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Behavioral Health Precertification List

Found 3 free book(s)
Summary of Benefits and Coverage (SBC)

Summary of Benefits and Coverage (SBC)

www.ibx.com

Precertification required. Physician/surgeon fees No charge. 20% coinsurance. 30% coinsurance. Not covered. If you need mental health, behavioral health, or substance abuse services Outpatient services$40/Visit. $40/Visit. $40/Visit. Not covered. Precertification required. Inpatient services $350/Day. Max of 5 Copayment(s)/ Admission. $350/Day ...

  Health, Behavioral, Precertification, Behavioral health

Summary of Benefits and Coverage: What this Plan Covers ...

Summary of Benefits and Coverage: What this Plan Covers ...

www.afspa.org

Precertification required in U.S. (if not precertified $500 penalty applies). Physician/surgeon fees 10% coinsurance 30% coinsurance Deductible applies for medical services, not surgical services. If you need mental health, behavioral health, or substance abuse services Outpatient services 10% coinsurance 30% coinsurance

  Health, Behavioral, Precertification, Behavioral health

Treatment of Gender Dysphoria - Cigna

Treatment of Gender Dysphoria - Cigna

static.cigna.com

benefit limitations, precertification, or other medical necessity criteria. Medically necessary treatment for an individual with gender dysphoria may include ANY of the following services, when services are available in the benefit plan: Behavioral health services, including but not limited to, counseling for gender dysphoria and related

  Health, Behavioral, Precertification, Behavioral health

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