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Faculty & Staff

Risk & Benefits Management

Mental Health Benefits

Employee Assistance Program (EAP):
Immediate confidential assistance is available for health plan participants through the College EAP provider. The initial consultation and three (3) follow-up visits are at no charge to the employee or family members. When further services are needed, referrals to covered providers can be made.

For more information visit Resource Management Services Website.

Covered Providers:
All outpatient psychotherapy services must be performed by a psychiatrist (MD) or by a clinical psychologist. Services may also be performed by a licensed clinical social worker (LCSW) or a master’s prepared social worker (MSW) ONLY if it is under the direction of a psychiatrist or if services are obtained through a tax supported regional mental health center.

Payable at 90%
Inpatient mental health care with a limit of $30,000 per year and $60,000 per lifetime not to exceed 60 days per lifetime. The defined deductibles under the plan apply.

Payable at 50%
Outpatient psychotherapy charges up to a maximum of $1,200 per person per year pursuant to the use of a covered provider as described above. A partial hospitalization program as pre-approved by the claim administrator is considered outpatient care and is subject to the same provisions as outpatient psychotherapy coverage. The defined deductibles under the plan apply.

Substance Abuse Treatment

Covered Providers:
Substance abuse treatment facilities must be approved by the Claim Administrator. The maximum covered expenses for substance abuse treatment will be the prevailing ConsumerCare charges for such services. It does not include health resorts, rest homes or nursing homes.

Coverage:
Inpatient and outpatient treatment for substance abuse is subject to the plan deductible and is then covered under the same provisions and restrictions as mental health care. The treatment must take place at a facility approved by the Claim Administrator as described above. The coverage limit for inpatient substance abuse treatment is $30,000 per year and $60,000 per lifetime not to exceed 60 days per lifetime. The coverage limit for outpatient substance abuse treatment is $1,200 per person per year.

Cross coverage:
Treatment specifically for substance abuse is not defined as mental health care under the plan and therefore those benefits are not directly applied to the coverage limits for mental health care.