Are there any limitations on coverage for mental health services?

Asked 4 months ago
Anthem Blue Cross & Blue Shield (VA) offers coverage for mental health services, but like many insurance providers, there may be certain limitations and conditions that apply. Generally, mental health benefits are designed to provide access to a range of services including therapy, counseling, and medication management for mental health conditions. However, specific limitations may include factors such as the number of covered counseling sessions per year, particular types of therapies that are included, and the requirement for prior authorization for certain treatments or medications. It is essential to understand that Anthem Blue Cross & Blue Shield (VA) adheres to federal and state regulations that mandate mental health services to be treated similarly to physical health services, a principle known as parity. This means that coverage for mental health conditions must be equitable to coverage for medical conditions. However, it is important to note that not all mental health services may be covered under every plan, and the specifics can vary widely depending on the individual's particular health plan. Coverage limitations might also differ based on whether the provider is in-network or out-of-network, as well as whether the service is considered medically necessary. For detailed information on the specific terms and conditions of coverage for mental health services, individuals should refer to their specific insurance policy or benefits booklet. Additionally, the current Anthem website can provide updated guidelines and contact information for those seeking further clarification about their specific plan benefits.
Jeff Whelpley is the editor / author responsible for this content.
Answered Jul 21, 2025

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