Mental Health & Substance Use Benefits

Mental Health

Outpatient counseling/therapy

  • Referral: No referral required
  • Limit: No limit

Special mental health services (Exceptional needs services)

  • Referral: Yes, approval (or authorization) required
  • Limit: Call your mental health and substance use plan

Residential treatment

  • Referral: Yes, authorization required
  • Limit: Call your mental health and substance use plan

Mental Health Drugs are not covered by your Health Share physical or mental health plan. They are covered by OHP. Your pharmacist will know where to send the bill.

  • Referral: Contact OHP
  • Limit: Contact OHP

Alcohol and Drug Services

Outpatient counseling/therapy

  • Referral: No referral required
  • Limit: No limit

Residential treatment

  • Referral: Yes, authorization required
  • Limit: Approval based on OHP guidelines. Call your mental health and substance use plan for details.

Detox

  • Referral: No referral required
  • Limit: No limit