Mental Health and Substance Abuse Benefits

The BCBS PPO will pay benefits for inpatient and outpatient treatment of mental health and substance abuse.

Mental Health and Substance Abuse Benefits
Mental Health BCBS PPO Network Out-of-Network
Inpatient admissions to a licensed general hospital –  unlimited Covered in full Covered at 80% after deductible
Inpatient admissions to a mental health facility – up to 60 days per member per calendar year Covered in full Covered at 80% after deductible
Outpatient services (maximum is combined with substance abuse) Covered at 80% after deductible
Visits 1 – 20 $15 copayment per visit
Visits 21 – 30 $20 copayment per visit
Visits 31 – 40 $30 copayment per visit
Substance Abuse
Inpatient admissions – up to 30 days per calendar year Covered in full Covered at 80% after deductible
Outpatient services – up to 40 visits per calendar year (maximum is combined with mental health) $15 copayment for
visits 1 – 20
$20 copayment for
visits 21 – 30
$30 copayment for
visits 31- 40		 Covered at 80% after deductible
Detoxification for drug/alcoholism Covered in full Covered at 80% after deductible
Note: Maximums are combined in-network and out-of-network