Use a Non-Network Provider 20% co-ins, after ded Limitat ons None If you have mental health, behavioral health, or substance abuse needs Mental/Behavioral health outpatient services $30 copay per visit 20% co-ins, after ded Limited to 20 visits per policy period (combined with Outpatient Substanc

Cost If 4 You Use a Non-Network Provider 20% co-ins, after ded None If you have mental health, behavioral health, or substance abuse needs Mental/Behavioral health outpatient services $30 copay per visit 20% co-ins, after ded Limited to 20 visits per policy period (combined with Outpatient Substanc