Most Yale Health Plan plans include coverage for substance use and mental health treatment. Under the federal Mental Health Parity and Addiction Equity Act and the Affordable Care Act, most plans must cover these services comparably to other medical care. Exactly which levels of care are covered, for how long, and your share of the cost depend on your specific Yale Health Plan plan.

How do I check my Yale Health Plan treatment benefits?

You can verify your coverage by calling the member services number on the back of your Yale Health Plan card, signing in to your Yale Health Plan member account, or asking a treatment program to run a free verification of benefits on your behalf. A benefits check confirms what your plan covers before you commit to a program.

What will I pay out of pocket with Yale Health Plan?

Your cost depends on your plan's deductible, copay, and coinsurance, and on whether a program is in-network or out-of-network with Yale Health Plan. In-network programs generally cost less, and some services may require prior authorization. Confirming these details with Yale Health Plan and the program before admission helps avoid unexpected bills.

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