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BEHAVIORAL HEALTH BENEFIT SUMMARY GRID: TUFTS HEALTH TOGETHER (IMS Health) CARPUS ABBREVIATIONS PA Prior authorization BH Behavioral health IN network ON Outofnetwork Benefit year October 1 September
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Behavioral health benefit summary is a document that outlines the benefits and coverage for mental health and substance use disorder services under a health insurance plan.
Health insurance companies are required to file the behavioral health benefit summary to ensure transparency and compliance with mental health parity laws.
The behavioral health benefit summary can be filled out by providing detailed information about the mental health and substance use disorder services covered, including copayments, deductibles, and any limitations or restrictions.
The purpose of the behavioral health benefit summary is to inform consumers about their mental health and substance use disorder benefits, rights, and coverage under their health insurance plan.
Information such as covered services, cost-sharing requirements, network providers, prior authorization requirements, and any annual or lifetime limits on coverage must be reported on the behavioral health benefit summary.
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