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.
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.
Dealing with social & mental problems can cut health care costs CA Health Line 1.23.2017
Sacramento Bee 2.4.2014 reports increase in youth hospitalizations.
Jail not the place for the mentally ill aclu socal.org
Insurance Company Definitions
Individual – Specimen Platimum EOC – Evidence of Coverage – search for “mental”
Clinical UM – Utilization Management Bulletins
Information, links and resources
Behavioral Health Integration in Medi-Cal:
A Blueprint for California
May is Mental Health Awareness Month
Mental Health Parity Act 1996 Wikipedia
Mental Health Videos
In an effort to get to the bottom of the current mental health crisis in the U.S., psychiatrist and documentarian Kenneth Paul Rosenberg M.D. chronicles personal, poignant stories of those suffering from mental illness, including his own family, to bring to light this epidemic and possible solutions. Shot over the course of five years, Bedlam takes viewers inside Los Angeles County’s overwhelmed and vastly under-resourced psych ER, a nearby jail warehousing thousands of psychiatric patients, and the homes — and homeless encampments — of people affected by severe mental illness, where silence and shame often worsen the suffering.
Available till May 15th
insurance coverage for behavioral and mental health. http://on.apa.org/parity-law.
Ted Talk – Benefits Physical Exercise
PBS News Hours – Are mentally ill Americans getting adequate care?
Millions of Americans are now eligible for health insurance under the Affordable Care Act, including 1.2 million people with mental illnesses. But this particularly vulnerable group may not actually be getting the heath care they need
Introduction to California’s Public Mental Health System (9/23/2019)
Mental Health in CA
Behavioral Health Integration CHCF.org
Sharp Mental Health – Play List
Medicare & You – Mental Health
Bronze, Silver, Gold & Platinum
Mental Health Benefits
Dental For Everyone, has an excellent website with full brochures, online quoting and enrollment
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 (direct link broke – use DOL’s search feature)
Click here to set a phone, skype or face to face complementary consultation
Life Insurance Buyers Guide
Related & Child Pages in 10 Essential Benefits Section
- CA Mental Health Parity AB 88 (1999)
- Resources – Mental Health
- Blame – Your fault or being scapegoated?
- Co Dependency
- FSP Full Service Partnership
- Lanterman – LPS – Conservatorship
- Laura’s Law – Court Mandated Mental Health Treatment
- Organizing, Hoarding, & Cluttering