Frequently Asked Questions About Mental Health Coverage

  • Will my insurance cover my child for mental health care services at Seattle Children’s?

    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.

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  • Which insurance plans DO NOT include Seattle Children’s for mental health services?

    • 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
    • Humana
    • 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.
    • Magellan
    • Mental Health Network (MHN)
    • Pacificare
    • United Healthcare Community Plan

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  • What if my plan is ON the list above?

    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.

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