Behavioral health and substance abuse coverage are provided by Optum for employees and retirees enrolled in:

How the plan works

  • Western Health Advantage members may access care from Optum in-network providers. To ensure timely access to the right care, every member who calls Optum’s master’s-level intake team will be offered a thorough consultation, including a clear explanation of available benefits, referrals to appropriate providers and proactive support finding an available appointment.
  • Kaiser members may access care from Kaiser behavioral health providers or from Optum in-network providers. However, 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.
  • You do not need a referral from your primary care provider to see a behavioral health provider, but some services require preauthorization. For information about your benefits 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

Plan costs 

Benefits are included in your medical plan premium. 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.