Mental Health Support & Care Management
Your mental health matters—we make it easy to get the resources and support you need.
At Martin’s Point US Family Health Plan, we believe that your mental health is just as important as your physical well-being.
We offer comprehensive behavioral health benefits, designed to support you and your family at every stage of life. Whether you’re navigating the challenges of everyday stress, managing a long-term condition, or seeking support for your loved ones, our plans provide flexible, affordable, and accessible mental health care when you need it most.
Key Benefits at a Glance:
- No-cost outpatient mental health visits for active-duty family members and retirees with Medicare Part B.
- Inpatient admissions for children and adults, covered with low copays for retirees.
- No referrals needed—giving you quick and easy access to care.
- Coverage that closely follows TRICARE guidelines, ensuring you receive top-quality care.
- Support available 24/7 through our Behavioral Health Care Program (BHCP). For any authorization or coverage questions, just call 1-800-708-4532.
Behavioral Health Care Management Program
This program is designed to support best-practice care for all members.
The Martin's Point Behavioral Health Care Management Program is offered at no cost and is designed to support best-practice care for both adult and pediatric beneficiaries. Program participants work with care managers to address their behavioral health needs.
What Do Care Managers Do? |
Care managers are social workers with behavioral health training and expertise to help address ongoing behavioral health needs.
A care manager will:
- Call you to assess your behavioral health needs
- Collaborate with your care team
- Provide support and advocacy
- Find local resources, providers, and community supports
- Provide education around behavioral health needs
- Assist in preparation for your office visits
- Follow up for up to six months
To contact a Martin’s Point behavioral health care manager, please call 1-877-659-2403.
Behavioral Health Care Program | BHCP |
Martin’s Point Health Care contracts with Behavioral Health Care Program (BHCP) to manage the behavioral health network and perform authorizations related to behavioral health care.
BHCP is a Maine-based benefits management program which is part of the MaineHealth Accountable Care Organization. They are dedicated to helping provide quality care.
To access features including a current provider search function for members and providers and online treatment plan submission, visit:
Behavioral Health Visit Types & Associated Costs
There are various behavioral health options that are structured to meet the specific needs of our members.
Behavioral Health Office Visits
Plan |
Costs |
|---|---|
| Active-Duty Family Members or Retirees and Family Members Who Also Carry Medicare Part B (including Medicare Advantage) |
In-Network: $0 copay Out-of-Network: 50% coinsurance Deductible (Out-of-Network Only): $300 (Individual) / $600 (Family) Authorization: No Referral: No |
| Retirees and Family Members Who Do Not Carry Medicare Part B |
In-Network: $37 copay Out-of-Network: 50% coinsurance Deductible (Out-of-Network Only): $300 (Individual) / $600 (Family) Authorization: No Referral: No |
Important Note: Please be aware that if the provider is out-of-network, the Point of Service (POS) cost share will apply unless it is medically necessary to seek services out-of-network. To request a review for in-network benefit cost share, call the Behavioral Health Care Program (BHCP) at 1-800-708-4532 prior to rendering services. If approved for in-network, the standard network benefit applies. If approved for out-of-network, the POS benefit applies. Additional services not listed in this benefit may require a referral or authorization.
Behavioral Health Crisis Visit
Plan |
Costs |
|---|---|
| Active-Duty Family Members or Retirees and Family Members Who Also Carry Medicare Part B (including Medicare Advantage) |
In-Network: $0 copay Inpatient Setting: Appropriate inpatient cost share applies Out-of-Network: Exempt, applies in-network rates Authorization: No Referral: No |
| Retirees and Family Members Who Do Not Carry Medicare Part B |
In-Network: $37 copay Inpatient Setting: Appropriate inpatient cost share applies Out-of-Network: Exempt, applies in-network rates Authorization: No Referral: No |
Important Note: Behavioral health services do not require a referral. For any authorization needs or out-of-network reviews, please contact the Behavioral Health Care Program (BHCP) at 1-800-708-4532.
Behavioral Health Inpatient Admission (0-18 Years)
Plan |
Costs |
|---|---|
| Active-Duty Family Members |
Authorization: Yes, BHCP Authorization Required Referral: No In-Network Copay: $0 Out-of-Network: POS exempt, in-network cost share applies |
| Eligible Dependents (Non-Medicare) |
Authorization: Yes, BHCP Authorization Required Referral: No In-Network Copay: $0 Out-of-Network: POS exempt, in-network cost share applies |
Important Note: Behavioral health inpatient admissions for patients aged 0-18 years require prior authorization from the Behavioral Health Care Program (BHCP). Please call 1-800-708-4532 prior to rendering services to confirm authorization. Additional services not listed may require a referral or further authorization.
Behavioral Health Inpatient Admission (19+ Years)
Plan |
Costs |
|---|---|
| Active-Duty Family Members or Retirees and Family Members Who Also Carry Medicare Part B (including Medicare Advantage) |
Authorization: Yes, BHCP Authorization Required Referral: No In-Network Copay: $0 Out-of-Network: POS exempt, in-network cost share applies |
| Retirees and Family Members Who Do Not Carry Medicare Part B |
Authorization: Yes, BHCP Authorization Required Referral: No In-Network Copay: $188 per admission Out-of-Network: POS exempt, in-network cost share applies |
Important Note: Inpatient admissions for ages 19+ require prior authorization from the Behavioral Health Care Program (BHCP). Please call 1-800-708-4532 prior to rendering services to confirm authorization. Additional services not listed may require a referral or further authorization.
Psychotherapy Individual Benefit
Plan |
Costs |
|---|---|
| Active-Duty Family Members or Retirees and Family Members Who Also Carry Medicare Part B (including Medicare Advantage) |
In-Network Specialist Copay: $0 Outpatient Setting: $0 Inpatient Setting: Behavioral health inpatient cost share applies Authorization: Check if Required Referral: No |
| Retirees and Family Members Who Do Not Carry Medicare Part B |
In-Network Specialist Copay: $37 Outpatient Setting: $37 Inpatient Setting: Behavioral health inpatient cost share applies Authorization: Check if Required Referral: No |
Important Note: Some services may require prior authorization. To request a review for the in-network benefit cost share, please call the Behavioral Health Care Program (BHCP) at 1-800-708-4532 prior to rendering services. If approved, the standard network benefit applies. Additional services not listed may require a referral or authorization.
Mental Health Outreach: Tools & Resources
Mental health is an important part of overall health and well-being at every stage of life. Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act and helps determine how we handle stress, relate to others, and make healthy choices.
Help can be sought for numerous challenges, including:
Below are several organizations and resources that can assist those with mental health needs.
National Resources |
National Suicide Prevention Lifeline
988 or 1-800-273-8255
As of July 15, 2022 a person can be connected with local suicide prevention resources anywhere in the country by dialing only three digits (988). Think of it as the 911 emergency system for mental health help!
National Alliance on Mental Illness (NAMI) Resources:
Maine
1-800-464-5767
https://www.namimaine.org/
New Hampshire
1-800-242-6264
https://www.naminh.org
Vermont
1-800-639-6480
https://www.namivt.org/
New York
1-518-245-9160 (M-F, 8am-3pm)
https://www.naminys.org/
Massachusetts
1-800-370-9085
https://www.namimass.org/
Pennsylvania
Find your local NAMI affiliate.
State–Specific Resources |
Maine
Crisis Hotline and Suicide Prevention Program
1-888-568-1112
https://www.maine.gov/suicide/
New Hampshire
American Foundation for Suicide Prevention NH
603-318-6517
https://afsp.org/chapter/new-hampshire
Vermont
Suicide Prevention Center
802-254-6590
https://vtspc.org/suicide-resources/get-help
New York
State Suicide Preventiond
Text Got5 to 741741
https://omh.ny.gov/omhweb/suicide_prevention
Massachusetts
Suicide Prevention Program
877-870-4673
https://www.mass.gov/suicide-prevention-program
Pennsylvania
Care Partnership
[email protected]
https://www.pacarepartnership.org/resources/crisis-and-hotlines
Have questions? We're here to help.
Call US Family Health Plan Member Services to speak with one of our health plan specialists today. We're here for you!