Behavioral Health Support for a Healthy Mind and Body

As part of Blue Care Connection® (BCC), the Behavioral Health program* can help members access and manage their benefits for behavioral health (mental health and substance abuse).

This program from Blue Cross and Blue Shield of Illinois (BCBSIL) helps to

identify and manage members with coexisting behavioral health and medical

conditions. Your employees can benefit from this integrated approach to care

coordination between both their medical and behavioral health providers, which

can lead to better outcomes and reduced costs over time.

The Behavioral Health program offers a full range of services, including:

o Behavioral Health Member Services team that can help members find the

right providers and answer their questions about eligibility, benefits and more

o 24-hour assistance for member needs

o Inpatient and outpatient services (counseling, medication, testing and more)

o Inpatient, partial hospitalization and outpatient behavioral health care

management

o Case management program staffed by licensed clinicians who can provide

support, help locate additional resources and coordinate member care if

multiple providers are involved

o Referrals to other BCC and medical care management programs

bcbsil.com

Between 70 to 90 percent of people who get treatment have major reduction of symptoms and better quality of life.

Source: National Alliance on Mental Illness, 2013

* The Behavioral Health program is available only to those members whose health plans include behavioral health benefits through BCBSIL. Some members’ health plans may not include outpatient behavioral health care management.

Information members may receive from the program does not replace the care of a physician. Members are encouraged to share any concerns they may have with their behavioral health professional or physician.

Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association 22864.0814

bcbsil.com

In a national comorbidity survey, a representative epidemiological survey, more than 68 percent of adults with a mental disorder reported having at least one general medical disorder, and 29 percent of those with a medical disorder had a comorbid mental health conditionSource: Robert Wood Johnson Foundation, Mental Disorders and Medical Comorbidity, February, 2011

Behavioral Health ProgramYour employees have access to a variety of behavioral health professionals, physicians and treatment facilities. To find a licensed behavioral health provider, members can use the Provider Finder® tool at bcbsil.com or call the Behavioral Health Member Service number on the back of their ID card.

Members are responsible for requesting preauthorization from BCBSIL for some behavioral health services, including inpatient care, partial hospital admissions, outpatient electroconvulsive therapy (ECT), repetitive transcranial magnetic stimulation (rTMS) and intensive outpatient programs (IOPs). Preauthorization is also required for psychological and neuropsychological testing in some cases, and BCBSIL will notify the provider if preauthorization is required for these testing services.

Preauthorization allows BCBSIL to evaluate if the requested services are covered and meet the medical necessity criteria under the benefit plan. The process also allows BCBSIL to identify coexisting conditions, gaps in care, complex cases for behavioral health case management, and/or opportunities for co-management with medical case management.

Members can call the Behavioral Health Member Service number on the back of their ID card to request information regarding preauthorization. A behavioral health professional, physician, treatment facility or family member may also request preauthorization on the member’s behalf.

For additional information about the Behavioral Health program or health and wellness communications, contact your BCBSIL representative.

We target many of the most common chronic behavioral health conditions for outreach and engagement including:

o Alcohol and Substance Abuse Disorders

o Anxiety and Panic Disorders

o Depression

o Bipolar Disorder

o Eating Disorders

o Attention Deficit Disorders

o Schizophrenia and other Psychotic Disorders