Physical Therapy Copay Blue Cross Blue Shield



Physical Therapy Copay Blue Cross Blue Shield

Due to COVID-19 impact, COVID-19 related telehealth/telemedicine services with an in-network mental health provider are temporarily being covered at no cost
for all HealthSelect plan participants, including Consumer Directed HealthSelect, throughout the public health emergency. Non-COVID related Virtual Visits through Doctor on Demand® or MDLIVE® are also currently covered at no cost to you.
Read these Frequently Asked Questions for more details.

Effective September 1, 2020, Blue Cross and Blue Shield of Texas began managing mental health benefits for HealthSelect of Texas® and Consumer Directed HealthSelectSM participants, replacing Magellan Healthcare®. You now have just one company to call for medical and mental health benefits questions and one website to visit to view your claims.
To learn if your mental health care provider will be in-network after September 1, or to find an in-network provider, visit Provider Finder® or call a BCBSTX Personal Health Assistant.
Have questions? View these Frequently Asked Questions.

Your mental health benefits:

If you are a HealthSelectSM participant, your mental health benefits include coverage for inpatient treatment, outpatient treatment, and office visits. HealthSelect of Texas® participants do not need a referral for any mental health services. But, some services, such as inpatient treatment or intensive outpatient hospital treatment, need a prior authorization before the plan will cover them.

  • Coverage of Physical Therapy under CareFirst Blue Cross Blue Shield. Outpatient physical therapy is covered by CareFirst Blue Cross Blue Shield. Depending on your plan, a copay or a coinsurance may apply. Patients can contact CareFirst to find out their out-of-pocket cost.
  • Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Physical therapy, speech-pathology, and occupational therapy services approved by Medicare 80% of approved charges after annual Part B deductible.

Behavioral physical and emotional health. 1 Amount shown reflects copay per day. There is a maximum of 5 copays per admission. Independence Blue Cross is a subsidiary of Independence Health Group, Inc. — independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia.

Your coverage includes care for many mental health concerns, including:

Blue Cross Blue Shield Deductible

  • Alcohol and drug use issues
  • Anger management
  • Anxiety
  • Bipolar disorder
  • Depression
  • Domestic violence
  • Grief
  • Post-traumatic stress disorder (PTSD)
  • Schizophrenia and schizoaffective disorder
  • Suicidal thinking
  • Stress

Keep in mind that you will pay less if you see mental health providers who are in the HealthSelect network.

How to get care:

There are many types of mental health providers that offer a range of mental health care. You can decide what plan is best for you:

Florida Blue Copay

  • You could start by talking about mental health with your primary care provider (PCP). Your PCP may help you find mental health support nearby, suggest a mental health provider or prescribe medication.
  • Counselors, therapists, psychologists and psychiatrists all may offer mental health care, but only psychiatrists or mental health nurse practitioners can prescribe medication. That’s one of the reasons why talking to a PCP first can be helpful—some people may want to work with more than one provider to come up with the best course of action.

If you have questions about your HealthSelect mental health benefits, need help finding a mental health provider in the network, or have questions about a mental health claim, call a BCBSTX Personal Health Assistant.

BCBSTX Personal Health Assistants are available
by phone

Call a BCBSTX Personal Health
Assistant toll-free

(800) 252-8039 (TTY:711)

Monday-Friday 7 a.m.-7 p.m. and
Saturday 7 a.m.-3 p.m. CT.

To talk with a counselor:

You can get help with a mental health or substance use issue 24 hours a day, seven days a week. If you or your covered dependent are in a crisis situation, call (800) 252-8039 (TTY:711) ; the same number you call for medical and mental health benefits questions.

How Much Does Physical Therapy Cost With Blue Cross Blue Shield

How much is physical therapy with blue cross blue shield

Physical Therapy Copays

Mental health care management:

Is Physical Therapy Covered By Blue Cross Blue Shield

The mental health care management program gives you access to a team of dedicated clinicians who can help you with many mental health concerns. Clinicians are available by phone to provide extra support and guidance for concerns including substance use issues, anger management, anxiety, depression, domestic violence, grief, post-traumatic stress disorder and stress. Care management is available to you at no out-of-pocket cost.

If you would like to speak to a clinician about a mental health concern, call BCBSTX toll-free at (800) 252-8039 (TTY:711) between 8 a.m. and 6:30 p.m. CT Monday - Friday and ask to speak with a clinician.
Virtual Visits:

Virtual visits offer a convenient option for accessing mental health care. Consult a licensed mental health professional any day of the week online. A mental health Virtual Visit is similar to an outpatient visit to a mental health provider's office but the visit is conducted online. Visit the Virtual Visits page for more information.

How Much Is Physical Therapy With Blue Cross Blue Shield

Copay

Effective September 1, 2020, Blue Cross and Blue Shield of Texas began managing mental health benefits for all HealthSelectSM participants, replacing Magellan Healthcare®. As a result of this transition, all HealthSelect participants can now call a BCBSTX Personal Health Assistant or log into Blue Access for MembersSM for claims and benefits information on both medical and mental health care. (For more details about the mental health benefits transition that took place on September 1, 2020, read these Frequently Asked Questions.)
To view your mental health claims, visit the online mental health claims center via Blue Access for MembersSM. (Within Blue Access for Members, navigate to Claims Center.)

Please note: If you are looking for information about your Employee Assistance Program (EAP), please contact your agency or institution's benefits coordinator.

How Much Does Blue Cross Blue Shield Pay For Physical Therapy

Watch the video below to find out how a BCBSTX Personal Health Assistant can help you guide you in finding the proper care for your mental health.Physical
Finding Mental Health Providers:
Insurance‎ > ‎

Physical Therapy for CareFirst Blue Cross Blue Shield Patients

Coverage of Physical Therapy under CareFirst Blue Cross Blue Shield

Outpatient physical therapy is covered by CareFirst Blue Cross Blue Shield. Depending on your plan, a copay or a coinsurance may apply. Patients can contact CareFirst to find out their out-of-pocket cost.

Is a doctor referral needed?

Your plan may require a doctor referral, unless you have an open-access plan in which case a doctorreferral is not required. Please contact CareFirst for more details.

How Can We Help?

We are a CareFirst Blue Cross Blue Shield certified and approved outpatient physical therapy and rehab facility. Our therapists will assess your condition and prescribe a treatment plan to get you back to an active lifestyle. We will keep your referring physician, if you have one, updated of your progress, at least monthly, to make sure the medical necessity criterion set by CareFirst is met, and that CareFirst will cover the therapy expenses.

You can read more about our physical therapy services at our physical therapy page.
Contact us today to schedule a consultation with a therapist using our web form.