
If you're looking for a Medicare Advantage plan that covers therapy and healthcare, Blue Cross Blue Shield MA PPO is a great option. This plan provides comprehensive coverage for a wide range of healthcare services.
With Blue Cross Blue Shield MA PPO, you can enjoy in-network coverage with thousands of providers, including primary care physicians, specialists, and hospitals. This means you can see the doctors you trust without worrying about surprise medical bills.
In addition to traditional medical care, Blue Cross Blue Shield MA PPO also covers behavioral health services, including therapy and counseling. You can receive treatment for mental health conditions, substance abuse, and other behavioral health issues.
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Therapy Coverage
Blue Cross Blue Shield of MA PPO covers therapy services, including both in-network and out-of-network mental health benefits.
You can find this information in your Summary and Benefits document, which can be accessed through your Blue Cross Blue Shield online account or by contacting the customer service number on the back of your insurance card.
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The cost of therapy varies based on your therapist's fees and whether they're an in-network provider. You'll pay a coinsurance rate of 10% for an in-network provider and 30% for out-of-network providers.
Blue Cross Blue Shield of MA PPO mental health benefits include treatment for depression, anxiety and stress, alcohol abuse, drug abuse, grief and loss, eating disorders, and obsessive compulsive disorder (OCD).
The plan covers many different evidence-based therapy approaches, including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Mindfulness practices, Psychodynamic therapy, and Acceptance and Commitment Therapy (ACT).
You can access online therapy with Blue Cross Blue Shield of MA PPO, with the same rate of coverage as in-person visits.
However, couples counseling is not covered by Blue Cross Blue Shield of MA PPO, due to the difficulty in providing a reimbursable diagnosis for couples.
Here are the covered mental health conditions and therapy approaches:
- Depression
- Anxiety and stress
- Alcohol abuse
- Drug abuse
- Grief and loss
- Eating disorders
- Obsessive compulsive disorder (OCD)
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavioral Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Mindfulness practices
- Psychodynamic therapy
- Acceptance and Commitment Therapy (ACT)
Types of Therapy Not Covered
Blue Cross Blue Shield of MA PPO has its limitations when it comes to therapy coverage.
Couples therapy is not covered by Blue Cross Blue Shield of MA, as it's challenging for therapists to provide a reimbursable diagnosis for couples.
This means you won't be able to get reimbursed for couples counseling sessions through your insurance.
However, you can still access couples counseling in other ways.
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Specific Coverage
Blue Cross Blue Shield of MA PPO covers therapy services, including both in-network and out-of-network mental health benefits. This means you'll pay less to see any therapist, even if they're not in the provider network.
The cost of therapy varies based on your therapist's fees and whether or not they're an in-network provider. For in-network providers, you'll pay a coinsurance rate of 10%, while out-of-network providers will be 30%.
Blue Cross Blue Shield of MA PPO mental health benefits include treatment for various mental health conditions, such as depression, anxiety and stress, alcohol abuse, drug abuse, grief and loss, eating disorders, and obsessive compulsive disorder (OCD).
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The plan covers many different evidence-based therapy approaches and modalities, including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), mindfulness practices, psychodynamic therapy, and Acceptance and Commitment Therapy (ACT).
To receive coverage, therapists must provide diagnosis-based therapy appropriate for the mental health diagnosis.
Blue Cross Blue Shield of MA PPO also covers online therapy, with the same rate of coverage as in-person visits. This means your coinsurance rates will remain the same for both in-network and out-of-network therapists.
Here are some of the mental health conditions covered by Blue Cross Blue Shield of MA PPO:
- Depression
- Anxiety and stress
- Alcohol abuse
- Drug abuse
- Grief and loss
- Eating disorders
- Obsessive compulsive disorder (OCD)
Medicare Advantage FAQs
You can enroll in Medicare Advantage during your Initial Enrollment Period, which starts three months before your 65 birthday month and ends three months after it.
This period is a great time to sign up for Medicare Advantage because you've already enrolled in Original Medicare (Parts A and B). You may also qualify for a Special Enrollment Period if you experience certain life events, such as moving out of your current plan's service area or losing your employer-based health coverage.
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Most Medicare Advantage plans have a $0 monthly premium and may include prescription drug coverage and routine dental, vision, and hearing benefits.
The maximum out-of-pocket annual cost is a key feature of these plans, so it's essential to consider your budget before signing up. Your specific health needs are also crucial in determining the right plan for you.
If you need care from out-of-network specialists and facilities, a Medicare Advantage PPO plan may be the right choice because these plans typically let you access care out of network without a referral.
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Frequently Asked Questions
What does MA PPO mean?
MA PPO stands for Medicare Advantage Preferred Provider Organization, a type of health plan that combines Medicare benefits with private insurance coverage
What does BCBS PPO stand for?
BCBS PPO stands for Blue Cross Blue Shield Preferred Provider Organization. This network allows members to see any participating healthcare provider within the BCBS network.
Is Blue Cross Blue Shield PPO any good?
Blue Cross Blue Shield PPO plans offer flexibility in choosing healthcare providers, but may cost more for out-of-network care. Consider this option if you value having a wide range of treatment and provider choices
Is Blue Cross Blue Shield of Massachusetts a PPO?
Yes, Blue Cross Blue Shield of Massachusetts offers a PPO plan that covers medical and behavioral healthcare services, including therapy. This plan provides access to a large network of excellent therapists.
What is BCBS PPO called?
The BCBS PPO is called BlueCard PPO. This national program provides out-of-area benefits to members through a network of designated PPO providers.
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