Site Section: Members
Member Mental Health and Substance Abuse Resources
Overview
At Blue Cross Blue Shield of Wyoming, we understand that the resources within our state for Mental Health and Substance Abuse (MHSA) services are limited. We want to provide members with tools to understand their benefits and to help them find a provider or facility that suits their needs. Deciding to reach out for MHSA help can be difficult, and we want to assist you.
Note: Prior authorizations may be required for the types of care listed below. For assistance with starting your prior authorization, please get in touch with our Mental Health and Substance Abuse Team at 844-946-6319 or contact your provider.
Understanding Your Benefits
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.
What types of treatments are available?
Treatment options can vary depending on the severity of addiction and specific needs of the individual. It is recommended that you seek professional guidance on treatment from your doctor or a treatment provider. A clinical assessment is typically used to determine the recommended treatment option, but for general information, the following are some examples of potential options that may be considered.
Note: Check your benefit booklet or call our Mental Health and Substance Abuse Team at 844-946-6319 to determine your eligible treatments.
Involves a process with three essential components: evaluation, stabilization, and fostering readiness for and entry into a substance use treatment and recovery program.
Involves treatment and counseling for individuals that attend appointments at a treatment facility, but continue to live in their own homes.
Involves 24/7 treatment in a hospital or clinic where the individual is admitted and may stay for multiple days or multiple weeks.
Involves an individual living at a facility and receiving treatment that runs over a longer course of time, such as a month or a full year.
Involves treatment and counseling services delivered remotely (over the phone or the internet) to an individual, especially when local treatment resources are not readily available.
Involves the use of FDA-approved medications, in combination with counseling and behavioral therapies, to provide a “whole-patient” approach to the treatment of substance use disorders. Click here for more information about medications used to treat Opioid Use Disorder.
Provider Resources
Your provider or facility should submit authorization through Availity. Our clinical staff will review your admission for medical appropriateness through our clinical criteria set. This could take up to 14 calendar days. If you have any questions or concerns, please our Mental Health and Substance Abuse Team at 844-946-6319.
- Inpatient Hospital Care
- Detox Care
- Residential Treatment Care
- Partial Hospitalization Care
- This type of care may require an authorization request.
You may visit Availity to submit an authorization request, or you may fax the authorization request to 307-432-2917.
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BCBSWY Doctor Finder
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Wyoming Blue Circle of Excellence
For Ambulatory Surgical Centers Knee and Hip Replacement
As part of our commitment to you, we established the Wyoming Blue Circle of Excellence program, a local designation program recognizing health care facilities that demonstrate expertise in delivering quality and affordable health care to meet your specialty care needs—safely, effectively and resulting in cost savings to you.
Powder River Surgical Center
906 W 6th St Ste C, Gillette, WY 82716 · (307) 696-8240
Networks include Blue Select, Wyoming Select, Wyoming Total Choice, Participating Provider
Frequently Asked Questions
Wyoming Blue Circle of Excellence (WYBCE) is a local designation program, awarded by Blue Cross Blue Shield of Wyoming, recognizing health care facilities that demonstrate expertise in delivering quality and affordable health care to meet consumers’ specialty care needs needs—safely, effectively, and cost-efficiently.
- Powder River Surgical Center
Blue Distinction Centers are required to have an intensive care unit (ICU) and an emergency room, neither of which are required for Wyoming Blue Circle of Excellence Centers. Wyoming Blue Circle of Excellence Center’s do not supersede Blue Distinction if your health plan requires services to be obtained at a Blue Distinction Center.
Currently, total knee and hip replacement surgeries are the only procedures included under the Wyoming Blue Circle of Excellence Center program.
This program is available for all networks – Blue Select, Wyoming Select, Wyoming Choice, Wyoming Total Choice, and Participating Provider. To benefit from the cost savings, your procedure must be performed at a surgical center that is in your network.
If your deductible has been met for the year, you’ll benefit from additional cost-savings with any applicable coinsurance amounts.
Yes. The surgical facility could determine that your health conditions warrant additional safety measures, and you would be better managed at another location with an emergency department and/or intensive care unit. If this occurs, standard plan benefits would apply.
No, prior authorization is not required for knee and hip replacement surgeries.
No. You will not be penalized for using another facility. However, you will not have access to additional cost-savings.
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Frequently Asked Questions
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Customer Service
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Using YourWyoBlue
What is the member site and how do I get there?
How long will I be able to access claims information online?
Am I able to see claims for everyone who is on my plan?
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Empowering members
As a member, you have the freedom to do more of what you love and spend less time on the other stuff.
Live The Journey
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What to Expect
Once you’re a member of BlueSelect, here’s what you can expect
What to Expect Once You Enroll
Processing Your Enrollment
Once you complete your application, several things happen at BCBSWY to ensure your enrollment is finalized and processed accurately. The details aren't important, but they take time - around two weeks. Sit back and relax knowing that we are handling your application with much care to ensure that your coverage with BCBSWY is in place when you need it, just as you expect.
ID Card
As soon as we finalize your enrollment, expect your BCBSWY ID Card(s) to show up in the mail. Helpful information about your new coverage will arrive separately. This information will be useful to you over time, so be sure to hang on to it.
Online Member Account
As a BCBSWY member, expect to find what you need online. As soon as you have your BCBSWY ID card, be sure to register on YourWyoBlue.com. to easily manage your account from home or on-the-go. See your claims and benefits, find a doctor, make a payment, print an ID card, get a picture of your health and more.
Make a Payment
There’s no rush. You can expect to find an invoice in the mail soon. The due date and information about payment options will be on your invoice, including paying online or over the phone.
Just for You
You come first! Expect professional service from experienced people right here in Wyoming. We’re available online, on the phone and from ten locations around the state. Always feel free to contact us. We are here for you!
Manage your account online anytime
Take advantage of 24/7 access to your
personal coverage information.
What's inside YourWyoBlue Account?
Registering for your account puts you in control of your benefits and coverage.
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What’s Inside YourWyoBlue?
Fast. Easy. Anytime.
Your member site makes it easy to manage your account from home or on-the-go using your desktop, phone, or laptop. Register for YourWyoBlue.com using the number on your new ID card.
Manage your account online anytime.
Log in or register for your online account. Your spouse and dependents 18 years of age or older can register for an account to view their own information online.
Putting you in Control
YourWyoBlue allows you to…
- View your benefits
- See real-time claims activity
- Order or print more ID cards
- Get your EOBs and Benefit Booklet
- Find a doctor, urgent care or hospital
- Access the pharmacy guide
- Get a picture of your health
- Send us a secure message
- Search a library of health topics
- Make a payment
- Compare costs for care
- Find forms
- Access your FSA, HRA or HSA
- Learn how your insurance works
Some tools may not be available based on your benefit plan.
Getting Started
Step 1: Have your new ID card ready.
Step 2: Go to YourWyoBlue.com
Step 3: Click Register to sign up for your account today.
Your spouse and dependents 18 years of age or older can register for an account to view their own information online.
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Ways to Pay
If you purchase your own health insurance, making a premium payment has never been so easy.
Take a look at the ways you can pay:
Online
- Quick, Easy, Anytime.
- Pay with a Checking or Savings Account.
- Make a one-time payment.
- Review your billing and payment history.
- Change your method of payment.
- Set up auto recurring payments and notifications by text and email.
Over the Phone
- Automated, No Waiting, Self-Service.
- Pay with a Debit or Prepaid Card, Checking or Savings Account.
- Make a payment for premiums: 844-570-5080, anytime it’s convenient for you.
By Mail
- Pay with a check or money order made to BCBSWY.
- Include your ID (Contract) Number on the check or money order.
- Send the payment stub with your payment.
Bank Bill Pay
- Initiate payment from your bank to BCBSWY.
- Confirm our Payment Address with your bank.
- Include your ID (Contract) Number with your payment.
- Electronic Payment Terms and Conditions
Send Payment to…
Blue Cross Blue Shield of Wyoming
PO Box 173704
Denver, CO 80217-3704
Important Reminders
- Payment is due by the 1st day of each month.
- Payment is posted the day it is received.
Manage your account online anytime
Take advantage of 24/7 access to your
personal coverage information.
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How to Understand Your Claim
When you receive health care services, the charges are submitted to BCBSWY and processed by us according to your benefit plan. This process generates a claim and an Explanation of Benefits (also called an EOB). An EOB is a document designed to help you understand how your claim was processed and how much of the charges are your responsibility. Check out the Explanation of Benefits Guide.
Your EOBs are available from your account at YourWyoBlue.com
If you have questions about your claim, please contact Member Services at 800-442-2376. For steps to submit an appeal request, please refer to our Appeals Q & A.
Manage your account online anytime
Take advantage of 24/7 access to your
personal coverage information.
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How to Add a Family Member to Your Coverage
The steps you take will depend on whether you purchased your insurance coverage directly from Blue Cross Blue Shield of Wyoming, through the Health Insurance Marketplace, or you receive coverage through your employer.
Contents
I purchased coverage directly from BCBSWY
I purchased coverage through the Health Insurance Marketplace
I receive coverage through my employer
Manage your account online anytime
Take advantage of 24/7 access to your
personal coverage information.