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Navigating Insurance Coverage Expiration: Your Guide to Continuity of Care

Dealing with changes to your coverage can be challenging, especially when it affects your access to mental health services. We're here to help you navigate this process and ensure you continue receiving the care you need. This article addresses common concerns about coverage expiration and how to manage it.

How do I know if my insurance has expired or needs to be updated?
To ensure billing accuracy, Talkspace regularly checks your insurance coverage for updates. If you're prompted to update your insurance information or receive a message indicating that no credits are available, it likely means your coverage needs to be updated.

In such cases, follow these steps:

  1. Contact your health insurance provider to confirm that Talkspace is in-network and that telehealth benefits are included in your plan.
  2. Once you’ve confirmed Talkspace is in-network, follow the “Coverage expired” in-room prompt or the steps in How Do I Apply/Update My Coverage? to reapply your coverage.
    • If you’re not finding the option to update your coverage, you can instead add a new service, which will create a new room with the payment method or coverage that you choose.

How to tell if you've successfully reapplied your coverage?  Visit Where Can I Find Details About My Talkspace Plan, Payment, and Coverage? and follow the instructions to review your active plans. Tip: Check that your plan name includes the name of your insurance benefit.

What happens if I don't update my coverage?
If you receive a notice in your Talkspace account that your insurance coverage has expired, you'll need to update it by the given deadline. If you don't, any future sessions with your provider will be canceled, and your room will automatically close. If you choose to update your coverage after the deadline, we'll always welcome you back whenever you're ready.
How can I continue with my plan if I no longer have the same coverage?
Even without the same coverage, you can continue care by keeping an up-to-date form of coverage or payment on your plan.

Here are some options to consider:

Read more about these options here: Accepted Forms of Payment/Coverage.

Once you’ve decided how you’d like to proceed, follow the in-room prompt or the steps in How Do I Apply/Update My Coverage? This will allow you to either switch to out-of-pocket payment or update your coverage. If you’re not finding the option to update your coverage, you can instead add a new service, which will create a new room with the payment method or coverage you choose.

Can I keep or work with the same provider after updating my coverage or payment method?
Most likely you'll be able to continue your services with your existing provider if they are available and in-network under your new coverage or payment method.

If your provider is no longer available under your new coverage, we'll do our best to match you with a similar provider so you can continue to receive care.

What happens if I have a messaging session in progress in my room?
Regardless of whether you update your coverage, any ongoing messaging session will remain open until the deadline for updating your coverage has passed. At that point, the session will automatically close.
What happens if I have live sessions scheduled?
If there are no changes between your old and updated coverage, you'll be matched to the same provider and keep all your scheduled sessions.

If your coverage or payment method changes, your scheduled sessions cannot be transferred, so you'll have to reschedule them.

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