The Importance of Health Insurance Coverage for Mental Health Services
Introduction
Mental health and substance use disorders, including depression, anxiety, schizophrenia, bipolar disorder and addiction, are common. For example, one in six American adults will experience a mental health condition in any given year. Among people with severe mental illness like schizophrenia or bipolar disorder, up to 80% of them will have periods where they do not receive treatment because they cannot afford it or they do not know how to obtain it. Insurance coverage can improve access to care and increase utilization of treatment for people with mental illness or addiction. However, even with insurance coverage, many people still struggle to access treatment due to factors like affordability and distance from providers—not
Mental health and substance use disorders are common
Mental health disorders and substance use disorders are two of the most common conditions in America. They affect about one in five people, or 42.5 million Americans overall.
Mental health disorders include mood and anxiety disorders such as depression, post-traumatic stress disorder (PTSD), bipolar disorder and schizophrenia. Substance use disorders include alcohol abuse/dependence; tobacco use; illicit drug abuse/dependence (cocaine/heroin) and prescription drug misuse.
Both types of illnesses can be treated with medication, therapy or other effective treatments if they’re caught early enough by getting regular check-ins from your doctor or therapist–which is why it’s so important to have health insurance coverage that includes these services if you have a mental illness or substance use disorder!
Mental health services are essential to recovery from mental illness and addiction.
When you have a mental illness, it can be hard to do the things that are essential to recovery. You may not have the energy or motivation to work on your recovery plan, or even get out of bed in the morning. For this reason, mental health services are designed to help people manage and cope with their illnesses so they can stay sober and avoid relapse. They also provide support for families who need help supporting their loved ones in recovery.
Insurance coverage of mental health services is inconsistent and often inadequate.
In addition to providing coverage for physical health services, many insurance plans also cover mental health services. Sometimes, this coverage is limited and/or inconsistent across age groups and conditions. For example:
- Some plans provide no coverage for any type of mental health care whatsoever.
- Others offer partial coverage for children and adolescents but not adults (and vice versa).
- Still others limit their benefits to certain types of treatment, such as psychotherapy or medication management alone–but exclude other important forms of care such as psychiatric hospitalization or intensive outpatient therapy (IOP).
Insurance coverage improves access to care and increases utilization of treatment.
- Insurance coverage increases access to care.
- Insurance coverage increases utilization of treatment.
- Insurance coverage improves quality of care, patient satisfaction, and patient outcomes:
Insurance coverage can improve access to mental health services through increased availability of providers and treatment options (e.g., medication) that are not available on a non-insured basis; it also facilitates continuity of care by ensuring that patients have an ongoing relationship with their provider(s) so they can receive needed services without interruption or delay in scheduling appointments when they are needed most urgently (e.g., following a suicide attempt). Furthermore, having insurance may reduce stigma associated with seeking help from a mental health professional because it makes seeking help “normal” rather than something only done by those who cannot afford traditional medical care options like physical injuries sustained while playing sports or accidents involving motor vehicles.”
Even with insurance, many people still struggle to access treatment due to factors like affordability and distance from providers, stigma, substance use, or suicidality.
The National Alliance on Mental Illness (NAMI) reports that only about half of Americans with a mental illness receive the care they need each year. Even for those who do have health insurance coverage for mental health services, it can be difficult to find an affordable provider within their network that accepts their insurance plan in the first place. This is especially true if someone lives in rural areas where there are fewer options available locally or they’re unable to travel long distances because of other factors like transportation problems or lack of child care resources at home while they’re out getting help.
If your loved one doesn’t have any type of coverage at all–and even if he does–you should encourage him/her not only talk openly about his/her feelings but also seek help sooner rather than later so that any underlying issues don’t build up into something bigger (like depression).
Insurance coverage of mental health services is essential for many people with mental illness or addiction.
Many people with mental illness or drug addiction have insurance coverage for treatment, but many others do not. This can make it difficult for them to obtain the care they need. In fact, according to a study by the National Alliance on Mental Illness (NAMI), only about half of all Americans with mental health needs receive treatment in any given year.[1]
Mental health services are essential for those who have been diagnosed with a condition such as depression or anxiety disorder, and they’re also important for people who suffer from substance abuse problems–even if they don’t have an official diagnosis yet. Insurance coverage is especially critical because it makes these treatments more affordable and accessible by reducing copayments, deductibles and other out-of-pocket costs.
Conclusion
We hope this article has helped you understand the importance of health insurance coverage for mental health services. It’s important to remember that even if you have coverage, there are many barriers to accessing care like distance from providers, affordability, stigma and suicidality. But by understanding what your plan covers and how it works (or doesn’t), we can all work together to make sure everyone gets the help they need when they need it most!