Insurance

Understanding Your Superior HealthPlan Therapy Coverage

When it comes to health insurance with mental health benefits, having the right coverage matters more than ever. But let’s face it, understanding behavioral health coverage can be a bit tricky. Many people find themselves puzzled by the complexities of it all. Luckily, with Superior HealthPlan, it doesn’t have to be that way.  Keep reading […]

derek lee grow therapy By Derek Lee, VP of Insurance Operations

Updated on Jan 12, 2024

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When it comes to health insurance with mental health benefits, having the right coverage matters more than ever. But let’s face it, understanding behavioral health coverage can be a bit tricky. Many people find themselves puzzled by the complexities of it all. Luckily, with Superior HealthPlan, it doesn’t have to be that way. 

Keep reading to learn how you can make the most out of your mental health coverage with Superior HealthPlan, and start your journey to a healthier, happier life.

What Is Superior HealthPlan?

Superior HealthPlan functions as a managed care organization with the primary goal of minimizing healthcare expenses. It encompasses multiple interconnected entities within the healthcare system and is one of the top-rated Texas Medicaid plans, serving two million people in the state in both English and Spanish.

In a partnership with Texas Health and Human Services, this insurance company serves as the sole provider of STAR (Medicaid) Health, a program providing healthcare for children, including those in the foster care system. Their main focus is helping connect low-income individuals and families access healthcare in the state of Texas. This includes CHIP, CHIP Perinatal, STAR (Medicaid), STAR +PLUS, STAR Health, STAR Kids, Ambetter, and Community First Choice, all of which include behavioral health benefits. 

Understanding Your Superior HealthPlan Benefits

Mental health needs are diverse, and Superior HealthPlan therapy coverage provides comprehensive access to a wide range of healthcare services. Superior HealthPlan offers tailored treatment plans to support you in addressing challenges such as ADHD, anxiety, autism, bipolar disorder, depression, substance abuse, trauma, schizophrenia, and a myriad of other behavioral health issues.

Which Mental Health Services and Therapies Does Superior HealthPlan Therapy Cover?

Your Superior HealthPlan Therapy Coverage is tailored to your specific insurance plan, and while the details may vary, what a plan covers typically encompasses essential elements like behavioral health services, therapy sessions, inpatient treatment, and substance abuse treatment. Here are some examples of the mental health services that may be included in your Superior HealthPlan coverage:

For a more thorough understanding of your coverage, we recommend you reach out to Superior HealthPlan. One of the best parts about Superior HealthPlan is the fact they know mental health needs are sometimes urgent. Therefore, they offer assistance 24/7. All members need to do is call the number listed on the back of their card to be connected with help right away. However, in the case of an emergency, Superior HealthPlan always encourages members to call 9-1-1. 

How Do I Find A Therapist Who Accepts Superior HealthPlan?

Seeking out a therapist within your insurance network can be exhausting. With Superior HealthPlan, they aim to make finding the right provider for you as seamless as possible. Their website offers several resources to help you determine if a provider you’re already seeing is within their care network and simple tools to help you locate a long list of in-network providers. 

The Find a Provider Tool

Superior HealthCare offers their members a convenient Find a Provider Tool which makes finding an in-network provider on the health insurance marketplace easy, no matter which of their nine programs you may be enrolled in. This useful tool allows members and caregivers to search for a provider based on location, specialty, or name of provider. 

You can also use the Grow Therapy website to find a therapist who accepts Superior HealthPlan in your state. You can filter your results further based on other specifications like therapist demographics, then book directly through the Grow website

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What if I am Already Receiving Care?

If you are already receiving health care services, the simplest way to check if your provider is in network is simply by asking them. If they confirm they are, no further action is needed on your part. However, if they are not, please contact the number listed on the back of your Superior member ID card. Superior HealthPlan will initiate the process of inviting your provider to join their network, with the primary objective of ensuring your uninterrupted access to necessary care. If your provider chooses not to become a part of the Superior network, they will collaborate with them to ensure continuous care until your medical records can be seamlessly transferred to a new in-network doctor.

Will I Need Prior Authorization to Receive Therapy?

Depending on the type of treatment, yes. While everyone enrolled in one of the nine different programs Superior HealthPlan offers has full access to the benefits covered by CHIP and Medicaid, there are instances where prior authorization is needed to confirm the treatment needed is medically necessary. This prior authorization is determined by medical professionals, including nurses, doctors, and therapists. If for some reason a treatment you require is not deemed medically necessary, you will receive a letter explaining why it is not. You can find more information regarding prior authorizations for Superior HealthPlan therapy coverage here.

Get In-Network Support Today

Now that you have a better understanding of what your Superior HealthPlan covers, you can get started on your journal toward mental well-being. Use the Grow Therapy cost estimator tool to see what you can expect to pay for a session, then book an appointment with an in-network provider.

FAQs

  • Superior HealthPlan offers a wide range of health coverages, so you want to make sure you’re reaching out to the right place. If you have STAR or CHIP coverage, call 1-800-783-5386 to speak with a Superior HealthPlan representative

  • Actually, it’s both. The Superior HealthPlan offers access to several different behavioral health products that include Medicare plans, Medicaid plans, and even combinations of the two.

  • Yes! You can schedule virtual therapy appointments much in the same way you would an in-person session. Additionally, the coverage for a virtual versus an in-person appointment is the same, meaning there are no additional copays or fees.

  • In order to be eligible for Superior HealthPlan, you must be a United States citizen or have a lawful presence in the U.S. and reside in the state of Texas. Additionally, Superior HealthPlan is the sole provider of medical and mental health care benefits for adolescents within Texas’ foster care system. Individuals who are Medicare and/or Medicaid members are also eligible. When looking at eligibility, Superior HealthPlan takes things like income, family size, age, and special health needs.

About the author
derek lee grow therapy Derek Lee, VP of Insurance Operations

Derek Lee is Grow Therapy's Vice President of Insurance Operations, overseeing payor relations and success, credentialing and enrollment, new payor launch, revenue cycle management and billing, and insurance operations data analytics.

This article is not meant to be a replacement for medical advice. We recommend speaking with a therapist for personalized information about your mental health. If you don’t currently have a therapist, we can connect you with one who can offer support and address any questions or concerns. If you or your child is experiencing a medical emergency, is considering harming themselves or others, or is otherwise in imminent danger, you should dial 9-1-1 and/or go to the nearest emergency room.

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