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Self-Funded Employee Assistance Program Benefits For All Participants
Schedule of Employee Assistance Program Benefits |
Employee Assistance Program (EAP) 1
Treatment of Alcohol or Substance Abuse
24 Hour Phone Number: (916) 922-1099 or (877) 881-7877 (outside Sacramento) |
|
EAP Referral |
In-Network |
Out-of-Network |
| Deductible |
None |
$100 In-Network |
$200 Out-of-Network |
| Lifetime Dollar Maximum |
$10,000 |
| Lifetime Treatment Maximum |
2 treatment courses (not to exceed 6 months each) |
| Course of treatment that may include Screening, Referral, Detoxification, Residential recovery facility, and follow-up visits (maximum 5 per lifetime) |
$100 of contract rate, no deductible |
90% of contract rate, after deductible |
70% of usual, customary & reasonable, after Out-of-Network deductible. |
1 If you are enrolled in The Pipe Trades PPO Plus Self-Funded Indemnity Medical Plan, only In-Network benefits count toward the $5,000 coinsurance maximum. Charges incurred Out-of-Network will never be paid at 100%.
