You don’t have to navigate depression, anxiety, or the weight of recovery alone — and you don’t have to drive across the county to get help. Fresh Start Health offers behavioral and mental health care across Kentucky by telehealth, integrated with the medical care we already provide. Most visits are covered by Kentucky Medicaid and commercial insurance.

If you’re struggling or just want to talk to someone, call us at (606) 225-8200 or use the chat function on this page. A care coordinator will help you take the first step.

Behavioral health care, integrated with the rest of your health

Mental health and physical health are not separate. Depression, anxiety, and trauma often travel alongside chronic conditions, addiction recovery, and the stresses of everyday life — and treating one without the other rarely works. At Fresh Start, behavioral health is woven into our primary care and addiction treatment, so your providers work from the same picture and your care is coordinated rather than fragmented.

What we treat

Depression — persistent sadness, loss of interest, fatigue, hopelessness, or trouble functioning day to day.
Anxiety — excessive worry, restlessness, difficulty concentrating, panic, or tension that interferes with life.
Co-occurring conditions — mental health needs that show up alongside substance use disorder, which we are uniquely set up to treat together.
Stress, grief, and adjustment — the very human struggles that don’t always have a diagnosis but still deserve support.

Care may include counseling and therapy, medication management when appropriate, and ongoing follow-up — tailored to what you need, not a one-size-fits-all plan.

Why integrated behavioral health matters in Eastern Kentucky

Eastern Kentucky has long faced a shortage of mental health providers, leaving many people to travel long distances or go without care entirely. At the same time, the region’s opioid crisis means depression, anxiety, and trauma frequently overlap with recovery. Telehealth and an integrated model close that gap: you can reach a provider from home, and your behavioral health care is connected to the addiction and primary care you may already be receiving from us.

How it works, step by step

1. Reach out. One call or chat message. We verify your insurance and confirm coverage before you spend a dollar.
2. An intake conversation. A Fresh Start provider listens, understands what you’re dealing with, and builds a plan with you — by secure video or phone.
3. Ongoing care. Counseling, medication management when appropriate, and regular check-ins — most of it from the comfort of home.
4. Coordinated support. If you’re also in treatment for addiction or a medical condition with us, your care teams work together.

Does insurance cover behavioral health?

Yes. Kentucky Medicaid and most commercial insurance plans cover behavioral and mental health services, often at little or no out-of-pocket cost. We verify your specific benefits before your first appointment and walk you through any costs in advance. If you’re uninsured, we can often enroll you in Medicaid the same day and offer an affordable self-pay option.

Compassionate, stigma-free, and confidential

Asking for help takes courage, and we never take that lightly. Fresh Start provides compassionate, stigma-free care for every patient — no judgment, no lectures. Your care is private and protected under HIPAA. Whether you’ve been managing something for years or this is the first time you’ve reached out, you’re welcome here.

Why Fresh Start Health

Fresh Start Health Centers is a federally certified Rural Health Clinic with four locations across Eastern Kentucky — Ashland, Grayson, Morehead, and Vanceburg — and accepts Kentucky Medicaid and most commercial insurance plans. Because we treat the whole person — primary care, addiction, hepatitis C, HIV prevention, and behavioral health — we can coordinate every part of your care under one roof. Unlike national virtual-only services, we are physically here in Kentucky and know the communities we serve.

Frequently asked questions

Can I get mental health care by telehealth in Kentucky?
Yes. Most behavioral health visits — including counseling and medication management — can be done by secure video or phone from home.

How much does it cost?
For most Kentucky Medicaid and commercial plans, behavioral health visits cost little or nothing out of pocket. We verify your benefits before any charges, and offer an affordable self-pay option if you’re uninsured.

Do you treat mental health and addiction together?
Yes. Co-occurring conditions are one of our strengths — we treat depression, anxiety, and substance use disorder in a coordinated way rather than sending you to separate places.

Is my care confidential?
Yes. All care is private and protected under HIPAA.

Does this program serve my area?
Yes — the program serves the entire state of Kentucky by telehealth. Our clinics are in Ashland, Grayson, Morehead, and Vanceburg.

Take the first step today

Reaching out is the hardest part — and you’ve already started by being here. Whatever you’re carrying, you don’t have to carry it alone.

Call us at (606) 225-8200 or use the chat function on this page to speak with our team. A care coordinator will reach out within one business day.

A note on privacy and safety: please share any medical details by phone or through our HIPAA-protected patient portal — not through a web form or email reply. If you are in crisis or thinking about harming yourself, call or text the 988 Suicide and Crisis Lifeline right away, or dial 911.

Behavioral & Mental Health Care in Kentucky: Telehealth