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Summary Plan Description (SPD)
This section modified by: Amendment 13. View Previous Language
Mental Health & Chemical Dependency Benefits Program
All Inpatient Care must be pre-approved by PacifiCare Behavioral Health (PBH) 1- (877-225-2267). Benefits are only payable for Inpatient Care provided by an In-Network facility under contract with PBH.Services for the treatment of nervous and mental disorders and chemical dependency are a covered benefit, only if such services offer a reasonable expectation of improvement, and are at the least restrictive level of care providing effective treatment as determined by PBH and consistent with safe medical practices.