Little Otter

Little Otter is a virtual mental health service built around the whole family. Care starts with a family mental health check-up and an assessment, then a care plan that can include therapy for the child, parent coaching, couples or parent therapy, and psychiatry with medication management. It treats children from birth to 18, including anxiety, depression, ADHD, behavior and trauma, as well as parents' and perinatal mental health. Self-pay prices are $350 for the assessment, $200 per therapy or parent coaching session and $250 per psychiatry session, with bundle discounts but no sliding scale. It is in-network with plans including Independence Blue Cross, AmeriHealth NJ, Florida Blue, Kaiser Northern California and BCBS of Minnesota and North Carolina, and provides superbills for out-of-network claims; it does not take Medicaid or Tricare. Its outcome figures come from company reports; no peer-reviewed study of its care was found.