Important:
The Board of Trustees has implemented a Member Assistance Program, called MAP for short. The purpose of the Member Assistance Program is to provide you and your spouse with a professional consultation and referral program for personal, mental health, and chemical dependency problems. For example, typical reasons for which the MAP is accessed are problems with drug and alcohol abuse, eating disorders, marriage and family issues, work issues, parenting and childcare issues.

This Program provides benefits only for the specific Mental Health & Chemical Dependency benefits as described in this Summary Plan Description. The Program requires that all benefits be pre-authorized by PacifiCare Behavioral Health.

This is a Managed Care Program, and PBH will refer you, when appropriate, to a PBH provider or facility that is under contract with PBH, called an In-Network Provider or Facility.  For example, there are no benefits provided for any inpatient mental health or chemical dependency benefits unless the treatment plan is authorized in advance by PBH, and the authorized treatment is provided by an In-Network PBH contracted facility.

By having your care managed by PBH, you will be assured of receiving the treatment best suited to your particular problem.  In addition, managed care means that the length and quality of treatment is monitored in order to curb any claim abuses.

Access Your MAP Anytime

Step One: Getting Started

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.

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