Insurance and Benefits Coverage For Counselling in Kitchener

Counselling or psychotherapy Coverage:  

ASSIST works with most benefits and insurance companies.  Ensure your coverage includes counselling or psychotherapy with either a Registered Social Worker (MSW) or a Registered Psychotherapist (RP).  If you are unsure, ASSIST can contact your benefits provider to confirm coverage.

Medical and Psychiatric Services: 

Medical and psychiatric services are provided by our service partners and work in a collaborative care model.  Psychiatric consultation requires a referral from a doctor and clinical services are covered under OHIP.  Psychiatric services are only available to active clients receiving and paying for counselling services.

Referral:  

Some insurance companies require a doctor's referral or prescription before they will cover our services.  Check with your provider to confirm their requirements.  ASSIST does not require a referral for counseling services.

 ASSIST is a recognized provider of Mental Health Services under the Non-Insured Health Benefits for First Nations and Inuit. Clients registered with NIHB in Ontario and who have a valid ID number may be fully covered for individual, couple, or group counselling services.    Contact us at (705) 716-0749 or click the link below to book an appointment. 

 Counselling and Psychotherapy are covered under many student health benefit plans.  If you are a full-time student, a graduate student or an international student, you could be covered for our services.  Check with your student benefit plans to see if social work or psychological services are included in your plan.

Common plans in Kitchener-Waterloo, Cambridge, and Surrounding areas include: 

•  Psychologists/Social Workers
  70% and up to $300 per policy year. 
• Physician referral must accompany first claim
• Plan Details can be found here.

• Undergraduate Students (Full/Part-time)
  • Covered $800/policy year (September 1 – August 31)
  • 80% coverage per visit
  • Plan details can be found here.

• Graduate Students (Full-time) 
  • Covered $500/policy year (September 1 – August 31)
  • Up to $30 coverage per visit
  • Plan details can be found here.

• Undergraduate Students (Full-time)
  • Covered $400 per calendar year
  • Up to 80% coverage per visit
  • Physician referral must accompany first claim
  • Plan details can be found here.

• Graduate Students (Full-time)
  • Covered $400 per calendar year
  • Up to 80% coverage per visit
  • Physician referral must accompany first claim
  • Plan details can be found here.

If you are a First |Responder in the following areas, you could be covered under WSIA.  

• Police officers (including First Nations constables)
• Firefighters (part-time, full-time, and volunteer firefighters, fire investigators and firefighters who volunteer or work for Band Councils)
• Paramedics, emergency medical attendants, and ambulance services managers whose duties include providing direct support for paramedics dispatched by a communications officer on a request for ambulance services
• Emergency response teams
• Correctional officers/youth services workers (including operational managers), and certain workers who provide direct health care services in correctional institutions and secure youth justice facilities
• Workers involved in the dispatch of police, firefighters,s and ambulance services

You will require a formal diagnosis from a psychiatrist.  If you do not have a diagnosis yet, we can set up an assessment to get one through our virtual clinic.

Learn more about this plan here.