State Health Plan coverage includes behavioral health benefits. 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 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 laboratory 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 eating disorders
Within Health providers are revolutionizing eating disorder treatment with a comprehensive, virtual treatment solution. They provide intensive outpatient and partial hospitalization services and offer 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 nicotine cessation
The research-based Quit For Life® program is available at no cost to State Health Plan primary members ages 13 and older. It provides an engaging online experience, personalized one-on-one coaching, online group coaching sessions and robust digital tools to create a Quitting Plan customized to your needs. Eligible participants can also receive certain tobacco cessation drugs and nicotine replacement therapy at no cost. To enroll, call 800.652.7230 or 866.QUIT.4.LIFE (866.784.8454), or visit www.quitnow.net/ SCStateHealthPlan. After verifying your eligibility, you will be connected with a Quit Coach for your first call.