Mental illnesses are common and treatable. If you understand early symptoms of mental illness, you may be better able to tell when certain actions are signs of something more—and you can seek help. If you know what mental health services your health plan covers, seeking help becomes simpler.
Your mental health benefits:
If you are a HealthSelect 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.
Your coverage includes care for many mental health concerns, including:
- Alcohol and drug use issues
- Anger management
- Bipolar disorder
- Domestic violence
- Post-traumatic stress disorder (PTSD)
- Schizophrenia and schizoaffective disorder
- Suicidal thinking
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:
- 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 Blue Cross and Blue Shield of Texas Personal Health Assistant. For HealthSelect of Texas and Consumer Directed HealthSelect participants, mental health coverage is managed by Magellan Healthcare1, so you may be transferred to a Magellan representative.
To talk with a counselor:
Call the 24/7 HealthSelect Mental Health Support Line at (800) 442-4093 to talk with a counselor about mental health or substance use issues. You can get help with a mental health or substance use issue, any time.
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.
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.
1 BCBSTX contracts with Magellan Healthcare, an independent company, to manage mental health benefits. Magellan processes mental health claims, manages the mental health provider network and operates a customer service center for HealthSelectSM of Texas and Consumer Directed HealthSelectSM. BCBSTX manages mental health benefits and claims processing for HealthSelectSM Out-of-State participants, HealthSelectSM Secondary participants and Consumer Directed HealthSelect participants who live or work outside the State of Texas.