Great News for USFHP Members!

Date: November 1, 2016

EFFECTIVE OCT. 3, 2016, Johns Hopkins US Family Health Plan members will see lower co-pays and improved coverage for behavioral health and substance abuse treatment.

The changes, in compliance with new Defense Health Agency rules, are designed to improve access by reducing out-of-pocket costs and ending quantitative limits on services. For example, outpatient psychotherapy, which formerly was limited to 60 days for coverage, now has no limit*. Other services that no longer have quantitative limits include:

• Partial hospitalization programs
• Substance use disorder rehabilitation facility
• Outpatient psychotherapy
• Psychological testing
• Family therapy
• Smoking cessation quit attempts

In addition, copays for behavioral health and substance abuse services have been reduced as follows: 

	Prior to 10/3/16	On and after 10/3/2016
Individual Outpatient Psychotherapy	$25	$12 / visit
Group Therapy	$17	$12 / visit
Inpatient Mental Health	$40 / day	$11 / day
Partial Hospitalization	$40 / day	$12 / visit

* All other preauthorization requirements remain unchanged for this and other treatments listed.

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