# How should we check insurance cover before a patient starts therapy?

URL: https://tymirahealth.com/resources/faqs/how-should-we-check-insurance-cover-before-a-patient-starts-therapy
For: Finance | Billing and payments | Reviewed by Independent clinical reviewer, Registered mental health clinician, Kenya | Last reviewed 8 November 2026

**Answer:** Before the first session, confirm with the insurer or the patient's scheme: whether outpatient mental health is covered, the annual limit or number of sessions, co-payments, which provider types are approved, whether teletherapy is covered, and whether pre-authorisation is needed. Record the reference number and tell the patient in writing what they may have to pay themselves. Kenya's Mental Health Act prohibits insurers from discriminating against people with mental illness, but benefit limits still vary by policy.

Sources: Kenya Law: https://new.kenyalaw.org/akn/ke/act/1989/10/eng@2023-12-11 - Kenya Law: https://new.kenyalaw.org/akn/ke/act/ln/2024/49

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