BCBSIL BH Unit, PO Box 660240, Dallas, TX. How to contact the BCCHP and MMAI Behavioral Health Unit: Phone: BCCHP: 877-860-2837. MMAI: 877-723-7702. That a member’s in-network cost share (copay, deductible or coinsurance) was not collected for services performed during the COVID-19 public health emergency. Modifier CS does not impact claim processing. These changes apply to Horizon BCBSNJ’s fully insured members, including those covered.
Below is helpful information regarding what to expect when paying for behavioral health care services.
Paying for Outpatient Treatment
If you have insurance
- Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP):
- Many programs bill you when you finish the program; if you can’t pay all at once you can ask about payment plan options before starting treatment
- Your insurance plan may cover these treatments; the staff will talk to you about your coverage before you start treatment
- Psychiatrists and therapists:
- Expect to pay your co-pay at each appointment
- If your insurance is not accepted you may still get reimbursed from your insurance company if you have Out-of-Network Reimbursement Benefits; call the customer service number on your insurance card to find out if your insurance company will pay you back
- If your employer offers an Employee Assistance Program (EAP) you may be able to get a certain number of free sessions with a therapist
- If you have questions or concerns about payment, you should discuss them with your therapist or psychiatrist
- Average co-pay costs for outpatient treatment:
- PHP: approximately $25 – $100 a day
- IOP: approximately $25 – $80 a day
- Psychiatrists: approximately $15 – 60 per session
- Therapists: approximately $10 – $60 per session
- Support groups: most are free
If you are uninsured
- Partial Hospitalization Programs (PHP) and Intensive Outpatient Programs (IOP):
- Many programs bill you when you finish the program; if you can’t pay all at once you can ask about payment plan options before starting treatment
- Ask if the program offers financial assistance
- Remember to inquire about payment options BEFORE starting treatment
- The average daily cost can range from $300 – 400 per day without insurance
- Psychiatrists:
- Initial evaluations usually cost between $250 – $350 and follow-ups are $100 to $200 for 30- to 60-minute sessions
- Payment is expected at each appointment
- Remember to inquire about payment options BEFORE starting treatment
- Therapists:
- Some therapists offer sessions at a lower rate called “sliding scale fees”; ask about this when you schedule an appointment
- In bigger cities there are often non-profit agencies that offer counseling services for the uninsured or underinsured
- For referrals in Central Texas, contact 211 or a Ascension Seton Behavioral Health Navigator at 512-324-2039
- Uninsured financial help:
- If you are uninsured and cannot pay the full fee to see a psychiatrist or therapist, most communities have state or city funded agencies or Community Mental Health Centers (CMHC) that may be able to help
- To find a CMHC, call 211 or search online
- In some cities, you can find non-profit agencies that offer counseling services
- Be aware that you may have to go through a screening process and these agencies may have waiting lists
- These clinics often take Medicare, Medicaid, MAP (Travis County) and marketplace insurance plans
- For referrals or more information about services in Central Texas, contact 211 or a Ascension Seton Behavioral Health Navigator at 512-324-2039
Paying for Inpatient Treatment
If you have insurance
- Acute inpatient treatment is often covered or partially covered by insurance, including Medicare; you have the right to know what will be covered and what you will have to pay
- The hospital or facility will help check your insurance coverage before you are admitted; this is a good time to ask about payment plans
- Many insurance companies require “pre-certification,” which means that the hospital staff will give your insurance company information about why you need treatment to make sure your hospital stay will be covered
- Contact customer service at your insurance company to seek answers to the following important treatment questions:
- What facilities are in-network? What facilities are out-of-network? What is the difference in cost?
- Are there limits on how long I can be in the hospital or in residential treatment? Are there limits on how often I can be in the hospital or in residential treatment?
- Am I required to use a facility that is “accredited?” (Accreditation means the treatment facility meets the standards of the accrediting group; you can check to see if the facility is accredited at
findtreatment.samhsa.gov/locator/home.)
- Average co-pay:
- Psychiatric Emergency Room: approximately $100 per visit
- Acute hospitalization, including detox: approximately $175 – $750 per day (some insurance companies may pay a percentage of the co-pay after you have reached your out of pocket maximum; some may also limit the number of days they will pay for in a year, ranging from five to 30 days)
- Residential treatment: approximately $175 – $750 per day
If you are uninsured
- Many communities in Texas have options for financial support or community-based detox programs; in Central Texas OSAR (Outreach, Screening, Assessment and Referral) can be reached by calling 1-877-9-NO-DRUG
- Some psychiatric hospitals and residential facilities will offer options for financial assistance for the needed treatment
- Most hospitals or facilities will also have an option for private pay, meaning that you do not have to have or use insurance to cover the costs
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Acronym | Definition |
---|---|
BH | Bank Holiday (UK) |
BH | Bahrain (ISO 3166 country code) |
BH | Belo Horizonte (City of Brazil) |
BH | Belize |
BH | Bounty Hunter (game) |
BH | Bosnia Herzegovina |
BH | Beverly Hills |
BH | Black Hole |
BH | Black Hat |
BH | Bloodhound |
BH | Behavioral Health |
BH | Be Happy |
BH | Black Hills (South Dakota) |
BH | Bournemouth (postcode, United Kingdom) |
BH | Biblical Hebrew (language studies) |
BH | Büstenhalter (German: Brassiere) |
BH | Bohrium (element 107) |
BH | Business Hours |
BH | Bryce Harper (baseball player) |
BH | Black History |
BH | Baseball Heroes |
BH | Balsam Hill (Christmas tree company; Redwood City, CA) |
BH | Basset Hound |
BH | Blackheart (Capcom/Marvel Character) |
BH | Bloomington Hospital (Bloomington, IN) |
BH | Backhaul |
BH | Borehole |
BH | Buddy Holly |
BH | Bio Hazard (aka Resident Evil in US, video game) |
BH | Big Head |
BH | Benny Hinn |
BH | Braxton-Hicks (contractions) |
BH | Blockhead |
BH | Bundesheer (Austria, Europe) |
BH | Bloody Hell |
BH | Black Head (turkey histomoniasis) |
BH | Band Heterotopia (neurology) |
BH | Bondholder |
BH | Bedford Hills (New York) |
BH | Bill of Health |
BH | Blue Heeler (dog breed) |
BH | Boss Hog (band) |
BH | Bumrungrad Hospital (Bangkok, Thailand) |
BH | Busy Hour |
BH | Butterfly House |
BH | Blue Hair |
BH | Baker Hall |
BH | Badge of Honour (British Red Cross Society) |
BH | Butt Head |
BH | British Heritage (magazine) |
BH | Beat Happening (indie rock band) |
BH | Billy Hatcher (video game) |
BH | BBC Broadcasting House |
BH | BreatheHeavy.com (Britney Spears fan website) |
BH | Baruch Hashem (Hebrew: Blessed is God) |
BH | Blackman-Harris (microwave pulse) |
BH | Balmoral Hall |
BH | Binary to Hexadecimal |
BH | Bobby Henderson (founder of Pastafarianism) |
BH | Blizzhackers (gaming) |
BH | Binder Head (screw) |
BH | Boruch Hashem (blessed is god) |
BH | Bridge Hampton |
BH | Boxed Heart (forest products industry) |
BH | Bath & Hammondsport Railroad Company |
BH | Bad Hank (King of the Hill character) |
BH | Brinnel Hardness |
BH | Begleiter Hund (German: Companion Dog) |
BH | Big Habitat |
BH | Bolt Hole Break (railway defect) |
BH | Barossa Health (South Australia) |
BH | Blackhawk Helicopter (UH-60) (Army) |
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