Insurance & Fees for Intensive Outpatient Program (IOP)

Understanding insurance coverage and costs can feel overwhelming, especially when you’re already navigating mental health care decisions. This page is here to provide clear, straightforward information about insurance and fees for Portland Mental Health & Wellness’s (PMHW) Intensive Outpatient Program (IOP), and to help you understand what comes next.

Coverage and costs can vary by plan, and our team is available to help review your options and answer questions.

Request an IOP Assessment

Our team will review your information and help determine next steps.

Program Fees

The cost of PMHW’s Intensive Outpatient Program (IOP) is based on the services provided as part of your care.

Fees reflect the structured nature of IOP, which includes multiple group therapy sessions per week, individual support, and care coordination.

Current fees include:

Intake & Evaluation Session: $294.25
Intensive Outpatient Services: $549.00/day
Cancellation & No Show Fee: $250.00

Insurance Coverage

Portland Mental Health & Wellness works with many insurance providers. Coverage for IOP services varies depending on your plan and benefits.

Insurance plans commonly accepted include:

Aetna
CareOregon – OHP
First Choice Health Network
Kaiser (A referral from Kaiser required)
Moda Health
PacificSource
PacificSource Community Solutions – OHP
Providence
Trillium
United Healthcare

This list may change, and coverage depends on individual plan benefits. Our team can help verify benefits and explain what your plan may cover.

Fees & Coverage Considerations

IOP services are typically billed through insurance. Out-of-pocket costs, such as copays or deductibles, depend on your individual plan.

Factors that may affect cost include:

Your insurance carrier and plan type
Deductible and copay amounts
Authorization requirements
Length of participation in the program

We encourage you to reach out so we can help clarify coverage before you begin.

Getting Started with IOP

If you’re interested in IOP and want to understand whether it’s a good fit, the process typically includes:

Submitting a request for assessment
A clinical review to determine the appropriate level of care
Insurance verification and discussion of next steps
Scheduling intake if IOP is recommended

You don’t need to have everything figured out before reaching out — support is available at each step.

Learn More About Adult IOP

Virtual IOP in Oregon

LGBTQIA+ IOP Program

Frequently Asked Questions About Insurance

Do I need insurance to participate in IOP?

Insurance is commonly used for IOP services. Our team can discuss options and help determine coverage.

Will I know costs before starting?

Whenever possible, we will help clarify coverage and expected costs before enrollment.

Do I need a referral?

In many cases, no referral is required. (Note: A referral from Kaiser is required.)

If questions about insurance or cost are holding you back, you’re not alone. PMHW’s team is here to provide clear information and help you understand your options so you can focus on getting the support you need.

Request an IOP Assessment

Insurance & Fees for Intensive Outpatient Program (IOP)

Program Fees

Insurance Coverage

Fees & Coverage Considerations

Getting Started with IOP

Frequently Asked Questions About Insurance

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