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Behavioral health

You deserve to be healthy in body and mind. Your plan covers health for you as a whole person. That includes help with your mental health or substance use. You or your child can go to any behavioral health provider in our network.

Questions?

Just call ${member_services_phone}. We’re here for you ${member_services_hours}.

 

You can also check out your member handbook on the member materials and forms page.

Help in a crisis

Help in a crisis

Call 911 or go to the nearest hospital if:

 

  • You have thoughts of harming yourself or someone else
  • You have an emergency and need help right now

 

You can use any hospital for emergency care, even if it isn’t in our network. Just show your member ID card.

 

The National Suicide Prevention Lifeline has counselors that will talk or chat with you. You can get help 24 hours a day, 7 days a week:

 

You can also call our Crisis Line. Just call 1-888-348-2922. Then, choose the Crisis Line option. We’re here for you 24 hours a day, 7 days a week. And we can link you to the right resources.

We’ve got you covered

 

Behavioral health benefits cover treatment for mental health and substance use disorders. We offer treatment options to help you feel better and support your recovery. You don’t need a PCP referral. You can get treatment from any provider in our network. 

Our behavioral health services

Check out the list of services we cover. 

 

Keep in mind, there may be certain limits as to how much or how often we cover services. See your member handbook for details.  

Psychiatric residential and rehabilitation facilities

 

You and your children (under 21) are covered if you need to stay in a treatment facility. This includes treatment for both mental disorders and substance use disorder (SUD).  

 

Drug testing

 

If your provider recommends drug testing that’s medically necessary, you’re covered for that, too. 

 

Hospital stays

 

You’re covered if you need to stay in the hospital for behavioral health issues or SUD. 

 

Inpatient psychiatric care 

 

Members who are: 

 

  •  Under age 21: are covered if they need to stay in a facility for a psychiatric condition. This includes treatment through what’s called an individual plan of care. 
  • Between age 21 and 64: are covered for full-time psychiatric care. This includes treatment through an individual plan of care from an Institution for Mental Diseases (IMD).  
  •  

Outpatient services

 

Members with mental illness and SUD are covered for: 

 

  • Outpatient treatment (services you get when you’re not staying at a hospital or care facility)
  • Assertive community treatment (ACT) (age 18 and up)  
  •  

Psychological therapy

 

Members are covered for counseling (or therapy) visits with a psychologist. This includes: 

 

  • Evaluation and treatment 
  • Individual, family and group therapies 
  • Telehealth sessions
  •  

Substance use disorder (SUD) services

 

Members with SUD are covered for:  

 

  • Targeted care management
  • Physician-supervised medication 
  • Counseling services

Members with mental health disorders and substance use disorder (SUD) are covered for services that may include:

 

  • Evaluation
  • Referral
  • Diagnosis
  • Therapeutic care
  • Crisis intervention 
  •  

Members with autism spectrum disorder are covered for applied behavior analysis (ABA).

Psychiatric residential and rehabilitation facilities

 

You’re covered if your child needs to stay in a treatment facility. This includes treatment for both mental health disorders and substance use disorder (SUD).  

 

Drug testing

 

If your provider recommends drug testing that’s medically necessary, you’re covered for that, too.

 

Hospital stays

 

You’re covered if you need to stay in the hospital for behavioral health issues or SUD.

 

Inpatient psychiatric care (under age 21)

 

Your child is covered if they need to stay in a facility for a psychiatric condition. This includes treatment through what’s called an individual plan of care. 

 

Outpatient services

 

Members with mental illness and SUD are covered for:

 

  • Outpatient treatment (services you get when you’re not staying at a hospital or care facility)
  • Assertive community treatment (ACT) (age 18 and up) 
  •  

Psychological therapy

 

You’re covered for counseling (therapy) visits with a psychologist. This includes:

 

  • Evaluation and treatment 
  • Individual, family, and group therapies
  • Telehealth sessions
  •  

SUD services

 

Members with SUD are covered for:

 

  • Targeted care management
  • Physician-supervised medication
  • Counseling services

Learn more about mental and behavioral health

Learn to manage stress


Did you know that stress can affect your health? It can be hard to keep up with healthy habits during times of stress.

 

You can read these articles to learn more about mental and emotional well-being:

 

Staying mentally healthy in tough times

 

Understanding depression

 

Healthy living resources

 

4 ways to take care of physical and mental well-being during unsettled times

 

Or learn more about depression from the National Institute of Mental Health.

Substance use disorders happen when people misuse drugs, alcohol or both, repeatedly. Often, substance use is related to mental health.

 

Learn more about substance use disorders

 

Or find more info from:

 

Alcoholics Anonymous®

 

Substance Abuse and Mental Health Services Administration (SAMHSA)

Mental health disorders can be serious. They can change a person’s thinking, feeling, mood and daily functioning. And each year, they affect:

 

  • 1 in 4 adults
  • 1 in 10 children 

Some examples of mental health disorders include:

 

  • Depression

  • Schizophrenia

  • Bipolar disorder

  • Obsessive-compulsive disorder (OCD)

  • Post-traumatic stress disorder (PTSD)

  • Anxiety

  • Borderline personality disorder

For more info, visit the National Alliance on Mental Illness (NAMI) website.

 

There, you can learn about the different support programs NAMI offers, including:

 

  • Peer-to-Peer

    A no-cost course for anyone living with mental illness. Those who join can learn about coping skills and self-care.

  • Family-to-Famil

    A no-cost course for family caregivers of adults living with mental illness. It teaches communication and problem-solving skills to help them deal with the impact on the family.

  • StrengthOfUs.org

    An online social community for teens and young adults living with mental illness. It’s a place for them to connect and learn about services.