FAQs for Mental Health and Substance Use Treatment - Non-Biologically Based Mental Conditions

Behavioral health services are assessment and therapeutic services that are used in the diagnosing and treatment of mental health and substance use disorders. This ranges from outpatient office visits with a specialist to inpatient psychiatric treatment. To review your individualized plan benefits, click the Benefit Description tab.

The need for referrals/authorizations can vary by the type of service. To see what's covered by your plan, visit the Benefit Description tab.

We’re expanding the types of care available via telehealth to better meet the needs of our members. Any medically necessary service covered under a member’s health plan can now be performed via telehealth (by video or phone) when appropriate, and offered by your doctor.

For Medicare HMO Blue and Medicare PPO Blue members telehealth is covered for outpatient mental health visits when appropriate and offered by your network provider.

To verify whether your provider is in-network use our Find a Doctor & Estimate Costs tool. You can then search by provider name, medical group, facility name, or specialty type. To find providers in your network, sign in to the tool or or enter your network and the geographical area you would like to search.