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Active Members Information: Mental Health & Substance Abuse

Optum provides mental health and substance use rehabilitation treatment services, whether inpatient or outpatient. (Inpatient detoxification services will be coordinated by Optum but services are provided through your PPO, Custom HMO or Bronze Plan Coverage [for Active members], when clinically necessary.)

Network:

• Specialized network of professional providers and treatment facilities
• Lower out-of-pocket expenses and no claim forms as long as you use Optum in-network providers.

Copay:

• $5 office visit (Custom HMO members)
• $20 office visit (PPO members)

Obtain Care:

• Online:
  • ­Log on to liveandworkwell.com, 24/7, by using your login information or access code, Pennsylvania
  • Select Get Care
  • ­Search for a provider by name, procedure or condition
  • ­Prefer a virtual visit? Type virtual visits in that search bar. You’ll be able to talk to a mental health provider online, in the privacy and comfort of your own home
  • ­Talkspace, which provides 24/7 access to tools and resources to support your mental health journey is also available – just type in Talkspace in that search bar
• By phone:
  • Call Optum at 1-800-924-0105
  • ­Speak to a trained Optum counselor who will gather basic information to understand your situation and needs
  • ­Refer to the best-qualified mental health or substance use professional located near your place of work or home; in-person appointment, normally within 72 hours; sooner if your condition warrants

For more information, refer to your Summary Plan Description or contact PEBTF.

Optum www.liveandworkwell.com