Government Employees Health Association (GEHA) Behavioral Health Treatment Coverage and Benefits
If you have health insurance through the Government Employees Health Association (GEHA), your plan may provide out-of-network coverage for behavioral health treatment at NuView Treatment Center.
Our admissions team can confidentially verify your insurance benefits, explain available coverage, estimate your potential out-of-pocket costs, and clarify your payment options. Verifying your benefits is an information-gathering step with no obligation to begin treatment.
Call (323) 307-7997
Verify My GEHA Benefits Does GEHA Cover Behavioral Health Treatment?
Government Employees Health Association, commonly known as GEHA, is a non-profit insurance association that provides behavioral healthcare coverage to federal employees, retirees, and their families. However, the exact coverage and benefits may depend on factors such as:
- Specific GEHA plan
- Whether the provider is in-network or out-of-network
- Whether your plan uses the UnitedHealthcare Choice Plus Network or another partner for the service
- Medical necessity
- Recommended level of care
- Prior authorization or precertification requirements
- Your deductible, copayment, coinsurance, and out-of-pocket maximum
Our admissions team can verify your specific benefits and help you understand whether your GEHA plan may provide coverage for treatment at NuView.
What May Be Covered Under GEHA?
Depending on your specific policy and needs, eligible members may have coverage for:
Treatment that may be covered can include:
- Clinical assessments and psychiatric evaluations
- Partial hospitalization programs
- Intensive outpatient programs
- Outpatient behavioral health treatment
- Virtual behavioral health treatment services
- Substance use disorder treatment
- Mental health treatment
- Dual diagnosis treatment for co-occurring substance use and mental health disorders
- Medication management, medication-assisted treatment (MAT), and other medical services.
The services available to you, your level of coverage, and your out-of-pocket costs depend on your specific policy.
GEHA Plans and Network Arrangements We Can Help You Verify
NuView can help verify behavioral health benefits for members with GEHA coverage. Depending on your plan and location, your insurance information may extend to:
- Government Employees Health Association
- GEHA UHC Shared Services
- Aetna Signature Administrators
- UnitedHealthcare Choice Plus
- UnitedHealthcare Behavioral Health
GEHA remains an independent health plan, while these organizations may provide network or administrative services for GEHA members. Coverage and out-of-network benefits vary by plan, location, and specific policy. Benefits are verified before treatment begins.
Understanding GEHA’s Network Arrangements
As GEHA uses different networks depending on your location and plan, it is crucial to look at the information on your GEHA member ID card rather than assuming that every plan uses the same network.
For instance, GEHA uses UnitedHealthcare Choice Plus as a network used by members in different regions. Others may use other network arrangements, like Aetna.
This means that seeing UnitedHealthcare or Aetna information associated with a GEHA plan does not necessarily mean that the member has a UnitedHealthcare or Aetna insurance policy. GEHA remains the health plan, while the other organizations may provide network or administrative services.
Once We Know What Your Plan Covers, Here's What Treatment Looks Like
NuView provides behavioral healthcare for those seeking outpatient care for substance use and mental health concerns.
When you reach out to us, our admissions team can confidentially verify your GEHA benefits, identify the applicable network arrangement, explain your coverage, and clarify potential out-of-pocket costs with you.
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 GEHA Behavioral Health Benefits?
If you want to verify your GEHA coverage and benefits for behavioral health treatment, you only need to understand these simple, straightforward steps.
Please Note: Verifying your insurance coverage and benefits is an information-gathering step. It is an option to understand your available benefits, potential costs, and treatment options so you can make your recovery decisions whenever you are ready.
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 reaching out.
You do not have to know every detail of your GEHA policy or network arrangement.
Our admissions team can answer your questions, verify your behavioral health benefits, explain potential out-of-pocket costs, and explain your options to you so that you can take the next step in your healing journey with confidence.
Do You Have Questions About Your Coverage?
NuView's admissions team can help verify your GEHA coverage and benefits, explain your network options, and help you take the next step toward treatment.
Frequently Asked Questions About GEHA Behavioral Health Treatment Coverage and Benefits
GEHA, or Government Employees Health Association, is a nonprofit health plan that provides health coverage for federal employees, retirees, and their families in the U.S.
GEHA is an independent health plan that can use UnitedHealthcare for network or administrative services, similar to how it uses Aetna.
GEHA plans include behavioral health benefits, though covered services and cost-sharing depend on your plan option.
Out-of-network coverage depends on your specific GEHA plan and the service being provided. Our admissions team can verify your insurance plan and explain whether out-of-network behavioral health benefits may be available.
Prior authorization means your insurance plan may require approval before certain behavioral health services are covered.
- Deductible: The amount you may need to pay for covered behavioral healthcare services before your insurance begins paying, as per your specific plan’s benefits.
- Coinsurance: The percentage of covered behavioral healthcare costs you may be responsible for after meeting your deductible.
- Out-of-Pocket Maximum: The maximum amount you pay toward covered behavioral healthcare services during a year before your plan generally pays 100% of covered costs.