State Health Plan coverage includes behavioral health benefits for adults and children. Companion Benefit Alternatives (CBA) provides behavioral health management services. For general questions, such as if a service requires prior authorization, call CBA at 800.868.2520.
There is no limit on the number of behavioral health visits allowed if the care is medically necessary under the terms of the Plan, and there is not an annual or lifetime maximum for behavioral health benefits. Some services require prior authorization by CBA.
Finding a provider
For help finding a behavioral health provider or treatment program, call BlueCross at 877.505.7390. Representatives are available during normal business hours. You can also search for a provider online.
For anxiety, stress and depression
Meru Health offers a 12-week virtual treatment program at no cost to State Health Plan primary members ages 18 and older to reduce anxiety, stress, depression and burnout. It combines therapist and psychiatrist support, a biofeedback training device, anonymous peer support, meditation practices and habit-changing activities. Learn more about the program and enroll at meruhealth.com/cba.
For adolescent mental illness and substance use
Bend Health virtual network providers work with families with children, adolescents and young adults up to age 25. Bend offers a broad spectrum of care, including preventive coaching for severe mental illness and substance use. Their team of pediatric mental health experts delivers a comprehensive, personalized care plan, followed by treatment through weekly video sessions. Families receive additional support whenever they need it with unlimited messaging and have a constant view of progress through monthly reports and video updates.
Bend Health is available to State Health Plan primary members, and treatment costs follow normal Plan provisions. Learn more about Bend at www.BendHealth.com.
For obsessive-compulsive disorder
The No Obsessive-Compulsive Disorder (NOCD) program is virtual therapy with unlimited messaging designed to reduce OCD severity and comorbid anxiety and depression. The program is available to State Health Plan primary members ages 18 and older. Learn more about the program at www.nocd.com.
For substance use disorder peer recovery support
Youturn matches certified peer recovery support specialists, who have lived experience with a substance use disorder, with members after they are discharged from higher levels of care to provide support to the member and their families. The program is available to State Health Plan primary members ages 18 and older. Learn more about the program at www.youturnhealth.com.
For opioid addiction
Medication-assisted treatment (MAT) combines medication therapy with counseling and is a highly effective treatment to reduce morbidity and mortality inherent with opioid abuse. When your network provider submits an authorization request for MAT, BlueCross makes a referral into CBA’s Addictive Behavior Recovery Support Program to provide ongoing coaching support to the member throughout their recovery. Members have access to 18 MAT clinics, as well as South Carolina Department of Alcohol and other Drug Abuse Services (DAODAS) centers located across South Carolina. The program is available to State Health Plan primary members ages 18 and older. Ask your network provider for more details.
NARCAN nasal spray is a life-saving emergency treatment that can reverse an overdose by blocking the effects of opioids. Through the Advanced Opioid Management program, the State Health Plan offers drug coverage at no member cost for two over-the-counter NARCAN boxes (each with two single-dose nasal spray devices) per member per year. For more information on safe disposal of unused opioid drugs, log in to express-scripts.com. If you have questions, call Express Scripts at 855.612.3128.
For health coaching
Health coaches work one-on-one and offer support at no cost to members diagnosed with the following diseases and categories:
- Addiction recovery;
- Attention deficit hyperactivity disorder (ADHD);
- Bipolar disorder; and
- Depression.
Health coaches encourage members to follow their treatment plan, help members set goals and teach members how to handle symptoms. Coaching is available to adult State Health Plan primary members at no cost. BlueCross identifies participants by reviewing medical, pharmacy and lab claims. You are automatically enrolled if you could benefit from one of the programs. However, the programs are voluntary, and you can opt out at any time. You can also self-enroll in one or more of the available health coaching programs. To self-enroll, call BlueCross at 855.838.5897.
For connecting virtually with a therapist, psychologist or psychiatrist
With Blue CareOnDemand, you can chat with a licensed counselor, therapist, psychologist or psychiatrist from the comfort of your home. Unlike some online therapy options, these chats are designed to be more like face-to-face interactions. Have your first therapy appointment within a week or less, then choose a time that works for you and set up regular appointments, if needed. Get help with issues like anxiety, stress, life changes, grief and depression. Behavioral health services are also available for State Health Plan primary dependents ages 10-17 with a parent or legal guardian’s consent.
A Blue CareOnDemand visit is covered as a traditional office visit under the State Health Plan. Visit www.StateSC.SouthCarolinaBlues.com to log in to your My Health Toolkit® account. Select Providers & Services, then Telehealth. You can also download the free My Health Toolkit app for your Apple or Android device. From the app, select Find Care, then Video Visit.
For moms
Through the Moms program, care managers assess members using the Edinburgh Postnatal Depression Scale. Care managers work with members to identify symptoms; determine their level of understanding about “baby blues” versus postpartum depression; identify prior history of depression; recommend types of support systems; monitor medication adherence; and provide member education. Care managers also provide members with community resources and work with them to develop a plan to address their goals and identify clinical needs. The Moms program is available at no cost to women diagnosed with behavioral health needs during pregnancy through those who are two years’ postpartum, as well as women who lost a pregnancy.
For eating disorders
Equip providers deliver virtual, evidence-based treatment for all eating disorder diagnoses. You receive support from a team that includes a therapist, medical provider, dietician, family mentor and peer mentor, helping you achieve lasting recovery at home. Equip providers are available to State Health Plan primary members, and treatment costs follow normal Plan provisions. Learn more about Equip at www.equip.health or call 855.538.1465.
For more comprehensive virtual treatment, Within Health offers intensive outpatient and partial hospitalization services, as well as flexible scheduling to accommodate your lifestyle, so you don’t have to put your life on hold during treatment. Instead, Within providers will meet you where you are and when you need help so you can rebuild a connection with your true self and fully heal.
Within providers are available to State Health Plan primary members, and treatment costs follow normal Plan provisions. Learn more about Within at www.withinhealth.com or call 866.559.3073.
For tobacco cessation
The State Health Plan’s tobacco cessation program is available at no cost to State Health Plan primary members ages 18 and older. After taking a one-minute assessment to understand the participant’s tobacco use and engagement preferences, members will be matched with one of the available tobacco cessation vendors. This personalized approach ensures members participate in a program that best meets their needs. Eligible participants can also receive certain tobacco cessation drugs and nicotine replacement therapy at no cost. To enroll, log in to your My Health Toolkit account, select Wellness & Care Management, then Wellness Programs, followed by My Health Novel. Complete the assessment to find the program that’s right for you.