Medical>coverage dental medical
Each medical option includes access to the Employee Assistance Program ("EAP"). Services are available through the EAP for all University employees enrolled in the Employee Health Care Plan, their enrolled dependents, and other family members residing in the employee's household. Behavioral Health Benefits must be accessed through the EAP for the maximum benefit. The EAP will be the first point of contact for those seeking help. If the individual’s needs are beyond the scope of the EAP, the individual will be referred to an appropriate Behavioral Health Provider. Employees must coordinate care through the EAP in order to receive the maximum Behavioral Health benefit. If the employee does not coordinate care through the EAP, coverage is reduced.
* The EAP is a confidential counseling service that was created to help with a variety of personal concerns.
* Personal concerns include family and relationship issues, stress, grief, depression, anxiety, alcohol/drugs, workplace issues, management consultation and more.
* The EAP can also provide advice and referrals to help resolve legal, financial, child-care and eldercare concerns.
* The EAP is available 24 hours a day, 7 days a week to handle any emergency situation. There is no specific visit limit for brief, solution-focused counseling sessions though the EAP.
* When needs go beyond the EAP the individual will be referred to an appropriate Behavioral Health network provider.
* Behavioral Health benefits are available for mental health needs and chemical dependency.
* Review the Summary Comparison or the medical option Summary Plan Description for additional information on these benefits.
In order to gain the maximum benefit from this plan you must file the dental claim form (See Exhibit VI ) in the required manner. You may obtain this form from the Campus Health & Welfare Specialists or the Fund Office.
Once dental work has been completed, and completed dental claim forms have been received by the Fund Office, benefit payments will be paid to you unless you have indicated on the claim form that you wish payment to be made directly to the dentist (See Exhibit VI). Your promptness in submitting the completed claim form (which must be fully completed by you and your dentist) will result in timely reimbursement. All completed forms must be submitted directly to the Fund Office.
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