Miami Lakes, Florida  ·  Behavioral Health Services

Insurance & Payment Information

Making Mental Health Care Easier to Navigate

Trinity CMHC works with many commercial and Medicaid health plans. Coverage varies by plan, service, provider, eligibility, benefits, medical necessity, referral requirements, and authorization requirements. Our team can help you understand the information needed to verify coverage before services begin.

We Work With

Commercial & Medicaid Plans

Commercial health insurance plans
Selected Florida Medicaid managed-care plans
Therapy, evaluations & psychiatry
Children, adolescents & adults

Participation, networks, and covered services vary. Contact us to verify your specific plan.

Accepted Plans

Insurance Plans We Work With

Commercial

Commercial Insurance

Trinity CMHC participates with a variety of commercial health insurance plans for eligible behavioral health services. Participation, networks, and covered services vary. Contact us to verify whether your specific plan, network, and requested service are currently covered.

Current Participating Plans

Plan name to be confirmed

Contact Trinity CMHC to verify current participation

Insurance participation can change. Please contact Trinity CMHC to verify that your specific health plan, network, requested service, and provider are currently participating.

Medicaid

Medicaid

Trinity CMHC also participates with selected Florida Medicaid managed-care plans. Not every Florida Medicaid plan is accepted. Contact us to verify whether your specific Medicaid plan is currently participating.

Current Participating Plans

Plan name to be confirmed

Contact Trinity CMHC to verify current participation

Trinity CMHC participates with selected Florida Medicaid managed-care plans — not every Florida Medicaid plan is accepted. Please verify your specific plan before scheduling.

Verifying Your Benefits

Before Your Appointment

Having an insurance card with a company Trinity works with does not automatically mean every Trinity service or provider is covered under that specific plan. Coverage may depend on a number of factors.

Coverage may depend on:

The specific insurance product or network
Member eligibility
Behavioral health benefits
Requested service
Provider participation
Medical necessity
Referral requirements
Prior authorization
Testing authorization
Deductibles
Copayments
Coinsurance
Other plan requirements

By Service Type

Coverage Can Vary by Service

Therapy & Counseling

Behavioral health benefits may cover eligible individual, family, or other therapy services depending on the member's plan, provider participation, clinical needs, and applicable requirements.

Explore Therapy

Psychological Evaluations

Coverage for psychological testing and evaluations can vary significantly according to the reason for referral, medical necessity, type of evaluation, health plan, and authorization requirements. Some evaluations or portions of testing performed primarily for educational purposes may not be covered by health insurance.

Explore Psychological Evaluations

Psychiatry & Medication Management

Psychiatric evaluations and medication-management services may be covered according to the individual's behavioral health benefits, provider participation, eligibility, and applicable plan requirements.

Explore Psychiatry

Psychological Testing

Insurance Coverage for Psychological Evaluations

Coverage for psychological evaluations depends heavily on the reason testing is being requested. Insurance plans may have specific requirements, and educational testing, gifted evaluations, or other assessments requested primarily for school or educational purposes may not be covered by medical insurance. Families are encouraged to verify coverage before testing begins.

Plans may have specific requirements involving:

Medical necessity
Diagnosis or presenting concerns
Referral requirements
Prior authorization
Type of testing
Number of authorized testing units
Provider eligibility
Other plan-specific criteria

Does My Insurance Require a Referral or Authorization?

Requirements vary by insurance plan and service. Some plans may allow members to schedule behavioral health services directly, while others may require a referral, authorization, or other documentation. Psychological testing may have different authorization requirements from therapy or psychiatry. Trinity CMHC's administrative team can help identify applicable requirements after receiving the client's insurance information and reason for referral.

Understanding Your Financial Responsibility

Even when Trinity CMHC participates with an insurance plan, members may have financial responsibility depending on their benefits. We encourage clients to review their benefits and contact their insurance company when they want detailed information about their individual coverage.

Copayments
Coinsurance
Deductibles
Non-covered services
Services exceeding plan limitations
Other member responsibility determined by the health plan

Self-Pay Options

Self-pay may be available for certain services or situations. Please contact Trinity CMHC for current information about service availability and applicable fees.

Checklist

Help Us Verify Your Coverage

To help our team verify your insurance and identify applicable requirements, please have the following available when you contact us.

Full legal name
Date of birth
Current insurance card
Member ID
Insurance plan information
Subscriber information when applicable
Reason services are being requested
Referral or authorization information when already available
Contact information

For Providers

Referring a Client Using Insurance

Professional referral sources should provide available insurance information along with the reason for referral and relevant supporting documentation. For psychological evaluations, clearly identifying the referral question can help determine the appropriate evaluation service and applicable insurance requirements.

Frequently Asked Questions

Insurance Disclaimer: Insurance verification is not a guarantee of payment or coverage. Benefits, eligibility, authorization, medical necessity requirements, provider participation, and member financial responsibility are determined by the applicable health plan and may change. Clients are encouraged to confirm benefits directly with their insurance carrier.

Have Questions About Your Insurance?

Our team can help you review the information needed to determine whether Trinity CMHC participates with your health plan and identify applicable requirements for the service you're seeking.