Does Cigna Cover Couples Therapy?
How Cigna covers couples therapy through Evernorth — the diagnosis requirement, what qualifies as medically necessary, and alternatives when insurance doesn't apply.
The Short Answer
Cigna covers couples therapy conditionally. Like every major U.S. insurer, Cigna only reimburses couples therapy when at least one partner has a diagnosed mental health condition and joint sessions are clinically necessary. Pure relationship counseling, marriage enrichment, and premarital counseling are not reimbursable.
When covered, sessions bill as family psychotherapy (CPT 90847) and are processed through Evernorth Behavioral Health.
Key Takeaways
- Cigna covers couples therapy only when one partner has a diagnosed covered mental health condition.
- Sessions bill as CPT 90847.
- In-network copays typically $20–$50 per session.
- Pure relationship counseling is not covered.
- When coverage doesn't apply: EAP, HSA/FSA, sliding-scale providers, or individual + joint sessions.
What Cigna Covers for Couples Therapy
CPT codes
| CPT Code | Description |
|---|---|
| 90847 | Family therapy with identified patient present |
| 90846 | Family therapy without identified patient |
The diagnosed partner is the "identified patient" — their plan is billed.
Covered scenarios
- A partner with depression, anxiety, or PTSD doing couples work as part of their treatment
- Substance use recovery with joint sessions
- Adjustment disorders where couples work is clinically appropriate
Not covered
Marriage enrichment, premarital counseling, relationship tune-ups, or conflict resolution without a diagnosis.
In-Network vs. Out-of-Network Couples Therapy
In-network
- Use Cigna's provider directory; filter by Behavioral Health
- Look for LMFTs, Certified Gottman Therapists, or Certified EFT Therapists
- Copay: $20–$50 per session
Out-of-network
- Cash-pay rates: $150–$350 per session
- PPO plans reimburse 50–80% of allowed amount for 90847 after OON deductible
- HMO plans: no OON coverage
How to Verify Your Cigna Couples Therapy Coverage
Call 1-800-244-6224 or the number on your ID card.
Script
- "What is my copay for family therapy, CPT 90847?"
- "Is there a session limit for family therapy?"
- "Does 90847 require a specific diagnosis on one of us?"
- "If my partner is the diagnosed individual with different insurance, does that affect my Cigna coverage?"
- "Do I have out-of-network benefits, and what is the allowed amount for 90847?"
- "Are telehealth couples sessions reimbursed at the same rate?"
Typical Out-of-Pocket Costs for Couples Therapy
For a 16-session course:
| Scenario | Per Session | 16-Session Course |
|---|---|---|
| In-network, $30 copay (diagnosis present) | $30 | $480 |
| In-network, $50 copay (diagnosis present) | $50 | $800 |
| In-network without a diagnosis (not covered) | Full fee | $2,400–$4,800 |
| OON PPO, 70% reimbursement | ~$70–$140 post-reimbursement | $2,200+ (year 1) |
| Cash pay | $150–$350 | $2,400–$5,600 |
See couples therapy cost for the private-pay view.
What to Do If Coverage Doesn't Apply
- EAP. Many Cigna employer plans include 3–8 free EAP sessions through Evernorth — often usable for early-stage couples concerns without a diagnosis.
- HSA/FSA. Therapy is eligible pre-tax; saves 20–35%.
- Sliding-scale providers. Open Path Collective.
- Individual + joint. Each partner in individual therapy (covered under their own plan), with occasional joint sessions.
What to Do If Cigna Denies a Couples Therapy Claim
- Get the EOB in writing.
- Ask your therapist to peer-review with Evernorth.
- File a first-level appeal within 180 days via myCigna.
- Cite MHPAEA parity if comparable medical family-based treatments are covered.
Frequently Asked Questions
Does Cigna cover Gottman Method or EFT specifically? Neither method has its own CPT code — both bill as 90847. Coverage depends on the diagnostic frame.
Does Cigna cover premarital counseling? No — not a covered medical service.
Can we both use our Cigna plans for the same session? No — only one plan is billed per session.
Does Cigna cover online couples therapy? Yes, when billed under 90847. Telehealth parity applies.