Blue Cross Blue Shield (BCBS) PPO mental health insurance coverage provides access to a wide network of mental health professionals.
BCBS PPO plans cover mental health services such as therapy sessions, counseling, and psychiatric care.
You can find a mental health professional in your network by visiting the BCBS website or calling their customer service number.
BCBS PPO plans also cover medication management and hospitalization for mental health conditions.
BCBS PPO Mental Health Coverage
BCBS offers extensive coverage for mental or cognitive health services, including therapy, counseling, and psychiatric care, to support overall well-being.
If you're struggling with mental health issues, BCBS telehealth services enable you to access mental health care remotely, providing convenience and flexibility in receiving treatment.
BCBS ensures mental health coverage is on par with physical health coverage, providing equal access to necessary treatments through mental health parity.
BCBS behavioral health care management offers care management services to help coordinate and optimize behavioral health treatments, ensuring effective and personalized care plans.
Here are some key features of BCBS PPO mental health coverage:
- Comprehensive mental illness coverage
- Convenient telehealth services
- Mental health parity
- Behavioral health care management
By understanding the specifics of BCBS PPO mental health coverage, you can make informed decisions about your care and take advantage of the resources available to you.
Medication Assisted Treatment (MA)
Medication Assisted Treatment (MA) is a type of treatment that combines medication with counseling or therapy to help manage substance use disorders.
BCBS PPO mental health coverage includes coverage for MA, which can be a highly effective treatment option for individuals struggling with addiction.
Medications like buprenorphine and naltrexone can help reduce withdrawal symptoms and cravings, making it easier for individuals to stay on track with their recovery.
BCBS PPO mental health coverage also covers the costs of office visits and counseling sessions with a healthcare provider who is certified to prescribe these medications.
Types of MA
Blue Cross Blue Shield of MA covers various evidence-based therapy approaches and modalities as part of Medication Assisted Treatment (MA).
Cognitive Behavioral Therapy (CBT) is one of the types of therapy covered by Blue Cross Blue Shield of MA, which can help individuals identify and change negative thought patterns and behaviors.
Dialectical Behavioral Therapy (DBT) is another approach covered, focusing on developing skills to manage emotions and behaviors.
Eye Movement Desensitization and Reprocessing (EMDR) is also covered, which can help process and integrate traumatic memories.
Mindfulness practices are included in the coverage, promoting self-awareness and emotional regulation.
Psychodynamic therapy is also a covered modality, exploring the unconscious thoughts and feelings that influence behavior.
Acceptance and Commitment Therapy (ACT) is another type of therapy covered, helping individuals develop psychological flexibility and acceptance of difficult emotions.
Blue Cross Blue Shield of MA requires therapists to provide diagnosis-based therapy appropriate for the mental health diagnosis to provide coverage for treatment.
MA Online
Blue Cross Blue Shield of MA PPO covers online therapy, providing 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.
Online therapy is a convenient option for many individuals, especially those who prefer accessible and secure video platforms. Many people with Blue Cross Blue Shield of MA PPO take advantage of online therapy.
To get started with online therapy, check your Summary and Benefits document for details on mental health benefits and coverage. You can also contact customer service for more information on your coverage and out-of-network options.
Blue Cross Blue Shield of MA PPO covers treatment for various mental health conditions, including depression, anxiety and stress, and eating disorders, through online therapy.
Illinois Specific Information
In Illinois, Blue Cross Blue Shield insurance plans provide mental health benefits as preventative care, treating mental health visits the same as any other doctor visit.
The Mental Health Parity and Addiction Act (MHPAEA) was passed in 2008, requiring insurance providers to offer equal or better coverage for mental health and substance-use disorders.
Because of this law, Blue Cross insurance plans in Illinois consider mental health conditions to be just as important as physical health conditions, making mental health coverage more accessible to the general population.
In Illinois, if you or a loved one are exhibiting symptoms of any cognitive or affective condition, it's strongly advised that you arrange a meeting with a psychiatric specialist.
Virtual and In-Person Support
You can access mental health support through Blue Cross and Blue Shield's PPO network in a way that suits your comfort level. If you prefer virtual sessions, you can use Virtual Care by Teladoc Health.
With Virtual Care, you can see a licensed therapist or U.S. board-certified psychiatrist from anywhere in the U.S. You can browse provider profiles and credentials, and get care for your adult family members and children ages 13 and up.
However, if you prefer in-person support, you can log in to your member account to find behavioral and mental health specialists near you who take your plan.
You can also use the "Find Care" feature to get matched with an expert based on their years of experience, location, languages spoken, credentials, and quality designations.
Mental Health Self-Guided Support is another option, which offers a digital platform with a diverse network of qualified therapists, psychologists, and psychiatrists.
Here are some issues that online therapists can help with:
- Anxiety, stress, feeling overwhelmed
- Negative thought patterns
- Depression
- Relationship conflicts
- Marriage and relationship issues
- Trauma and PTSD
- Medication management — psychiatry only
Appointments are available 7 days a week, and all care is 100% confidential.
Insurance and Payment
You can check your BCBS insurance for mental health coverage levels at AMFM by calling them directly or filling out their insurance verification form.
Understanding your coverage levels, deductible, and potential out-of-pocket costs is crucial for planning your treatment. This way, you can focus on your recovery without worrying about financial surprises.
The number of times BCBS will pay for behavioral health therapy and treatment depends on your specific policy and coverage plan. Most BCBS plans offer a set number of therapy sessions per year, which can vary based on your plan's details and the type of treatment required.
You can discuss your coverage with AMFM to get the most accurate policy and plan information. They can evaluate your plan and explain its specifics, including any exclusions and the approval process for additional sessions.
Silver Insurance Plans
Silver insurance plans are one step above Bronze insurance plans, offering better coverage and lower out-of-pocket maximum payments.
They have marginally higher premiums, but the added benefits make them a great option for individuals who require a moderate amount of care on a regular basis.
Silver plans have significantly lower deductibles than Bronze plans, which means you'll have to spend less money before your insurance kicks in.
Lower copayments and coinsurance costs also make Silver plans a more affordable choice for those who need regular medical attention.
Individuals who require a moderate amount of care on a regular basis will find Silver plans to be a great fit.
Private Insurance Provider
Blue Cross Blue Shield (BCBS) is a private insurance provider that offers a variety of health insurance plans across the United States. They provide comprehensive coverage options, including mental health services, ensuring policyholders access to essential medical and therapeutic care.
BCBS operates through a network of independent companies, each providing risk management, reinsurance, and comprehensive health coverage options. This extensive network allows them to handle deductibles, manage liability, process claims, and set premiums.
With a focus on affordable care, BCBS collaborates with various healthcare providers to offer extensive coverage. This collaboration ensures that policyholders have access to the care they need.
At AMFM, we accept Blue Cross Blue Shield insurance, allowing you to utilize your plan for our mental health therapy and treatment programs. This partnership ensures you have access to the care you need with the support of your insurance coverage.
To check your BCBS insurance for mental health coverage levels, you can call us directly or fill out our insurance verification form.
How Often Will Pay?
Most BCBS plans offer a set number of therapy sessions per year, which can vary based on your plan's details and the type of treatment required.
Your specific policy and coverage plan will determine how often BCBS will pay for behavioral health therapy and treatment.
The number of therapy sessions can vary widely from one plan to another, so it's essential to review your policy carefully.
Contacting your insurance provider or a licensed professional can help you understand your coverage and plan for treatment.
Understanding and Accessing Care
You can access mental health care through your Blue Cross Blue Shield (BCBS) PPO plan, and there are several ways to do so.
BCBS PPO plans offer a range of mental health coverage options, including HMO and PPO plans with varying levels of care, from bronze to gold.
To get started, you can log in to your Blue Cross online member account to access Mental Health Self-Guided Support benefits.
If you're looking for more comprehensive care, you can explore Virtual Care by Teladoc Health, which allows you to see a licensed therapist or U.S. board-certified psychiatrist from anywhere in the U.S.
Virtual Care is available for adults and children ages 13 and up, and you can browse provider profiles and credentials before scheduling a session.
However, costs can vary, so be sure to check your coverage before signing up.
Behavioral health conditions encompass a wide range of mental and emotional disorders, including depression, anxiety, bipolar disorder, and more.
These conditions can impact your overall well-being and daily functioning, making it essential to seek treatment.
Treatment for behavioral health conditions often involves a combination of counseling and psychiatry, providing support and strategies to manage stress and emotional challenges.
If you're a provider, you can use the PCP Behavioral Health Toolkit website to find clinical and referral information, screening tools, and patient education resources to help manage or refer your patient to meet their behavioral health care needs.
The toolkit offers a range of resources, including information about behavioral health conditions, screening tools, and behavioral health provider lists for referrals.
If you have questions or need further assistance, you can contact the Provider Customer Service Department or the Blue Shield mental health service administrator for HMO and PPO commercial plan members.
Here are some key benefits of using Virtual Care by Teladoc Health:
- See a licensed therapist or U.S. board-certified psychiatrist
- Browse provider profiles and credentials
- Get care for your adult family members and children ages 13 and up
Frequently Asked Questions
How much is mental health therapy with insurance?
Typically, therapy costs $21 per session with an in-network therapist and $60 with an out-of-network one, with insurance covering 60-75% of the cost
Sources
- https://www.blueshieldca.com/en/provider/guidelines-resources/patient-care-resources/behavioral-health
- https://zencare.co/health-insurance/bcbs-ma-ppo
- https://ardentcenter.com/faq/blue-cross-blue-shield-mental-health-coverage-il/
- https://www.bcbsm.com/behavioral-mental-health/support/
- https://amfmtreatment.com/insurance-coverage/blue-cross-blue-shield/
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