Page 6 - 2020 Summer Enrollment
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BENEFIT HIGHLIGHTS
Mental Health
HealthSelect mental health benefits include coverage for inpatient treatment, outpatient treatment and office visits and Virtual Visits.
Your coverage includes care for many mental health concerns, including:
∙ alcohol and drug use issues,
∙ anxiety,
∙ depression,
∙ domestic violence,
∙ grief,
∙ suicidal thinking and ∙ stress.
You do not need a referral for 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.
You will pay less if you see mental health providers who are in the HealthSelect network. If you have questions about mental health benefits or claims, or need help finding an in-network provider, call a BCBSTX Personal Health Assistant toll-free at (800) 252-8039, Monday - Friday 7 a.m. - 7 p.m. and Saturday 7 a.m. - 3 p.m. CT. You can also call a counselor 24/7 toll-free at (800) 442-4093.
Mental Health Virtual Visits
Mental health Virtual Visits offer a convenient option for accessing mental health care. With mental health Virtual Visits, you can consult with a licensed mental health professional any day of the week online for the same cost as an in-network mental health office visit. You must make appointments in advance. Appointments are typically available within 5-7 days, but could take up to two weeks.
Medical Virtual Visits
If you are enrolled in HealthSelect of Texas, HealthSelect Out- of-State or HealthSelect Secondary, medical Virtual Visits are available at no cost to you. You and your eligible dependents can consult a licensed board-certified doctor online for your urgent health care needs 24 hours a day, 7 days a week, including holidays. Consumer Directed HealthSelect participants will be required to meet their annual deductible before visits are covered, subject to coinsurance after the deductible is met.
Doctor On Demand®
doctorondemand.com (800) 997-6196
MDLIVE®
mdlive.com/healthselect (800) 770-4622
In the event of an emergency, this service should not take the place of an emergency room or urgent care center. MDLIVE and Doctor On Demand doctors do not take the place of your primary care doctor. Internet/Wi-Fi connection is needed for computer access. Data charges may apply. Check your cellular data or internet service provider’s plan for details. Non-emergency medical service in Idaho, Montana and New Mexico is limited to interactive audio/video (video only). Non-emergency medical service in Arkansas is limited to interactive audio/video (video only) for initial consultation. Service availability depends on location at the time of consultation. Virtual Visits are subject to the terms and conditions of your benefit plan, including benefits, limitations, and exclusions. The telemedicine services made available through Doctor On Demand are provided by licensed providers practicing within a group of independently owned professional practices collectively known as “Doctor On Demand Professionals.” These professional practices provide services via the Doctor On Demand telehealth platform. Doctor On Demand, Inc. does not itself provide any provider, mental health or other healthcare provider services.
MDLIVE and Doctor On Demand operate subject to state regulations and may not be available in certain states. MDLIVE and Doctor On Demand are not insurance products nor prescription fulfillment warehouses. MDLIVE and Doctor On Demand do not guarantee that a prescription will be written. MDLIVE and Doctor On Demand do not prescribe DEA-controlled substances, nontherapeutic drugs and certain other drugs that may be harmful because of their potential for abuse. MDLIVE and Doctor On Demand providers reserve the right to deny care for potential misuse of services. Doctor on Demand, an independent company, and MDLIVE, a separate company, operates and administers the telemedicine and Virtual Visits program for Blue Cross and Blue Shield of Texas. MDLIVE and Doctor on Demand are solely responsible for its operations and for those of its contracted providers.
6 www.healthselectoftexas.com