My therapist and I meet via Skype..i pay with cash.
You could call your insurance about reimbursement, but i'd personally check into known policies and guidelines first. There are some resources below that might help. In my experience, insurance reps. often provide inaccurate information and sometimes try to screw you over.
eta: after seeing Leah's response, my therapist is in private practice, so even though he doesn't have organizational policies to follow, they have to stay aligned with practice ethics and of course laws.