By skyforbes Can someone please discuss the requirements for being on a tailored plan. It looks like this is for disabled people that need a care coordinator and Inpatient settings.
I currently have healthy blue and in their explanation of benefits it says it covers MAT aka medication assisted treatment in outpatient settings.
But then the same agent said the code my provider used for medication assisted treatment methadone is not covered.
My provider is in network according to healthy blue's provider search. Their own explanation of benefits say they cover this as well as other agents telling me it is possible, but I've heard from other folks not affiliated with healthy blue that you have to get a tailored plan for substance abuse treatment.
This is insane that they are making it so hard to access treatment.
I don't want a tailored plan. I want my regular healthy blue that covers all my doctors and medications, not some obscure plan that is only accepted in western North Carolina and with a limited network and a terrible website to manage your affairs.