Behavioral Health Benefits
When life presents you with problems that you’re having difficulty resolving on your own, your behavioral health benefits provide treatment options to help you get the care you need.

*** If you are in crisis or considering suicide, or if you or someone you know is currently in danger, please dial 911 immediately. ***

How can your program help?
Your Behavioral Health Program is private and easy to use. You and your covered family can access care by calling Magellan Health Services at 800-327-9240. When you call, a care manager will help you select a network provider that is convenient to your home or workplace and provide authorization for your treatment. If you need immediate assistance, Magellan clinical staff is available 24 hours a day to assist you with finding a provider and obtaining authorization for services.

Your Behavioral Healthcare Benefits includes a range of services. When authorized, these services may include:

• Inpatient care
• Intensive Outpatient Programs
• Partial Day Treatment
• Detoxification and Substance Abuse Treatment
• Psychiatrist Evaluation and Office visits
• Outpatient Treatment with Psychologists, Licensed Professional Counselors, and Licensed Clinical Social Workers

What is therapy?
A therapist is a licensed mental health professional who helps clients improve their lives, develop better cognitive and emotional skills, reduce symptoms of mental illness and cope with various challenges. Therapy is a time-tested tool that helps people with a variety of issues including anxiety, depression, grief, relationship problems, self-exploration, stress, substance abuse, trauma and more. There are many misconceptions about what it means to talk to a licensed professional and the stigma associated with it is often the reason people don’t seek help in the first place. However, therapy can help people manage issues, develop coping skills and improve their quality of life.

Who is eligible?
Subscribers and covered dependents on Yale Health’s plan are eligible for behavioral health services.
Your mental health and substance use benefits are part of your overall medical plan benefits with Yale Health. You can contact Magellan Health for services (800-327-9240, press 1 if this is an emergency or 2 for Member non-emergencies, then press 2 for counseling). Services include outpatient therapy, behavioral health medication management, psychological testing, inpatient care, partial hospitalization, residential treatment, intensive outpatient programs and office-based opioid treatment.

Is pre-authorization required?
Yes, you must call to pre-authorize care. For hospitalizations and higher levels of care, the in-network facility will call Magellan for preauthorization on your behalf.

Behavioral Health Benefits: Types of conditions treated

• Alcohol and drug addictions
• Adjustment disorders
• Anxiety disorders
• Bipolar disorders
• Clinical depression
• Eating disorders
• Personality disorders
• Other diagnosed behavioral health conditions

How to get started

• Call (800) 327-9240
• Use the provider search to view providers and facilities in our network.
• For Behavioral Health Benefits you can choose between outpatient, inpatient, intermediate (residential treatment and partial hospitalization), intensive outpatient treatment and tele-behavioral health.
• All of the providers listed are in-network and have been vetted by Magellan for their credentials and quality. The providers submit claims for your appointments and care. Your out-of-pocket expenses will limited to any applicable copayments according to your Plan and job category.
• Explore the Digital Emotional Wellbeing Program for common behavioral health conditions including anxiety, depression, insomnia, chronic pain, obsessive compulsive disorder and substance misuse.  

Coordination of Care
There is a basic relationship between a person’s behavioral and physical health. Behavioral health problems may have a medical basis or impact a person’s physical health. Many behavioral health disorders are actually "physical", neurological conditions, such as Schizophrenia. Many other behavioral health problems have clear physical symptoms such as fatigue from depression.

On the other hand, medical problems sometimes are accompanied by a behavioral health issue. Medical problems may also hide underlying behavioral health problems. For example, as many as 40% of people with cardiac problems will also suffer depression. Today there is more and more proof that behavioral health issues often go along with certain medical conditions such as cardiac problems, cancer, and pregnancy.

Magellan is committed to helping individuals improve their well-being. We recommend that you sign a release of information allowing your behavioral health provider to share your treatment information and coordinate care with your primary care provider.

How to file a complaint
Magellan uses First Call Resolution to resolve concerns at the time of each member’s call; however, if a Yale Health member is not satisfied with the outcome, members may submit complaints verbally or in writing. Complaints are acknowledged as received within 24 business hours and resolved within 30 calendar days.
Phone: 1-800-327-9240
Mail:
Magellan Health Services
Attention: Complaints/MO41
14100 Magellan Plaza
Maryland Heights, MO 63043

How to file an appeal
Fax Number: 1-888-656-3820
Members needing assistance in filing Appeals: 1-800-201-3957
Mail:
Magellan Appeals Department
P.O. Box 2128
Maryland Heights, MO 63043