> YMMV; I have never successfully gotten ADHD CBT reimbursed by insurance. The situation has changed significantly under the ACA now that behavioral health is

> YMMV; I have never successfully gotten ADHD CBT reimbursed by insurance. The situation has changed significantly under the ACA now that behavioral health is covered as an essential health benefit. But you do have to go through your insurance company's website to find the in-network providers. As you said, you can't simply pick a therapist and then try to seek reimbursement later. Some of the cash-only therapists are great if you can afford them. Some therapists strike out on their own as cash-only after building a reputation and a loyal client base. However, it's not a guarantee of success as cash-only also attracts a lot of people who simply want to maximize profit and not deal with insurance, so YMMV.