MMC Benefits Handbook
Speech Therapy
NOTE: Out-of-network services are not covered under the Anthem BCBS Narrow Network (National Blue High Performance Network (Blue HPN)) except for urgent and emergency care. There are some providers in New Jersey and Philadelphia that are listed as Tier 2 on Anthem BCBS's provider search (National Blue High Performance Network (Blue HPN)) that can be used and are covered at the out-of-network benefit level. Providers not labeled as Tier 2 cannot be used for out of network coverage.
The plan covers the treatment of:
  • A speech impediment or speech dysfunction that results from injury, stroke or a congenital anomaly
  • Delays in speech development.
Prior authorization for speech therapy is recommended. Contact the Claims Administrator for specific details.