• What’s New For 2025
  • Newly Eligible Enrollment
  • Benefits
  • Other Programs
  • Healthier You
  • Important Notices
  • Contact

Important Notices

Important Notices Menu

  • Annual Notices
  • Continuation Coverage Rights Under COBRA
  • Family & Medical Leave Act (FMLA)
  • Genetic Information Nondiscrimination Act (GINA)
  • Health Insurance Marketplace
  • Information about Health Coverage Offered by McLeod Health
  • Medical Claims Filing and Appeal Procedures
  • Newborns’ & Mother’s Health Protection Act (Newborn’s Act)
  • Notice of Rescission of Coverage
  • Patient Protection
  • Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)
  • Prescription Drug
  • Preventative Health Services
  • Privacy Practices
  • Summary Of Benefits And Coverage
  • The Mental Health Parity and Addiction Equity Act
  • Price Transparency
  • Transparency in Coverage
  • Wellness Programs
  • Women’s Health & Cancer Rights Act (WHCRA)
  • Your ERISA Benefits Rights

The Mental Health Parity
And Addiction Equity Act

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.

  • Quick Links
    • Important Notices

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

©2025 McLeod Heallth