Does Uprise Health Cover Behavioral Health Treatment?
Uprise Health is a behavioral health and digital mental health company that provides Employee Assistance Programs and other behavioral health solutions to health plans, employers, and organizations. It administers behavioral health and mental health services through health plans, employers, or other organizational benefit plans. The specific services available to you depend on the program with which you receive your Uprise Health benefits and the terms and conditions of your policy.
Your coverage may depend on factors such as:
- Your specific insurance policy or employer-sponsored benefits
- The behavioral health program or benefit administered by Uprise Health
- Whether the treatment provider is in-network or out-of-network under your specific plan
- Medical necessities
- The recommended level of care
- Prior authorization requirements
- Your deductible, coinsurance, copayments, and out-of-pocket maximum.
We understand this can be confusing, but you do not have to figure this out on your own. NuView’s admissions team can verify your benefits and help explain whether your specific plan may provide coverage for treatment with us.
What May Be Covered Under Uprise Health?
Depending on your specific policy and benefits, behavioral health services may include:
- Clinical assessments and psychiatric evaluations
- Individual and behavioral therapy
- Medication management
- Substance use disorder treatment
- Mental health disorder treatment
- Partial hospitalization program (PHP)
- Intensive outpatient program (IOP)
- Virtual behavioral health treatment services
- Other Employee Assistance Program (EAP) services.
While Uprise Health administers coverage for the above-mentioned services in general, the services specifically covered under your plan depend on your benefits and eligibility.
Uprise Health Plans We Can Help You Verify
Uprise Health was formed through the combination of Reliant Behavioral Health (RBH), American Behavioral, Claremont EAP, and HMC HealthWorks. If your benefits card carries one of those names, they're now administered by Uprise Health.
NuView can help verify behavioral health benefits associated with Uprise Health and its integrated behavioral health organizations, including:
- American Behavioral EAP
- American Behavioral Benefits Managers, LLC
- Claremont EAP
- EAP Preferred
- HMC HealthWorks
- Quality Health Solutions (QHS)
- Reliant Behavioral Health (RBH)
Benefits and coverage can vary depending on the health plan, employer, program, in-network or out-of-network providers, and other authorization requirements.
Understanding EAP Benefits vs. Treatment Benefits
Your EAP typically covers a set number of short-term counseling sessions at no cost. Structured programs like PHP and IOP are covered under your health plan's behavioral health benefit, which has its own deductible and authorization rules. Your EAP counselor can often refer you into treatment. You can also contact our admissions team to verify both.
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 members whose plans are administered by Uprise Health, or its affiliated organizations, may receive out-of-network benefits for treatment with us.
When you reach out to us, our admissions team can confidentially verify your coverage and explain your benefits and potential out-of-pocket costs 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 Uprise Health Behavioral Health Benefits?
If you want to verify your Uprise Health coverage and benefits for behavioral health treatment, here are a few simple steps you can expect:
Please remember that verifying your insurance coverage and benefits is a free-of-cost, information-gathering step. You are not obligated to begin a treatment program after verifying your benefits. The goal 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 need to understand every detail of your Uprise Health coverage and benefits or know which level of care is right for you.
Our admissions team can answer your questions, verify your behavioral health benefits, and explain your potential coverage and costs.
Our clinical team will then sit with you in a confidential setting to perform clinical assessments to understand your symptoms, history, and goals to recommend 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 help you understand potential next steps toward treatment.
Frequently Asked Questions About Uprise Health Behavioral Health Treatment Coverage and Benefits
Uprise Health is a behavioral health and digital mental health company that provides Employee Assistance Programs and other behavioral health solutions to health plans, employers, organizations, and others.
Out-of-network benefits are insurance benefits that may help pay for covered care received from providers who are outside your insurance provider’s network.
Uprise Health's out-of-network benefits can depend on your specific plan and other conditions. The best way to determine your specific benefits is to verify your plan.
Prior authorization means your health plan or behavioral health administrator may require approval before certain services are provided or covered.
- 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.