Healthcare Management Administrators (HMA)/Cambia Health Solutions Behavioral Health Treatment Coverage and Benefits
If you have health insurance through Healthcare Management Administrators (HMA), a subsidiary of Cambia Health Solutions, you may receive out-of-network benefits 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.
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Verify My HMA Benefits Does HMA Cover Behavioral Health Treatment?
Healthcare Management Administrators (HMA) is a third-party administrator owned by Cambia Health Solutions. It manages claims and benefits on behalf of self-funded employer plans.
HMA is headquartered in Bellevue, Washington. However, depending on your specific plan, HMA may provide out-of-network coverage for behavioral health treatment from providers located outside of your plan’s home region, such as NuView in Los Angeles.
Your coverage may depend on factors such as:
- Specific HMA health plan
- Whether your policy includes out-of-network benefits
- 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 determine whether your HMA plan may cover treatment at NuView.
What May Be Covered Under HMA?
Depending on your specific plan and behavioral health needs, eligible members may receive coverage for the following:
- 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 exact services covered, level of care, provider requirements, and member responsibility depend on your specific HMA plan.
HMA Plans We Can Help You Verify
NuView can help verify behavioral health benefits for members whose insurance information identifies:
- HMA
- Healthcare Management Administrators
- HMA Hawaii
- AccessHMA
- Other health plans administered by HMA
Coverage and out-of-network benefits vary by plan type, employer, location, and other eligibility conditions. All your benefits will be verified before you begin treatment with us. NuView does not start treatment before clearly explaining your benefits or potential out-of-pocket costs.
Once We Know What Your Plan Covers, Here's What Treatment Looks Like
NuView provides behavioral healthcare for those seeking structured outpatient options for substance use and mental health concerns.
When you reach out to us, our admissions team can confidentially verify your HMA benefits, identify the specific plan and coverage, and discuss 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 HMA Behavioral Health Benefits?
If you want to verify your HMA coverage and benefits for behavioral health treatment, you only need to follow these simple, straightforward steps.
Verifying your insurance coverage and benefits is an information-gathering step. You are not obligated to begin any treatment with us just because you verify your insurance. Our aim is to provide you with the financial knowledge you need to make informed decisions about your care, whenever you are ready to take the next step.
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 us at NuView.
You do not have to understand all the terms, conditions, coverage, and benefits of your HMA plan either.
Our admissions team is always here to answer your questions, verify your coverage, and explain potential out-of-pocket costs (if any).
Even if you do not have insurance, you can reach out to us as we offer flexible self-payment options. We can find the best payment pathway that bridges the gap between your behavioral health needs and financial barriers.
Do You Have Questions About Your Coverage?
NuView's admissions team can help verify your HMA coverage and benefits as you take the next step toward treatment.
Frequently Asked Questions About HMA/Cambia Health Solutions Behavioral Health Treatment Coverage and Benefits
Healthcare Management Administrators, or HMA, specializes in creating and administering health plans for self-funded employers.
HMA has been owned by Cambia Health Solutions since 2001. Cambia currently describes HMA as an administrator serving employers that self-fund their healthcare benefits.
HMA-administered plans may cover behavioral health benefits, including substance use and mental health disorder treatment. But the exact coverage and benefits depend on your specific plan.
Out-of-network coverage depends on your specific HMA-administered plan. NuView’s admissions team can verify your benefits and explain whether out-of-network behavioral health coverage may be available to you.
Prior authorization means your health plan may require approval before certain behavioral health services are covered.
- Deductible: It refers to the amount you may need to pay for covered behavioral healthcare services before your insurance begins paying, as per your plan's benefits.
- Coinsurance: It refers to the percentage of covered behavioral healthcare costs you may be responsible for after meeting your deductible.
- Out-of-Pocket Maximum: It refers to the maximum amount you pay toward covered behavioral healthcare services during a year before your plan generally pays 100% of covered costs.