Who pays for my medicines?
In most cases, Community Care does not pay for medicines. The only exception is methadone for opioid use disorder treatment. Your prescriptions are covered by your physical health plan.
Who pays for laboratory tests (blood tests, urine tests, etc.) ordered by my doctor because of medicine I am taking?
Laboratory services are paid for by Community Care if ordered by a psychiatrist in our network.
What if I get a bill or a provider asks me to pay for treatment or pay a co-pay?
Community Care will pay your bills for mental health or substance use disorder treatment. There are no co-payments or deductibles for the behavioral health care that we approve. We will only pay for care from an out-of-network provider if we approved it ahead of time, or if was an emergency. If you have other insurance in addition to Community Care, that insurance company may have different rules about co-pays.
You should not receive a bill or be asked to pay for behavioral health services if you are receiving care from a Community Care provider. If you get a bill for services from one of our providers, please call us or send the bill to:
Community Care Complaints Department
339 Sixth Ave., Suite 1300
Pittsburgh, PA 15222