Centene Insurance Behavioral Health Treatment Coverage and Benefits
If you have health insurance through a Centene-owned or an affiliated plan, you may receive out-of-network behavioral health benefits that can cover treatment at NuView Treatment Center.
Our admissions team can confidentially verify your insurance benefits, explain your available coverage, determine whether out-of-network benefits may apply, estimate your potential costs, and explain your payment options. This is simply a free-of-cost, no-obligation step that gives you the information you need to make your recovery decisions on your own time.
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Verify My Centene Insurance Benefits Does Centene Cover Behavioral Health Treatment?
Centene-owned health insurance plans provide behavioral health benefits for mental health and substance use disorder treatment. Depending on your specific plan, coverage may extend to outpatient treatment, intensive outpatient program, partial hospitalization program, and other behavioral health services.
Your coverage may depend on factors such as:
- Your specific insurance policy
- Whether your policy includes out-of-network benefits
- Medical necessity
- Recommended level of care
- Prior authorization requirements
- Your deductible
- Your coinsurance
- Your copayments
- Your out-of-pocket maximum.
Some plans provide coverage for in-network providers, while other plans may include out-of-network benefits. Out-of-network benefits are insurance benefits that may cover care from behavioral healthcare providers who are outside your insurance policy’s network, like NuView.
What May Be Covered Under Centene Insurance Policies?
Depending on your specific plan and clinical needs, Centene’s behavioral health benefits may cover services such as:
- Clinical assessments and psychiatric evaluations
- Individual and group therapy
- Medication-assisted treatment (MAT) and medication management
- Partial hospitalization program (PHP)
- Intensive outpatient program (IOP)
- Virtual behavioral health treatment services
- Co-occurring mental health and substance use disorder treatment
- Follow-up and aftercare.
Certain services and higher levels of care may require prior authorization.
Centene Plans We Can Help You Verify
NuView can help verify behavioral health benefits for plans and networks associated with Centene, including:
- Ambetter
- Health Net
Behavioral health benefits under many Centene plans are administered by Managed Health Network (MHN). Plan names, networks, benefits, and behavioral health administrators can vary by location, policy, and your employer. Benefits are verified before treatment begins.
Once We Know What Your Plan Covers, Here's What Treatment Looks Like
NuView is an accredited behavioral healthcare provider in Los Angeles. Eligible Centene members may be able to apply out-of-network benefits toward treatment with us.
When you contact 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 financial decisions in your recovery journey about 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 Centene Behavioral Health Benefits?
If you want to understand your Centene coverage and behavioral health benefits, you can follow these simple steps.
Please remember that verifying your insurance benefits is only an information-gathering step. You are not obligated to enroll in a treatment program after verifying your coverage.
The purpose of this step is to empower you with an understanding of your options, potential financial costs, and available treatment pathways so that you can make an informed recovery decision on your own time.
Let Us Begin With a Confidential Conversation
If you or someone you love is considering behavioral health treatment, you do not need to have everything figured out before reaching out.
You do not have to know which level of care is right for you. You do not have to understand every detail of your Centene-owned or affiliated insurance policy.
Our admissions team can answer your questions, verify your behavioral health benefits, and explain your coverage options. Our licensed clinical team can then help you understand your treatment needs and determine which level of care may be appropriate.
Do You Have Questions About Your Coverage?
NuView’s admissions team can verify your coverage and benefits, explain your options, and enable you to take the next step toward treatment.
Frequently Asked Questions About Centene Behavioral Health Treatment Coverage and Benefits
Many Centene-owned insurance policies cover behavioral health treatment, which may include outpatient therapy, medication management, intensive outpatient programs, partial hospitalization programs, and other behavioral health services.
Some Centene-owned insurance plans entail out-of-network benefits, while other plans may only cover services received from in-network providers. NuView’s admissions team can verify your benefits and explain whether out-of-network coverage may be available for treatment at our treatment center.
Prior authorization is an approval that your insurance plan may require before certain behavioral health services can be covered.
- Deductible: The amount you generally must pay toward covered behavioral healthcare services before your insurance begins paying.
- 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 generally pay for covered services in a year before your insurance begins paying 100% of covered behavioral healthcare benefits.