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Benefits

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Behavioral Health Benefits

If you are enrolled in a McLeod Medical Plan, you are eligible for Behavioral Health benefits. You will pay the lowest cost for care when you receive a referral through the McLeod Employee Assistance Program (EAP). You can go directly to a BCBS Network Provider without a referral, but you will pay a higher copay, deductible and out-of-pocket maximum.

Plan Provisions McLeod EAP Network
(referral required)
BCBS Network
(without a referral)
Annual deductibleNo deductibleMust meet deductible and out-of-pocket maximum as outlined in the medical plan you elected.
Annual out-of-pocket maximumEmployee: $100
Family: $200
Must meet deductible and out-of-pocket maximum as outlined in the medical plan you elected.
Licensed therapist (Masters)100% of allowable charges after a $10 per visit copay
No deductible
100% of allowable charges after a $35 per visit copay
No deductible
Psychologist (Ph.D.)100% of allowable charges after a $15 per visit copay
No deductible
100% of allowable charges after a $50 per visit copay
No deductible
Psychiatrist (MD)100% of allowable charges after a $20 per visit copay
No deductible
100% of allowable charges after a $60 per visit copay
No deductible
Facility, physician inpatient and outpatient services, and BCBS provider office visits are paid through the Core, Enhanced or High Deductible Health Plan.

Note: For the HDHP, copays apply after the deductible has been met.

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IMPORTANT NOTICE: This site serves as a summary of material modification to the Summary Plan Descriptions.

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