- What is EAP therapy?
- An employee assistance program (EAP) is a benefit your employer pays for that gives you a few free, confidential counseling sessions for personal or work problems, and referrals when you need longer care. The U.S. Office of Personnel Management describes it as "a voluntary, work-based program that offers free and confidential assessments, short-term counseling, referrals, and follow-up services to employees who have personal and/or work-related problems." In March 2026, 60 percent of private-industry workers and 80 percent of state and local government workers had access to one (Bureau of Labor Statistics). Many employers now run it through an online platform such as Lyra Health, Spring Health and Modern Health.
- How many free therapy sessions does an EAP give?
- Your employer decides, so the number is in your benefit's own terms. Federal rules require an EAP that stands apart from your health plan to give care that is not "significant benefits in the nature of medical care", judged by "the amount, scope and duration of covered services", which is why EAP counseling is short-term. One federal example: NIH's EAP gives federal employees "up to six sessions, per issue." Of the 7 employer platforms compared here, 4 say on their own pages that the number is set by the employer or plan (Lyra Health, Modern Health, Headspace Care and Spring Health).
- Is EAP therapy confidential? Will my employer know?
- EAPs are confidential by design: OPM's definition calls them "free and confidential". NIH's EAP, as one example, says "All services provided by the EAP are completely confidential. No information about your involvement with EAP can be released outside the EAP office without your written consent, except in cases involving imminent safety risks or as otherwise required by law." What the platforms' own pages say your employer gets: Included Health, aggregated, de-identified data, with stated exceptions; Lyra Health, not shared with your employer unless law permits or you authorize it; Modern Health, only anonymized, aggregated data, except imminent harm or law; Headspace Care, your sponsor sees registration and last activity, not your care; Spring Health, employer won't know if you registered or booked. Ask your EAP how it reports to your employer before you start if this matters to you.
- Do I have to use my EAP before my health insurance covers therapy?
- No. For an EAP to count as a separate "excepted benefit" under federal rules (29 CFR 2590.732(c)(3)(vi)), "Participants in the other group health plan must not be required to use and exhaust benefits under the employee assistance program (making the employee assistance program a gatekeeper) before an individual is eligible for benefits under the other group health plan." The same rule says "There is no cost sharing under the employee assistance program." You can go straight to a therapist your health plan covers, or use both.
- What happens when my EAP sessions run out?
- It depends on the platform and your health plan. Lyra Health, copays or cost-sharing for extended care, medication billed to your health plan; Modern Health, your health plan, where your employer integrates it; Headspace Care, billed to your insurance, else at self-pay rates; Spring Health, health plan coverage, cost sharing or out-of-pocket, by benefit design; Talkspace, your behavioral health benefits, or out of pocket. A traditional EAP usually refers you to longer-term care your health plan covers. Without insurance, one session at the 22 services that publish a price starts at a middle price of $155.
- Is Lyra Health free?
- Free sessions come only through an employer or health plan that offers it. Lyra Health's own pages say: "Your cost depends on your employer’s Lyra plan. Many members receive a set number of therapy or coaching sessions at no cost, while others may have low copays or cost-sharing for extended care." Once they are used: copays or cost-sharing for extended care, medication billed to your health plan. What your employer sees: not shared with your employer unless law permits or you authorize it. Without an employer: only some specialty care, through a health plan or a provider's referral.
- Is Spring Health free?
- Free sessions come only through an employer or health plan that offers it. Spring Health's own pages say: "First 6+ sessions covered by your employer" and "Employer-sponsored sessions will depend on your coverage type." Once they are used: health plan coverage, cost sharing or out-of-pocket, by benefit design. What your employer sees: employer won't know if you registered or booked. Without an employer: yes, through participating insurance or self-pay.
- Is Modern Health free?
- Free sessions come only through an employer or health plan that offers it. Modern Health's own pages say: "Your employer determines the number of therapy and coaching sessions you are eligible for." and "Unused sessions do not roll over, and sessions scheduled for a date after the renewal date count towards the next cycle." Once they are used: your health plan, where your employer integrates it. What your employer sees: only anonymized, aggregated data, except imminent harm or law. Without an employer: no, only through employer benefits.
- How do I find out if my employer offers an EAP or a platform like Lyra or Spring Health?
- Your HR or benefits portal names your EAP and its phone number. What the platforms' own pages say to do: Included Health, members of the employer's medical plan and their dependents; Lyra Health, benefits site or HR, or search at care.lyrahealth.com; Modern Health, your company must be a client and list you, so ask your Benefits Team; Headspace Care, ask your benefits administrator; Learn to Live, ask your employer, plan or school for a code; Spring Health, through your employer's or plan's access point, or your benefits team; Talkspace, an employer code or your EAP.