Health Net Rehab Coverage
Health Net is a company providing insurance to nearly six million people through individual, group, Medicare, Medicaid, Tricare and Veterans Affairs programs. Health Net also has a behavioral health services subsidiary which is called MHN. Through this subsidiary, the company provides substance abuse and behavioral health services and programs to more than seven million people, including their health plan members. MNH also delivers Employee Assitance Program throughout the U.S.
Behavioral health plans can be bought on their own, or they can be used along with a medical plan from Health Net. In some cases, plans may cover certain costs associated with addiction treatment at a rehab facility.
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Does Health Net Have Rehab Coverage?
Health Net may offer coverage for rehab treatment for many policyholders. For people who have a Health Net Medicare or Medicaid plan, this coverage is dependent on specifics of federal and state requirements for substance abuse treatment. For individuals who purchase their Health Net plan through a state exchange, for example in California, these plans are required to offer comprehensive mental health and behavioral health services, including treatment for substance abuse. Specific elements of rehab coverage that may be available to Health Net members include:
- Opioid agonist treatment
- Level 1 residential treatment centers and sub-acute facilities
- Rural substance abuse transitional agency services
- Partial care (can include supervised day programs, therapeutic day programs, and medical day programs)
- Psychosocial rehabilitation (including elements such as living skills training)
With rehab coverage from Health Net, policies must also meet guidelines of federal mental health parity laws. This means that coverage for services related to mental and behavioral health, including substance abuse, can’t be more restrictive than medical coverage.
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Health Net Mental Health
As noted above, many of the mental health services provided by Health Net are offered through their subsidiary, MHN. Members may have MHN behavioral and mental health coverage as a standalone option, or it may be integrated with their Health Net policy. Health Net covers many mental health services.
Is Health Net Mental Health Covered By Insurance?
Health Net works with an extensive network of mental health providers. They can include clinical social workers, psychologists, marriage and family therapists, psychiatrists, and counselors. Members of Health Net can search the MHN member website to find a provider on their own for any services related to mental health, or they can contact the company if they need help locating the right provider for them.
Some MHN and Health Net benefit plans will cover services that are from providers who are out-of-network, while others don’t, but the company does recommend members used a network provider if at all possible.
Health Net Behavioral Health
Health Net covers behavioral health services for members, which are in line with state and federal guidelines regarding mental health service provisions for health insurance providers.
Is Health Net Behavioral Health Covered by Insurance?
While behavioral and mental health services are covered, there are differences between plans that will determine the payment responsibility of the insured individual. For example, in Southern California, there are four policy levels which are Platinum, Gold, Silver and Bronze. These plans vary in their deductibles, copays and monthly premiums. For example, with a Platinum Plan, the member would be responsible for only 10% of covered services, including behavioral health, while with a Gold plan that goes up to 20%.
Covered behavioral health services for Health Net members might include sessions with a psychologist, psychiatrist or counselor, or alternative levels of care, which can range from a few hours per day to several days a week. Behavioral health coverage from Health Net can also cover inpatient treatment in some cases.
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What To Expect From Health Net for Rehab
Health Ned medical plans, delivered through MHN, are provided in line with Federal Parity guidelines, which means mental health and substance abuse services have to be covered in a way that’s no more restrictive than medical care.
Programs that are covered may include treatment in a hospital or residential facility, and this can include partial hospitalization and residential treatment. Coverage also includes follow-up and aftercare treatment.
There are costs that are the member’s responsibility with most of these plans, so for example, with the HMO Gold plan offered by Health Net, there is a $600 member responsibility per day for substance use disorder (inpatient) treatment for up to five days, while the member responsibility for outpatient substance use disorder is $30.
Coventry Health Care
The Recovery Village aims to improve the quality of life for people struggling with substance use or mental health disorder with fact-based content about the nature of behavioral health conditions, treatment options and their related outcomes. We publish material that is researched, cited, edited and reviewed by licensed medical professionals. The information we provide is not intended to be a substitute for professional medical advice, diagnosis or treatment. It should not be used in place of the advice of your physician or other qualified healthcare providers.