Mental Health Coverage
Frequently Asked Questions About Mental Health Coverage
It depends on the insurance plan you have. Even though most insurance plans cover mental health services, some plans use a different company with a different list of contracted providers.
Seattle Children’s may not be an in-network provider for mental health services for your plan even if we are in-network for medical services.
Call your insurance to find out about mental health benefits for your child including which mental health providers are included in your plan.
My child has been to Seattle Children’s for other medical reasons, and Seattle Children’s was in-network for those. Is mental health insurance coverage different?
Yes. Mental health benefits and providers are different than medical services benefits. Some insurance plans have Seattle Children’s as an in-network provider for medical services and out-of-network for mental health services.back to top
- Psychiatry and Behavioral Medicine Unit
- Psychiatry and Behavioral Medicine Clinic (at main campus and Bellevue)
- Autism Center psychiatry services (not medical services)
- Odessa Brown Children’s Clinic mental health services
- Psychiatric nurse practitioners
- Mental health therapists
- Behavioral consultants
- Residents, fellows or trainees in these fields
- Beacon Health Options (formerly called Value Options)
- Blue Cross Blue Shield – some out-of-state plans (check your plan)
- Bridgespan (Multicare)
- First Choice Confluence Health and HealthNet
- Harmony Health
- Kaiser Health Foundation Plan of Washington (formerly Group Health) – requires pre-authorization from behavioral health unit to be seen at Seattle Children’s for Alliant Plus POS, Options POS, Cooperative, Alliance, and Core plans.
- Mental Health Network (MHN)
- United Healthcare Community Plan
If your insurance plan is listed above, Seattle Children’s is not included as a mental health provider for your plan. You will need to call your insurance and have them refer you to a mental health provider who is in-network for your insurance plan.
Even if your plan offers an out-of-network benefit, we are not accepting new patients for our mental health services if their insurance does not include Seattle Children’s as an in-network provider.
Your child must see a mental health provider who has a contract with a Behavioral Health Organization (BHO) in the county where your child lives. Our Psychiatry and Behavioral Medicine Department only has a contract with King County and can accept those referrals when we have capacity. Find a provider in your county (PDF).back to top
I called my insurance plan, and Seattle Children’s is an in-network provider for mental health services. What’s next?
Learn more about Seattle Children’s mental health services: