Substance use and mental health are often difficult to talk about, or even to admit if you have a problem. However, these conditions are common and, if you suffer from one, you are not alone.
If you or your family are in need of mental health and/or substance use services, your medical plan includes benefits to help you.
Provided Services
Substance Use Disorder and Mental Health Services include those received on an inpatient or outpatient basis in a Hospital, an Alternate Facility, or in a provider’s office. Benefits include the following services:
- diagnostic evaluations and assessment
- treatment planning
- treatment and/or procedures
- referral services
- medication management
- individual, family, therapeutic group and provider based case management services
- crisis intervention
- partial hospitalization / day treatment
- services at a residential treatment facility
- intensive outpatient treatment
Substance Use Disorder and Mental Health Services Coverage:
| In-Network | Out-of-Network | |
| Choice Plus / Options Plan | ||
|---|---|---|
| Virtual Visit – Telemental Health | $20/visit copayment | 60%* |
| Inpatient | 80%* | 60%* |
| Outpatient | $20/visit copayment | 60%* |
| Health Savings Plan | ||
| Virtual Visit – Telemental Health | 80%* | 60%* |
| Inpatient | 80%* | 60%* |
| Outpatient | 80%* | 60%* |
* after you meet your plan’s Annual Deductible.
Other Resources:
Employee Assistance Program (EAP)
The EAP is a confidential, FREE resource to help with personal issues, including substance use and mental health, and is open to all full-time employees. Up to six face-to-face sessions with a counselor are provided free of charge. More info on the EAP …
www.liveandworkwell.com
UHC members are automatically registered for liveandworkwell.com, a website dedicated to mental health resources. Simply log in to myuhc.com®, click “Health & Wellness”, and then select “Mental Health and Substance Use”; you’ll then have full access to all the liveandworkwell.com resources, including:
- A guided search on the home page for quick access to forms, emergency assistance and searchable databases for community resources
- Helpful information categorized by “Personal Life”, “Mind & Body” and “Crisis Support”
- Self-service “Benefits and Claims” area to view eligibility, claims status, and submit out-of-network claims
- “Find a Resource” menu to make an appointment with a clinician, including Telemental Health, a system for secure, web based videoconferencing with a behavioral health provider