Do I need a referral/authorization for behavioral health services?
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.
What are my benefits for outpatient behavioral health services?
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.
To review your individualized plan benefits, click the
Benefit Description tab.
Is my provider in my plan network?
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.
Am I covered to see my psychologist/behavioral health provider via telehealth?
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.
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.
Do I need a referral/authorization for behavioral health services?
The need for referrals/authorizations can vary by the type of service. To see what's covered by your plan, Click here.
What are my benefits for behavioral health services?
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.
To review your individualized plan benefits, click the Benefit Description tab.
What durable medical equipment (DME) providers are in my network?
Use our Find a Doctor & Estimate Costs tool to find durable medical equipment providers in your network. Log in, or enter your network and zip code and then select "All Specialties" in the search bar. Under "D" you will see options for DME providers.
Do I need a prescription to be covered for durable medical equipment (DME)? Do I need an authorization for my equipment to be covered?
Your durable medical equipment benefit is available with a letter of medical necessity. To review your individualized plan benefits, click the
Benefit Description tab.
Does my plan cover a glucometer?
Your plan comes with more features and health benefits than you might realize. Like a OneTouch®″ glucose monitor at no additional cost. Click to learn more about ordering a glucose monitor.