Blue Cross Blue Shield Coverage Therapy

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Blue Cross Blue Shield is a welfare insurance company that is involved in providing various insurance options, which includes Medicare, business plans, and individual plans. If you have any plan with this insurance company , they will pay a few or full costs which are associated with your psychological health and the treatments of mental health issues. The treatments which Blue Cross Blue Shield cover are divided into various categories.

Traditional talk therapy is the first step for many mental health problems such as depression, anxiety or OCD. Blue Cross Blue Shield will start the treatment of your disorder with a psychiatrist. The therapist can understand more about your mental health issue and then recommend a treatment plan. Your physician recommends you different medicines to treat your illness which is also a part of insurance.

 

Does Blue Cross Blue Shield cover therapy?

The answer is Yes, because Blue Cross Blue Shield plans generally cover therapy.

 

Marketplace or small employers offer Blue Cross Blue Shield Therapy which is required by Patient Protection and Affordable Care Act or ACA to cover mental health issues. Health insurances are not required by federal law, most large employers perform mental health services.

 

In few cases these health insurances may not provide someone therapy services if:

 

  • A person worksfor a large administrator which does not contain mental health services in its allowance content.
  • Health insurance of a person was created before 2014. Before 2014 law which states that health insurance planscontain mental health services was not formed. There are some other situations in which BCBS does not  contain the type of therapy which someone is seeking. In some cases the coverage may apply when someone first spends a specific amount on health maintenance.

 

Does Blue Cross Blue Shield cover physical therapy sessions?

When physical therapy is necessary and needed medically, then blue cross blue shields cover physical therapy sessions. Some BCBS have covered 20 visits for physical therapy services in a year, while other plans cover 60 BCBS plans cover 60 physical visits per year.

 

Does blue cross blue shield cover online therapy?

Yes, a lot of Blue Cross Blue Shield plans cover online therapy. Most Blue Cross Blue Shield insurance plans have partnerships with many online networks, for example, Live Health Online.

 

Mental health conditions that Blue Cross Blue Shield cover

Blue Cross Blue Shield covers following mental health condition:

  • Eating disorders
  • Mood disorderss or example bipolar disorder
  • Anxiety
  • Depression
  • Trauma
  • Attention-deficit/hyperactivity disorder (ADHD)
  • Obsessive Compulsive Disorder (OCD)
  • Substance use disorder

 

If you are utilizing insurance advantages to pay for your medical treatment, then the psychiatrist is required to diagnose mental health conditions and then share the diagnosis to your health insurer.

 

Therapy that Blue Cross Blue Shield cover

Various types of therapy are covered by Blue Cross Blue Shield such as child therapy and individual therapy. It also covers following types of therapy:

 

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Psychodynamic Therapy
  • Acceptance and Commitment Therapy

 

Blue Cross Blue Shield should cover all the therapies which are evidence-based and avail for the purpose of analysis and treatment of mental health issues.

 

What types of therapy does Blue Cross Blue Shield not cover?

Like other insurances, Blue Cross Blue Shield does not provide services which are unrelated to a treatment of mental health conditions. Following therapies Blue Cross Blue Shield does not cover:

 

Couple Counselling

Couples counseling is usually not covered by Blue Cross Blue Shield. Issues related to relationships are sometimes a major cause of stress, but they are not considered such problems which should be covered by this mental health insurance.

 

Life coaching

Blue Cross Blue Shield does not cover life coaching  because life coaching focuses on the personal goals of a person, on the other hand BCBS treat mental health issues.

 

Career coaching

Career coaching usually focuses on achieving professional goals of a person that’s why it is not covered by Blue Cross Blue Shield.

 

These mental health insurance are not likely to defend therapy sessions which appear outside therapy offices, because a higher possibility of risk is involved.

 

Sometimes clients want benefits from these services outside the therapy office, for example a client in a grocery store having an eating disorder needs support, a person with driving phobia wants support in the car. These types of services are unlikely to be covered by Blue Cross Blue Shield, and must be paid from their own pocket.

Cost of therapy with Blue Cross Blue Shield? 

Cost of therapy with Blue Cross Blue Shield depends on following:

  • Client plan and coverage
  • The type of therapy client is looking for

 

Summary of benefits and coverage determine proper  details about the cost of various mental health services you may need.

 

A document named summary of benefits and coverage (SBC)  provides a extensive overview of what health plans are covered or not by blue Cross Blue Shield. SBC gives the details of someone’s mental health insurance plan. It also delivers valuable instructions on your portion of costs, including deductibles, co-payments, and coinsurance.

 

In addition to the above benefits, the summary of benefits and coverage also help to analyze the cost of other medical conditions that you may experience such as in pregnancy or delivery and treatment of diabetes. The goal of this document is to help people to estimate what they might pay and then compare this cost to other health insurance plans.

 

It is possible that a client therapy session costs between 1520 dollars per session, if he chooses a psychiatrist who is a member of Blue Cross Blue Shield, after the client meets his deductible. The $15 – $50  is your copay. Copay is the fixed amount you have to pay to visit a doctor or prescription which deductible is the amount you have to pay for covered health care services before your insurance plan starts to pay.

 

How to Check Your Blue Cross Blue Shield Plan

Analyzing your Blue Cross Blue Shield plan is an easy process. It can be done online or by connecting to customer service.

 

You can find your local BCBS company website by the use of the Blue Cross Blue Shield Member Services online page. For this purpose enter the first three characters of the identification number from your ID card. Insurance company help you in:

 

  • Check your plan details
  • Alternate your coverage
  • Estimate the cost of a medical service
  • Check on claim
  • Replace your member ID card
  • Review your balance

 

You can also know about your health insurance benefits, billing, coverage or treatment by calling a toll-free number which is on the back of your member Identification card for customer services.

 

You can also check your insurance plan if you don’t have a member ID card and you get insurance through your employer, By entering the ZIP code or selecting the state of headquarter of the employer on the Member Services page.

 

You can check your BCBS plan if you do not get insurance through your employer and do not have a member ID card by just entering your residential ZIP code. You can check your Blue Cross Blue Shield plans by the steps mentioned above to ensure that you have membership you need for your health care services.

 

More Read Blue Shield Coverage Therapy

 

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