Behavioral health services can help those facing mental health conditions, substance abuse or a behavioral health crisis.
The type of service you might need depends on your personal situation call Member Services at 1-877-860-2837 (TTY/TDD: 711) and we can help you find out what services are covered. You do not need a referral for a provider that is in our network.
What is covered?
Some of the covered services we offer include:
- Community-based alcohol or drug treatments
- Community-based behavioral health services
- Behavioral Health Mobile Crisis Response services
What is not covered?
Examples of services this plan does not cover are:
- Hypnotherapy
- Biofeedback
- Experimental procedures or non-drug therapies
- Services from non-licensed providers
To learn more about behavioral health services and benefits, see the Member Handbook.
If you are experiencing a behavioral health crisis, please call the Mobile Crisis Response hotline at 1-800-345-9049 (TTY/TDD: 711). This is a 24-hour crisis intervention and stabilization service. During a psychiatric or behavioral health crisis, a qualified mental health professional is dispatched to
provide a face-to-face screening.
How do I get mental health and substance use disorder services?
Who is this for?
Blue Care Network members under age 65.
Blue Care Network plans cover or help pay for mental health and substance use disorder services. They’re part of your behavioral health coverage.
Here’s how to get those services, and find out what services are included in your benefits.
Guidelines for getting help
The National Committee for Quality Assurance, or NCQA, recommends following these time frames when you need mental health and substance use disorder services.
Get help:
- Immediately for a life-threatening emergency. Call 911 or go to the emergency room
- Within six hours for emergencies that aren’t life-threatening, but immediate attention is required
- Within 48 hours for urgent care, when it’s not life-threatening but face-to-face contact is required
- Within 10 days for routine office visits
Help is just a phone call away. Call 1-800-482-5982, 24 hours a day, seven days a week. TTY users should call 711. You don’t have to talk to your PCP first.
A care manager will evaluate your needs and help with referrals for services.
What’s covered
You can get this information in your member account using our website or the Blue Cross mobile app. Just look under My Coverage.
Services are listed in two groups, mental health and substance use disorder. You can find out:
- If you have a copay or coinsurance
- How many days or visits your plan will help pay for
- What services require prior authorization by your plan
You can also look in the member handbook we sent you in the mail. If you need help finding it or have questions, call the Customer Service number on the back of your Blue Care Network ID card.
Who is this for?
If you have Blue Cross or Blue Care Network coverage and you have questions about coverage for mental health or substance use treatment, this is for you.
Am I covered?
Many Blue Cross and Blue Care Network plans cover services such as residential treatment and applied behavior analysis. However, your plan may have requirements that you have to meet before you're covered for these services.
Employers customize plans by choosing which benefits to include and what you might need to do to get them. That’s why it's important to check your coverage before getting these services.
How do I check my coverage?
The easiest way to check your coverage is by logging into your member account. You can do that using our website or the Blue Cross mobile app. Follow these steps after logging in:
- Go to My Coverage
- Select Medical
- Select What’s Covered
- Find behavioral health care, mental health care and substance use treatment
Under behavioral health care and substance use treatment services you’ll get information about:
- Plan requirements for getting services
- Which services your plan covers
- How much you pay
- How much your plan pays
Getting services
Need help finding a participating provider? Would you like to speak with a case manager to help you make your next steps?
Before getting mental health care, counseling or substance use disorder services, call the behavioral or mental health preauthorization number on the back of your Blue Cross ID card. We'll help you get the information you need.
- All Blue Care Network HMO plans require preauthorization
- Some Blue Cross Blue Shield of Michigan PPO plans require preauthorization, but not all. Check your mental health care and substance use treatment coverage. When providers need preauthorization, they'll contact us to get it.