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Behavioral Health

At Prestige Health Choice, we want our members to always feel their best.
If you are having any of the following feelings or problems, you should contact a behavioral health provider:

  • Always feeling sad
  • Feeling hopeless
  • Feeling helpless
  • Feeling worthless
  • Having difficulty sleeping
  • Having a poor appetite
  • Weight loss
  • Loss of interest
  • Difficulty concentrating
  • Irritability
  • Constant pain like headaches, stomach aches, and back aches

You can get help finding a behavioral health provider by:

  • Calling toll-free 1-855-355-9800  (TTY: 1-855-358-5856)
  • Looking at our provider directory

Someone is there to help you 24 hours a day, 7 days a week. You will be able to call them for an appointment. Please call 1-855-355-9800 so we can help you find the services you need.

What are behavioral health services?

Some of the services you may need for you or your family:

  • Individual, family or group therapy
  • Individual and family assessments
  • Day treatment for adults and children
  • Evaluations
  • Treatment planning
  • Case management
  • Therapeutic behavioral on-site services for children and teenagers

How to get behavioral health services

The Prestige access to care standards for behavioral health services and referrals are as follows:

  • Urgent care will be seen within one (1) day.
  • Routine patient care will be scheduled within one (1) week.
  • Well-care visits will be scheduled within one (1) month.

You can also ask for a different behavioral health care coordinator/case manager or direct service behavioral health care provider in our network if one is available.

Remember:

  • You do not need a referral from your PCP.
  • You'll get an approval for services when you call.
  • You may have to pay the bill if you see a provider without getting an approval first, or if you go to a provider that is not part of our network.

Other behavioral health information:

View more details about behavioral health services in the member handbook (PDF).
Learn about psychotropic medication for children.

Limitations, copayments, and restrictions may apply.
Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change.