How Horizon Mental Health Coverage Can Support Your Recovery
Prioritizing your mental health is crucial, and choosing the right insurance coverage is key to accessing quality care. Horizon insurance for mental health offers benefits that help reduce out-of-pocket costs and make mental health treatment more accessible and affordable.
Horizon insurance for mental health treatment in Atlanta, GA, provides payment assistance for various services, including therapy, medication management, and other behavioral health treatments. While coverage levels vary by plan, treatment at in-network facilities is generally more affordable with Horizon.
Additionally, Horizon’s parent company, BCBS, offers numerous mental health resources to support clients in finding appropriate care and managing conditions such as anxiety, depression, and co-occurring disorders.
With Horizon insurance, you can access the support you need to take meaningful steps toward mental wellness and recovery.
Horizon Insurance Coverage Outside New Jersey
If you’re wondering how a New Jersey-based health plan like Horizon BCBS can support your mental health needs in Georgia, Horizon offers two key programs that make care accessible even when you’re out of state.
Away From Home Care Program:
For members enrolled in certain Horizon health plans, this program provides in-network access to participating mental health professionals and facilities nationwide at no extra cost.
It’s designed for members outside New Jersey for at least 90 consecutive days but no more than 180 days, such as students, long-term travelers, or families living apart.
Eligible members must apply in advance and renew the program every 6 to 12 months, depending on their situation. Once enrolled, you’ll receive a local member ID card and can access care as you would at home, though benefits may vary by state.
Horizon BlueCard:
If your Horizon plan includes the BlueCard program, you can access mental health care nationwide by finding participating providers in the national BlueCard network.
Using BlueCard is simple—locate an in-network mental health professional or facility and present your Horizon BCBSNJ member ID card at your appointment.
Both programs ensure that you have access to therapy, counseling, medication management, crisis intervention, and other behavioral health services, whether you are temporarily living in Georgia or traveling for an extended period.
Horizon BCBS is committed to supporting your mental health wherever you are, so you can continue your care without interruption.
What Influences Your Horizon Health Insurance Coverage for Substance Use Disorder Treatment?
When choosing your Horizon insurance plan, there are certain factors to keep in mind that may influence the scope of your coverage. These factors include:
- Medical diagnoses you’ve received
- The type of treatment program you require
- The length of treatment
- Whether you have reached your deductible
- Your plan’s copay amount
- Specialist referral requirements
- Your overall insurance benefits
Even after you’ve received treatment, the good news is that no matter how much of the cost is covered by your insurance, your insurance price will not increase since laws protect customers from insurance companies increasing their insurance premiums after use.
Mental Health Treatment Center Costs with Insurance Providers
To understand your mental health coverage, contact our intake team. We will review your insurance details, discuss your mental health needs, and connect with Blue Cross Blue Shield (BCBS) to clarify your benefits and payment options.
The Affordable Care Act (ACA) mandates that insurance companies cover mental health and behavioral health services, ensuring that coverage for mental health treatment is on par with other medical care.
This means your insurance provider must offer the same level of coverage for mental health treatment as they do for physical health conditions, helping to reduce your out-of-pocket expenses and improve access to care.
In-Network Providers versus Out-Of-Network Providers for Mental Health Care
Your insurance provider helps lower mental health care costs by giving you access to a network of licensed therapists, treatment centers, and pharmacies.
To be considered in-network, mental health providers must meet specific standards and agree to accept discounted rates for services covered under your insurance plan.
In-network providers make mental health treatment more affordable. Your treatment center bills your insurance directly, and you typically only pay a small copay or coinsurance unless your plan covers the full cost. In-network plans also offer convenience, as you don’t have to handle reimbursement paperwork.
If a mental health facility is out-of-network, they do not have a contract with your insurance provider and may charge full price. You can still choose out-of-network care if it best meets your needs, but you will likely pay upfront and seek reimbursement later. Reimbursement rates are often lower, resulting in higher out-of-pocket costs.
Mental Health Treatment Programs Covered by Horizon BCBS Insurance
Horizon BCBS offers coverage for a wide range of mental health treatment programs, ensuring that you receive at least partial payment assistance regardless of your specific plan.
Covered programs include:
- Detoxification (when related to medication management or mental health stabilization)
- Partial Hospitalization Programs (PHP)
- Intensive Outpatient Programs (IOP)
- Outpatient Mental Health Treatment
These programs provide flexible options to meet your mental health needs and support your recovery journey.
Mental Health Treatment Services Covered by Horizon Insurance Plans
Since Horizon BCBS covers various mental health treatment programs, the services provided during treatment are also covered.
These include:
- Prescription medications for mental health conditions
- Individual and group therapy sessions
- Support groups and peer support programs
- Aftercare and outpatient services to support ongoing recovery
This comprehensive coverage helps ensure you have access to the full range of care needed for lasting mental health and wellness.
Why Choose The Summit Wellness Group for Mental Health Care
At The Summit Wellness Group, we provide innovative, individualized mental health treatment tailored to each person’s unique needs and goals. Our dual-diagnosis approach addresses both mental health conditions and co-occurring substance use disorders, using a holistic method that promotes self-care, personal growth, and comprehensive healing.
Our locations in Roswell and Midtown Atlanta are accredited by the Joint Commission, reflecting our commitment to the highest safety and quality care standards. Our experienced clinical team holds various licenses and credentials, ensuring expert, compassionate support throughout your recovery journey.
Choosing The Summit Wellness Group means choosing client-centered care beyond luxury facilities and skilled staff. We focus on helping you achieve long-term mental wellness and recovery, as reflected in our many 5-star Google reviews and the success of hundreds of past clients.
Find Freedom from Mental Health Conditions
Our treatment plans are designed to help you overcome mental health challenges and co-occurring substance use by supporting every aspect of your well-being.
We use a comprehensive blend of evidence-based therapies to address all contributing factors, empowering you to build a healthier, more hopeful future focused on lasting recovery.
If you or a loved one is struggling with mental health concerns or substance use, our admissions team is here to help. We work with Horizon and most major insurance providers to make quality care accessible. The Summit Wellness Group is committed to guiding you toward healing and wellness.
Call us at (770) 790-4510 to connect with our team and discover the best path forward.