Seeing a therapist out of network? You may be overpaying.
Inclara asks your insurer to cover the therapist you already see at in-network rates. You only pay if it's approved.
You may qualify if:
- Your insurance is through an employer, and
- You see (or want to see) a therapist who is out-of-network, and
- One of these is true: you're already in treatment, no in-network provider fits your language or need, or your need is urgent.
How it works: we handle the hard parts
You sign the intake
About 10 minutes, secure, and gives us authorization to act on your behalf.
We document the gap
We show, in writing, that your plan has no adequate in-network option for your need.
Your therapist adds a letter
A short letter of medical necessity; we combine it with the gap documentation and submit the formal request.
We file and follow up
We submit the request and follow up with your insurer until it decides.
Why it's low-risk
It takes about 10 minutes to find out.
This isn't a verdict, just a starting point. We'll review what you share and follow up personally, usually within a couple of business days.
Frequently asked questions
What's a network gap exception?
Your plan agreeing to apply your in-network benefits to an out-of-network therapist, because its own network can't meet your need. It's what we ask for in most cases. More on gap exceptions
What if it's denied?
You owe nothing, and we tell you plainly whether re-filing is worth it.
What does it cost?
Nothing upfront. A one-time fee only if your coverage is approved.
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