Free tool

Behavioral health carve-out lookup

Pick the payer on the front of the card and the plan. See who actually administers the mental health benefit, where to verify it and which line to call.

Pick the payer on the front of the card, then the plan, to see who actually administers the behavioral health benefit and where to verify it.

The full routing table

Every combination the lookup knows, in one place.

Card saysPlanBehavioral health administered byVerify behavioral benefits atProvider line
UnitedHealthcareCommercial (Choice Plus, POS, HealthSelect)OptumProvider Express (providerexpress.com)877-614-0484
UnitedHealthcareSurestOptumProvider Express877-614-0484
UnitedHealthcareMedicare Advantage or AARP Medicare AdvantageOptumProvider Express877-614-0484
UnitedHealthcareAARP Medicare SupplementNone (follows Original Medicare)Your state's Medicare contractor
UnitedHealthcareUMRVaries by employer groupSet by the employerNumber on the card
UnitedHealthcareGEHA or UHC Shared ServicesOptumProvider Express800-821-6136
UnitedHealthcareHealthSCOPE BenefitsNot publishedVaries by group844-600-0921
CignaCommercial or employer planEvernorthEvernorth (provider.evernorth.com)800-926-2273
CignaBehavioral EAPEvernorth EAPEvernorth EAP800-926-2273
CignaMedicare (HealthSpring)Evernorth networkEvernorth800-282-4548 (Availity support)
AetnaCommercial or HMOAetna (no carve-out)Availity Essentials888-632-3862
AetnaMedicare AdvantageAetna (no carve-out)Availity Essentials800-624-0756
AetnaMeritain HealthNot published, varies by groupVaries by group800-566-9311
AetnaAllied Benefit SystemsNot publishedVaries by groupNumber on the card
AetnaAllegianceNot publishedVaries by group800-877-1122
AetnaAngle HealthNot confirmedNot confirmed855-937-1811
Blue Cross Blue ShieldFlorida Blue (commercial)LucetLucet WebPass (webpass.ndbh.com)877-709-6822
Blue Cross Blue ShieldFlorida Blue Medicare AdvantageLucetLucet877-709-6822
Blue Cross Blue ShieldAnthemCommonly CarelonCarelon (or Availity payer ID BHOVO)800-397-1630
Blue Cross Blue ShieldEmpire BCBS, now Anthem (New York)CarelonCarelon800-397-1630
Blue Cross Blue ShieldExcellus BCBS (New York)Excellus (in-house)ExcellusNumber on the card
Blue Cross Blue ShieldHighmark BCBS of Western or Northeastern NYHighmark Behavioral HealthHighmarkNumber on the card
Blue Cross Blue ShieldOut-of-state Blue (BlueCard)The member's home planDepends on the alpha prefix800-676-2583
Other commercialEmblemHealth (New York)CarelonCarelon800-397-1630
Other commercialAvMed (Florida)OptumOptumNumber on the card
Other commercialMVP Health Care (New York)MVPMVPNumber on the card
MedicareOriginal Medicare Part BNone (no carve-out)Same866-454-9007
MedicareRailroad MedicareNoneSame888-355-9165

Why the card is not enough

Many plans hand mental health and substance use benefits to a separate administrator. The company on the card handles the medical benefit, and a different company sets the copay, the network and the authorization rules for therapy. Checking only the company on the card is how a claim that looked verified still gets denied. The carve-out guide explains how this works.

Last reviewed October 2026. Phone numbers and portals verified 13 August 2026 against payer sources. Payer phone trees, portal names and carve-out arrangements change without notice, and self-funded groups can change administrators at renewal. Confirm against the member's card and the portal on the date of service. Company and product names belong to their owners and are used for identification only, with no affiliation or endorsement implied.

Common questions

How do I know who administers a patient's behavioral health benefit?

Check the back of the card for a separate behavioral health phone number, look for an administrator such as Optum, Evernorth, Carelon, Lucet or Magellan, and confirm during the eligibility check. The lookup on this page shows the usual routing for each major plan.

Which company handles behavioral health for UnitedHealthcare?

For nearly every UnitedHealthcare plan, Optum, verified on Provider Express. UMR and HealthSCOPE groups vary by employer.

Which company handles behavioral health for Cigna?

Evernorth, for all Cigna plans including Cigna Medicare.

Does Aetna carve out behavioral health?

No. Aetna administers behavioral health in-house for its commercial and Medicare plans, verified on Availity. Aetna-adjacent plans such as Meritain and Allied vary by group.

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