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Summary Plan Description (SPD)
Access Your MAP Anytime
Behavioral Health can be reached toll-free 1-877-225-2267, 24-hours a day, 365-days a year or visit www.pbhi.com.
| Kaiser participants are eligible for benefits under the Member Assistance Program (MAP). Mental Health and Chemical Dependency benefits are available only at Kaiser. Note: Kaiser maintains a Behavioral Healthcare Member help line - toll-free 1-800-900-3277. |
The chart below shows you how to use this Program and provides two common examples of the benefits provided.
| Example One: | Example Two: | |
| A family member needs individual or family counseling. | A family member has a drug or alcohol problem. |
Step Two: Taking Action
| To start any treatment under this Program, you first need to access the Member Assistance Program by calling toll-free 1- (877-225-2267). You will immediately be connected to a PBH/MAP Counselor. This hotline is available 24 hours a day, 365 days a year. |
Step Three: Assessment If Needed
| If necessary, the PBH/MAP Counselor sets up an appointment with a mental health professional (PBH In-Network Provider) who will assess your problem and recommend an appropriate treatment plan. |
Step Four: Treatment Plan
| Example One: | Example Two: | |
| Referral to a mental health professional who is experienced in marriage and family counseling. | Referral to a PBH approved In-Network Day Treatment Program designed to treat alcohol and chemical dependency. | |
| In certain emergency situations, the MAP Counselor may authorize skipping Step 3 and proceeding to Step 4. | ||
The Board of Trustees has contracted with PacifiCare Behavioral Health (PBH) to administer the MAP. PBH has also been retained to manage the Mental Health and Chemical Dependency Program, which is explained in this SPD. Because this is a managed care plan, all treatment must be approved in advance by PBH. PBH will work with you and/or spouse to make certain you are receiving the proper treatment for your condition.
To start your treatment under this Program, you first need to access the Member Assistance Program by calling toll-free 1-(877-225-2267). This hotline is staffed 24 hours a day, 365 days a year. During your initial call to the MAP, a MAP counselor will discuss the nature of your problem and outline a plan of action for you to consider. This Program may include a referral for outpatient assessment sessions with a clinical specialist. Up to three assessment sessions are provided under the Member Assistance Program per calendar year without charge to you.