Mental Health Benefits

Attention to mental health coverage and parity is increasing for health plans. Find resources on mental health issues related to health care reform and the Mental Health Parity and Addiction Equity Act (MHPAEA).

Articles


Government Resources

  • FAQs About ACA Implementation Part 38, EBSA, 6/16/2017 Concerning Coverage of Eating Disorder Treatment and Mental Health and Substance Use Disorder Parity Implementation and the 21st Century Cures Act

  • Form to Request Documentation From an Employer-Sponsored Health Plan or an Insurer Concerning Treatment Limitations, EBSA, 6/16/2017 Draft of sample form for plan members to request detailed information on treatment limitations for mental health or substance use disorder treatments. Draft published June 2017, comments were requested by September 2017.

  • FAQs About ACA Implementation Part 34 , EBSA, 10/1/2016 Preventive services (tobacco cessation interventions), mental health and substance use disorder parity implementation

  • FAQs About ACA Implementation Part 31, EBSA, 6/1/2016 Preventive services (colonoscopy, contraceptives), rescissions, out-of-network emergency services, clinical trials, out-of-pocket maximums, the Mental Health Parity and Addiction Equity Act (copays, coinsurance, disclosure, Medication Assisted Treatment for opioid use disorder) and the Women's Health and Cancer Rights Act (mastectomy coverage)

  • FAQs About ACA Implementation Part XXIX, EBSA, 10/1/2015 Preventive services (lactation counseling, weight management, colonoscopy, BRCA testing), non-financial wellness incentives, and mental health parity disclosure and medical necessity criteria

  • FAQs About ACA Implementation Part XVIII, EBSA, 1/9/2014 Preventive services (breast cancer), expatriate plans, wellness program reasonable alternatives, tobacco surcharges, fixed indemnity insurance, and the effect of ACA on the Mental Health Parity and Addiction Equity Act of 2008. Self-only annual limits on cost sharing apply to each individual, regardless of whether the individual is enrolled in self-only coverage or other than self-only

  • Final Rules Under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), EBSA, 11/13/2013 Final rule on increasing parity between mental health/substance use disorder benefits and medical/surgical benefits in group and individual health plans.

  • FAQs About ACA Implementation Part XVII, EBSA, 11/8/2013 Q&As on the mental health parity final rule effective July 1, 2014

  • FAQs About ACA Implementation Part VII, EBSA, 11/17/2011 Mental health parity implementation on nonquantitative treatment limitations (prior authorization for mental health and substance use disorder benefits) and the standard for determining the maximum copayment