Superior Health Plan Coverage for Mental Health & Addiction Treatment

Does Superior Health Plan Cover Drug & Alcohol Rehab?

Your Superior Health Plan behavioral health benefits may cover drug and alcohol rehab. Under the Mental Health Parity and Addiction Equity Act (MHPAEA), plans with mental health and substance use disorder benefits are required to match their mental health and substance use disorder benefits with medical and surgical treatment. Managed Medicaid plans such as Superior Health Plan are required under federal requirements to cover addiction treatment.

Here is some general information about Superior Health Plan rehab coverage:

• Medicaid plans: Superior Health Plan is a managed care company in Texas Medicaid and offers substance use disorder treatment coverage. Coverage is required to be covered under federal and state guidelines.
• In-network providers: Using in-network providers usually means lower copays and out-of-pocket costs. For in-network mental health, copays can range from $0 to $75 based on the service and plan.
• Prior authorization: Most behavioral health services at Superior Health Plan require prior authorization. Contact the Superior Health Plan behavioral health authorization number at 1-844-744-5315 (fax number: 1-866-570-7517). Program-specific inpatient numbers also available (Medicaid/Allwell: 1-844-842-2537; Ambetter: 1-877-687-1196). No referral needed for behavioral health.
• STAR+PLUS and MMP: STAR+PLUS or Medicare-Medicaid Plan members may have different coverage and cost-sharing.