Behavioral health benefits

Behavioral health and substance abuse 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 $20 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 abuse 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 $20 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 abuse coverage are provided by Anthem Blue Cross.

Charges for routine office or telemental health visits vary by plan and provider type, and some services require preauthorization. For information about your benefits and help finding an in-network provider, call Anthem at 844-437-0486.

CORE

CORE members have access to Anthem in-network providers. There is a 20% coinsurance for covered services after meeting the deductible.

UC Care

UC Care members have access to Anthem in-network providers and to out-of-network providers. If you see an in-network provider, there is no charge for your first three visits, then a $20 copayment. If you choose to see an out-of-network provider, you’ll pay 50% coinsurance and you may need to pay your provider directly for services and submit a claim for reimbursement.

UC Health Savings Plan (HSP)

UC HSP members have access to Anthem in-network providers and to out-of-network providers.

After meeting the deductible, there is a 20% coinsurance for covered services from in-network providers and a 40% coinsurance for covered services from out-of-network providers. If you choose to see an out-of-network provider, you may need to pay your provider directly for services and submit a claim for reimbursement.