Common questions

Yes. Getting matched through Breakthrough is free, and there’s no obligation to book. You only pay for therapy sessions if you choose to start with a therapist – through your insurance or their private-pay rate.

No catch. Breakthrough is free for you: you won’t be charged for getting matched, you don’t need a credit card, and there’s no obligation to book. Starting October 15, 2026, some therapists – not you – pay Breakthrough for Care Start, an administrative support commitment of up to four weeks. For fee-carrying matches, it’s $30 for each completed seven-calendar-date coverage period, to a maximum of $120 per match, shown on the therapist’s monthly statement. It isn’t added to what you pay. Fee status and payment history do not affect a therapist’s score, rank, or order among the therapists eligible for you – there’s no paid placement and no paid ranking tier – and some therapists or matches are fee-exempt. If you decide to start therapy, scheduling, billing, and care happen directly with your therapist.

No. Our network is therapists who chose to join it, so it isn’t every licensed therapist in Hawaiʻi, and being in it isn’t an endorsement or a ranking of quality. From October 15, 2026, the therapists we can match you with will depend partly on how you’re paying: if you’re using commercial insurance or paying privately, we’ll match you with therapists who take part in Care Start, the onboarding service therapists pay us for. If you’re covered by QUEST, Medicare, or TRICARE, we match you across the whole network. Within any set of therapists we can match you with, our matching code cannot read billing or fee information at all, and an automated test will fail our build if that ever changes.

In many cases, yes. Many therapists in our network accept major insurance plans, including HMSA, Kaiser, UHA, QUEST plans, and others. We’ll ask about your insurance in the quiz and prioritize therapists who appear to be in-network whenever possible. Insurance is billed through your therapist, not Breakthrough.

Costs vary by therapist and whether you use insurance. With insurance, copays are typically $20 to $50 per session; private-pay rates generally run $150 to $200 per session. You’ll see each matched therapist’s rate and the insurance they accept before you book.

We review your answers and look across our therapist network for the strongest fits – usually two to five. Your matches arrive by email. If you don’t see them within a few days, check spam or write us at support@breakthrough.me. From there, you choose whether you’d like an introduction.

It depends on your insurance, availability, location and clinical needs. We email you the moment your matches are ready.

Yes. If your therapist doesn’t feel like the right fit, let us know and we’ll help you find a better one – there’s no extra cost and no need to start over from scratch.

Yes. Your quiz answers are kept private, and we never sell your data. We may share a brief summary of what you’re looking for with a potential therapist so they can confirm fit, but we don’t share your name or contact details until you choose to request an introduction. You can read our full Privacy Policy.