The Health Plan provides coverage for mental health treatment. Call ValueOptions at (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 | |
| | $100 per admission
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| | $20 per visit
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- Inpatient hospital benefit
| 100% of network rate for pre-authorized¹ admissions, excluding the $100 copayment. Limit of 30 days per individual per year.
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| | 100% of network rate for pre-authorized¹ visits, after a $20-per-visit copayment. Limit of 40 visits per individual per year.
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Health Plan at-a-glance: Chemical dependency
Health Plan at-a-glance: Intro page
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1 All treatment for mental health must be pre-authorized by ValueOptions, except in the case of emergency treatment which must be authorized within 72 hours of the commitment.
Refer to the 2011 Health Plan SPD and relevant Benefits Updates for additional information and details.The information provided above is summarized and is not a complete description of the actual terms and provisions of the Health Plan documents. If any conflict arises between this information and the Plan documents, or if any point is not discussed above or is only partially discussed, the Plan documents will govern in all cases.