What parity means for you
At Sharp Health Plan, we cover diagnosis and treatment of severe mental illness in all of our members — adult and children of any age — and serious emotional disturbances in children (including behavioral health treatment for pervasive developmental disorders or autism).
Depending on your plan, you may also have coverage for treatment of other mental health conditions. We encourage you to log in to the Sharp Connect member portal and take a look at your latest Summary of Benefits and Member Handbook. Both of these resources will have more details about how your plan covers mental health services.
- The Summary of Benefits provides details about your share of cost for covered inpatient, outpatient and therapeutic services.
- The Member Handbook (also called Evidence of Coverage or EOC) lists the types of covered inpatient and outpatient mental health and substance use disorder services. It also describes the prior authorization requirements for those services.
You don’t need a referral from your primary care doctor to get access to mental health services provided by Psychiatric Centers at San Diego (PCSD), our partner in behavioral health. However, only services offered through plan providers will be covered. So the best way to ensure coverage is to find a doctor affiliated with PCSD before taking the next step. To schedule an appointment, call PCSD at 1-877-257-7273.