Employees and their dependents enrolled in health coverage are eligible for mental health and substance abuse benefits, which are administered by Magellan Health Services. You have convenient and confidential access to benefits. Services generally include the following:
|•||Outpatient assessment and treatment|
|•||Inpatient assessment and treatment|
|•||Alternative care such as partial hospitalization, residential treatment and intensive outpatient treatment|
|•||Treatment follow-up and aftercare|
Certain services are specifically excluded under the terms and conditions of the state group insurance program. For more information, contact Magellan Health Services.
To receive maximum benefit coverage, participants must use a network provider and obtain preauthorization. Magellan can be reached toll-free at 855.HERE.4.TN (855.437.3486) any time, day or night, to speak confidentially with a trained professional for a referral. Participants may see an out-of-network mental health provider without calling for a referral; however, coinsurance and copayments will be higher. Participants are also subject to balance billing by the out-of-network provider, meaning that they will pay the difference between the maximum allowable charge and the actual charge. Additionally, participants are at risk of having inpatient benefits totally denied.
In addition, enrollees have access to an Employee Assistance Program (EAP) that provides up to five counseling sessions, per incident, at no cost to you. In addition to counseling support, your EAP provides a variety of consulting services including financial, legal, childcare, eldercare, and identity theft support. Your EAP can be accessed by calling Magellan or by logging on to Magellanassist.com and clicking on EAP self-referral. Here4TN.com provides valuable health information, tools and resources to help with life’s challenges as well as opportunities. This site offers you the ability to take self-assessment tests, on-line trainings, search for available providers and access MapQuest links to see a map of your provider’s location, as well as obtain driving directions. It also provides the ability to review claims information online.
Magellan also has its own policies and procedures to protect your privacy. These policies guide Magellan staff, providers, and visitors on how to keep information private. By signing an Authorization to Use or Disclose Protected Health Information Form, you permit us to disclose your personal information. If you have a guardian or someone selected by the court, they can sign the form for you. We can only give your information to you or the designated person. To get an Authorization to Use or Disclose Protected Health Information Form, please call your Magellan program’s toll-free number.