Is Mental Illness Covered by Insurance?

Approximately one in five adults in the United States experience symptoms of mental illness each year, according to the National Alliance on Mental Illness. Mental illness symptoms are often treatable, but paying out of pocket for medication, therapy, and in some cases, hospitalization, is often impossible. Because of that, you want to know if your insurance policy covers mental health treatment.

Affordable Care Act and Mental Health Coverage

The Affordable Care Act has transformed mental health coverage. Almost all small group and individual health insurance plans are now required to cover mental health treatment options. That includes plans on the government-sponsored Health Insurance Marketplace. In addition, the law requires that Medicaid Alternative Benefit Plans include coverage for mental health issues.

Mental Health Parity and Addiction Equity Act (MHPAEA)

MHPAEA was passed in 2008. This law requires group health plans and health insurers to offer the same coverage for mental health services as for physical health coverage. This law means that co-pays must be the same as other medical office visits. In addition, insurance companies used to set annual limits for mental health coverage. That’s a rarity now as this law has been passed which makes it much easier for people to get the help they need.

What Does Medicare Cover?

If you have Medicare, you also have mental illness coverage. Each Medicare part has its own coverage.

Medicare Part A consists of hospital insurance. If you require inpatient mental health care, you will utilize this benefit. It covers inpatient treatment, including your room and food.

Medicare Part B provides medical insurance. If you need to go to therapy or see a psychiatrist, you will use your Medicare Part B plan.

Medicare Part D is prescription drug coverage. Many people need medication to treat mental health issues. Medicare Part D covers an assortment of drugs, allowing you to get the medication you need. You can give your health care provider a list of the covered medications, so you won’t have to pay more than a small co-pay.

Medicare Advantage is also an option. These plans have various benefits, so it’s important to shop around and find one that has the necessary mental health coverage. These plans can cover in-patient and out-patient treatment as well as medication.

Medicaid and Mental Health Coverage

Each state runs its own Medicaid program, and coverage varies from one state to the next. However, each state offers at least some mental health coverage. In most cases, Medicaid recipients receive counseling, peer support, medication management, and other treatment options.

Get Mental Health Coverage Today

If you are living with mental illness, you don’t have to handle the issue on your own. Buy an insurance policy that offers mental health coverage, so you can see a provider. Call (855) 401-8383 to get a quote over the phone or compare options online. You can find health insurance that covers mental health issues quickly and easily when you pick up the phone or shop online. You’ll be one step closer to getting much-needed help.