2013

Mental Health Benefits & Other Programs

provided by

Claremont Behavioral Services

Monterey Bay Public Employees Trust Overview of 2013 Mental Health Benefits (Claremont Behavioral Health)

Office Visits

• In-C.B.H.-network: 100% of contracted rates for the first five (5) visits.

• Out-of-C.B.H.-network: Paid as any other office visit under Medical Choice & Managed Care plans. No coverage under EPO Plan.

Monterey Bay Public Employees Trust Overview of 2013 Mental Health Benefits (Claremont Behavioral Health)

Office Visits

• Paid as any other illness under the Medical Choice & Managed Care Plans. No Out of Network coverage under the EPO Plan.

Monterey Bay Public Employees Trust Overview of 2013 Mental Health Benefits (Claremont Behavioral Health)

In-patient Mental Health

• In-C.B.H.-network: Covered as any other inpatient stay.

Network contracting percentages apply. Approval by Claremont of all inpatient stays is mandatory. There is no coverage for stays not approved by Claremont.

• Out-of-C.B.H-network: Non-network hospital percentages & rates apply. Must be approved by Claremont. Under the EPO Plan there is no coverage for out-of-network admissions.

Monterey Bay Public Employees Trust Overview of 2013 Mental Health Benefits (Claremont Behavioral Health)

Substance Abuse

• In-C.B.H. network: 100% of contracted rates for detoxification in a contracted hospital.

• Out-of-C.B.H. network: None.

Monterey Bay Public Employees Trust Overview of 2013 Mental Health Benefits (Claremont Behavioral Health)

Rates

• No additional cost; included in the rates of all three medical plans (Managed Care, Medical Choice, and E.P.O.) .

Monterey Bay Public Employees Trust Overview of 2013 Mental Health Benefits (Claremont Behavioral Health)

Disclaimer

This presentation provides only a general overview of your Mental Health benefits; • For complete information, consult your copy of the Summary Plan Description or contact either Claremont Behavioral Health (1-800-834-3773 or www.claremonteap.com) or Health Services & Benefit Administrators (1-831-757-1711 or 1-888-742-3380 ).

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