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SHCA - Mental Health Benefit

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If you need immediate assistance with a mental health crisis please call (800) 424-4047 where someone is always available to help 24/7.

Accessing care from a counselor, therapist, psychologist, or psychiatrist is a covered benefit under SHCA. If you are not currently working with a mental health provider, you may use Aetna’s Directory of Health Care Professionals to find one in the SHCA network. If you are already established with a provider, or the provider you want to work with is not within the SHCA network, you may continue to see that person but you will pay a different amount.

  • In-network providers: $5 copay for a therapist, counselor, psychologist, or psychiatrist
  • Out-of-network providers: The plan will pay 80% of the allowed amount for service. The member pays 20% plus any balance billing.  For example, if the billed charge is $400, but Aetna has an allowed amount of $300, the plan pays 80% of $300, $240. The member pays 20% of $300, $60, plus the $100 (balance billing) not allowed by Aetna.

SHCA members have access to Pacific Anxiety Group, and Peninsula Behavioral Health, and are now offering video visits. Both groups are considered in-network.

SHCA Members have access to licensed therapists, counselors, psychologists, and psychiatrists through Teladoc For Behavioral Health

If you need further confidential assistance with any mental health or substance abuse programs through SHCA, please reach out to a Member Care Specialist, available Mon - Fri, 6:30 am - 7 pm at (855)-345-7422