McLeod offers services for mental health and substance use disorders (MH/SUD) that is no more restrictive than the coverage for medical/surgical conditions. To include:
- Copays, coinsurance, deductibles, and out-of-pocket maximums, limitations on service utilization, use of care management tools, coverage for out-of-network providers, and criteria for medical necessity determinations.
McLeod typically makes decisions to cover or deny coverage for specific mental health and substance use disorder services based on whether that service is “medically necessary” for the patient. Upon request, McLeod will:
- Share the criteria used to make these medical necessity determinations with any current or potential employee, dependent, or contracting provider.
- Explain the reason for any denial of reimbursement or payment for services for mental health and substance use disorder benefits to the employee or dependent.
For additional information on mental health benefits, please contact
the McLeod Employee Assistance Program at 843-317-4949 or toll free 877-317-4949 in the Pee Dee Area or 843-655-9438 in the Coastal Area or BCBS at 800-760-9290 or 800-810-2583.