Substance Use and Mental Health Services

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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. Up to six face-to-face sessions with a counselor are provided free of charge through GuidanceResources.® 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
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