Telebehavioral Health Insurance Reimbursement Index

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Telebehavioral Health Insurance Reimbursement Index

StatesInsurance CompanyNo Of Lives CoveredMedical And Non Medical Psychological ServicesTelemental Health ReimbursementDetailsLast Updateregulation_state_hfilter
AlabamaBlue Cross Blue Shield of Alabama2MYesNo

Depends on the member’s policy, there will be a co-pay.

Jul 9, 2019alabama
AlabamaUnitedHealthcare Insurance Co.48.9MYesYes

Most of their plans cover for Behavioral and Telemental Health services. Carrier is Optum.

Jul 9, 2019alabama
AlabamaViva Health100000+YesNo

Depends on the member’s policy, there will be a co-pay. Psychological testing included but needs to be pre-authorized. No coverage for online psychological treatment or counseling

 

 

Jul 9, 2019alabama
AlaskaPremera Blue Cross Blue Shield of Alaska2MYesYes

They cover for both in-person and virtual services as well.

Jul 9, 2019alaska
ArizonaArizona complete health1.8MYesNo

They cover for psychological and psychiatric treatment but not for telemental health services.

Jul 9, 2019arizona
ArizonaCareMore196,291YesYes

It depends on the plan but they have coverage for behavioral health treatments for both in-person and online treatments but must be pre-authorized.

Jul 9, 2019arizona
ArizonaBlue Cross Blue Shield Of Arizona1.5MYesYes

Most of their plans cover for TMH.

Jul 9, 2019arizona
ArkansasArkansas Blue Cross Blue Shield500000+YesNo

Most of their plans cover for mental health services like psychological counseling, but no information regarding TMH. Website cannot be accessed.

Jul 9, 2019arkansas
ArkansasQualchoice health insurance30,000YesNo

Do not cover for TMH. Only in-person services.

Jul 9, 2019arkansas
ArkansasUnitedhealthcare Arkansas71,392YesYes

Most of their plans cover for TMH. They cover the services under Optum.

Jul 9, 2019arkansas
CaliforniaCalifornia Anthem Blue Cross74MYesNo

This information is from Medi-Cal, they cover only in-person psychological treatment/counseling. For Commercial plans, the only way to call them is through a number on the back of the member’s card.

Jul 9, 2019california
CaliforniaSharp Health Plan140,000YesYes

They cover mental health services including TMH through PCSD

Jul 9, 2019california
CaliforniaCCHP Health Plan21,000YesNo

They only cover for in-person mental health services.

Jul 9, 2019california
CaliforniaL.A. Care Health Plan2MYesYes

They cover for both in-person and TMH, through their vendor Beacon Health.

Jul 9, 2019california
ColoradoRocky Mountain Health Plans216,062YesYes

They cover for both in-person and TMH. Optum is also one of their vendors that carry out these services.

Jul 9, 2019colorado
ColoradoBright Health Plan60,000YesNo

They only cover for in-person mental health services. They don’t have out of network reimbursements as well

Jul 9, 2019colorado
ColoradoUnitedHealthcare Charter® ACO Plans Colorado700,000YesYes

Most of their plans cover for TMH, vendor is Optum.

Jul 9, 2019colorado
ConnecticutConnecticare240,000YesYes

Depends on the member’s policy

Jul 9, 2019connecticut
ConnecticutOxford Health Plan1.6MYesYes

Depends on the member’s policy

Jul 9, 2019connecticut
ConnecticutHarvard Pilgrim Health Care - CT1,155,289YesYes

Depends on the member’s policy

Jul 9, 2019connecticut
DelawareHighmark Delaware4.5MYesYes

Depends on the member’s policy

Jul 9, 2019delaware
DelawareDelsureYesYes

They cover for both in-person and online psychological counseling and treatment or evaluation.

Jul 9, 2019delaware
DelawareUnitedhealthcare Delaware133,000YesYes

Depends on the member’s policy

Jul 9, 2019delaware
FloridaFlorida Blue4MYesYes

Depends on the member’s policy

Jul 9, 2019florida
FloridaWellcare Florida6.3MYesNo

Provider services desk confirmed they cover for mental health services but only in-person.

Jul 9, 2019florida
FloridaAvMed290,000YesYes

Website has the info for telemedicine coverage, refer to link.

Jul 9, 2019florida
FloridaCareplus Health Plans115,000YesYes

All their plans have coverage for mental health services. They outsource mental health services through Magellan.

Jul 9, 2019florida
FloridaAmerigroup7.7MYesYes

As long as member has out-patient benefits

Jul 9, 2019florida
GeorgiaAnthem Blue Cross and Blue Shield Georgia1.38MYesNo

Website states that they cover for Behavioral related services. Can’t connect by phone as they require member’s ID.

Jul 9, 2019georgia
GeorgiaHumana Georgia16.6MYesYes

Most of their plans cover for Psychological/Telemental health services

Jul 9, 2019georgia
GeorgiaUnitedhealthcare Georgia1MYesYes

Most of their plans cover for Psychological/Telemental health services

Jul 9, 2019georgia
HawaiiHawaii Medical Service Association (HMSA)500,000YesYes

They cover both in-person and TMH, carrier is Beacon Health

Jul 9, 2019hawaii
HawaiiHawaii Medical Assurance Association (HMAA)40,000YesYes

They cover for both in-person and TMH.

Jul 9, 2019hawaii
HawaiiKaiser Permanente Hawaii226,900YesYes

They cover for TMH but the initial diagnosis has to be in-person. Still depends on the member’s plan.

Jul 9, 2019hawaii
IdahoMountain Health CO-OP49,000YesNo

They cover in-person Behavioral health related services only like substance abuse treatment.

Jul 9, 2019idaho
IdahoSelectHealth Idaho850,000YesNo

Only in-person Behavioral health related treatment. Provider must be within the network.

Jul 9, 2019idaho
IdahoPacificSource Health Plans300,000+YesYes

Most of their plans cover for Psychological/Telemental health services.

Jul 9, 2019idaho
IllinoisBluecross Blueshield of Illinois8.1MYesNo

Website states that they cover for Behavioral related services. Can’t connect by phone as they require member’s ID. Refer to link for detailed info.

Jul 9, 2019illinois
IllinoisIllinicare Health12.2MYesNo

They cover In-patient/out patient behavioral treatments like substance abuse treatment but they do not cover telemental health services.

Jul 9, 2019illinois
IllinoisHealth Alliance Medical Plans240,000YesYes

They work with LifeMD to cover Telemental Health related services

Jul 9, 2019illinois
IndianaUnited Security Health and Casualty Insurance Company48.9MyesNo

Their plans cover for in-person psychological diagnostics but found no coverage for telemental health services

Jul 9, 2019indiana
IndianaPhysicians Health Plan of Northern Indiana Health Insurance14,000YesYes

Depends on the member’s policy, they cover for both in-person and online psychological therapy. Some services like marriage counseling is not covered.

Jul 9, 2019indiana
IowaMedical Associates Health Plan, Inc.45,000YesNo

TMH benefits are not within their network so they do not reimburse for that. They cover for behavioral related treatments.

Jul 9, 2019iowa
KansasBLUE KC1MYesYes

They cover for both in-person and TMH, vendor is New Directions

Jul 9, 2019kansas
KansasAmbetter From Sunflower Health Plan130,000YesYes

Most of their plans cover for TMH, but still depends on individual policy.

Jul 9, 2019kansas
KansasUnitedHealthcare Kansas500,000YesYes

Most of their plans cover for TMH, through carrier Optum.

Jul 9, 2019kansas
KentuckyHumana Health Plan, Inc - Kentucky16.6MYesYes

Most of their plans cover for Psychological/Telemental health services

Jul 9, 2019kentucky
KentuckyAnthem Blue Cross and Blue Shield - Kentucky74MYesYes

Most of their plans cover for Psychological/Telemental health services.

Jul 9, 2019kentucky
LouisianaVantage Health Plan, Inc.40,000YesNo

Covers only in-person psychological treatment or counseling.

Jul 9, 2019louisiana
LouisianaLouisiana Healthcare Connections450,000YesYes

They cover both in-person and TMH through their carrier Magellan.

Jul 9, 2019louisiana
LouisianaUnitedHealthcare - Louisiana436,000YesYes

They cover for in-person as well as TMH, vendor is Optum.

Jul 9, 2019louisiana
MaineMartin’s Point Health Care145,000YesYes

Most of their plans cover for Psychological/ Telemental health services. Still depends on the member’s policy. For Telemental health related services, there are specific requirements like audio visual equipment used and the provider’s location.

Jul 9, 2019maine
MaineHarvard Pilgrim Health Care1.3MYesYes

Behavioral health carrier is Optum, yes they cover these benefits depends on the member’s policy.

Jul 9, 2019maine
MarylandCareFirst3.3MYesYes

They positively confirmed that they cover for TMH. They’re the only insurance company so far that has detailed information on this. And they have coverage for other groups like Social Worker, Nurse Practitioner/Family Therapist.

Jul 9, 2019maryland
MarylandJohns Hopkins HealthCare LLC400,000YesNo

They do not cover for TMH. Only in-person services.

Jul 9, 2019maryland
MarylandUnitedHealthCare - Maryland48.9MYesYes

They cover for TMH but still depends on member’s policy.

Jul 9, 2019maryland
MassachusettsTufts Health Plan1MYesYes

They provide TMH through Teladoc services.

Jul 9, 2019massachusetts
MassachusettsHealth New England205,000YesYes

They provide TMH through Teladoc services.

Jul 9, 2019massachusetts
MassachusettsFallon Community Health Plan230,000YesYes

They provide TMH through Teladoc services. Example of their services are Substance abuse evaluation, online counseling, anxiety issues etc.

Jul 9, 2019massachusetts
MichiganHealth Alliance Plan570,000YesNo

They cover only in-person mental/behavioral related treatments.

Jul 9, 2019michigan
MichiganPriority Health800,000YesYes

They cover for TMH but still depends on member’s policy.

Jul 9, 2019michigan
MichiganMcLaren Health Plan300,000YesNo

They only cover in-person treatment and requires pre-authorization.

Jul 9, 2019michigan
MinnesotaHealthPartners, inc400,000YesYes

Some plans they cover for TMH, with $30 copay.

Jul 9, 2019minnesota
MinnesotaUcare417,000YesNo

They do not cover for TMH. Only in-person treatment and Provider must be within the network.

Jul 9, 2019minnesota
MinnesotaPreferredOne327,000YesYes

Most of their plans cover for Mental/Behavioral health treatments both for in-person and TMH.

Jul 9, 2019minnesota
MississippiUnitedHealthCare - Mississippi580,000YesYes

Most of their plans cover for Mental/Telemental Health through Optum.

Jul 9, 2019mississippi
Mississippiambetter from magnolia health4.1MYesNo

Information given only with member’s policy.

Jul 9, 2019mississippi
MissouriUnitedHealthCare - Missouri1.3MYesYes

They cover for TMH but still depends on member’s policy. The carrier is Optum.

Jul 9, 2019missouri
MissouriAnthem Blue Cross Blue Shield - Missouri40.8MYesYes

Most of their plans cover for Mental/TMH related services

Jul 9, 2019missouri
MontanaPacificSource Health Plans300,000+YesYes

They cover for TMH, citing their policy that as long as the treatment is done in a secure, real time two-way interactive video.

Jul 9, 2019montana
MontanaBlue Cross Blue Shield of Montana20,700YesYes

Most of their plans cover for TMH, still depends on the member policy but in general they cover for TMH.

Jul 9, 2019montana
MontanaMontana Health CO-OP50,000YesNo

They only cover for in-office consultation or treatment.

Jul 9, 2019montana
NebraskaUnitedHealthCare - Nebraska430,000YesYes

Most of their plans cover for TMH, through carrier Optum.

Jul 9, 2019nebraska
NebraskaBlue Cross Blue Shield of Nebraska42,000YesYes

Most of their plans cover for TMH, still depends on member’s policy.

Jul 9, 2019nebraska
NevadaSierra Health and Life285,000YesYes

Depends on individual policy, there are some that covers for TMH. Carrier is Optum.

Jul 9, 2019nevada
NevadaHometown Health35,000YesNo

They only cover for in-person behavioral services.

Jul 9, 2019nevada
NevadaProminence Health Plan100,000+YesNo

They only cover for in-person psychological services. Provider must be within the network.

 

Jul 9, 2019nevada
New HampshireHarvard Pilgrim Health Care - NH1.3MYesYes

They cover for both in-person and TMH related services. Carrier is Optum.

Jul 9, 2019new-hampshire
New HampshireAmbetter from New Hampshire Healthy Families4.1MYesYes

They cover for both in-person and TMH related services. Still depends on the member’s policy if there is copay or deductibles.

Jul 9, 2019new-hampshire
New JerseyAmeriHealth New Jersey400,000YesYes

They cover for both in-person and TMH, carrier is Magellan Health care. Still depends on individual policy.

Jul 9, 2019new-jersey
New JerseyHorizon Blue Cross Blue Shield of New Jersey3.2MYesYes

They cover for TMH but still depends on individual policy.

 

Jul 9, 2019new-jersey
New JerseyUnitedHealthCare - New Jersey1.7MYesYes

Most of their plans cover for TMH, but still depends on individual policy. Carrier is Optum

Jul 9, 2019new-jersey
New MexicoNew Mexico health connections470,000YesYes

They cover for TMH through Teladoc, they don’t cover for out of network providers.

Jul 9, 2019new-mexico
New MexicoPresbyterian - New Mexico440,000YesYes

They cover for TMH, Provider must sign attestment that they’re using a HIPAA compliant software. Carrier is Magellan.

Jul 9, 2019new-mexico
New MexicoTruehealth - New Mexico20,000YesYes

True health is the same company with New Mexico Health Connection, so True Health is for employee benefit insurance, they offer the same coverage for TMH.

Jul 9, 2019new-mexico
New YorkNYC MetroPlus Health Plan525,000YesYes

They cover for both in-person and TMH. The company that covers for behavioral services is Beacon Health.

Jul 9, 2019new-york
New YorkFidelis Care1.7MYesYes

They cover for in-person and TMH but provider must be within the network. There is no reimbursement for out-of-network providers.

Jul 9, 2019new-york
New YorkHealthFirst1.2MYesYes

They cover for in-person and TMH but still depends on member policy.

Jul 9, 2019new-york
North CarolinaUnitedHealthCare - North Carolina900,000YesYes

They cover for Behavioral/TMH benefits, carrier is Optum.

Jul 9, 2019north-carolina
North CarolinaBluecross Blueshield of North Carolina3,604,818YesYes

They cover for in-person/TMH benefits through vendor Magellan.

Jul 9, 2019north-carolina
North CarolinaAmbetter of North Carolina Inc.12.2MYesYes

Most of their plans cover for TMH, still depends on individual policy.

Jul 9, 2019north-carolina
North DakotaUnitedHealthCare - North Dakota26,000YesYes

They cover for TMH benefits, carrier is Optum.

Jul 9, 2019north-dakota
North DakotaSanford Health Plan - North Dakota180,000YesYes

Depends on a specific member’s policy.

Jul 9, 2019north-dakota
North DakotaBluecross Blueshield of North Dakota375,000YesYes

Some plans they cover for TMH, this is something they’re looking to integrating in all the plans in the future.

Jul 9, 2019north-dakota
OhioSummaCare Inc of Ohio33,000YesYes

Most of their plans have coverage for mental health benefits but only few cover TMH, company is slowly integrating TMH benefits.

Jul 9, 2019ohio
OhioMedical Mutual1.6MYesYes

Depends on the member’s policy, some plans cover for TMH.

Jul 9, 2019ohio
OhioParamount Health Care590,000YesYes

Most of their plans cover Psychological/TMH benefits.

Jul 9, 2019ohio
OklahomaBlue Cross and Blue Shield of Oklahoma (BCBSOK)830,000YesYes

Depends on the member’s policy, some plans cover for TMH. Carrier is Magellan.

Jul 9, 2019oklahoma
OklahomaCommunityCare140,000YesNo

Commercial plans and PPO covers only in-person behavioral services.

Jul 9, 2019oklahoma
OklahomaGlobalHealth45,000YesYes

Most plans cover for TMH, but still depends on individual member. Carrier is Beacon Heatlh Options.

Jul 9, 2019oklahoma
OregonBridgeSpan Health2MYesYes

Most of their plans cover for TMH, through MDLive.

Jul 9, 2019oregon
OregonPacificSource Health Plans300,000+YesYes

They cover both in-person and TMH, still depends on individual policy.

Jul 9, 2019oregon
OregonATRIO Health Plans20,000YesNo

Only in-person benefits, this company offers only medicare advantage plans.

Jul 9, 2019oregon
PennsylvaniaUPMC Health Plan3.4MYesNo

Called the Behavioral Dept, they do not cover for TMH at this time.

Jul 9, 2019pennsylvania
PennsylvaniaGeisinger Health Plan580,000YesYes

Most of their plans cover for TMH, under third-party company Magellan.

Jul 9, 2019pennsylvania
PennsylvaniaAmeriHealth - Pennsylvania193,000YesYes

Most of their plans cover for TMH, under third-party company Magellan.

Jul 9, 2019pennsylvania
Rhode IslandUS Family Health Plan15,000YesYes

US Family Health Plan is under Tufts Health so they basically have the same coverage for TMH.

Jul 9, 2019rhode-island
Rhode IslandTUFTS Health Plan - RI1MYesYes

They have Teladoc for behavioral services but provider must be in-network.

Jul 9, 2019rhode-island
Rhode IslandUnitedHealthCare - RI250,000YesYes

Most of their plans cover for TMH, all United HealthCare is serviced by Optum for behavioral benefits.

Jul 9, 2019rhode-island
South CarolinaUnitedHealthCare - South Carolina48.9MYesYes

Most plans cover for TMH, and provider must be in network. Vendor is Optum.

Jul 9, 2019south-carolina
South CarolinaSouth Carolina Blues450,000YesYes

They cover for both in-person and TMH benefits through a third party CBA.

Jul 9, 2019south-carolina
South DakotaSanford Health Plan - South Dakota190,000YesYes`

They cover for TMH, but still depends on member’s policy.

Jul 9, 2019south-dakota
South DakotaAvera Health Plans -South Dakota1MYesNo

They only cover for in-person mental health benefits.

 

Jul 9, 2019south-dakota
TennesseeFarm Bureau Health Plans180,000YesNo

They cover in-person visits only.

 

Jul 9, 2019tennessee
TennesseeOscar Heath Insurance - Nashville250,000YesYes

They cover for TMH under Optum.

Jul 9, 2019tennessee
TennesseeBlueCross BlueShield of Tennessee113,000YesYes

They cover for TMH as long as Provider is licensed in TN and credentialed with BlueCross Blue Shield TN.

Jul 9, 2019tennessee
TexasScott and White Health Plan220,000YesNo

They cover in-person benefits only.

Jul 9, 2019texas
TexasTexas Health Aetna700,000YesYes

They cover for TMH, through their partner Texas Health Resource.

Jul 9, 2019texas
TexasFirstCare Health Plans140,000YesYes

Most of their plans cover for TMH, through MDLive

Jul 9, 2019texas
UtahUniversity of Utah Health Plans130,276YesNo

Only in-person coverage.

Jul 9, 2019utah
UtahSelectHealth Utah850,000YesYes

Depends on the member’s policy

Jul 9, 2019utah
UtahRegence BlueCross Blueshield of Utah533,000YesYes

They cover for TMH benefits.

Jul 9, 2019utah
VermontMartin’s Point Health Care - Vermont150,000YesYes

They cover for TMH as long as Provider and patient are both in a secure location using audio-visual equipment.

Jul 9, 2019vermont
VermontUnited Healthcare- VermontYesYes

They cover for TMH benefits under Optum.

Jul 9, 2019vermont
VirginiaOptima Health450,000YesYes

They cover for both in-person and TMH.

Jul 9, 2019virginia
VirginiaHealthkeepers, Inc.669,975YesYes

They have coverage for both in-person and TMH services.

Jul 9, 2019virginia
VirginiaPiedmont Community Health Plan (Centra now is the sole owner of Piedmont Community Health Plan)40,000YesYes

They cover for TMH, depends on the member’s policy (according to Director of Provider relations Barb Nash)

Jul 9, 2019virginia
WashingtonProvidence Health Plan - WashingtonYesYes

Depends on the member’s policy

Jul 9, 2019washington
WashingtonLifeWise WA15,000YesYes

They cover for TMH, as long as provider is within the network. There are plans that reimburse for out-of-network services but that means bigger copay.

Jul 9, 2019washington
WashingtonAsuris Northwest Health50,000YesYes

They cover for both in-person and TMH, they’re the only insurance company so far that are very upfront regarding their TMH coverage.

Jul 9, 2019washington
West VirginiaHighmark Blue Cross Blue Shield West Virginia4.5MYesYes

They cover for TMH but still depends on individual policy.

Jul 9, 2019west-virginia
West VirginiaUnitedHealthcare - West Virginia48.9MYesYes

They cover for TMH services, carrier is Optum

Jul 9, 2019west-virginia
West VirginiaAetna Better Health of West Virginia60,000YesYes

Depends on the member’s policy and most of the TMH services needs prior authorization.

Jul 9, 2019west-virginia
WisconsinDean Health Plan250,000YesNo

Most of their plans cover for Behavioral health services but TMH is something they would consider in the future.

Jul 9, 2019wisconsin
WisconsinQuartz Benefits340,000+YesYes

They cover for TMH as long as the Provider is within the network. They do not reimburse for out-of-network Providers.

Jul 9, 2019wisconsin
WyomingUnitedHealthcare - Wyoming48.9MYesYes

Most of their plans cover for TMH, through a vendor Optum.

Jul 9, 2019wyoming
AlaskaODS Alaska Health Insurance8,00,000YesYes

Still depends on member’s policy

Jul 9, 2019alaska