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Behavioral Health Benefits

Specialized mental health and chemical dependency services are provided under a single program available to all employees enrolled in any of the state’s health plans. This program, currently administered by United Behavioral Health (UBH), provides 24-hour-a-day, seven-day-a-week telephonic assessment and referral services for a variety of behavioral health issues, such as:

• Depression
• Stress
• Marital and family issues
• Serious mental illnesses
• Alcohol and drug dependency

The program also includes a disability component in which employees who require time off for behavioral health conditions have access to specialized providers on an expedited basis.

Key Points:
• There are no limits on the number of clinically necessary visits or inpatient days under the program.
• There are no annual or lifetime monetary maximums.
• Patients must obtain pre-approval for all services and must utilize providers, hospitals and other facilities that participate in the UBH network. 

Access to the UBH behavioral health care system may also be coordinated through the State of Ohio internal Employee Assistance Program administered by the Ohio Department of Health.

UBH calls are answered by master’s degree level, licensed clinicians who are trained to assist callers with emergency, urgent or routine issues and assist them in locating an appropriate provider. 

Routine Care
For outpatient counseling services, you may obtain assistance in locating a participating provider experienced in dealing with your specific issues. If you have a previously-established relationship with a counselor, or if one has been recommended by your physician, call 1-800-852-1091 to ask UBH if the provider participates in the UBH network. You may also access a list of participating providers by visiting the UBH Web site at www.liveandworkwell.com and by selecting “Find a clinician near you."

Emergency Care
If you or a loved one experiences a life threatening emergency that requires immediate attention, go the nearest emergency room. It is best if you can contact UBH before your arrival. If you cannot, call UBH at 1-800-852-1091 within 24 hours. (In most cases, emergency care is covered by your medical plan.) If the emergency room visit is going to result in an admission to the hospital for a behavioral health or chemical dependency condition, you or the facility must call UBH for authorization. You may be directed to a more appropriate inpatient or outpatient facility for treatment.

Care While Traveling
UBH has a nationwide network of providers and hospitals. Call 1-800-852-1091 for assistance in obtaining services when outside of the Ohio service area.

*Please note there is no coverage for services provided outside of the UBH network.

What Costs Are Involved?

• Employees and dependents are required to pay a $20 copay for each outpatient visit and a $100 copay for each hospital admission.
• Beyond these copays, all services that have been pre-approved by UBH will be covered in full.
• There are no deductibles and no predetermined maximum number of visits or hospital admissions associated with this program.
• Copays made for mental health and substance abuse services do not count toward your health plan deductible and out-of-pocket maximums.

• Individual and group outpatient mental health and substance abuse treatment
• Inpatient psychiatric and chemical dependency treatment
• Family and marital counseling
• Services for lifestyle management counseling
• Mental health and substance abuse disorders and conditions, including, but not limited to:
  
  
  • Assessment
  • Diagnosis
  • Individual and group psychotherapy
  • Inpatient treatment
  • Intensive outpatient services
  • Medication management
  • Preventive services
  • Treatment planning