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Summary Plan Description (SPD)
Integrated Member Assistance Program (MAP) and Managed Mental Health & Chemical Dependency Benefits Program
In This Section:
- Introduction
- PacifiCare HMO Plan Participants
- PacifiCare HMO Plan Participants
- Access Your MAP Anytime
- Mental Health & Chemical Dependency Benefits Program
- What is Clinically/Medically Appropriate Treatment?
- How Does the Program Work?
- What Are the Benefits?
- Questions and Answers About the Program
- Submission of Claims
- Exclusions & Limitations
- Medical Necessity – Request for Reconsideration of Denial and Appeals Procedures
For PacifiCare and Self-Funded Indemnity Plan Participants
| All In-patient care must be both pre-authorized by PacifiCare Behavioral Health (PBH) and provided by a PBH-contracted Network Facility. For pre-authorization phone the 24-hour toll-free hotline at 1-877-22-LABOR (1-877-225-2267). |