plans.

Absolutely! All Rula therapists offer secure video therapy that's fully covered by Premera Blue Cross at the same rate as in-person visits. Online therapy gives you:

• Sessions from the comfort of your home

• Easier scheduling with more availability

• Access to specialists who may not be nearby

• Same quality care as in-person treatment

You'll need a computer, tablet, or smartphone with a camera and microphone, plus a private space where you can talk openly. You must be physically located in the same state as your therapist during sessions.

No referral needed for PPO and EPO plans. HMO plans require a referral from your primary care physician for mental health services. You can book directly with any Rula therapist if you have a PPO or EPO plan and start therapy. If the first match isn't right, you can change therapists anytime.

Traditional Premera Blue Cross mental health services often have waitlists averaging 1-2 days. Rula provides direct access to 21,000+ therapists specializing in your specific needs.

Rula's therapists specialize in over 90 different conditions, with Premera Blue Cross covering all medically necessary care:

Common conditions:

• Anxiety and panic disorders

• Depression and mood disorders

• Stress and burnout

• Trauma and PTSD

• Relationship and family issues

• ADHD and focus challenges

• Grief and loss

• Life transitions and adjustment

Specialized areas:

• Eating disorders and body image

• OCD and compulsive behaviors

• Substance use and addiction support

• Chronic pain and illness

• Gender Identity

• Postpartum and perinatal mental health

All providers are licensed professionals who specialize in evidence-based treatment approaches.

Yes—you can switch therapists anytime at no additional cost. Finding the right fit is essential for successful therapy, and we make it easy to try someone new.

94% of Rula patients found a provider they feel comfortable with, and our matching system helps connect you with therapists who align with your needs, preferences, and communication style.

Therapists provide talk therapy to help you work through emotional challenges, develop coping strategies, and change behavioral patterns. Therapy sessions are typically 50-60 minutes.

Psychiatrists are medical doctors who can prescribe medication for mental health conditions. They often combine medication management with brief therapy sessions.

Many patients benefit from both: therapy for ongoing support and skill-building, plus psychiatry for medication when needed. Your Premera Blue Cross coverage includes both services through Rula.

Yes. Your sessions are completely confidential—your therapist cannot share information about your care with Premera Blue Cross, your employer, or anyone else without your written consent.

Limited exceptions where therapists must report include:

• Risk of harm to yourself or others

• Suspected child or elder abuse

• Court order (rare situations)

Your therapist will discuss confidentiality and privacy during your first session so you know exactly what to expect.

Yes! Mental health therapy is a qualified medical expense for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use pre-tax dollars for:

• Therapy session copays

• Deductible payments

• Coinsurance amounts

This effectively reduces your therapy costs by your tax rate (typically 20-30% savings). Rula provides detailed receipts compatible with HSA/FSA requirements.

If you have a high-deductible plan, you'll pay the contracted rate until meeting your deductible. Here's how to make therapy more affordable:

• Use HSA/FSA funds for pre-tax savings

• Premera Blue Cross's negotiated rates are typically 30-40% lower than private pay

• After meeting your deductible, your copay drops to $15-$40

We show your exact pre-deductible cost before booking. The average contracted rate through Premera Blue Cross is competitive, compared to $150-250 for private pay therapy.

Yes! Premera Blue Cross covers all evidence-based therapy approaches at the same rate, including:

• EMDR (Eye Movement Desensitization and Reprocessing) for trauma

• DBT (Dialectical Behavior Therapy) for emotion regulation

• CBT (Cognitive Behavioral Therapy) for thought patterns

• ACT (Acceptance and Commitment Therapy) for values-based living

• IFS (Internal Family Systems) for parts work

• EMT (Emotional Focused Therapy)

Your therapist will use the approaches best suited for your specific needs and goals. All modalities have the same $20 copay through Premera Blue Cross.*

Therapists must be licensed in the state where you're physically located during sessions. However, many Rula therapists hold licenses in multiple states, which helps:

• Frequent travelers who split time between Washington and Alaska

• Remote workers relocating temporarily

• College students attending school in another state

• People living near state borders

Premera Blue Cross covers your therapy regardless of your therapist's home location, as long as both you and your therapist are licensed/located in the same state during the session. Search our directory for therapists licensed in your state.