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2013 Mental Health Benefits & Other Programs provided by Claremont Behavioral Services.

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Presentation on theme: "2013 Mental Health Benefits & Other Programs provided by Claremont Behavioral Services."— Presentation transcript:

1 2013 Mental Health Benefits & Other Programs provided by Claremont Behavioral Services

2 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.

3 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.

4 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.

5 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.

6 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.).

7 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 ). Back to Mental Health Page


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