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| What mental conditions are typically covered, and not covered? |
A health plan pays for only those services included in the plan's list of covered services. In the case of mental health services, inpatient and outpatient treatment are most often covered by health plans. However, there is a continuum of services between inpatient and outpatient care that effectively treat many mental disorders and are often more cost-effective than inpatient care. These intermediate services include nonhospital residential services, partial hospitalization services, and intensive outpatient services such as case management and psychosocial rehabilitation. Psychosocial rehabilitation includes pharmacologic treatment, social skills training, and vocational rehabilitation. Such services are covered by approximately half of employer-sponsored health plans.
Coverage of prescription medications is also important in providing access to treatment for mental disorders.
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