Mental Health Care Services Are Covered by Most Health Insurance Plans

DIFS: Mental Health Care Services Are Covered by Most Health Insurance Plans

Media Contact: Laura Hall, (517) 290-3779, DIFS-press@michigan.gov
Consumer Hotline: 877-999-6442, Michigan.gov/DIFScomplaints

FOR IMMEDIATE RELEASE: May 31, 2022

(LANSING, MICH) As Mental Health Awareness Month comes to a close, the Michigan Department of Insurance and Financial Services (DIFS) is reminding consumers that mental health care services are covered by many health insurance plans, enabling Michiganders to get the help, support, and care they need.

“Mental health care is health care. It is just as important as physical health and should not be neglected, yet we know that approximately 40% of Michiganders experiencing mental illness do not seek treatment for these concerns,” said DIFS Director Anita Fox. “Mental health services are covered by many health insurance plans, including all Affordable Care Act (ACA) plans purchased through HealthCare.gov. Review your policy documents to determine if you have this coverage, which will cover the costs of office or virtual visits with a licensed mental health professional, substance abuse disorder treatment, or medications.”

Michiganders are encouraged to check with their health insurer to confirm that they have coverage for mental health services and to make sure they understand their out-of-pocket expenses before seeking the mental health care they need. Mental health and substance use disorder coverage offered by a health plan must be similar to coverage provided for medical surgical services. Out-of-Pocket expenses, such as copays, and prior authorization requirements must also be similar to those for medical surgical services.

DIFS stands ready to help Michiganders get the most out of their health insurance and reduce barriers that may discourage them from seeking mental health care. If consumers have concerns about mental health-related insurance claims that cannot be resolved directly with the insurer, contact DIFS by calling 877-999-6442 Monday through Friday 8 a.m. to 5 p.m. or by filing a complaint at Michigan.gov/DIFScomplaints.

DIFS can help consumers with health insurance questions and complaints and can provide information about the Special Enrollment Period that is currently open for households with incomes lower than 150% of the federal poverty level. Contact DIFS Monday through Friday from 8 a.m. to 5 p.m. at 877-999-6442 or Michigan.gov/HealthInsurance.

The mission of the Michigan Department of Insurance and Financial Services is to ensure access to safe and secure insurance and financial services fundamental for the opportunity, security, and success of Michigan residents, while fostering economic growth and sustainability in both industries. In addition, the Department provides consumer protection, outreach, and financial literacy and education services to Michigan residents. For more information, visit Michigan.gov/DIFS or follow the Department on FacebookTwitter, or LinkedIn.

You can also call Shield Insurance for additional details on Mental Health Care Coverage at 616.896.4600


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