Advanced Benefit Solutions Behavioral Health Treatment Coverage and Benefits
If you have health insurance through Advanced Benefit Solutions, you may have out-of-network behavioral health benefits that can help cover treatment at NuView Treatment Center.
Our admissions team can confidentially verify your insurance benefits, explain your potential coverage, estimate your potential out-of-pocket costs, and help you understand your payment options. This does not obligate you to enroll in any treatment program with us. Our aim is to equip you with the information you need so that you can make informed decisions in your recovery.
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Verify My Advanced Benefit Solutions Benefits Does Advanced Benefit Solutions Cover Behavioral Health Treatment?
Advanced Benefit Solutions is a group health and benefits insurance brokerage firm that serves small and medium-sized enterprises, but it also administers individual insurance policies for exiting or retiring employees as well. While its primary location is in Texas, it also has a presence in California that may administer coverage for behavioral health treatment depending on your specific policy.
Advanced Benefit Solutions administers employer-sponsored health plans. As these are typically self-funded, out-of-network coverage is set by your employer's plan. This is why verification matters here, as coverage and benefits can substantially vary between plans.
Your coverage may depend on factors such as:
- Your specific insurance policy and plan
- Whether your plan provides out-of-network benefits
- Medical necessities
- The recommended level of care
- Prior authorization requirements
- Your deductible
- Coinsurance or copayment requirements
- Your out-of-pocket maximum.
We can understand that insurance policies and jargon can be very confusing. This is why our admissions team can confidentially verify your coverage and benefits to explain what part of your treatment can be covered and estimate your potential out-of-pocket costs, if any, before you begin treatment at NuView.
What May Be Covered Under Advanced Benefit Solutions?
Depending on your specific plan and needs, behavioral health benefits may cover services such as:
- Clinical assessments and psychiatric evaluations
- Partial hospitalization program (PHP)
- Intensive outpatient program (IOP)
- Virtual behavioral health treatment
- Outpatient individual and group therapy
- Medication management
- Substance use disorder treatment
- Mental health disorder treatment
- Dual diagnosis and co-occurring disorder treatment
The services covered can vary depending on your specific policy and preauthorization requirements. Verifying your benefits before beginning your treatment is the best way to understand what is covered under your insurance and your out-of-pocket costs (if any).
Advanced Benefit Solutions Plans We Can Help You Verify
NuView can help verify behavioral health benefits associated with Advanced Benefit Solutions and affiliated plans, such as:
- Advanced Benefit Solutions
- Tribal Health Partners
Coverage and out-of-network benefits vary by plan type, employer, and specific policy. We will not begin treatment before explaining your coverage and benefits, so that you do not have to anticipate any unwelcome surprises after beginning your treatment. Our only aim is to ease this journey for you so that you can focus on your recovery.
Tribal health plans often require authorization from the tribal program before out-of-network care is delivered. If your benefits run through Tribal Health Partners, contacting us before beginning treatment allows us to understand what type of approvals may be needed before you begin treatment.
Once We Know What Your Plan Covers, Here's What Treatment Looks Like
NuView is a trusted and accredited outpatient behavioral health treatment center in Los Angeles, California. Eligible members whose plans are administered by Advanced Benefit Solutions, or its affiliated organizations, may receive out-of-network benefits for treatment with us.
When you reach out to us, our admissions team will verify your coverage and explain your benefits and potential out-of-pocket costs to you so that you can make informed decisions regarding the cost of your care.
Partial Hospitalization Program
A structured, full-day program for people who need intensive support but not 24-hour residential care.
Intensive Outpatient Program
Fewer weekly hours than PHP, designed to fit around work, school or family obligations.
Evening Track
Structured evening care that supports recovery while allowing you to maintain your daily routine.
Telehealth Services
Virtual sessions for eligible California residents, for added flexibility and access.
Individual Therapy
One-on-one sessions with a licensed therapist.
Group Therapy
Peer support facilitated by a clinician.
Case Management
Coordinated support connecting you with the right resources throughout treatment.
Medical Services
Oversight from a psychiatric provider and clinical team as part of your care.
How Can You Verify Your Advanced Benefit Solutions Behavioral Health Benefits?
If you want to understand what your Advanced Benefit Solutions behavioral health benefits may cover, the procedure is simple and straightforward:
Verifying your insurance coverage and benefits is only an information-gathering step. You are not obligated to enroll in a treatment program even after your benefits have been verified.
Let Us Begin With a Confidential Conversation
If you or a loved one is considering behavioral health treatment, you do not need to have everything figured out before you reach out to NuView.
Our admissions team can answer your questions, verify your Advanced Benefit Solutions behavioral health benefits, and explain the coverage information available for your plan. Our licensed clinical team can then sit down with you in a confidential setting to understand your symptoms, lived experiences, needs, and goals to recommend the right level of care.
From there, we craft a personalized treatment plan that moves with you.
Do You Have Questions About Your Coverage?
NuView's admissions team can verify your Advanced Benefit Solutions coverage confidentially, explain your potential benefits and out-of-pocket costs, answer your queries, and help you understand your recovery options.
Frequently Asked Questions About Advanced Benefit Solutions Behavioral Health Treatment Coverage and Benefits
Advanced Benefit Solutions is a group health and benefits insurance brokerage firm that serves small and medium-sized enterprises. It also administers individual policies to exiting or retiring employees as well.
Plans administered by Advanced Benefit Solutions may include behavioral health benefits, but this can vary depending on specific policies and plans. The best way to determine what your specific plan covers is to verify your benefits before you begin treatment.
Out-of-network benefits are insurance benefits that may provide coverage for care received from providers who are outside your insurance provider’s contracted network.
Prior authorization refers to specific approval that may be required by your insurance plan before certain behavioral health services can be covered.
- Deductible: The amount you may need to pay toward covered behavioral healthcare services before your insurance begins paying, as per your plan's coverage and benefits.
- Coinsurance: The percentage of a covered behavioral healthcare service that you may be responsible for paying after meeting your deductible.
- Out-of-Pocket Maximum: The maximum amount you may be required to pay for covered behavioral healthcare services during a year before your insurance begins paying 100% of covered costs.