|
Mental health and substance abuse benefits
are available to Traditional and Flexible MIT Health
Plan members through Blue Cross
Blue Shield of Massachusetts Managed Care Behavioral
Health Network.
Members of the Traditional or Flexible MIT Health Plans
may choose to receive mental health services from a BCBSMA
Managed Care Behavioral Health network provider or from
a non-network provider. No authorizations/referral are
required for network or non-network mental health providers.
The Traditional and Flexible MIT Health plans mental
health benefit pays a portion of the cost of up to 50
outpatient visits per calendar year. These 50 visits
include any combination of visits with both network and
non-network providers and any psychopharmacology visits.
When a member sees a network provider for all or part
of his or her 50 yearly visits the member will only pay
a $20 co-pay per visit.
If a member sees a non-network provider for all or
part of his or her 50 yearly visits, the MIT Health
Plans will pay up to 50 percent of Managed Care Behavioral
Health network fee-schedule per type of visit (up to
a maximum of $60 per visit for all clinician licensure
levels), and the member will pay the remainder, up
to the total fee charged.
BCBSMA Managed Care Behavioral Health Network administers
the mental health benefit for all MIT Health Plan members
and processes all mental health claims, whether the
health plan member sees a network provider or non-network
provider.
Your new Blue Cross Blue Shield card includes the contact
information for the Managed Care Behavioral Health
Network. Please
show your mental health provider your BCBSMA ID card
and if you are seeing a non-network provider please
request that the provider submits the claims on your
behalf to simplify processing and payment.
For additional information, read "Understanding
your mental health benefits" (pdf).
For information regarding services rendered in 2007,
visit the ValueOptions section of our site.
|