Point32Health Behavioral Health Treatment Coverage and Benefits
If you have insurance with Point32Health or one of its subsidiaries, you may receive out-of-network behavioral health benefits that can cover treatment at the NuView Treatment Center.
Point32Health members outside New England often receive behavioral healthcare through the UnitedHealthcare Choice Plus network. NuView is not a Choice Plus provider - treatment with us will fall under your plan's out-of-network benefits, if your policy provides them.
Our admissions team can confidentially verify your insurance benefits, explain any available out-of-network coverage, estimate your potential out-of-pocket costs, and explain your payment options.
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Verify My Point32Health BenefitsDoes Point32Health Cover Behavioral Health Treatment?
Many Point32Health-affiliated insurance policies provide coverage for behavioral health treatment, such as substance use and mental health disorder treatment. Whether an out-of-network behavioral health provider is covered depends on the specific plan.
Point32Health primarily operates in the New England region, but offers out-of-network coverage in other regions via UnitedHealthcare Choice Plus.
Out-of-network benefits are insurance benefits that can cover medically necessary care from behavioral healthcare providers who are outside your insurance policy’s network, such as NuView.
Your coverage may depend on factors such as:
- Your specific insurance policy and benefits
- Whether your policy includes out-of-network benefits
- Medical necessities
- The recommended level of care
- Prior authorization requirements
- Your deductible, coinsurance, copayments, and out-of-pocket maximum
- Your employer's plan coverage, if you have a self-funded plan
But you do not have to figure this out on your own. Our admissions team can verify your benefits and explain whether your specific plan may cover treatment at NuView.
What May Be Covered Under the Point32Health Plan?
Depending on your specific plan, behavioral health coverage may extend to services such as:
- Clinical assessments and psychiatric evaluations
- Individual and behavioral therapy
- Medication management
- Intensive outpatient program (IOP)
- Partial hospitalization program (PHP)
- Virtual behavioral health treatment services
- Substance use disorder treatment
- Mental health disorder treatment
Point32Health Plans We Can Help You Verify
NuView can help verify behavioral health benefits for eligible Point32Health plans and associated plans, such as:
- Harvard Pilgrim Health Care
- Health Plans, Inc. (HPI)
- Employers Health Network (EHN)
- Tufts Health Plan
Point32Health insurance offers out-of-network coverage via UnitedHealthcare Choice Plus. The exact behavioral health benefits vary by plan.
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 Point32Health and affiliated insurance policy holders may receive out-of-network benefits for treatment with us
NuView is a trusted and accredited outpatient behavioral health treatment center in Los Angeles, California. Eligible Point32Health and affiliated insurance policy holders may receive out-of-network benefits for treatment with us
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 Point32Health Behavioral Health Benefits?
If you want to verify your Point32Health coverage and benefits for behavioral health treatment, here are the simple steps:
Please remember that verifying your insurance coverage and benefits is only an information-gathering step. You are not obligated to begin a treatment program even after verifying your benefits. Our aim is to give you the information you need to make an informed decision 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 even need to understand every detail of your Point32Health policy and out-of-network Californian coverage or benefits, or which level of care is right for you.
Our admissions team can answer your questions, verify your coverage and benefits, and explain your potential out-of-pocket costs. Our clinical team can then conduct safe and confidential clinical assessments to understand your needs and determine the right level of care for you.
Do You Have Questions About Your Coverage?
NuView's admissions team can help verify your coverage and benefits, explain your options, and enable you to understand potential next steps toward treatment.
Frequently Asked Questions About Point32Health Behavioral Health Treatment Coverage and Benefits
Point32Health is a health and wellness organization whose family of companies includes Harvard Pilgrim Health Care, Tufts Health Plan, and others. It provides behavioral health coverage for medically necessary treatment.
Out-of-network benefits are insurance benefits that may pay for behavioral healthcare received from providers who are outside of your plan's provider network.
Health Plans, Inc. (HPI) is associated with Point32Health and offers self-funded health plans for employers and organizations. The benefits for HPI-administered plans are determined by your specific employer-sponsored plan, so coverage can vary from one plan to another.
Some Tufts Health Plan providers provide out-of-network coverage, while others may have different network requirements or authorization requirements. The best way to determine your benefits is to verify your specific plan.
Prior authorization means your insurance plan may need approval before certain services are provided or covered. Behavioral health services can have specific authorization and requirements depending on the plan.
- Deductible: The amount you may have to pay for covered behavioral healthcare services before your insurance begins paying, as per your 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 may be required to pay for covered behavioral healthcare services in a year before the plan pays 100% of covered costs.