
Behavioral health parity means that if your health insurance covers mental health and substance use care at all, it must cover that care and services at the same level as physical health care.
People with mental health and substance use (MH/SUD) coverage under health insurance in Georgia
From healthyfuturega.org/our-priorities/increasing-access-to-care/behavioral-health-parity-in-georgia ↗In 2022, Georgians for a Healthy Future (GHF) and a coalition of partners worked with state lawmakers to pass House Bill 1013, the Georgia Mental Health Parity Act. This law requires many private health insurance plans and all Medicaid health insurers in Georgia to follow the federal parity law and rules, gives state agencies better tools to check whether insurers are complying and impose consequences if they are not, and strengthens protections for consumers who need their health insurance to pay for MH/SUD treatment.
GHF is working with state leaders, insurance companies, and community partners to make parity real for Georgians. Our work includes evaluating and sharing whether insurance companies are following the law, monitoring and sharing how state agencies enforce the law, educating Georgians about their insurance rights and how to use them, identifying barriers that still prevent people from getting MH/SUD care, and lifting up stories from Georgians who have faced coverage problems.
GHF built the Georgia Mental Health Parity Dashboard so that consumers and policymakers can see exactly where insurers are falling short — and hold them accountable. The dashboard tracks compliance across state-regulated private health plans, Medicaid, and PeachCare for Kids. It examines the rules that most directly affect whether people can get care: how insurers define medical necessity, set cost-sharing requirements, and apply prior authorization.
Behavioral health parity means that if your health insurance covers mental health and substance use care at all, it must cover that care and services at the same level as physical health care.
Parity protects your right to get mental health and substance use (MH/SUD) treatment without extra barriers. That means your health plan should: Cover mental health and substance use treatment at the same level as physical health care; Use similar copays, coinsurance, and other out-of-pocket costs for MH/SUD and physical health services; Apply the same rules for approving or denying care regardless of whether its physical or mental health care, such as prior authorization or visit limits; Offer access to mental health and substance use providers similar to other medical providers
If you think your health insurance plan is not following parity rules, you can: Ask your insurer for written explanations of denials or limits on mental health or substance use care; File an appeal with your health plan; If you have private insurance, contact the Georgia Office of Insurance and Safety Fire Commissioner to file a complaint; If you have Medicaid, visit the Georgia Department of Community Health's Mental Health Parity page to file a complaint; Reach out to GHF to share your story.
Caregiving and CaregiversGHF convenes a Caregivers Advisory Group made up of family caregivers who are caring for an adult family member.
Healthy HousingHousing is a basic necessity that is deeply and inextricably tied to a person's health.
Keeping Georgia Youth on a Healthy PathA partnership to prevent alcohol and drug use