Mental Health and
Substance Abuse Benefits
Mental health and substance abuse care and services are provided under your medical plan coverage. Highlights for each plan appear below. For more information, contact your medical plan carrier.
BCBS PPO IN-NETWORK benefits 1 |
|
|---|---|
Mental health inpatient |
80% of maximum allowable charges; pre-authorization required; max of 45 days per year |
Mental health outpatient |
80% of maximum allowable charges; no pre-authorization required; 50-visit maximum per year combined with substance abuse |
Substance abuse inpatient |
80% of maximum allowable charges; pre-authorization required; 30 days per calendar year; lifetime maximum of $50,000 |
Substance abuse |
80% of maximum allowable charges; no pre-authorization required; 50-visit maximum per year combined with mental health |
Group therapy |
Covered as mental health outpatient |
1 If you go outside of Blue Network P, these benefits do not apply. See BCBS for details.
CIGNA Choice Fund IN-NETWORK benefits 2 |
|
|---|---|
Mental health inpatient |
90% after plan deductible; pre-authorization required; maximum of 45 days per year |
Mental health outpatient |
90% after plan deductible; no pre-authorization required; 50-visit maximum per year combined with substance abuse |
Substance abuse inpatient |
90% after plan deductible; pre-authorization required; 30 days per calendar year; lifetime maximum of $50,000 |
Substance abuse |
90% after plan deductible; no pre-authorization required; 50-visit maximum per year combined with mental health |
Group therapy |
Covered as mental health outpatient |
2 If you go outside of Open Access Plus network, these benefits do not apply. See CIGNA
for details.