Behavioral health benefits

Behavioral health and substance use coverage are provided by Kaiser and Optum. Kaiser members may access care from Kaiser behavioral health providers and from Optum in-network providers.

If you are seeking care through Optum as a Kaiser HMO member, there is no charge for your first three routine office or telemental health visits; you will be charged a $30 copayment for each of your following visits.

Please note: Kaiser and Optum do not coordinate care or costs of behavioral health services and each plan has specific requirements. Therefore, it is important to select behavioral health services carefully and follow all of the plan guidelines and authorization requirements for the behavioral health services plan you select.

For information about your benefits, preauthorization for certain services, and help finding a provider:

• Optum — Call 888-440-8225
• Kaiser (Southern California) — Call your local clinic or 800-900-3277 after hours
• Kaiser (Northern California) — Call your local clinic or 800-464-4000 after hours

Behavioral health and substance use coverage are provided by Health Net Behavioral Health (formerly known as MHN). Members may access care from Health Net Behavioral Health in-network providers.

There is no charge for your first three routine office or telemental health visits; you will be charged a $30 copayment for each of your following visits.

For information about your benefits, preauthorization for certain services, and help finding a provider, call Health Net Behavioral Health at 800-663-9355.

Behavioral health and substance use coverage are provided by Blue Shield of California.

If you need help finding a provider or booking an appointment, call Accolade at (866) 406-1182, Monday through Friday, 5 a.m.–8 p.m. PT. You can also speak to a therapist or psychologist virtually through Accolade Care Telehealth and Virtual Visits.

HealthSavings+ and UC Care members have access to Blue Shield in-network and out-of-network providers, with higher costs for out-of-pocket providers.

Out-of-network care: If you receive covered services from an out-of-network provider, you are responsible for paying both 50% coinsurance and any charges above the amount allowed by Blue Shield. These additional charges do not count towards your deductible or out-of-pocket maximum, and can be significant.

You may need to pay your provider directly for services and submit a claim for reimbursement.

HealthSavings+

After meeting the deductible, members pay 30% coinsurance for covered services from an in-network provider. See above for out-of-network costs.

UC Care

If you see an in-network provider, there is no charge for your first three visits; a $30 copayment applies to subsequent visits.