Mental Health Hero

2020 Mental Health Services Benefit

Important: If you’re thinking about harming yourself or someone else, get help right away by calling 911 or an emergency 24-hour-a-day hotline like the National Suicide Prevention Lifeline at 1-800-273-8255 (TTY: 1-800-799-4889) or Institute of Aging’s Friendship Line 1-800-971-0016.

SCAN includes coverage for mental health services in all of its plans.

Your mental health benefits allow you to receive care from psychiatrists and other mental health professionals to diagnose and treat conditions important to your emotional health and wellbeing.

Your coverage includes:

  • Outpatient mental health services for individual or group visits with a licensed psychiatrist, clinical psychologist or other mental health professional to diagnose and treat depression, anxiety and other conditions related to mental health. Care is delivered in a non-hospital setting, such as a doctor’s office, or a hospital outpatient clinic.
  • Outpatient psychiatric services provided by a medical doctor who specializes in the diagnosis, prevention and treatment of mental disorders.
  • Inpatient mental health services provided in an inpatient psychiatric hospital, a unit of an acute care hospital or a rural critical access hospital.
  • Outpatient partial hospitalization provided through a hospital outpatient program or by a community center. These highly structured programs offer an alternative to full hospitalization but provide more intense treatment than available in a doctor’s office or other outpatient setting.

How to Use These Services

  1. Mental health services require that you see an in-network mental health professional for all covered services and a referral is required for most services. But depending on your plan, you may be able to self-refer for outpatient mental health services. Check your plan materials to find out if and when you will need a referral from your regular doctor.
  2. Call your primary care doctor’s office and describe what you’re feeling. Your doctor may want to see you to do an exam to rule out any physical causes or to screen for depression. If no physical condition is found, your doctor may decide to prescribe a medication or give you a referral to see a mental health specialist.

Frequently Asked Questions about Mental Health Services

Q: Does it cost the same to see a mental health specialist as it does to go to another kind of specialist?

Copayments to see a mental health provider may not be the same as what you pay to see other kinds of specialists and vary depending on the mental health service you receive.

To see specific details about what mental health services your plan covers, check your Evidence of Coverage. To see what your copays will be for these services, check your Summary of Benefits.

Q: Who can I talk to about receiving care through a mental health specialist?

It’s best to start the discussion with your primary care doctor. Talk with your doctor about what you’re experiencing and any concerns you have. He or she can help you decide the best next steps for your care, which may include referral to a mental health specialist.

For additional information on how to get care through your mental health services, call or email SCAN Member Services.

For more mental health information and resources, click here.