Navigating Mental Health Support with Carelon Behavioral Health
Prioritizing your well-being is essential, making the right insurance coverage a crucial decision. Your insurance choice significantly impacts access to quality mental health treatment at affordable costs.
Carelon Behavioral Health insurance benefits enhance accessibility to mental health services, offering financial assistance for treatment programs, medication management, and other essential health care services.
Your specific plan will provide varying levels of support, but mental health treatment becomes more affordable with Carelon Behavioral Health.
The Summit Wellness Group provides specialized programs addressing mental health conditions and co-occurring disorders like substance abuse.
What Influences Your Carelon Behavioral Health Insurance Coverage for Mental Health Treatment?
When choosing a mental health treatment center with your Carelon Behavioral Health insurance plan, keep these factors in mind, as they may influence the scope of your coverage:
- Medical diagnoses you’ve received
- The length of treatment
- Whether you have reached your deductible
- Your plan’s copay amount
- Specialist referral requirements
- Your overall insurance benefits
- If your plan requires you to be pre-approved for treatment
If you’re concerned about more expensive insurance after receiving treatment, there’s no reason to worry. Regardless of the extent of treatment coverage from your insurance, your insurance price will not increase.
To protect customers, legislation has made it illegal for insurance companies to increase their insurance premiums after use.
Treatment Center Costs with Insurance Providers
Contact our intake team to find out what category your insurance coverage falls under. They will discuss your mental health needs with you to determine the type of treatment you require. They will contact Carelon Behavioral Health to discuss payment details with your insurance provider.
The Affordable Care Act (ACA) has made it a requirement for insurance companies to cover mental health treatment and behavioral health services, so they must provide the same amount of coverage for addiction and mental health treatment as they would for other types of medical treatment.
In-Network Providers Versus Out-Of-Network Providers
Your insurance helps you save money by providing access to a network of health care providers, treatment facilities, and pharmacies. To be in-network with insurance providers, mental health treatment programs must meet specific requirements and accept a discounted rate for covered services under the insurance plan.
In-network providers help provide accessible mental health care by reducing costs. Your treatment facility bills your health care provider directly due to their contract, and you are only required to pay a small copay unless the entire cost of treatment is covered. In-network insurance plans offer more convenience, as you don’t have to worry about seeking reimbursement.
If a mental health treatment center has no contract with your health care insurance, they’re considered out-of-network and may charge full price. You can still seek treatment at one of these centers if their program offers you the best chance at recovery, but this option requires self-pay.
Your insurance may reimburse you later through your insurance card, yet these low reimbursement rates mean you’ll pay more out of pocket.
Treatment Programs Covered by Carelon Behavioral Health
Carelon Behavioral Health has many plans that cover mental health programs, so your insurance will cover the cost at least partially, no matter the type of treatment.
Carelon Behavioral Health covers treatment programs such as:
- Detox
- Inpatient Treatment
- Partial Hospitalization Programs (PHP)
- Intensive Outpatient Programs (IOP)
- Outpatient Treatment
Treatment Services That Carelon Behavioral Health Insurance Plans Cover
Since Carelon Behavioral Health covers different rehab programs, the behavioral health services provided during treatment also fall under coverage.
This includes:
- Prescription medications
- Therapy sessions
- Support groups
- Aftercare and outpatient care
Treatment Services at our Center
Our programs offer various treatment options to aid patients in recovery.
Evidence-Based Treatment
Patients receive a combination of scientifically backed, SAMHSA-approved treatment methods, such as cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational enhancement therapy, and eye movement desensitization and reprocessing (EMDR).
Holistic Therapy
We go beyond mental health conditions and focus on each patient‘s overall well-being by using yoga, massage therapy, guided meditation, nutrition, chiropractic care, fitness programs, art therapy, and adventure activities. This helps patients improve their mental health, learn coping skills, and discover new hobbies.
Relapse Prevention
This program combines CBT, mind-body relaxation, community outreach, and 12-step groups to teach patients healthy habits and coping mechanisms. By learning how to manage cravings and regulate emotions, patients are no longer controlled by their triggers and instead gain skills to achieve long-term recovery.
Why Choose The Summit Wellness Group?
Our innovative programs are personalized to the needs and goals of each patient to give them the best shot at recovery. Our dual-diagnosis treatment uses a holistic approach that helps our patients practice self-care and personal growth to heal from mental health and substance use disorders.
At The Summit Wellness Group, we offer proven results in drug addiction and mental health treatment. When you choose our recovery center, you’re choosing more than just our luxury facilities and trained clinical staff— you’re choosing client-centered care that will put you on the path to long-term recovery.
Our Georgia outpatient rehab locations in Roswell and midtown Atlanta are accredited by the Joint Commission, which shows our consistently safe and quality treatment is recognized. Browse our 5-star Google reviews from previous patients to gain insight into the many ways we help. Our staff have years of experience and various licenses and credentials, and you can see the difference in our level of care.
Start Your Path to Wellness
Our treatment plans help you overcome mental health disorders and co-occurring disorders by healing every aspect of our patients. We use a combination of treatment options to address all factors contributing to your mental health conditions so you can begin a brighter future with improved well-being. If you or a loved one need help battling mental illness, contact our treatment team today.
We help patients covered by Carelon Behavioral Health and other insurance providers. Let The Summit Wellness Group guide you to recovery. Call us at (770) 790-4510 to connect with our team and find your path forward.