Mental Health

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

Clinical UM – Utilization Management Bulletins

Behavioral Health
CG-BEH-03 Psychiatric Disorder Treatment
CG-BEH-04 Substance-Related and Addictive Disorder Treatment
CG-BEH-05 Eating and Feeding Disorder Treatment
CG-BEH-07 Psychological Testing
CG-BEH-08 Employee Assistance Program Outpatient Treatment
CG-BEH-09 Assertive Community Treatment (ACT)
CG-BEH-10 Basic Skills Training/Social Skills Training
CG-BEH-11 Mental Health Support Services
CG-BEH-12 Psychosocial Rehabilitation Services
CG-BEH-13 Targeted Case Management (TCM)

Mental Health Videos

PBS Bedlam

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.

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

Sharp Mental Health – Play List


Medicare & You – Mental Health

Medicare SNP Special Needs Plans – Medicare Advantage

International Travel Insurance

Specimen Policy

Specimen Policy - Mental Health Page 86
Specimen Policy – Mental Health Page 86

Metal Levels
Bronze, Silver, Gold & Platinum
Mental Health Benefits
Metal Levels – View Psych Benefits – Search and click – namely Out Patient Professional Services
Dental For Everyone

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

Federal Mental Health Parity

2008 Final Rules (direct link broke – use DOL’s search feature)

§146.136   Parity in mental health and substance use disorder benefits.

6 comments on “Mental Health – An Essential Benefit

  1. Hey Editors,

    My name is Martin and I am the CEO & Co-Founder of — a leading educational website that helps people actually get their dream job (we write super actionable and helpful career guides :-).

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    Have a lovely day and keep up the good work,

    CEO Cleverism

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