
BCBS C is a popular health insurance provider that covers a range of mental health services, including therapy.
BCBS C covers individual and group therapy sessions, including those with licensed therapists, psychiatrists, and psychologists.
In-network therapists are preferred by BCBS C, but out-of-network providers may be covered with prior approval.
BCBS C has a network of over 250,000 in-network therapists, making it easier for members to find a therapist near them.
Eligibility and Coverage
To determine if BCBS C pays for therapy, you first need to verify your coverage by calling the number on the back of your insurance card or logging into your account on the BCBS C website. This will give you information on any deductibles, copays, or specific provider network requirements.
Eligible therapists for BCBS C therapy coverage include Registered Psychotherapist, Registered Psychotherapist (Qualifying), Psychologist, and many others. Your policy will outline the specific certifications or requirements for your mental health provider.
BCBS C covers a range of therapy types, including individual therapy, family therapy, group therapy, and online therapy. However, coverage may vary depending on your plan, so it's essential to check your policy details before booking sessions.
Here's a breakdown of the therapy types covered by BCBS C:
Henry Beltran, the owner of Medicare Advisors Insurance Group LLC, advises: "BCBS C can be an excellent choice for those who need therapy, but make sure you know your plan details before you start booking sessions."
Blue Cross Blue Shield (BCBS) Services
BCBS typically covers a wide range of counselling philosophies, including Dialectical Behaviour Therapy (DBT), Emotionally Focused Therapy (EFT), Cognitive Behavioural Therapy (CBT), and more.
To determine the specific types of therapy covered by your policy, it's essential to review your plan details or contact BCBS directly.
BCBS coverage details, such as the number of sessions and types of therapy covered, can vary by plan and state.
You can filter available therapists by modality or issue on some therapy platforms, which can help narrow your search options quickly.
Here are some common CPT service codes used for counseling and psychotherapy services:
It's highly advisable to provide these codes to your insurance representative when calling to verify your benefits.
Session Details
Some employers cover 100% of therapy costs, with yearly maximums in the $10,000 range.
Others might provide a yearly maximum of $2000. Your employer's policy will determine the specifics of your insurance coverage and extended health plan. Check your policy or consult your human resources department for complete details.
How Many Sessions?
Your insurance policy may cover a significant number of therapy sessions, but the specifics depend on your employer's policy.
Some employers cover 100% of the therapy cost, with yearly maximums in the $10,000 range.
Others may provide a yearly maximum of $2000.
Check your specific policy or consult your human resources department for complete details on your insurance coverage and extended health plan.
Determine Your Schedule

Consistency is key to effective therapy, so it's essential to schedule your sessions regularly. This helps you stay on track and make progress towards your mental health goals.
To calculate an affordable therapy cadence, divide your yearly coverage limit by the cost per session. For example, if your yearly coverage is $5000 and each session costs $200, you can schedule 25 sessions per year.
A therapy session every 2 weeks is a good starting point, allowing you to make consistent progress without feeling overwhelmed.
Cost and Payment
Staying within your budget is crucial when seeking therapy, and BCBS C can make a big difference in affordability. Choosing in-network providers is a key factor in keeping costs lower.
BCBS C's network providers can significantly reduce your out-of-pocket expenses. Out-of-network therapists can be double the cost or more, making it a costly mistake to assume you can see any therapist.
To manage therapy costs with BCBS C, consider the following options:
- Choose In-Network Providers
- Ask About Sliding Scale Options
- Check for Discounts on Prepaid Sessions
Co-pays and Deductibles
Co-pays and Deductibles can add up over time, so it's good to budget ahead for your therapy sessions. Typical co-pays range from $20 to $50 per session depending on your plan.
You'll need to pay a deductible, which is the amount you pay out-of-pocket each year before your insurance coverage kicks in. If you have a high deductible, you may need to pay for therapy sessions until it's met.
Co-insurance is another cost to consider, which is a percentage of each therapy session cost, usually ranging between 10% and 30%.
Out-of-Network Costs
Out-of-network costs can be a significant concern for those seeking therapy. Staying in-network with BCBS C can make a big difference in affordability.
Many people assume they can see any therapist, but this isn't always the case. Out-of-network therapists can be double the cost or more.
Here's a breakdown of what you might expect to pay:
It's essential to budget ahead for your therapy sessions, as co-pays and deductibles can add up over time.
Pre-Authorization and Limitations
BCBS C plans require pre-authorization for therapy services in most cases.
You'll need to get permission from BCBS C before starting therapy sessions, which can add a waiting period.
Pre-authorization can help ensure that your therapy is covered.
Review your benefits carefully to know your plan's specific terms and limitations.
Confirm pre-authorization requirements with BCBS C or your provider before starting therapy.
Use BCBS C's online tools to find in-network therapists near you.
Here are some key locations where you can find in-network therapists:
- Auburn Hills, MI
- Berkley, MI
- Beverly Hills, MI
- Birmingham, MI
- Bloomfield Hills, Michigan
- Clarkston, MI
- Clawson, MI
- Clio, MI
- Commerce, MI
- Davisburg, MI
- Farmington Hills, MI
- Ferndale, MI
- Flint, MI
- Franklin, MI
- Genesee County, MI
- Grand Blanc, MI
- Holly, MI
- Huntington Woods, MI
- Keego Harbor, MI
- Linden, MI
- Macomb County, MI
- Madison Heights, MI
- Novi, MI
- Oak Park, MI
- Oakland County, MI
- Ortonville, MI
- Oxford, MI
- Pleasant Ridge, MI
- Plymouth, MI
- Pontiac, MI
- Rochester Hills, MI
- Royal Oak, MI
- Shelby Township, MI
- Southfield, MI
- St. Clair Shores, MI
- Sterling Heights, MI
- Swartz Creek, MI
- Troy, MI
- Utica, MI
- Warren, MI
- Waterford, MI
- Wayne County, MI
- West Bloomfield, MI
- White Lake, MI
- Wixom, MI
- Milford, MI
Florida Specific Information
Florida has a network of qualified mental health professionals and rehabilitation facilities that accept Blue Cross Blue Shield (BCBS). This ensures access to essential care for individuals navigating mental health challenges.
If you're a Florida resident with BCBS insurance, you can take advantage of comprehensive mental health rehab insurance coverage, including supportive counseling and therapy sessions. This coverage extends to various services, including therapy and counseling specifically tailored to address post-traumatic stress disorder (PTSD).
The extent of BCBS's coverage for PTSD treatment will vary from plan to plan, so it's best to call 877-958-9212 for up-to-date and accurate details of your particular policy. A team of patient advocates is ready to provide information about your mental health benefits and walk you through the rehab admissions process.
Florida Blue, a BCBS affiliate, provides coverage for therapy and supportive counseling specifically tailored to address PTSD in Florida. This includes therapeutic methods like cognitive-behavioral therapy (CBT).
Here are some Florida-specific details about BCBS coverage for therapy:
General Information and Tips
BCBS C covers a wide range of mental health services, including individual and group therapy sessions.
In fact, BCBS C considers therapy a crucial part of overall health and wellness, and they often encourage patients to seek treatment for mental health issues.
The plan has a network of in-network therapists and facilities that can be accessed by members, which may result in lower out-of-pocket costs.
However, it's essential to note that BCBS C may require a referral from a primary care physician for certain types of therapy, such as medication management.
BCBS C also has a mental health parity law, which ensures that mental health services are covered equally to medical services.
This means that members can access the same level of care for mental health issues as they would for physical health issues.
BCBS C members can also access online therapy sessions, which can be a convenient option for those with busy schedules or who prefer the comfort of their own home.
It's worth noting that some BCBS C plans may have specific requirements or restrictions for online therapy sessions.
Sources
- https://www.firstsession.com/resources/does-blue-cross-insurance-cover-therapy
- https://www.brightpinepsychology.com/blue-cross-blue-shield-bcbs-counseling-therapy/
- https://medicareabc.com/does-bcbs-c-pay-for-therapy/
- https://sylviabrafman.com/insurance/blue-cross-blue-shield/florida-blue/ptsd/
- https://zencare.co/us/louisiana/therapists/insurance/blue-cross-blue-shield
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