Substance Use and Mental Health Services


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 United Healthcare 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:

  • UHC logodiagnostic 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
Hospital – Inpatient Stay 90%* 70%*
Physician’s Office Services $20 per visit copayment 70%*
Health Savings Plan
Hospital – Inpatient Stay 90%* 70%*
Physician’s Office Services 90%* 70%*

* after you meet your plan’s Annual Deductible.

Other Resources:
UHC members are automatically registered for, a website dedicated to mental health resources. Simply log in to®, click “Health & Wellness”, and then select “Mental Health and Substance Use”; you’ll then have full access to all the 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

Employee Assistance Program (EAP)
The EAP is a confidential, FREE resource to help with personal issues, including substance use and mental health. Up to six face-to-face sessions with a counselor are provided free of charge through GuidanceResources.® More info on the EAP …

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