Go to m.barnard.edu for the Mobile Barnard web app or download it from the App Store or Google Play.

Barnard Mental Health Insurance Information

         

Barnard's Mental Health Coverage

The new optional Barnard Student Health Insurance Plan is effective on August 22nd, 2014 and terminates on August 21st, 2015.

The benefits outlined below require a referral from Furman Counseling Staff.

Out of Pocket Maximum in network is $4,000 per Policy Year

There is no maximum expense for out-of network treatments

Deductibles: $250 for preferred, $500 for non preferred

For Biological Based Mental Illness[1]

Inpatient: 80% preferred, 60% non preferred

Outpatient: 80% preferred, 60% non preferred

For Non-Biological Based Mental Illness

Inpatient: 80% preferred, 60% non preferred

Outpatient: 80% preferred, 60% non preferred

For Alcohol Abuse & Chemical Dependency

Inpatient: 80% preferred, 60% non preferred

Outpatient: 80% preferred, 60% non preferred

USING YOUR AETNA STUDENT HEALTH INSURANCE

FOR THERAPY/PSYCHOPHARMACOLOGY OUTSIDE BARNARD

  1. You need a referral from the Furman Counseling Center Staff recommending you to a therapist or psychiatrist in the community. They will provide you with the treatment provider's information. They will also go on-line and register this referral with Aetna Student Health.
  1.  Most mental health practitioners prefer you to pay their bill, and then submit to your insurance for reimbursement.  A few providers will agree to wait for the insurance payment.
  1. To access your coverage, simply send the bill, along with your identifying information (name, SSN, mailing address, copy of student ID) to:

                  Aetna Student Health

                  P.O. Box 981106

                   El Paso, TX  79998

  1. The Aetna Student Health policy is now your primary policy. If you are covered under your family insurance plan as well, you would submit the bills to Aetna first.

USING YOUR INSURANCE FOR MEDICATIONS

Prior Authorization may be required for certain Prescription Drugs and some medications may not be covered under this Plan. For assistance and a complete list of excluded medications, or drugs requiring prior authorization, please contact Aetna Pharmacy Management at (888) RX-AETNA 

For covered medications, generic drug prescriptions require a $20 copay.  Other covered medications require a $40 copay

 

_____________________________________________________________

[1] (Such biologically based mental illnesses are defined as (not limited to): Schizophrenia/ Psychotic disorder; Major Depression Bipolar Disorder, Delusional Disorder, Panic Disorder, Obsessive Compulsive Disorders, Bulimia, Anorexia; Children with Serious Emotional Disturbances Persons under the age of eighteen (18) years who have diagnoses of; attention deficit disorders, disruptive behavior disorders, or pervasive development disorders, and where there are one or more of the following: Serious suicidal symptoms or other life-threatening self-destructive behaviors; Significant psychotic symptoms (hallucinations, elusion, bizarre behaviors), or behavior caused by emotional disturbances that placed the child at substantial risk of removal from the household)

 

For more information regarding your Student Health Insurance benefits please read your Student Insurance Handbook or go to website for online services: www.aetnastudenthealth.com

    

Claims Administered by:

Aetna Student Health

PO Box 981106

El Paso, TX  79990

866-725-4396

www.aetnastudenthealth.com

            __________________________________________________________________

IF YOU OPTED OUT OF THE STUDENT HEALTH AETNA PLAN

Here's some guidelines to help you find out your family/parent's insurance coverage.

N.B.  Getting your money back from the insurance company will take organization and persistence.  Make an “Insurance” file now to keep copies of all documentation.

  1. Call the number on your insurance card.  Ask them the following questions: 

A: Do I have outpatient mental health coverage? 

B:  What is the coverage for in-network providers[1]?

C:  What is the coverage for non preferred providers?

D:  What is the yearly maximum benefit ($ amt or # of visits)?

E.   Is there a deductible (amount you pay before insurance kicks in)?

2. If you have mental health coverage, and want to use your in-network benefit, obtain a list of providers for NYC, and bring it to your next appointment. We will pass the list around our staff so they can identify people they recommend.

3. For most therapists or psychiatrists who are out-of-network, you will need to pay them each month, then apply for your reimbursement.

4. You need to send their bill and possibly a claim form to your family insurance.  (Check if they require a claim form which you may be able to get off the internet.) 

 

[1] “In-network providers” refers to therapists/psychiatrists who have contracted with your insurance company to work for a set hourly fee.  A co-pay is usually a set amount you pay per session.  Partial payment means that you will pay a certain percentage of that provider’s fee.  “Out-of-network providers” refers to people not under contract with your insurance.