as an essential benefit under Health Care Reform
Every qualified health plan (ObamaCare compliant-meeting the 10 essential benefits) must provide parity coverage for mental health and substance use services resulting in no added treatment limits and no extra costs.
Learn More ⇒ NAMI (National Assoc of Mental Illness) Website, Insurance & Health Care Reform Section
More than 43 million Americans suffer from depression, anxiety, and other mental health conditions, according to the most recent federal data. But more than half the people who felt like they needed help last year, never got it. Even people who had insurance complained of barriers to care. Narrow Provider Lists? Some said they still couldn’t afford it; some were embarrassed to ask for help. Others just couldn’t get through the red tape.
Learn More ==> KQED: Single Mom’s Search For Therapist Foiled By Insurance Companies (Dembosky, 5/22)
Dealing with social & mental problems can cut health care costs CA Health Line 1.23.2017
Information, links and resources
Mental Health Parity Act 1996 Wikipedia
Individual – Specimen Platimum EOC – Evidence of Coverage – search for “mental”
Clinical UM – Utilization Management Bulletins
Jail not the place for the mentally ill aclu socal.org
Technical Links & Resources
42 USC 18022 (E) Mental health and substance use disorder services, including behavioral health treatment.
CFR 156.115 (a) (3), – Provisions of Essential Health Benefits
2008 Final Rules
Related & Child Pages in 10 Essential Benefits Section
Please use the menu system at the top.
- CA Mental Health Parity AB 88 (1999)
- Criminal Justice
- Magellan – Mental Health Provider
- Resources – Mental Health
- ADHD Attention Deficit Hyperactivity Disorder
- Bi Polar Disorder
- Blame – Being Misunderstood?
- Blame – Your fault or being scapegoated?
- Delusional Disorder
- Drug Abuse – HELP
- Educational Links
- Generalized Anxiety Disorder (GAD)
- Giving away your power
- IED Intermittent Explosive Disorder
- Involuntary Commitment
- Lanterman – LPS – Conservatorship
- Laura’s Law
- OCD – Obsessive Compulsive Disorder
- Organizing, Hoarding, & Cluttering