Behavioral Health services are assessment and therapeutic services that are used in the diagnosing and treatment of mental health and substance abuse disorders. This ranges from outpatient office visits with a specialist to inpatient psychiatric treatment. For more information about coverage for specific services and personal plan benefits, please review your plan details. (link to plan details tab)

Behavioral Health services are assessment and therapeutic services that are used in the diagnosing and treatment of mental health and substance abuse disorders. This ranges from outpatient office visits with a specialist to inpatient psychiatric treatment. For more information about coverage for specific services and personal plan benefits, please review your plan details. (link to plan details tab)

We're dedicated to your well-being. Our fitness benefit and/or weight-loss benefit can each save you and your family up to $150 per calendar year on qualified expenses. For more information on what's covered, or to submit for reimbursement, visit our (https://www.bluecrossma.org/myblue/learn-and-save/ways-to-save/fitness-and-weight-loss) page. Click to see what's covered by your plan. (Link to benefits detail tab)

Cost share for MRIs and imaging can vary by plan. Details for your plan can be found here (link to costs and benefits tab).

The need for referrals can vary by plan type and type of service. Tests that may not need a referral or authorization, may still require an order from a physician. Details for your plan can be found here (link to costs and benefits table).

Most preventive services, including some cancer screenings, are included in your plan at no additional cost.* You may have to pay for services to check on an existing issue or diagnose a health concern. If your plan has a deductible, you’ll pay most medical costs, like labs, MRIs, and hospital stays until you meet your deductible. And some high tech radiology, like MRIs, may have a higher cost share. Please check your plan information for details. (link to costs tab) *Under certain conditions, costs may apply.

With the Find a Doctor & Estimate Costs tool, you can search for your provider and see their tier. Link to FAD. When logged into the Find a Doctor tool results will populate according to your plan.

All HMO Blue® and HMO Blue New EnglandSM members must get a PCP referral before seeing a specialist. Because your PCP knows your history and health care needs, he or she is best qualified to help you decide whether a specialist is needed.

Most plans cover recommended preventive and travel immunizations without cost share. This includes but is not limited to: flu shots, travel immunizations, shingles (Shingrix) and meningococcal vaccine. Members can get their immunizations from an in-network provider or at an outpatient clinic. Members with pharmacy benefits with us may also be able to receive immunizations at retail pharmacy locations affiliated with Express Scripts®´ that offers vaccines.