CignaLow ImpactCoverage

2025 access to behavioral health care results

Published May 8, 2026

AI Summary

Evernorth Behavioral Health released their 2025 performance results showing they do not require prior authorization for emergency evaluation/stabilization services and routine outpatient care with providers. The policy also outlines appointment access standards and phone response metrics for behavioral health services.

Action Required

No immediate action required. This is a performance report showing Evernorth does not require prior authorization for emergency behavioral health services and routine outpatient care. Billing teams should note that behavioral health emergency services and routine outpatient visits can be billed without prior authorization for Evernorth coverage.

Plan Types

Commercial

Specialties

psychiatry, emergency-medicine, family-medicine, internal-medicine