HR and Benefits: Active Employee Handbook

Mental Health and
Substance Abuse Benefits

Mental health and substance abuse care and services are provided under your medical plan coverage. Highlights for each plan appear below. For more information, contact your medical plan carrier.

BCBS PPO                            IN-NETWORK benefits 1

Mental health inpatient

80% of maximum allowable charges; pre-authorization required; max of 45 days per year

Mental health outpatient

80% of maximum allowable charges; no pre-authorization required; 50-visit maximum per year combined with substance abuse

Substance abuse inpatient

80% of maximum allowable charges; pre-authorization required; 30 days per calendar year; lifetime maximum of $50,000

Substance abuse
outpatient

80% of maximum allowable charges; no pre-authorization required; 50-visit maximum per year combined with mental health

Group therapy

Covered as mental health outpatient

1 If you go outside of Blue Network P, these benefits do not apply. See BCBS for details.

   CIGNA Choice Fund                       IN-NETWORK benefits 2

Mental health inpatient

90% after plan deductible; pre-authorization required; maximum of 45 days per year

Mental health outpatient

90% after plan deductible; no pre-authorization required; 50-visit maximum per year combined with substance abuse

Substance abuse inpatient

90% after plan deductible; pre-authorization required; 30 days per calendar year; lifetime maximum of $50,000

Substance abuse
outpatient

90% after plan deductible; no pre-authorization required; 50-visit maximum per year combined with mental health

Group therapy

Covered as mental health outpatient

2 If you go outside of Open Access Plus network, these benefits do not apply. See CIGNA
   for details.