SAG-AFTRA Health Plans in Los Angeles, CA

If you’re a SAG-AFTRA member in Los Angeles, taking care of your health, especially your mental health, is more important than ever. The SAG-AFTRA Health Plans are here to support you with coverage designed for the unique demands of entertainment work.

You’ll get access to medical, dental, vision, prescription, and mental health care, including therapy and substance use treatment through Carelon Behavioral Health. There are two coverage tiers, Plan I and Plan II, based on your earnings and workdays, both offering valuable benefits. Enjoy preventive care, telehealth, and continued coverage during downtime. Local resources like the LAOP Center make it easier to find flexible, industry-aware support that fits your schedule.

✅ Yes, SAG-AFTRA Health Plan covers mental health treatment at Los Angeles Outpatient Center.

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What Mental Health Conditions Are Covered by the SAG‑AFTRA Health Plan in LAOP Center?

What Mental Health Conditions are Covered by sag-aftra

The mental health conditions covered by the SAG-AFTRA Health Plan are broad and designed to support members dealing with a range of emotional, behavioral, and psychological challenges. Through its partnership with Carelon Behavioral Health, the plan provides access to professional treatment for clinically recognized mental health disorders. These conditions are defined as diagnosable mental, emotional, or behavioral disorders that significantly interfere with an individual’s daily functioning, relationships, or quality of life. The common mental health conditions covered by the SAG-AFTRA Health Plan include:

Depression: Persistent sadness, loss of interest, and low energy.
Anxiety Disorders: Includes generalized anxiety, panic disorder, and phobias.
Bipolar Disorder: Characterized by mood swings ranging from depressive lows to manic highs.
Post-Traumatic Stress Disorder (PTSD): A condition triggered by traumatic events, leading to flashbacks, nightmares, or severe anxiety.
Obsessive-Compulsive Disorder (OCD): Involves unwanted, recurring thoughts (obsessions) and repetitive behaviors (compulsions).
Substance Use Disorders: Includes alcohol and drug dependency or abuse.
Eating Disorders: Such as anorexia, bulimia, and binge-eating disorder.
Schizophrenia and Other Psychotic Disorders: Involving distorted thinking, hallucinations, and impaired functioning.

These conditions are treated with therapy, medication, or a combination of both, depending on severity and individual needs.

What Mental Health Treatments Are Covered by the SAG-AFTRA Health Plan?

The mental health treatments covered by the SAG-AFTRA Health Plan are comprehensive and designed to meet a wide range of clinical needs, from mild to severe conditions. Administered through Carelon Behavioral Health, the plan offers various levels of care and therapeutic approaches aimed at stabilizing, managing, and improving mental health. These treatments are defined as professional interventions, including therapy, counseling, and structured programs, that address diagnosable mental health conditions to enhance functioning and well-being. The common mental health treatments covered by the SAG-AFTRA Health Plan include:

What Programs are Covered by sag-aftra At Los Angeles Outpatient Center?

Partial Hospitalization Programs (PHP)

Comprehensive, daytime programs that offer intensive therapy, psychiatric evaluation, and structured support while allowing individuals to return home each evening. SAG-AFTRA makes partial hospitalization programs accessible to media professionals who need focused care without disrupting their work schedules.

Intensive Outpatient Programs (IOP)

Flexible programs offering several hours of therapy multiple days a week, ideal for individuals transitioning from inpatient care or needing more than weekly therapy. Intensive-outpatient programs provide SAG-AFTRA members in the entertainment industry with adaptable mental health support around demanding careers.

Alumni Programs

Ongoing support groups and resources for individuals who have completed PHP or IOP, designed to promote long-term recovery and community connection. SAG-AFTRA supports continued wellness for performers and creatives through alumni communities that understand the pressures of the media world.

Affirmative Therapy

Culturally competent therapy that supports LGBTQIA+ individuals by addressing identity, acceptance, and trauma with affirming, inclusive care. Affirmative thearpy ensures SAG-AFTRA members in creative fields receive personalized, respectful support that embraces their identities.

Transcranial Magnetic Stimulation (TMS) Therapy

A non-invasive, FDA-approved treatment for depression that uses magnetic fields to stimulate specific brain areas when traditional therapies are ineffective. SAG-AFTRA helps media professionals access cutting-edge treatments like TMS Therapy when conventional methods fall short.

Start Your Journey to Wellness Today

Are you ready to take the next step towards better mental health? Los Angeles Outpatient Center (LAOP) is here to support you on your journey to recovery. Our comprehensive programs, experienced team, and welcoming environment are designed to provide the care you need.

Contact us today to schedule an initial assessment or to learn more about our services. Whether you are seeking intensive outpatient care or simply need guidance on your mental health journey, we are here to help.

What Is the SAG-AFTRA Health Plan?

The SAG-AFTRA Health Plan is a healthcare benefits program designed for eligible members of the Screen Actors Guild‐American Federation of Television and Radio Artists (SAG-AFTRA), a labor union representing media professionals, including actors, broadcasters, and recording artists. Established in 2017 through the merger of the separate SAG and AFTRA health plans, the unified plan offers comprehensive medical, dental, vision, and prescription drug coverage. Eligibility is based on covered earnings or the number of worked days within a specified base period, and qualifying members typically pay quarterly premiums. The plan is funded by employer contributions made through union-covered projects, ensuring that working performers receive access to essential healthcare services.

Does the SAG-AFTRA Health Plan Cover Mental Health Services In Los Angeles?

Yes. The SAG‑AFTRA Health Plan does cover mental health services in Los Angeles. It includes both in-person and virtual counseling, therapy, psychiatry, and substance-use treatment provided through Carelon Behavioral Health, the mental health service administrator for the SAG-AFTRA Health Plan. Members pay applicable copays (e.g., $25 per in-network visit) and coinsurance, and the deductible does not apply to these sessions. Coverage is available throughout Los Angeles via both traditional office visits and convenient telehealth options.

Does LAOP Center Accept SAG-AFTRA Health Plan?

Yes. The Los Angeles Outpatient Center (LAOP) accepts the SAG-AFTRA Health Plan through Carelon Behavioral Health coverage. Mental health services procured at LAOP are covered under the plan’s Carelon-administered benefits, meaning members can access in‑network psychiatric and counseling services at LAOP with standard copays and no deductible. This ensures seamless billing and lower out-of-pocket costs for SAG-AFTRA members receiving care at LAOP.

What Are the Benefits of the SAG-AFTRA Health Plan through Carelon?

The benefits of SAG-AFTRA Health Plan insurance coverage are designed to provide comprehensive and affordable healthcare support for entertainment and media professionals. This coverage ensures access to a wide range of medical and mental health services, allowing members to maintain their physical and emotional well-being while navigating the demands of their industry. With tiered plans based on eligibility, the SAG-AFTRA Health Plan offers flexibility, convenience, and high-quality care through a strong network of providers.

Medical Coverage

Access to preventative care, hospital services, specialist visits, and emergency care.

Mental Health Services

Therapy, psychiatric care, and structured programs through Carelon Behavioral Health.

Prescription Drug Coverage

Access to a wide range of medications with tiered pricing and mail-order options.

Dental and Vision Benefits

Routine cleanings, eye exams, and corrective lenses through designated providers.

Telehealth Services

Convenient virtual visits for both medical and mental health care.

Low-Cost Premiums

Affordable quarterly premiums based on plan eligibility

Dependent Coverage

Options to include spouses and children under qualifying conditions.

Crisis and Urgent Support

Access to emergency mental health and medical care when needed.

By choosing the Los Angeles Outpatient Center, individuals receive specialized, compassionate, and affordable care, setting them on a strong path to wellness.

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How can you verify your SAG-AFTRA Healthcare Insurance?

How To Verify Your sag-aftra Insurance At Los Angeles Outpatient Center?

To verify your SAG-AFTRA Health Plan insurance, you can log in to your account to check your eligibility, coverage level, and benefits. You can also call SAG-AFTRA Health Plan Member Services for direct assistance. If you’re planning to receive care, your provider (such as LAOP Center) can verify your insurance with Carelon Behavioral Health to confirm coverage before treatment begins.

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What Are the Different Plans Offered By SAG-AFTRA Health Plan?

The SAG-AFTRA Health Plan offers two primary levels of coverage, Plan I and Plan II, to support the mental health needs of eligible union members through Carelon Behavioral Health. These plans vary based on eligibility requirements, cost-sharing, and the extent of covered services, ensuring that members receive appropriate care based on their earnings and work history.

Plan I

Designed for members who meet higher earnings or work thresholds.
Offers the most comprehensive mental health benefits.
Lower copays and coinsurance for mental health services.
Covers outpatient therapy (individual, group, family).
Includes Intensive Outpatient Programs (IOP).
Provides access to Partial Hospitalization Programs (PHP).
Covers crisis intervention and stabilization services.
Includes psychiatric evaluation and medication management.
Access to teletherapy and virtual care options.
No deductible for in-network mental health services.
Broad provider network through Carelon Behavioral Health.

Plan II

Designed for members who meet a lower threshold of covered earnings or days worked.
Offers essential mental health coverage with slightly higher cost-sharing.
Higher copays and coinsurance compared to Plan I.
Covers outpatient therapy (individual, group, family).
Access to Intensive Outpatient Programs (IOP).
Partial coverage for Partial Hospitalization Programs (PHP).
Includes crisis intervention services.
Medication management is included, though with higher out-of-pocket costs.
Teletherapy options are available for convenience.
In-network services are still available through Carelon’s provider network.

Is the SAG-AFTRA Health Plan Available in Los Angeles?

Yes. The SAG-AFTRA members have benefits in Los Angeles. As the entertainment capital of the world and home to a large population of SAG-AFTRA members, Los Angeles is a central hub for the plan’s healthcare services. Members in the area have access to an extensive network of in-network doctors, mental health professionals through Carelon Behavioral Health, hospitals, and specialized providers. The plan supports both in-person and virtual care options, making it convenient for media professionals in LA to receive comprehensive medical and mental health coverage close to where they live and work.

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