Outpatient mental health services billed by a facility for services provided by a facility-employed professional.
You can find the benefit designs for Mental Health Outpatient Facility and Mental Health Outpatient Professional in the “If you have mental health, behavioral health, or substance abuse needs” section of your SBC:
If there is no differentiation between the facility-billed and professional-billed benefit for "outpatient mental health," enter the cost-share for that benefit service in this category.
However, if mental health-outpatient facility isn't specified, and if coinsurance applies generally to all outpatient facility services, then enter the cost-share (for example, coinsurance) that applies generally to outpatient facility services in this category. If there is no specific information, enter the cost-share for a specialist office visit.