Navigating Insurance

 

Determining how to access mental health services can sometimes be overwhelming.  Below is a list of steps that will help you navigate insurance and seek the appropriate support for your child and family. If you have questions, contacting your insurance company is often a good start.

 

1. Determine what insurance benefits are for mental health services. Then,

Call insurance company
Request benefit summary

 

2. Find out specifics regarding what services are covered (length of stay, special assessments, number of sessions covered)

Who is in the network (location)
Who/what provider is approved (i.e. find out what credentials are required)
How does the insurance company define a “service” (for example, is it residential treatment, day treatment, etc.)

 

3. What is the prior authorization process?

 

4. What documents does the insurance company need for approval? Do they need a clinician to assess the “day of”?

 

5. Do you have a co-pay?

 

6. Does the insurance company have a case manager assigned?

 
 
Accessing Services

Has your child had a psychological evaluation or diagnostic assessment in the past six months?

  • What did it recommend?
  • Was it written by a mental health professional?
  • Is the county involved with your child? For example, mental health case management.
Types of Insurance

If you do not have insurance, please contact your county’s social services office.

  • Medical Assistance (MA)
  • PMAP
  • Medicaid
  • Commercial
  • Private
Financial Support

You may wish to contact the mental health agency you wish to work with about financing options. In addition, some Employee Assistance Plans (EAP) may include coverage.

Crisis Services

If you or others should be in a life threatening situation or need immediate help, call 911 or use your local emergency phone number.

View Crisis Services

 
 

Upcoming
Events

Northland Children’s Mental Health Collaborative Committee Meeting
October 25 2018

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Events