couples & relationship screenings

How Insurance Works for Couples Therapy

When using insurance for couples or relationship work, services are billed as Family Therapy - a covered service focused on one person's mental health within the context of their closest relationships.

  • One person is designated as the Primary Client, whose diagnosis guides the treatment.

  • Sessions may include partners or other support people

  • Therapeutic goals focus on improving the Primary Client’s functioning, often by addressing relationship dynamics and communication

  • The Primary Client is the legal owner of the therapy record. Other participants may only access information with a signed Release of Information (ROI), which can be revoked at any time.


"Family" under Oregon law includes not only biological or legal relatives, but also partners, guardians, caregivers, and other close support people.


When Paying
Out-of-Pocket
is a Better Fit


Ready to Move Forward?

We advise you pay out of pocket for couples or family therapy if:

  • You want joint ownership of the therapy record (both names on the chart) and share equal access to the record. This may be preferable for contexts where future legal proceedings (e.g., custody disputes, separation, or divorce) could involve questions of access or ownership of records

  • Your focus is solely on the relationship, rather than one person’s mental health.

  • Neither participant has a mental health diagnosis to support insurance billing.

If you'd like to use insurance for couples or family therapy:

  • The Primary Client should complete the screening request.

  • Plan to use the Primary Client’s insurance plan for session coverage.



Not Sure Which Option is Right for You?

We’re happy to help you choose the best fit for your needs. Email us with questions!
If you are navigating a legal situation or have concerns about documentation and privacy, we encourage you to consult with your attorney before beginning therapy.

Our Couples & Family Internship Clinic

Most new requests for couples and relationship therapy are seen through our Couples & Family Internship Clinic.

About the Clinic

Our clinic is staffed by QMHPs (Qualified Mental Health Professionals) who are students in the final stage of their master's program who have completed all coursework. They receive frequent supervision and consultation from a Clinical Supervisor, which means you benefit from two clinicians thinking about your care - bringing more perspectives, more support, and a collaborative approach to helping you meet your goals.

The clinic currently accepts:

  • Cash pay

  • Oregon Health Plan (OHP): CareOregon, HealthShare, Columbia Pacific CCO, Jackson Care Connect, Open Card, PacificSource Community Solutions

  • Private insurance is not accepted through this clinic

Request a screening through our Couples & Family Clinic by completing the confidential form below. A member of our clinic staff will contact you to schedule within 5-10 business days.

Other Insurances:

Clinicians in our main clinic accept a broader range of insurance plans and occasionally have openings for children, adolescents, teens, and family systems. Availablity is updated here regularly, check back later to see if we are open to your insurance plan.

we are not accepting new clients for couples & family therapy
through our main clinic at this time. requests for these services will be canceled and redirected to complete the Couples & Family Clinic Screening Request Form above.

Oregon Health Plan (OHP / Medicaid)

  • Eastern Oregon CCO (EOCCO)

  • Greater Oregon Behavioral Health Inc (GOHBI)

  • Intercommunity Health Network (IHN)

  • Trillium Community Health Plan

  • Umpqua Health Network CCO

  • Yamhill CCO

Commercial Insurance

  • Aetna

  • Kaiser Permanente

  • Moda

  • PacificSource (Commercial)

  • Providence Health Plan

Important Insurance Notes:

  • Medicaid (OHP) is considered the payer of last resort. All other active insurance coverage must be disclosed.

  • We are not in network with Medicare and are unable to accept cash-pay from Medicare members.

  • We are unable to accept cash-pay from OHP members.

  • Insurance eligibility and coverage will be confirmed prior to services.