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Behavioral health

You deserve to be healthy in body and mind. Your plan covers health for you as a whole person. That includes help with your mental health or substance use. You or your child can go to any behavioral health provider in our network. 

Questions?

Just contact us. We’re here to help.

 

You can also check out your plan’s member handbook on the member materials and forms page.

 

 

Help in a crisis

Help in a crisis

Call 911 or go to the nearest hospital if:

 

  • You have thoughts of harming yourself or someone else
  • You have an emergency and need help right now

You can use any hospital for emergency care, even if it isn’t in our network. Just show your member ID card.

 

Behavioral health emergencies: Dial 988

 

If you have a behavioral health emergency, call 988. This is the new number for the National Suicide Prevention Lifeline. If you have thoughts of harming yourself or someone else, their trained counselors can help you, 24 hours a day, 7 days a week. You also have the option to chat online with a counselor through their Lifeline Chat service.

 

You can also call us 24 hours a day, 7 days a week. Just call Member Services and choose the crisis option. We’re here to help, and we can link you to the right resources. 

 

Get the help you need

 

Talking to a counselor or therapist is a great way to treat behavioral health issues. You should make an appointment if you have feelings or problems like:

 

  • Sadness that won't go away
  • A sense of hopelessness or helplessness 
  • Loss of interest in things you enjoy 
  • Feeling worthless  
  • Trouble sleeping 
  • Poor appetite or weight loss 
  • Alcohol or drug abuse 
  • Trouble concentrating 
  • Parenting concerns 
  • Irritability

Need help finding a provider? Just contact us. We’re here to help.

Our behavioral health services

Your plan covers many types of behavioral health services. And you don’t need a referral from your primary care provider (PCP).  Some services may have certain coverage limits. They may also require prior authorization (PA). You can check out a list of services your plan covers. You can also see your member handbook for more details.

Covered services include:

 

Inpatient/crisis stabilization services
 

  • Emergency mental health services given in a hospital or crisis stabilization unit
  • Residential treatment for children

Outpatient services

 

  • Assessment/evaluation
  • Targeted case management
  • Individual, family and group therapy
  • Psychosocial rehabilitation
  • Psychiatric care
  • Substance use disorder treatment

     

    • Detoxification
    • Medication-assisted treatment
  • Treatment planning
  • Behavior analysis

 

"In lieu of” services

 

There are other behavioral health treatment services we may cover. These are known as "In lieu of" services. You can ask your provider about these options to learn more. 

Covered services include:

 

Inpatient/crisis stabilization services

 

  • Emergency mental health services provided in a hospital or crisis stabilization unit

 

Outpatient

 

  • Assessment/evaluation
  • Individual, family and group therapy
  • Psychiatric care
  • Substance use disorder treatment
  • Treatment planning

 

Being young and figuring out who you are is an exciting time. It can be challenging too. We know that mental health and suicide are very real problems that need to be talked about. Check out this guidebook for tools and support.

Learn more about behavioral health

Learn to manage stress
Did you know that stress can affect your health? It can be hard to keep up with healthy habits during times of stress.

 

You can read these articles to learn more about mental and emotional well-being:

 

Staying mentally healthy in tough times

 

Understanding depression

 

Healthy living resources

 

4 ways to take care of physical and mental well-being during unsettled times

 

Or learn more about depression from the National Institute of Mental Health.

Substance use disorders happen when people misuse drugs, alcohol or both, repeatedly. Often, substance use is related to mental health.

 

Mental health disorders

 

Mental health disorders can be serious. They can change a person’s thinking, feelings, mood and daily functioning. And each year, they affect:

 

  • 1 in 4 adults
  • 1 in 10 children 

Some examples of mental health disorders include:

 

  • Depression
  • Schizophrenia
  • Bipolar disorder
  • Obsessive-compulsive disorder (OCD)
  • Post-traumatic stress disorder (PTSD)
  • Anxiety
  • Borderline personality disorder

 

Serious mental illness (SMI)

 

SMI impairs a person’s ability to function in daily life. It affects their social relationships, self-care and other major parts of life and may require long-term treatment and support. SMI can be mental, behavioral, or emotional disorders that are diagnosable and ongoing. Examples of SMI include: 

 

  • Bipolar disorder 
  • Major depressive disorder 
  • Anxiety Disorder 
  • Schizophrenia and other psychotic disorders 

 

For those eligible, our SMI treatment program offers enhanced care management as well as more benefits. To learn more, just contact us.

 

National Alliance on Mental Illness

 

Need more info? Visit the National Alliance on Mental Illness (NAMI) website.

 

There, you can learn about the different support programs NAMI offers, including:

 

  • Peer-to-Peer

    A no-cost course for anyone living with mental illness. Those who join can learn about coping skills and self-care.

  • Family-to-Famil

    A no-cost course for family caregivers of adults living with mental illness. It teaches communication and problem-solving skills to help them deal with the impact on the family.

  • StrengthOfUs.org

    An online social community for teens and young adults living with mental illness. It’s a place for them to connect and learn about services.

If your child is having a behavioral health crisis, you have resources to help: 

 

911 for life-threatening emergencies

Call 911 if your child is a danger to themselves or others.

  

Mobile response teams

Mobile response teams (PDF)  assess crisis situations and connect you to support and resources.

 

988 Suicide and Crisis Lifeline 

Call or text 988 to reach the 988 Suicide & Crisis Lifeline. You can talk with a crisis counselor 24 hours a day, 7 days a week.

 

Member Services

We’re here to help, and we can link you to the right resources. Just call Member Services and choose the crisis option. You can also call us 24 hours a day, 7 days a week: 

 

  • Managed Medical Assistance (MMA): Call 1-800-441-5501 (TTY: 711), and choose option 1 

 

Find a mental health provider (virtual or in person)

Hotlines

The Trevor Project (LGBTQIA Hotline) 

1-866-488-7386

 

National Eating Disorders Association Helpline

1-800-931-2237

  

Mental health resources

 

Baker Act/Marchman Act Information

  

Mental Health America

 

NAMI

  

National Institute of Mental Health

 

SAMSHA

  

Health and wellness resources

 

Smoking cessation and vaping

Our housing assistance pilot program was created to help members in need. It can:

 

  • Link members to local resources to help them with the housing process
  • Link members to agencies that will prepare them for getting and keeping housing
  • Help members work toward their physical and behavioral health goals

Who can join the program?

 

Medicaid MMA and Long-Term Care members qualify for the program if they are:

 

  •  Age 21 and older with:

    • Serious mental illness (SMI)
    • Substance use disorder (SUD) 
    • SMI with co-occurring SUD
  • Homeless or at risk of becoming homeless
  • Living in one of these counties: Seminole, Orange, Osceola, Brevard 

 

To see if you qualify, call Member Services:

 

Take a mental health first aid course

 

Check your local resources for even more behavioral health support. You can learn about everything from quitting nicotine to getting rides to your health visits.

Legal notices

 

Aetna Better Health of Florida is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete, description of benefits. For more information, contact Aetna Better Health of Florida. Limitations, copayments and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change. 

 

Aetna Better Health of Florida offers Medicaid Managed Medical Assistance (MMA) and Long-Term Care (LTC) in these counties: Region D (formerly Region 6) — Hardee, Highlands, Hillsborough, Manatee and Polk; Region E (formerly Region 7) — Brevard, Orange, Osceola and Seminole; and Region I (formerly Region 11) — Miami-Dade and Monroe. We offer Florida Healthy Kids (FHK) statewide.

Also of interest: