While most employers offer mental health care coverage as part of their health insurance packages, major gaps in care exist. According to new research, many employers aren’t sure how mental health care services are being used by employees.

The 2025 Employee Benefit Research Institute (EBRI) Employer Survey, released Friday, polled professionals at 400 companies with 500 or more employees who made benefits decisions. Mental health coverage was a given almost across the board (97% of respondents said their company offered it), and several companies covered nontraditional programs, like financial therapists (62%) and mindfulness apps (74%).

However, there were also several gaps in coverage. Only two-thirds of companies covered substance use treatment. Only one-third of companies covered ong

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