About Mental Health Insurance in Colorado

At Axis Integrated Mental Health in Boulder, Denver, and Westminster, Colorado, the highly trained mental health team helps patients receive reimbursement from their insurance companies or from Medicaid for mental health treatments. Schedule an in-person or telehealth evaluation by phone or request one online today.

Mental Health Insurance Benefits Guides for Colorado

We realize that insurance plans are complex, contradictory and overwhelming. Axis helps patients understand and use mental health insurance to make care more affordable across Denver, Boulder, and Westminster. We’ve written and produced mental health benefits guides for the top payers we accept in Colorado to make it easy for you to navigate.

Anthem BCS Mental Health Benefits Guide

Anthem BCBS covers a full spectrum of mental health services, from basic therapy and psychiatry to advanced options like TMS and Spravato for treatment-resistant depression, subject to medical necessity and prior authorization standards. Coverage details differ by plan, so Axis provides personalized cost estimates and navigates insurance paperwork on behalf of patients. Telehealth is widely available, and mental health benefits must match those of other medical services per state and federal laws, helping patients avoid limits or excessive cost-sharing.

Aetna Mental Health Benefits Guide

Aetna plans in Colorado typically cover counseling, psychiatry, and advanced services such as TMS and Spravato following prior authorization and documentation of medical necessity. Axis facilitates benefit verification and handles appeal processes when needed, ensuring patients understand out-of-pocket costs, copays, and coverage details before treatment. No referrals are generally needed for specialists, telehealth options are supported, and benefits comply with parity requirements, matching coverage and cost-sharing with physical health services

Cigna Mental Health Benefits Guide

Cigna offers extensive mental health coverage in Colorado, including individual and family counseling, intensive outpatient therapy, medication management, and innovative treatments like Deep TMS and Spravato for qualifying patients. Copay and coinsurance rates vary by plan, with Axis providing upfront verification; there is no annual cap on outpatient visits, and parity laws guarantee equal benefits for mental health and medical services. Telehealth is available, and most members do not require referral; pre-authorization is handled by Axis for advanced interventions.​

Colorado Medicaid Mental Health Benefits Guide

Colorado Medicaid, known as Health First Colorado, provides comprehensive mental health coverage for eligible residents, including individual, group, and family therapy, psychiatric evaluation, and medication management. Patients can access care through a robust in-network provider system without referrals, and coverage extends to crisis services and substance use treatment with no annual session limits. All mental health services are offered at little to no cost, with telehealth options available, and benefits comply with parity laws ensuring equal coverage compared to medical services.

United Healthcare Mental Health Benefits Guide

United Healthcare covers a broad range of mental health services in Colorado, including therapy, psychiatry, medication management, and advanced options like TMS and Spravato, typically requiring prior authorization for specialty treatments. Patients can access both in-person and telehealth care with in-network providers without referral requirement, and Axis Integrated Mental Health assists with all benefits verification and claims paperwork. Cost-sharing details such as copays, deductibles, and coverage limits depend on plan type, and coverage generally complies with parity laws ensuring mental health benefits are comparable to medical coverage.​

Mental Health Insurance Q&A

What is mental health insurance?

Mental health insurance is typically part of your health plan and can cover therapy, medication management, TMS, and more. Our team verifies benefits and works with your insurer to maximize coverage.

Mental health insurance is often part of a more comprehensive health insurance plan that covers all or part of the cost of mental health care. The Axis Integrated Mental Health team calls insurance providers on a patient’s behalf to help them receive the most coverage possible.

If you’re confused by how insurance works, don’t worry. You’re not alone. Most people are not versed in Colorado’s mental health parity laws which require insurance companies to cover mental health care on the same level as physical health. Even basic terms like “deductibles” and “out-of-pocket max” on their insurance plans can be confusing. But affordable mental health care is closer than you think thanks to our deep understanding of the mental health insurance landscape.

Here is a glossary of basic insurance terms that may help you understand your mental health insurance benefits better.

Which conditions might mental health insurance cover for treatment?

Depending on your insurance plan and the type of coverage you have, it might cover treatments like therapy or TMS for the following conditions:

• Obsessive-compulsive disorder (OCD)
• Post-traumatic stress disorder (PTSD) 
• Anxiety disorder
• Depression
• Bipolar disorder
• Seasonal affective disorder (SAD)
• Teenage depression
• Grief
• Attention-deficit hyperactivity disorder (ADHD)

The Axis Integrated Mental Health team calls your insurance provider to determine ways to receive maximum coverage with a minimal out-of-pocket cost to you. You may only have a copay for each treatment session or have to pay a negotiated fee.

What are the benefits of using mental health insurance coverage?

Having an insurance plan that covers mental health care is important for your overall health and well-being, as many people who would benefit from this type of care forgo it because of cost concerns.

Medicaid patients can also receive treatment at Axis Integrated Mental Health. The practice works with all types of insurance providers, so you don’t have to stress or break the bank to get help for a mental health concern that negatively affects your life.

Is mental health care right for me?

Anyone at risk of or suffering from depression or other mental health conditions should consider mental health care but especially if you have:

• Family history of mental health disorders
• Previous mental health disorder diagnoses
• Constant stress or a toxic workplace
• Past trauma
• Constant fear, worry, sadness, or irritability
• History of substance misuse

Children are usually covered under their parent’s mental health insurance coverage and can also come to see a provider at Axis Integrated Mental Health. Many of our providers see patients 5 years old and up.

Which mental health treatment options are available?

Treatments available at Axis Integrated Mental Health that may qualify for mental health insurance coverage include:

• Integrative Psychiatry
• Talk therapy (psychotherapy)
• Ketamine-assisted psychotherapy
• Medication management
• Healthy lifestyle counseling
• Spravato® esketamine spray
• Transcranial magnetic stimulation (TMS)
• Student mental health care

Most insurance companies will cover in-person and telehealth visits for mental health care.

For more information about mental health insurance basics, please read our blog!

Most plans cover in-person and telehealth visits. If insurance is confusing, we’ll explain your benefits and help reduce out-of-pocket costs so you can get care sooner.

Schedule an in-person or telehealth visit at Axis Integrated Mental Health by calling the office or booking an appointment online today to learn more about mental health insurance.

FAQs

1. Does my insurance cover mental health care, and which services are included?
   Most plans in Colorado cover therapy, psychiatry, crisis care, medication management, and some advanced treatments, but the specific services depend on your insurer and plan type.​

2. Do mental health benefits cost more or have different limits than medical benefits?
   By law, mental health coverage must follow parity rules, meaning copays, coverage limits, and pre-authorization requirements cannot be more restrictive than those for physical health care.​

3. Can I get telehealth or online therapy covered by my insurance?
   Most insurers, including Medicaid, now include coverage for telehealth appointments with mental health professionals, often at the same cost as in-person visits.​

4. Do I need a referral or prior authorization for mental health services?
   You do not need a referral to see Axis Integrated Mental Health. Some plans require prior authorization for specialty treatments (like TMS or Spravato), but most do not require a referral for traditional counseling or psychiatry visits.​

5. What should I do if my mental health claim is denied or I face coverage problems?
   Patients should appeal through their insurer.  If an insurance company is denying mental health coverage, they can be reported to the the Colorado Division of Insurance or Behavioral Health ombudsman to resolve parity violations.