HR and Benefits: Pensioner 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 BlueAdvantage Plus CIGNA Choice Fund

Mental health inpatient

80% of approved charges; pre-authorization required

100% coverage with 190 day lifetime maximum in a psychiatric hospital

90% of approved charges; pre-authorization required

Mental health outpatient

80% of maximum allowable charges; no pre-authorization required

100% coverage after $10 copay for group/individual visit

90% after plan deductible; no pre-authorization required

Substance abuse inpatient

80% of approved charges; pre-authorization required

 

90% of approved charges; pre-authorization required

Substance abuse
outpatient

80% of maximum allowable charges; no pre-authorization required

 

90% after plan deductible; no pre-authorization required

Group therapy

Covered as mental health outpatient

 

Covered as mental health outpatient

1 If you go out-of-network, these benefits do not apply. See insurance carrier for details.