Mental health and substance abuse benefits are available to Traditional and Flexible MIT Health Plan members through ValueOptions. ValueOptions is a well-established behavioral healthcare company that provides mental health, substance abuse, and employee-assistance services to more than 23 million Americans.

Members of the Traditional or Flexible MIT Health Plans may choose to receive mental health services from a Value Options preferred provider or from a non-Value options provider. 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 ValueOptions and non-ValueOptions providers and any psychopharmacology visits. When a member sees a ValueOptions preferred provider for all or part of his or her 50 yearly visits (See Who is a ValueOptions in-network provider for MIT?), the MIT Health Plans will pay 75 percent of the provider's negotiated fee.

If a member sees a non-ValueOptions provider for all or part of his or her 50 yearly visits, the MIT Health Plans will pay up to 50 percent of the HIAA (Health Insurance Association of America) reasonable and customary 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.

ValueOptions administers the mental health benefit for all MIT Health Plan members and processes all mental health claims, whether the health plan member sees a ValueOptions or non-ValueOptions provider. Visit our ValueOptions FAQ for more information.