TENNESSEE – Tennessee Governor Bill Lee has declared May as Mental Health Awareness Month. In supporting the gubernatorial proclamation, the Tennessee Department of Commerce & Insurance (TDCI), along with the Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS), remind Tennesseans to understand how insurance may help cover the cost of mental health treatment. Carter Lawrence, the Commissioner for the Tennessee Department of Commerce and Insurance, talked about how insurance is legally required to cover mental health problems fairly…
Under legislation passed by Congress in 2008, any health insurance plan that covers mental health treatment must match its coverage with the plan’s physical health coverage. This applies to copays, deductibles, the number of days covered for a hospital stay, prior authorization, prescription drug tiers, and maximum benefit limits.
Marie Williams, a Licensed Clinical Social Worker and Commissioner for the Department of Mental Health and Substance Abuse, told us… Even those who are uninsured in the state can receive help…
To help raise awareness about this important topic, Commissioner Lawrence and Commissioner Williams are raising awareness in two new videos focusing on mental health parity laws and Tennessee mental health resources. Scroll down to watch both videos.
What you need to know about mental health coverage
- Contact your health insurance company to learn if your policy covers mental health and substance abuse treatment.
- If your plan does, then the mental health treatment limitations must be equal to physical health services. For example, if your copay is $30 for physical health services, it must  be $30 for mental health services. If your plan covers 40 physical therapy visits, your plan must cover 40 behavioral health visits.
- Treatment for these services may include therapy, behavioral counseling, in-patient and out-patient treatment, and medication management.
- Your health plan should provide a directory of in-network professionals and facilities that are close to you. If a provider does not accept insurance, contact your health insurance company and ask if you can file claims after receiving the treatment to help cover a portion of the cost.
Questions or concerns about coverage
- Tennesseans who have their claim denied or believe their insurance company is not covering mental services at the same rate as physical services should file a complaint with TDCI. To file a complaint, visit TDCI’s website, select File a Complaint, then complete and submit the online complaint form.
- TDCI’s Consumer Insurance Services team will mediate between the consumer and the insurance company to help facilitate a solution. In 2024, TDCI’s Consumer Insurance Services team recovered a record-breaking $17.5 million from insurance companies for Tennesseans through these efforts.
- For more information, call 615-741-2218 or 1-800-342-4029.
Recently Prepared Videos by State Commissioners…
Help Available: TDCI encourages anyone experiencing a mental health emergency to call or text 988 and press 0 to talk to a counselor or chat with 988lifeline.org.
