CURRY COLLEGE - University Health Plans

Summary of Benefits Chart (continued)
Mental Health and Substance Abuse Benefits
Inpatient
Expense -
Mental Health
Covered Medical Expenses for inpatient
treatment of a mental health condition or
for substance abuse are payable as
follows:
Treatment of biologically based mental
health conditions, or rape related mental
or emotional disorders, while confined as
an inpatient in a hospital or facility
licensed for such treatment are payable on
the same basis as any other inpatient
expense.
Treatment of non-biologically based mental
health conditions, or for substance
abuse, while confined as an inpatient in a
hospital or facility licensed for such treatment,
are payable on the same basis as
any other inpatient expense subject to a
maximum of 60 days per Policy Year.
Covered Medical Expenses also include
the charges made for treatment received
during partial hospitalization in a hospital
or treatment facility. Prior review and
approval must be obtained on a case-bycase
basis by contacting Chickering
Claims Administrators Inc. When
approved, benefits will be payable in place
of an inpatient admission, whereby 2 days
of partial hospitalization may be
exchanged for 1 day of full
hospitalization.
Outpatient
Expense -
Mental Health
Covered Medical Expenses for the care or
treatment of a mental health condition by
a licensed or accredited health service
organization or hospital or by a licensed
practitioner are payable as follows:
Preferred Care: 100% of the Negotiated
Charge after an $8 Copay per visit.
Non-Preferred Care: 100% of the
Reasonable Charge after a $10 Deductible
per visit.
Outpatient treatment is payable up to a
maximum of $1,500 per policy year.
13.