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Your behavioral health benefits
Have you been feeling like yourself lately? If not, that’s OK. We offer behavioral health treatment to our members who need some extra care.
I’m having a mental health crisis
I’m having a mental health crisis
Call 911 or go to the nearest hospital if:
- You are thinking about hurting yourself or someone else
- You have a behavioral health emergency
You can use any hospital for emergency care even if it isn’t in our network. Just show your Aetna Better Health® of California ID card.
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Our behavioral health services
Substance use disorder services
We cover:
- Outpatient substance use disorder services, including residential treatment services
- Voluntary inpatient detoxification
Specialty mental health services (SMHS)
SMHS is for patients with serious mental illnesses. We help you get the treatment you need. That’s why we provide high-quality coverage at the hospital or in your home.
Outpatient mental health services
Your doctor will refer you for a mental health screening or you can schedule an appointment on your own. Call Member Services at 1-855-772-9076 (TTY: 711) for help. You will be recommended for treatment if your screening results show that:
- You are in mild or moderate distress
- You have impairment of mental, emotional or behavioral functioning
After your screening, we’ll suggest you take more action to evaluate a mental health condition. Then, we’ll match you with the outpatient service that best fits your needs.
Behavioral health treatment for autism spectrum disorder (ASD)
Our ASD coverage is patient- and guardian-focused. We offer coaching in social and behavioral skills, so you’ll have the tools to live your best life. You’ll qualify for behavioral health treatment services if:
- You are under the age of 21
- You have behaviors that interfere with home or community life (anger, violence, self-injury, running away, difficulty with living or communication skills)
- Services are medically necessary, prescribed by a licensed doctor or psychologist, and approved by the plan