Behavioral Health Benefits

Depression and other mental health disorders disrupt the workplace more than you may know. Take steps to keep your employees on the job and productive.

Combine behavioral health coverage with Aetna health benefits and insurance plans. Or choose a stand-alone plan. It’s up to you.

Behavioral health benefits can be integrated with any Aetna health plan. Coverage varies by plan, but all allow for a wide range of treatment options, such as:

• Individual and family counseling
• Individual psychotherapy for more serious issues
• Psychiatric evaluation/assessment
• Case management to help coordinate care
• Disease management programs 
• Account management from one Aetna account executive, to manage all your needs.

You can get even more services through Aetna Resources For Living. Services include:

• Employee Assistance Program
• Worklife and Well-being services
• Management consultation
• Critical incident support
• Worksite education and training
  

Want flexibility? Customize our mental health/substance abuse services to fit your needs. Package them with your existing Aetna medical plan or with medical benefits provided by another insurer.

24-hour phone access
Your employees can call our customer service center toll free, at any time. They will get answers to their benefit questions and help finding participating behavioral health care professionals.

Integration of data and services 
Better service and more targeted programs are just two advantages of integration.

Our systems pool data from across the spectrum of care to give a total picture of each member. This helps us:

• Tailor disease management programs to address each employee's needs
• Identify employees who may need help before a health issue grows worse
• Coordinate care and communicate with doctors and other caregivers involved, so each one knows the full story.
  

Approval for care 
Individual outpatient therapy visits do not require precertification or authorization.

We will review available patient information to see if the treatment raises concerns. In some cases one of our care managers may discuss treatment options with the treating clinician.

Learn more about precertification/authorization requirements.  

Determination of medical necessity
Behavioral health professionals who work with Aetna use:

• Our proprietary Level of Care Assessment Tool (LOCAT) to help determine the appropriate level of care
• American Society for Addiction Medicine Patient Placement Criteria, a nationally recognized guideline for treatment of chemical dependency

In Texas, we use the Texas Commission on Alcohol and Drug Abuse regulations.