s Mental/Behavioral health outpatient services $30 copay per visit 20% co-ins, after ded Limited to 20 visits per policy period (combined with Outpatient Substance use). Pre-Notification required for certain services for non-network or benefit reduces to 50% of allowed. Mental/Behavioral health in

s Mental/Behavioral health outpatient services $30 copay per visit 20% co-ins, after ded Limited to 20 visits per policy period (combined with Outpatient Substance use). Pre-Notification required for certain services for non-network or benefit reduces to 50% of allowed. Mental/Behavioral health in