Mental Health Benefits

Boston University Health Plan How services are covered
  Outpatient Services
(calendar year benefit) 		Inpatient Services
BCBS PPO*
In-network Individual therapy:
Visits 1 – 20 @ $15/visit;
Visits 21 – 30 @ $20/visit;
Visits 31 – 40 @ $30/visit
Group therapy is covered 100% after $15 copayment per visit.
A total of 40 visits (combined individual and group) allowed per calendar year		 100% benefit up to 60 days per calendar year plus 30 days for alcoholism
Out-of-network 80% benefit for 40 visits (combined individual and group) after deductible 80% benefit after deductible, up to 60 days per calendar year plus 30 days for alcoholism
  Outpatient Services
(calendar year benefit) 		Inpatient Services
Network Blue
New England 		Visits 1 – 20 @ $15/visit;
Visits 21 – 30 @ $20/visit;
Visits 31 – 40 @ $30/visit
Group therapy is covered 100% after $15 copayment per visit.
A total of 40 visits (combined individual and group) allowed per calendar year		 100% up to 60 days per calendar year plus 30 days for alcoholism
  Outpatient Services
(calendar year benefit) 		Inpatient Services
Boston Medical Center Preferred*
Inner Circle Individual therapy:
Visits 1 – 8 @ $5/visit;
Visits 9 – 24 @ $25/visit;
Group therapy is covered 100% after $5 copayment per visit.
A total of 24 visits (combined individual and group) allowed per calendar year		 100% benefit up to 60 days per calendar year plus 30 days for alcoholism
Expanded Circle** Individual therapy:
Visits 1 – 8 @ $25/visit;
Visits 9 – 24 @ $40/visit;
Group therapy is covered 100% after $25 copayment per visit.
A total of 24 visits (combined individual and group) allowed per calendar year		 70% benefit up to 60 days per calendar year plus 30 days for alcoholism
*Annual maximums are combined in-network and out-of-network.
**Primary care physician referral required for care received in Expanded Circle.