Out-of-Network Coverage for Mental Health and Substance Use Disorder Services

If VHP’s in-network providers are not available within the required time or distance, VHP will arrange and cover the MH/SUD service from an out-of-network provider. You are only responsible for paying your usual in-network cost. If this happens, VHP will pay for the treatment until the plan is able to find an in-network provider, at which time you would transfer. However, if transferring providers will cause any harm to you or is not within the standard of care at the time of transition, VHP will pay for the whole course of medically necessary services with the out-of-network provider.

Mental wellness is just as important as medical wellness. VHP encourages members to use these benefits, and/or reach out to Care Management to find out more.

For more detailed information about your rights, including the rules and regulations that VHP has to follow, please follow this link.

If you would like more information about the program or want to get started right away, please call us at 669.220.5235. Staff members are available between 9:00 am and 5:00 pm (PST) Monday through Friday. If you use a TTY, call 1.800.735.2929 (toll-free) or your local Telecommunications Relay Service to talk to a program nurse.

You may file a complaint against the program by calling Valley Health Plan Members Services at 1.888.241.8444 (toll-free).