Index

About the Employee Health Advisory Program

Eligibility and Enrollment

Continuation Coverage

Administrative and ERISA Information

Key Terms

How the Plan Works

Q. What are the benefits of the Plan?

A. The Plan provides counseling visits and referral services as described in this section. Up to eight counseling visits may be provided at no cost to you. All counseling services are arranged by and provided through Magellan Health Services, the Care Manager for this Plan.

Private and Confidential

EHAP professional counselors are located away from your workplace location, and Magellan Health Services does not reveal to the company the names of or reasons for individuals seeking EHAP assistance. Unless your supervisor identifies and discusses with you a situation where EHAP benefits would be beneficial, you tell others, or the law requires disclosure, no one at the company will know that you are using the program. In situations involving real or potential harm to individuals (for example, child abuse cases or direct threats of violence against a person), laws require that certain notifications be made. EHAP counselors will comply with these laws and disclose required information.

Professional Counselors

Magellan Health Services provides the counseling and referral services offered by EHAP. Counselors include trained psychologists, family and marriage counselors, social workers and therapists who specialize in resolving personal problems.

No Cost for EHAP Services

Many problems can be resolved in just a few visits with an experienced counselor. EHAP may provide you or your eligible dependent with up to eight visits in a calendar year for each problem. You pay nothing for these visits; however, the Care Manager must pre-authorize the visits.

If you need more counseling visits than are provided under EHAP — or if you need services that are not provided by EHAP — the counselor will refer you to outside services which may be a covered service under another medical plan. If the counselor determines that more intense services are needed, you may be immediately referred to an appropriate mental health provider. The cost of the additional or outside services is not covered under EHAP but may be partly covered by your medical plan; refer to the summary for your medical plan or contact Benefits Administration (see Information Sources at the front of this SPD) for information.

If there are no providers in the Magellan Health Services network near your home, Magellan Health Services will locate a qualified clinician or facility in your area and review their credentials for you. In cases like these, you may qualify for the benefits even though the provider who treats you or your dependent isn't a member of the Magellan Health Services network.

After-Care Counseling Services

The Plan also provides chemical dependency support, counseling and monitoring services for eligible employees who are actively at work following primary treatment. Magellan Health Services determines the extent to which after-care counseling services are available to employees under this Plan.