2026 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option
Section 5(e). Mental Health and Substance Use Disorder Benefits
Page 96

 

Benefit Description

Not Covered (Inpatient or Outpatient)
 
  • Services performed or billed by schools, halfway houses, group homes or members of their staffs

    Note: We cover professional services as described in this section when they are provided and billed by a covered professional provider acting within the scope of their license.
     
  • Psychoanalysis or psychotherapy credited toward earning a degree or furtherance of education or training regardless of diagnosis or symptoms that may be present
     
  • Services performed or billed by residential therapeutic camps (e.g., wilderness camps, Outward Bound, etc.)
     
  • Hippotherapy/equine therapy (exercise on horseback)
     
  • Light boxes
     
  • Custodial or long-term care (see Definitions)
     
  • Costs associated with enabling or maintaining providers’ telehealth (telemedicine) technologies, non-interactive telecommunication such as email communications, or asynchronous store-and-forward telehealth services


Standard Option - You Pay
All charges

Basic Option - You Pay
All charges