The Health Plan provides coverage for Mental Health treatment. Call ValueOptions at 1-800-704-1421 for information or to pre-certify services from Network Providers.
You must use mental health care providers that participate in the ValueOptions provider network in order to receive benefits. | Mental Health Benefits |
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| Benefit Details | |
| | None
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| | $20 per visit
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- Inpatient Hospital Benefit
| 100% of network rate for pre-certified¹ admissions.
30 day limit per individual per year.
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| | 100% of network rate for pre-certified¹ visits, after a $20-per-visit copayment. 40 visit limit per individual per year.
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1 All treatment for mental health must be pre-certified by ValueOptions, except in the case of emergency treatment which must be authorized within 72 hours of the commitment.
See p.44 of the January 2005 Health Plan Summary Plan Description and the August 2008 Benefits Update for additional information and details.