Behavioral health and substance abuse coverage are provided by Optum for employees and retirees enrolled in
How the plan works
- Health Net Blue & Gold, Kaiser and WHA members have access to in-network providers (Plan Booklet).
- Blue Shield and UC Care members have access to both in-network and out-of-network providers (Blue Shield HSP Booklet, UC Care Plan Booklet).
- In most cases, services require pre-authorization.
- The first three visits have no charge, except for Blue Shield Health Savings Plan members.
Benefits are included in your medical plan premium.
Office visits have a $20 copayment for all plans except for Blue Shield Health Savings Plan members. They pay 20 percent coinsurance for in-network providers.
Blue Shield members pay 40 percent coinsurance and UC Care members pay 50 percent coinsurance for out-of-network providers.