Does Personify Health Cover Behavioral Health Treatment?
Personify Health provides health and well-being solutions through health plans and employers, and behavioral health benefits may be available depending on the specific insurance policy.
Personify Health administers benefits on behalf of employers. It is not the insurance company itself. As most of these are self-funded employer plans, out-of-network coverage is set by your employer's plan, not by Personify. This is why verifying your insurance in advance matters.
Some plans may cover behavioral health treatment, including services provided by out-of-network providers (those outside of your plan’s network). The availability and extent of coverage vary by plan.
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
- Your coinsurance or copayment requirements
- Your out-of-pocket maximum.
Our admissions team can verify your benefits and explain what your specific Personify Health or affiliated plan may cover for behavioral health treatment at NuView.
What May Be Covered Under Personify Health?
Depending on your specific plan and behavioral health needs, your 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 may vary depending on your policy and preauthorization requirements. This is why verifying your benefits before beginning treatment is the best way to understand what is covered and what may be your potential out-of-pocket costs.
Personify Health Plans We Can Help You Verify
NuView can help verify behavioral health benefits for associated Personify Health plans, such as:
- Gilsbar
- HealthComp
- Virgin Pulse (well-being platform, now part of Personify Health)
Coverage and out-of-network benefits vary by plan type, employer, location, and your specific policy. We verify your benefits before you begin your treatment with us. We do not proceed with the treatment before explaining your benefits and potential out-of-pocket costs.
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. Eligible members whose plans are administered by or affiliated with Personify Health may receive out-of-network benefits for treatment with us.
When you reach out to us, our admissions team can verify your coverage and explain your benefits, estimate out-of-pocket costs, and explain your payment options to 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 Personify Health Behavioral Health Benefits?
If you want to understand what your Personify Health behavioral health benefits may cover, there are a few simple steps:
Verifying your insurance coverage and benefits does not obligate you to enroll in any treatment program with us. It is only for your information, so that you understand the coverage and potential out-of-pocket costs before you make an informed decision about treatment on your own time.
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 need to know which level of care is right for you or understand every detail of your Personify Health benefits.
Our admissions team can answer your queries, verify your behavioral health benefits confidentially, and explain the coverage information available for your plan, so that you can take the next step in your recovery journey whenever you are ready.
Do You Have Questions About Your Coverage?
Understanding your behavioral health benefits must not stand between you and the care you need and deserve.
NuView's admissions team can help verify your Personify Health-administered benefits, explain your potential coverage and out-of-pocket costs, answer your questions, and help you understand the right level of care for you so that you can take the next step in your recovery with greater confidence.
Frequently Asked Questions About Personify Health Behavioral Health Treatment Coverage and Benefits
Personify Health is a health and well-being company that provides solutions through health plans, employers, and others. Depending on the specific benefits, your plan can cover behavioral health benefits for substance use and mental health concerns.
Plans administered by Personify Health may include behavioral health benefits, but coverage depends on your employer's plan. The best way to determine what your specific plan covers is to have your benefits verified.
Out-of-network benefits are insurance benefits that may provide coverage for behavioral health treatment received from providers who are outside your plan's provider network.
Prior authorization is 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 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 plan begins paying 100% of covered costs.