Therapist

Does health net insurance cover therapy

MHN is here

  • For outpatient office visits, no referral is needed.
  • For help, contact MHN Customer Service – 800-663-9355 – Monday–Friday, 8:00 a.m. to 8:00 p.m. Pacific time. A Customer Service Representative will assist if you’d like help finding a provider with availability.
  • MHN will outreach to providers on your behalf and will contact you with the soonest appointment available.

Please note: routine appointments with an MD/psychiatrist may take up to 15 business days, and an appointment with a therapist may take up to 10 business days.

If you or a family member is experiencing a mental health emergency or feeling suicidal, go to the nearest ER or call 911.

Getting the right diagnosis and treatment

If you’re concerned about your mental health or your substance use (or both), it’s important to get the correct diagnosis and treatment. And, it needs to come from a qualified mental health professional.

A good treatment plan is one that takes a whole-person approach. One that views all aspects of your wellbeing. Whole-person care is very important if you have both a mental health disorder and co-occurring substance use. Treatment can include many services such as medical, private or group therapy and more.

Prevention and Treatment

Health Net has many programs that can help you with mental health or substance disorder treatments.

Managed Health Network (MHN)

MHN, Health Net’s behavioral health administrator, is here to help you get the treatment and the support you need. MHN has a network of more than 16,000 providers in California. MHN customer service reps can help you find someone to help.

You can visit someone in person, or through our telehealth network. You don’t need to be referred by your doctor or need an approval from MHN. You can simply begin to visit an in-network provider for therapy or medication management. Give MHN a call at the phone number listed on your member ID card or choose a provider.

Telehealth

Telehealth has become a tool to help get people into care more quickly. At the start of the pandemic, MHN saw the need for members to receive services outside the normal office visit setting. As a result, MHN contracted with more than 4,000 clinicians to provide telehealth services via secure audio/video platforms. All you need is a smart phone, tablet or computer to get started. MHN call center staff can answer questions that you might have about getting a provider through telehealth.

Health Net Mental Health Coverage

 

Many people wonder what their Health Net insurance coverage looks like and if it has them covered for mental health treatment in California. One of the most common reasons why people delay or don’t end up seeking or receiving treatment for their mental disorders, is because of financial stress. Medical treatment is known to be very expensive, and therefore, the first thing people usually worry about is how they are going to pay for treatment. That’s why Montare believes in partnering with Health Net insurance to help people with mental illness have accessibility to the health care resources that they need to properly manage their condition and recover.

Quickly check and see what your Health Net insurance covers in regards to mental health treatment by visiting our insurance verification page.

We Help Make Sure People Get the Treatment They Need

With our caring staff at Montare Behavioral Health behind you, we help individuals with mental illness, navigate what insurance options and benefits are available to best treat their needs. There are two options available for payment. They are as follows:

What is Out-of-Pocket Pay in Regards to Health Insurance?

Paying out-of-pocket means the total cost amount someone will pay for their mental health treatment. This payment option takes away some stress of being denied treatment, but sometimes if funds are not there, this option may not be feasible. But, good news, there are always alternative options available. 

Insurance Companies

The second option for payment is through your insurance company. We can help look at your insurance policy or you can call the company itself for clarification on what plan may be best for you and the benefits you will receive.

Your insurance plan does have to cover part or all mental health treatment costs depending on what you have. Therefore, the focus will be on getting treatment and help to better your mental health and eliminate financial stress. 

Is Mental Health Treatment Covered by Health Net in California?

Yes, the Affordable Care Act requires mental health services to be included by all individual and small employer plans. Most importantly, it is illegal for insurance companies to deny someone coverage for having pre-existing conditions, such as mental illness.

If you have a mental disorder, your Health Net insurance company has to pay all or partial costs for treatment services provided depending on your plan no matter what. Health Net is one of the nation’s largest health care insurance companies, covering all 50 states and the District of Columbia. The company offers PPO (Preferred Provider Organization), HMO (Health Maintenance Organization), EPO (Exclusive Provider Organization), and HSP (Health Care Service Plan) plans.

In 1977, the California Division of Health Net started as a non-profit corporation and later converted into a for-profit company. Since then, they have been offering people the ability to receive affordable health care. They are the only insurance company whose plan was nationally awarded the NCQA’s (National Committee of Quality Assurance) Multicultural Health Care Distinction across all divisions of the business.

They continue to be a major advocate of mental and behavioral healthcare applicable to the needs and values of all its members. At Montare Behavioral Health, our main focus is on mental disorder treatment for people suffering from conditions such as:

What Mental Health Services We Offer

Below is a list of all of our services covered by Health Net insurance policies here in California:

  • Behavioral Health

  • Emergency behavioral health care

  • Emergency/non-emergency transportation

  • Evaluation and assessment

  • Individual, group, and family counseling

  • Inpatient hospital services

  • Case Management

  • Behavior management personal care, family support/home care training, peer support

  • Psychotropic medications and monitoring 

  • Behavioral health nursing services

  • Laboratory and radiology services for diagnosis

  • Living skills training, health promotion; supportive employment Services)

  • Screenings

  • Home care training

  • Partial Care (supervised day programs, therapeutic day programs, and medical day programs)

Additional Benefits of Health Net Insurance

Health Net offers quality, affordable insurance plans for every stage of a person’s life. We value our mission and believe that every individual deserves to receive the healthcare that they need.

Montare Behavioral Health partners with Health Net regardless of age, socioeconomic status, employment status, or current state of health. So if you’re looking for a quality, affordable health plan for you and your family, Health Net is a good option.

Top Benefits of Health Net Insurance 

There are some major benefits of Health Net’s insurance policies, these include the following: 

  • Competitive, affordable health plans:

    Among the lowest cost – for individuals, families, people with Medi-Cal, Medicare, and businesses.

  • Health Net is backed by a Fortune 51 company, which ensures members have accessible and dependable healthcare plans.

  • A leader in government-sponsored health plans, with expertise in serving both Medi-Cal and Medicare members.

  • Helps to inform, educate, and support people who need to get improved for mental and behavioral healthcare. 

  • NCQA “Accredited” on all  Commercial, Medicaid, and Medicare plans.

Health Net Coverage for Inpatient and Outpatient Mental Health Treatment

Health Net Covered in CaliforniaThe two different types of treatment for mental health disorders are inpatient treatment and outpatient treatment. The most common type of treatment is inpatient treatment. An individual lives in the facility 24/7 while in recovery.

Outpatient treatment is the second type of treatment available. This treatment allows the individual to continue with daily life and attend school or work and still be heavily involved in treatment. Health Net is committed to helping each member receive the healthcare they need. Once all the criteria under your policy’s guidelines are met, coverage for inpatient and outpatient mental health treatments will be available. Coverage for Inpatient and Outpatient Mental Health Treatment.

See What Mental Health Services are Covered by Your Health Net Insurance

Once the decision is made that admission into our treatment facility is right for you, we will help review your insurance policy to see what is covered. This is vital, as it will determine how much of your treatment will be paid off. Our dedicated staff will work with your Health Net representative to get all the benefits you are eligible for in your insurance policy.

At Montare Behavioral Health, a review of your policy will determine:

  • The programs you are eligible for

  • The length of time you are covered for (30,60,90 days)

  • Type of care covered (inpatient or outpatient)

We at Montare, understand the importance of financial freedom, which means, saving money without sacrificing treatment options, and striving to help you pay the least money out-of-pocket as possible.

Process of Health Net Insurance Authorization

After your initial evaluation and intake process, the insurance authorization process will begin. Our admissions staff here at Montare sends the results of the assessment to Health Net to show proof of the services needed. 

The insurance company will then usually give approval or denial of services quickly. However, in some cases, the insurance company may need more information from mental health specialists before a decision is determined. If your insurance company denies an inpatient treatment facility, they may approve therapy in an outpatient capacity.

It’s important to note, that even if you have been accepted into our treatment facility, treatment can not begin until the insurance company has given approval or payment has been made in full.

Typically, the treatment approval period for insurance providers is 5-7 days. Treatment can be denied at any point between these intervals if the insurance company finds that the criteria for treatment were are not met.

Begin Mental Health Treatment Using Health Net Insurance Coverage in California

Our team works with healthcare representatives to ensure that each individual is getting the financial help they are entitled to for mental health treatment through Health Net. The difference is, we focus not only on a person’s mental health but also on the person’s financial situation. Montare’s financial counselors will meet with you to discuss all financial options available after admissions.

Again, we are dedicated to helping people with mental health issues and will do everything in our power to help make sure that you will receive the treatment you need. If you or a loved one is seeking treatment in our facility and not sure if you can afford treatment please contact us today. Our caring staff is available 24 hours a day, 7 days a week to help you start the road to recovery.

References

https://www.webmd.com/health-insurance/mental-health https://www.healthnet.com/content/healthnet/en_us.html https://ca.healthnetadvantage.com/about-us.html

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