How can we help?

Find out if you are covered for mental health services by following these steps:

1. Select Benefits & Coverage, then What’s Covered.
2. Under the Medical tab, go to the dropdown menu titled Service you may need.
3. Select the type of service you are looking for, such as Psychotherapy, Psychiatric-Outpatient, or Cognitive Therapy. Then, select Show Coverage Details.
4. Check the chart(s) to see if the benefit is covered, how much your plan will pay, and if prior authorization is required. You may need to scroll down to view all of the information you need.

To find an in-network mental health provider in New Jersey, visit the Horizon Behavioral Health website.

To find an in-network mental health provider nationwide, visit the Blue Cross® Blue Shield® National Doctor and Hospital Finder.

Visit the Horizon Behavioral Health website to find an in-network behavioral health provider.

To find an in-network behavioral health provider nationwide, visit the Blue Cross® Blue Shield® National Doctor and Hospital Finder.

Find out if you are covered for substance abuse services by following these steps:

1. Select Benefits & Coverage, then What’s Covered.
2. Under the Medical tab, go to the dropdown menu titled Service you may need.
3. Select the type of service you are looking for, such as Substance Abuse, Substance Abuse Facility – Inpatient, or Substance Abuse Facility – Outpatient. Then, select Show Coverage Details.
4. Check the chart(s) to see if the benefit is covered, how much your plan will pay, and if prior authorization is required. You may need to scroll down to view all of the information you need.

To find an in-network an in-network substance abuse professional or facility in New Jersey, visit the Horizon Behavioral Health website.

To find an in-network substance abuse professional or facility nationwide, visit the Blue Cross® Blue Shield® National Doctor and Hospital Finder.

The easiest way to submit out-of-network mental health and SUD claims is through the Horizon Blue app. When you use the Horizon Blue app, you don’t need to submit a claim form by mail.

When you submit out-of-network mental health and SUD claims by mail, you will need to include the appropriate claim form listed below and mail it, and the required information listed on the form, to the address on the form:

• Merck members: Merck Health Insurance Claim Form
• Organon members: Organon Health Insurance Claim Form
• State Health Benefit Program (SHBP) and School Employees’ Health Benefits Program (SEHBP) members: SHBP/SEHBP Medical Plan Claim Form
• All other members: Horizon Health Insurance Claim Form

Visit the Horizon Behavioral Health website to find an in-network substance use disorder provider or facility.

To find an in-network substance use disorder provider or facility nationwide, visit the Blue Cross® Blue Shield® National Doctor and Hospital Finder.