Out of Network Mental Health Benefits Horizon Blue Cross
Mental Health
PY22 benefit update: $0 copay for mental health Virtual Visits
Mental health Virtual Visits through Doctor On Demand® and MDLIVE® are covered at 100% if you are enrolled in HealthSelect of Texas®, HealthSelectSM Out-of-State or HealthSelectSM Secondary. This means you will pay nothing for medical and mental health Virtual Visits.
If you are enrolled in Consumer Directed HealthSelectSM, you must meet your annual deductible before medical and mental health Virtual Visits are covered. After you meet your deductible, you will pay 20% coinsurance. COVID-19-related Virtual Visits are temporarily being covered at no cost for Consumer Directed HealthSelect through August 31, 2022.
Telemedicine services with an in-network mental health provider are covered the same as in-person office visits for all HealthSelectSM participants, including Consumer Directed HealthSelect. See the Master Benefits Plan Document for your plan for benefit details.
Your coverage includes care for many mental health concerns, including:
- Alcohol and drug use issues
- Anger management
- Anxiety
- Bipolar disorder
- Depression
- Domestic violence
- Grief
- Post-traumatic stress disorder (PTSD)
- Schizophrenia and schizoaffective disorder
- Suicidal thinking
- Stress
Keep in mind that you will pay less if you see mental health providers who are in the HealthSelectSM network.
How to get care:
There are many types of mental health providers that offer a range of mental health care. You can decide what plan is best for you:
- You could start by talking about mental health with your primary care provider (PCP). Your PCP may help you find mental health support nearby, suggest a mental health provider or prescribe medication.
- Counselors, therapists, psychologists and psychiatrists all may offer mental health care, but only psychiatrists or mental health nurse practitioners can prescribe medication. That's one of the reasons why talking to a PCP first can be helpful—some people may want to work with more than one provider to come up with the best course of action.
Learn how Malcom got mental health support.
Find a doctor, hospital or other provider in theHealthSelect of Texas® and Consumer Directed HealthSelectSM network.
Find a doctor, hospital or other provider in theHealthSelectSM Out-of-State network (only for people living or working outside of Texas).
Find a doctor, hospital or other provider in theHealthSelectSM Secondary network.
If you have questions about your HealthSelect mental health benefits, need help finding a mental health provider in the network, or have questions about a mental health claim, call a Blue Cross and Blue Shield of Texas (BCBSTX) Personal Health Assistant.
BCBSTX Personal Health Assistants are available
by phone
Call a BCBSTX Personal Health
Assistant toll-free
Monday-Friday, 7 a.m.-7 p.m. and
Saturday, 7 a.m.-3 p.m. CT.
24/7 Mental Health Line:
If you or your covered dependent are in a crisis situation and need immediate help to find resources for care, call(800) 252-8039 (TTY:711). Ask to speak to a mental health clinician, or follow the prompts to get help with a mental health or substance use issue 24 hours a day, seven days a week.
Mental health care management:
The mental health care management program gives you access to a team of dedicated clinicians who can help you with many mental health concerns. Clinicians are available by phone to provide extra support and guidance for concerns including substance use issues, anger management, anxiety, depression, domestic violence, grief, post-traumatic stress disorder and stress. Care management is available to you at no out-of-pocket cost.
If you would like to speak to a clinician about a mental health concern, call BCBSTX toll-free at(800) 252-8039 (TTY:711) between 8 a.m. and 6:30 p.m. CT Monday - Friday and ask to speak with a clinician.
Virtual Visits:
Virtual visits offer a convenient option for accessing mental health care. Consult a licensed mental health professional any day of the week online. A mental health Virtual Visit is similar to an outpatient visit to a mental health provider's office but the visit is conducted online. Visit the Virtual Visits page for more information.
To view your mental health claims, visit the online mental health claims center via
Blue Access for MembersSM. (Within Blue Access for Members, navigate to Claims Center.)
Please note: If you are looking for information about your Employee Assistance Program (EAP), please contact your agency or institution's benefits coordinator.
Watch the video below to find out how a BCBSTX Personal Health Assistant can help you guide you in finding the proper care for your mental health.
Source: http://healthselect.bcbstx.com/medical-benefits/mental-health
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