Behavioral Health and Employee Assistance Program

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Presentation transcript:

Behavioral Health and Employee Assistance Program Administered by ValueOptions, Inc.

Health Insurance Providers for COVA Care Participants Anthem Blue Cross and Blue Shield Medical, Vision and Hearing Benefits Delta Dental of Virginia Dental Benefits Medco Health Solutions, Inc. Prescription Drug Program ValueOptions, Inc. Behavioral Health and Employee Assistance Program

Behavioral Health Benefit This presentation will focus on the Behavioral Health Benefit and the Employee Assistance Program: Services Benefits Accessibility Resources

Behavioral Health Benefit Contact ValueOptions to obtain preauthorization and referral (required). Services may be provided in various settings or levels of care depending upon the treatment that is needed. Call: 1-866-725-0602

Behavioral Health Benefit Various levels of care Care managers with ValueOptions approve the appropriate levels of care based on diagnosis and ValueOption’s medical necessity criteria. Includes acute care (inpatient at a psychiatric hospital or a detox unit); partial day services (combines intensive treatment in a medically supervised setting with the opportunity to return to a residential setting at night); and outpatient behavioral health services. Outpatient services are the most frequently prescribed level of care and are based in an office setting.

Behavioral Health Benefit Inpatient Facility $300 co-pay per stay Outpatient Facility $100 co-pay Outpatient Professional Services $35 co-pay per visit

Employee Assistance Program Contact ValueOptions for assistance in accessing program (1-866-725-0602) Confidential assessment, referral, and short-term problem-solving services Available to employee and members of household Automatically included in health coverage

Employee Assistance Program Some reasons to contact the Employee Assistance Program: Conflicts within the family or workplace Personal and emotional concerns Alcohol and substance abuse Financial and legal problems Elder and child care Career concerns and other challenges

Employee Assistance Program No charge for up to four counseling sessions per incident Need for additional counseling may result in referral to Behavioral Health services Designated co-pays apply to Behavioral Health services

Additional Information ValueOptions Web Site: www.achievesolutions.net/covacare (may also access on VHCC HR web page) Information specific to COVA Care participants Access to approved provider directory for COVA Care participants General topics of interest

ValueOptions Web Site Broad array of general information and feature topics available including: Alcohol and Other Drugs Anxiety Depression Family Care and Education Health and Wellness Money and Legal Relationships Work

Questions? Contact Debbie Hale in the VHCC Human Resources Office dhale@vhcc.edu or 739-2425