Blue Cross Blue Shield of Texas offers a variety of health plans. Their prices and coverage levels vary, but all of them offer essential health benefits, including behavioral health services, substance abuse, and mental health disorder treatment.
Full Answer
What kind of health insurance does Blue Cross and blue shield offer?
Whether you're looking for insurance for yourself or your entire family, Blue Cross and Blue Shield of Texas (BCBSTX) offers a variety of family and individual health insurance coverage options. We offer a variety of individual health insurance plans, also known as major medical or comprehensive coverage.
Does Blue Cross Blue Shield cover mental health treatments?
Some of the mental health treatments that are covered by most standard Blue Cross Blue Shield insurance policies include: Individual Counseling: Individual counseling and therapy sessions are typically covered by most Blue Cross Blue Shield plans for individuals
Does Blue Cross Blue Shield cover TMS treatment?
Blue Cross Blue Shield offers an array of mental health treatment options and coverage solutions, including TMS treatment, depending on your current insurance policy. Blue Cross Blue Shield offers treatments and coverage for many mental health conditions like depression.
Does Blue Cross Blue Shield cover Suboxone treatment?
Yes, BCBS can cover your medication-assisted treatment at least in part. The level of coverage will differ according to your plan, which you can check by contacting your provider.1 Public health insurance Medicaid, which is provided through a Blue Cross Blue Shield program, has to cover it.12,13 Does Blue Cross Blue Shield Cover Suboxone Treatment?
See more
What types of things are typically covered by health insurance?
Health insurance typically covers most doctor and hospital visits, prescription drugs, wellness care, and medical devices. Most health insurance will not cover elective or cosmetic procedures, beauty treatments, off-label drug use, or brand-new technologies.
What is covered under healthcare?
These include doctors' services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more. Some plans cover more services.
What is PPO good for?
PPO stands for preferred provider organization. Just like an HMO, or health maintenance organization, a PPO plan offers a network of healthcare providers you can use for your medical care. These providers have agreed to provide care to the plan members at a certain rate.
Is Blue Shield of California the same as Blue Cross Blue Shield?
Blue Shield of California, an independent member of the Blue Cross Blue Shield Association, is a not-for-profit health plan with 4 million members, 6,800 employees and more than $17 billion in annual revenue.
What is not covered in health insurance?
Also, dental surgery/ treatment ( unless requiring hospitalization), congenital external defects, convalescence, venereal disease, general debility, use of intoxicating drugs/alcohol, Self-inflicted injuries, AIDS, diagnosis expenses, infertility treatment, and Naturopathy treatment make a list of exclusions under ...
Is therapy covered by insurance?
Services such as therapist visits, group therapy, and emergency mental healthcare are typically covered by health insurance plans. Rehabilitative services for addiction are also included. Therapy can be expensive, with or without insurance.
What are the disadvantages of a PPO?
Disadvantages of PPO plansTypically higher monthly premiums and out-of-pocket costs than for HMO plans.More responsibility for managing and coordinating your own care without a primary care doctor.
Do doctors prefer HMO or PPO?
PPOs Usually Win on Choice and Flexibility If flexibility and choice are important to you, a PPO plan could be the better choice. Unlike most HMO health plans, you won't likely need to select a primary care physician, and you won't usually need a referral from that physician to see a specialist.
Are PPOs worth it?
A PPO gives you increased flexibility and allows you to bypass seeing a primary care physician, every time you need specialty care. So, if you are a heavy healthcare user or have a large family, the flexibility of a PPO plan may be worth it.
What is the difference between Blue Shield of California and Anthem Blue Cross?
Anthem Blue Cross is a for profit company in California, and Blue Shield is a non-profit. Both insurance companies have large networks and very good doctors. In California, Anthem Blue Cross is the biggest health insurance carrier.
Which insurance is best for health?
Best Health Insurance Plans in IndiaHealth Insurance PlansEntry Age (Min-Max)-Royal Sundaram Lifeline Supreme Health Plan18 years & aboveView PlanSBI Arogya Premier Policy3 months – 65 yearsView PlanStar Family Health Optima Plan18-65 yearsView PlanTata AIG MediCare Plan-View Plan20 more rows
What is Blue Cross Blue Shield called in California?
Blue Shield of California, an independent member of the Blue Shield Association, is a nonprofit health plan dedicated to providing Californians with access to high-quality health care at an affordable price.
Does Blue Cross Blue Shield Cover Drug and Alcohol Rehab?
Yes, most BCBS plans will provide substance use disorder treatment coverage. If the plan was purchased on the marketplace, the Affordable Care Act (ACA) requires this essential health benefit be covered.
Addiction Treatment Centers that Accept Blue Cross Blue Shield Insurance
With most Blue Cross Blue Shield plans, you’ll have to—or it will be much more cost-effective to—opt for addiction treatment with rehabs that are in the Blue Cross Blue Shield network. Fortunately, AdCare, which has several facilities in Massachusetts and Rhode Island, is considered in-network with BCBS.
Types of Addiction Treatment Covered by Blue Cross Blue Shield
There are several forms of addiction treatment provided by AdCare that may be covered by your Blue Cross Blue Shield plan. These include: 5
How Much Does Rehab Cost with BCBS Insurance Coverage?
This will depend significantly on a patient’s specific Blue Cross Blue Shield (BCBS) insurance plan, the facility where they are treated, and the type of care they receive. Factors that determine treatment cost include the following:
How Do I Use Blue Cross Blue Shield Insurance for Rehab?
The first step in using Blue Cross Blue Shield insurance to pay for rehab is finding a rehab facility that is within the BCBS network. You can use our online benefits verification tool to see whether your insurance plan covers treatment at AdCare.
Benefits of BCBS Insurance Coverage in the Northeast
Addiction and substance misuse is a serious problem in the New England area, as the following statistics will confirm:
What is Transcranial Magnetic Stimulation?
Transcranial Magnetic Stimulation, or TMS, is a brainwave stimulation treatment that is a non-invasive and therapeutic solution to reducing depressive and compulsive symptoms. With TMS, each session lasts approximately 18 minutes and is done in a comfortable and relaxing environment.
How Does the Affordable Care Act Help With Mental Health Coverage?
Currently, the Affordable Care Act, or ACA, does help with mental health coverage. The national law currently mandates that the ACA requires both individual and small business health plans to cover mental health treatments that are deemed medically necessary for individuals of any age.
How Do Deductibles and Co-Pays Work?
A deductible is the required amount due by the individual holding an insurance policy before the policy begins to cover treatments and care. If your current insurance policy’s deductible is $1000, you will be required to pay $1000 out-of-pocket before you are able to gain access to all of the coverage benefits that your current policy provides.
What Type of Mental Health Coverage Does Blue Cross Blue Shield Provide?
Blue Cross Blue Shield offers an array of mental health treatment options and coverage solutions, including TMS treatment, depending on your current insurance policy. Blue Cross Blue Shield offers treatments and coverage for many mental health conditions like depression.
Health Benefits of TMS for Depression and OCD in Treatment-Resistant Patients
TMS is a non-invasive magnetic stimulation treatment that helps to reduce depressive symptoms among other mental health condition symptoms in as little as 4 to 5 weeks in total. Those who undergo TMS treatment state that they feel an overall sense of wellbeing and improvement in their daily lives after just a few weeks.
What is group health insurance?
Group Health Insurance Plan. If you get your health plan through your job, this is called a group health insurance plan. It's also known as group coverage or a group plan.
What is Medicaid and CHIP?
Medicaid and CHIP are types of low or no-cost health insurance through the government. Your eligibility is based on your household size and income and determined by the government. You can apply any time of year. If you qualify, your coverage can start right away. For Medicaid, visit Medicaid.gov.
How long does a health insurance policy last?
Lasts a year or longer. Usually can be renewed. Meets the requirements set by the Affordable Care Act and includes: Emergency services, hospitalization, and preventive care. Maternity, newborn and pediatric care. Mental health care & substance abuse treatment. Laboratory services, prescription drugs, and disease management.
What is dental insurance?
Dental. Dental insurance plans provide coverage for part of the dental costs for you and your family. This type of health insurance: Can cover a wide range of dental services or just basic, routine care. Can be bought as part of your Blue Cross and Blue Shield of Illinois (BCBSIL) individual and family health plan or separately, ...
What is a Medigap plan?
Medigap (Medicare Supplement) is an option for those with Original Medicare. It covers the out-of-pocket costs for the health expenses not typically covered by Medicare Parts A and B (Original Medicare). Individuals enrolled in Medicare Advantage do not need to purchase a Medigap plan.
Does Medicare Advantage cover emergency services?
On the other hand, Medicare Advantage plans typically have a network but will cover urgent and emergency services anywhere in the country. FAQ Item Question. Limited Coverage. FAQ Item Answer.
How to verify Blue Cross Blue Shield?
You can also verify your coverage by contacting the drug rehab center directly. AAC can verify your Blue Cross Blue Shield coverage, too; visit their website or call 877-640-1943.
How to contact BCBS for rehab?
Contact BCBS by calling the number on the back of your insurance card or by visiting the BCBS website. You can also contact the drug rehab center directly. American Addiction Centers (AAC) will verify your BCBS insurance plan drug rehab coverage.
How to check if a rehab is in network?
To check if a drug rehab center is in-network, contact BCBS directly by calling the number designated for mental health/substance abuse on the back of your insurance card or visit the BCBS website. You can also contact the drug rehab center directly. Many, including AAC, can verify your drug rehab coverage.
What is a deductible on BCBS?
BCBS plans are provided at different levels, each with its own monthly premiums and deductibles. 3 A deductible refers to the amount of money you will pay before your insurance is activated. The following is a breakdown of the different insurance plan levels offered by BCBS: 3. Bronze— These plans typically cover about 60% with high deductibles ...
What is the phone number for BCBS?
American Addiction Centers (AAC) will verify your BCBS insurance plan drug rehab coverage. You can visit their website or call 877-640-1943 and speak with an Admissions Navigator.
How many hours of counseling is required for a syringe?
This type of program usually takes place in a hospital setting and requires approximately 20 hours of treatment per week. It involves both individual and group counseling, and may also provide medication-assisted treatment to address withdrawal symptoms.
Does BCBS offer HMO or PPO?
4. BCBS offers both HMO and PPO plans.
