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In-Network First Choice Health Therapists in Washington State

Online therapy covered by your First Choice Health plan. We verify your benefits and bill First Choice Health directly — you focus on healing.

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How It Works With First Choice Health

Request a spot, we verify your benefits within two business days, then we confirm your booking. First sessions are often available about a week out.

1. Request a Spot

Fill out our secure request form, share your First Choice Health insurance details, and tell us what you'd like help with.

2. We Verify Your Benefits

Within two business days, we check your First Choice Health mental health benefits and tell you what your sessions are expected to cost.

3. We Confirm Your Booking

We confirm your appointment with a therapist matched to your needs. You meet by secure video from anywhere in Washington.

First Choice Health Therapy Across Washington State

First Choice Health is a Seattle-based provider network. Many employers in the Northwest use it, especially employers that pay their own health claims. That's why your card might show the First Choice Health logo next to another company's name. That other company is the one that actually processes claims. Talk. Heal. Thrive. is in-network with First Choice Health, and we bill your plan directly.

If you haven't heard of First Choice Health before, you're not alone. A lot of people first see the name when they start a new job. It works like any other in-network plan. We verify your benefits, you pay your share, and we handle the claims.

Our licensed therapists (LMHC, LMHCA, LMFT, LMFTA, LICSW, LSWAIC) work by secure video. First Choice Health members come to us for anxiety, for depression, and for adult ADHD. Some come for couples counseling, which some plans cover and others don't. Tell us what you'd like help with, and we'll match you with someone whose training fits.

We see First Choice Health members in Seattle, Everett, Tacoma, Olympia, Vancouver, Bellevue, Bellingham, Ellensburg, Yakima, the Tri-Cities (Kennewick, Pasco and Richland) and Spokane, and everywhere else in Washington, by secure video.

What Therapy Costs With First Choice Health

What you pay for each session depends on how your First Choice Health plan is set up. A copay is a flat amount you pay for each session. Coinsurance is a share of the session cost that you pay after your deductible is met. Some plans use one, some use the other, and the amounts differ from plan to plan. We don't know yours until we verify your benefits. Then we tell you the exact number before you book. Your plan documents and our benefits check determine your actual cost. We never guess.

Washington law requires state-regulated health plans, including Apple Health managed-care plans, to cover care delivered by telemedicine when the same care would be covered in person, and, since January 1, 2021, generally to pay for it at the in-person rate (RCW 48.43.735 for commercial plans; RCW 74.09.325 for Apple Health). Self-funded employer plans are governed by federal law and can differ; we confirm this during benefits verification.

That last point matters a lot here. Many First Choice Health plans are self-funded employer plans. Your employer sets the plan's rules for telehealth, referrals and visit limits. We check your specific plan, not a general First Choice Health policy.

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What Your First Choice Health Plan Typically Covers

Most plans that use the First Choice Health network cover outpatient therapy with an in-network provider. Federal parity rules apply to most employer plans, including self-funded ones. Those rules mean your therapy benefit can't be more restrictive than your medical benefit.

Most of these plans don't require a referral for therapy. Some employer plans set their own rules. We check for referral and prior-authorization requirements when we verify your benefits, before you're booked.

As with any plan, therapy is covered to treat a diagnosed mental health condition. Your therapist completes an assessment in your first session. Sessions are usually 45 to 60 minutes, weekly or every other week.

When you request a spot, send a photo of both sides of your card. The back usually names the company that processes claims and gives a phone number for benefits. Our tips for calling your insurance list the questions to ask if you'd like to call yourself.

What we check with First Choice Health

With First Choice Health plans, the first step is finding out who administers your plan. Then we contact them for you. We ask whether therapy by video is covered and what your in-network copay or coinsurance is. We also ask how much deductible is left, and whether a referral or authorization is needed. We share the answers before your booking is confirmed. If your employer's plan doesn't cover something, you'll know before you've paid anything.

Employer plans set their own plan year, so your deductible may reset on January 1 or another date. If you change jobs, send us your new card. We'll re-check before your next session.

Important Financial Information

Please review our financial policies carefully before your first appointment

Verification of Benefits Process

We require all insurance information (both primary and secondary) to be uploaded as part of your appointment request. We verify benefits before confirming scheduling to ensure we accurately understand your coverage and can match you with the best-fit therapist for your needs.

Credit Card Required On File

We do require a credit card on file for all clients (even if you have Medicaid). The requirement is in case your insurance lapses we have a means to charge for the session. No charges are otherwise allowed for Medicaid. For commercial plans, we will charge the card on file if you have a co-pay.

Cancellation Policy

Appointments canceled within 24 hours or missed without notice will incur the full session fee. More than two late cancellations or no-shows within a six-month period may result in termination of care, as consistent attendance is essential for providing ethical and effective treatment.

Our First Choice Health In-Network Therapists

Alyx Aiello, MS, LMHC

Not accepting new clients

Works with

Adults (18+), LGBTQ+, Teens (13-17)

Claire Carey, MSW, LSWAIC

Works with

Adults (18+)

Felicia Keys, MSW, LSWAIC

Works with

Adults (18+), Teens (13-17)

Katherine Blaine, MEd., LMHC

Not accepting new clients

Not accepting new clients

Works with

Teens (13-17), Adults 18-35

Not accepting new clients

Works with

Couples, Adults (18+)

Ready to Use Your First Choice Health Benefits?

We verify your First Choice Health coverage before your first session. Start your intake today — 100% online therapy, anywhere in Washington State.

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Frequently Asked Questions

First Choice Health is a Seattle-based provider network. Many Northwest employers use it, especially employers that pay their own health claims. Your plan's benefits come from your employer, and the First Choice Health network sets which providers count as in-network. We're in-network, so it works like any other in-network plan.

Usually, yes. Most plans that use the First Choice Health network cover outpatient therapy with an in-network provider, and Talk. Heal. Thrive. is in-network. Your employer's plan sets your copay and deductible. We check those within two business days of your request.

It depends on your plan, and we don't know until we verify your benefits. A copay is a flat amount you pay for each session. Coinsurance is a percentage of the session cost that you pay after your deductible is met. Your First Choice Health plan uses one or the other, at an amount your plan sets. We check it within two business days and tell you before you book. We never guess.

Usually, but it depends on your employer's plan. Washington law (RCW 48.43.735) covers state-regulated plans. Many First Choice Health plans are self-funded and follow federal law instead, so telehealth rules can differ. We confirm your plan's telehealth coverage during benefits verification.

Usually not. Most plans using the First Choice Health network let you see an in-network therapist without a referral. Some employer plans set their own rules. We check before you're booked. If one is needed, we'll tell you what to ask your doctor for, so it doesn't delay your start.

Both. First Choice Health is the network that makes us in-network. The other company is usually the administrator that processes claims and answers benefits questions. Send us both sides of your card when you request a spot, and we'll sort out who to bill.

Request a spot with us. We verify your benefits within two business days, then we confirm your booking with an in-network therapist matched to your needs. Sessions are by secure video from anywhere in Washington. Send both sides of your card so we can find your plan administrator.

What we check with First Choice Health

Employer plans set their own plan year, so your deductible may reset on January 1 or another date. If you change jobs, send us your new card. We'll re-check before your next session.

In-Network First Choice Health Therapists in Washington State