Inpatient hospital care is covered based on the severity and needs of your condition. BCBSWY will cover this care like any other hospital stay under your coverage. If you have questions regarding your financial responsibility, like deductible, co-insurance, or co-pays, please call Member Services at 800-442-2376.

Detox care is covered based on the severity and needs of your condition. BCBSWY will cover this care like any other hospital stay under your coverage. If you have questions regarding your financial responsibility, like deductible, co-insurance, or co-pays, please call our Mental Health and Substance Abuse Team at 844-946-6319.

Note: Some BCBSWY plans restrict the number of days you can be admitted to care outlined below. Please call our Mental Health and Substance Abuse Team at 844-946-6319 to ensure you understand your coverage.

Residential treatment care is covered based on the severity and needs of your condition. BCBSWY will cover this care like any other hospital stay under your plan coverage. If you have questions regarding your financial responsibility, like deductible, co-insurance, or co-pays, please call our Mental Health and Substance Abuse Team at 844-946-6319. 

Note: Take into consideration when selecting a facility for treatment that choosing an out-of-network provider may result in significant financial responsibility.

Partial Hospitalization care is covered based on the severity and needs of your condition. BCBSWY will cover this care like any other hospital stay under your coverage. If you have questions regarding your financial responsibility, like deductible, co-insurance, or co-pays, please call our Mental Health and Substance Abuse Team at 844-946-6319. 

Note: When selecting a facility for treatment, choosing an out-of-network provider may result in significant financial responsibility.

Intensive Outpatient care is covered like any outpatient service like office visits, x-rays, and laboratory services. BCBSWY will cover this care if you have a diagnosis. If you have questions regarding your financial responsibility, like deductible, co-insurance, or co-pays, please call our Member Services at  800-442-2376. 

Outpatient care is covered by your plan. There are services like office visits, counseling sessions, and drug testing. If you have questions regarding your financial responsibility, like deductible, co-insurance, or co-pays, please call our Member Services at  800-442-2376.

Some services your provider may suggest for you may require authorization. Before receiving any services from your provider, we recommend you speak our Member Services Department to ensure no authorization is required.

Examples of common services include:

Transmagnetic Stimulation (TMS), Electroconvulsive Therapy (ECT), and certain Medications.

Note: Telehealth services may be available to you. Please contact Member Services at 800-442-2376 for availability under your Plan.

BCBSWY is here to help you reintegrate after treatment into your community. Our mental health and substance abuse team can assist you in finding a facility or provider to meet your specific needs. For assistance call 844-946-6319.

If you need assistance regarding your treatment, from scheduling appointments, coordinating your care, or simply understanding what to ask, give us a call. You can also visit https://www.bcbs.com/SURC for support in your recovery journey.

• Look for a facility that is right for you.
• Consider the staff and treatment outline of the facility. Each program is different. Many programs use licensed professional providers like counselors and social workers, while others use behavioral technicians or peers for counseling.
• Make sure the services the facility provides are a benefit of your plan. Standard exclusions include:
  • Wilderness programs.
  • Lifestyle programs.
  • Art therapy programs.
  • Music therapy programs.
  • Equine therapy programs.
  • Hippotherapy programs.
  • Therapeutic boarding schools.
• Consider the transition from your provider or facility to your daily life. Think about the difference in lifestyle and support systems. Upon transition from one care facility to the next, consider options in your area.
• Consider your family involvement. Can your family visit for visitation in the location selected?
• Consider the cost Out-of-network services can lead to significant costs. You may ask the facility you find on any website if they are in-network or contracted or participating with BCBSWY Shield plan in the state they are located. This confirmation will ensure you can use your in-network benefits for services.