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<br />6. / t:?- a/ <br /> <br />Non-Emergency Care <br /> <br />Call MHN toll-free at 1-800-227-1060,24 hours a day, 7 days a week, for a referral to a Participating <br />Practitioner and to request authorization of treatment. TDD callers can dial 1-800-327-0801. <br /> <br />MHN will evaluate your problem and refer you to a Participating Practitioner. MHN will attempt to <br />make routine appointments available within 10 business days. Provided you are eligible and have not <br />previously exhausted your benefit, MHN will authorize up to the maximum number of Sessions <br />covered under your EAP. <br /> <br />MHN Online EAP: MHN's online services can help you better manage a wide range of emotional <br />health, working and living challenges, all in one convenient web site. You can access MHN's EAP <br />services at www.mhn.com, or via a link on your employer's Intranet (if available). <br />1. Register using your Company Access Code: redwoodcity (all lowercase) <br />(NOTE: You will only use this access code at initial registration). <br />2, Select your user name and password, then enter your e-mail address and a password question. <br />3, To access EAP referrals you will be prompted to supply additional infonnation. <br /> <br />Second Medical Opinion <br /> <br />MHN may, as a condition of coverage, require that a Member obtain a second opinion from an <br />Appropriately Qualifi~d Health Professional to verify the medical necessity or appropriateness of a <br />covered service. In àddition, you, as a Member, have the right to request a second opinion when: <br /> <br />. <br /> <br />You are concerned about your Participating Practitioner's diagnosis or treatment plan. <br />You are not satisfied with the result of the treatment rendered, . <br />You question the reasonableness o~ necessity of recommended surgical procedures. <br />ì' au question a diagnosis or plan of care for a condition that threatens loss of life, limb, bodily, <br />function. or substantial impainnent, including, but not limited to, a serious chronic condition. <br />The clinical indications are complex or confusing, a diagnosis is in doubt due to conflicting test <br />results, or the Participating Practitioner is unable to diagnose the condition. <br />The treatment plan in progress is not improving your medical condition within an appropriate <br />period of time for the diagnosis and plan of care. <br />If you have attempted to follow the plan of care or consulted with the initial Participating <br />Practitioner due to serious concerns about the diagnosis or plan of care. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />To request an authorization for a second opinion, contact your Participating Practitioner or MHN. <br />!\1 HN will review the request, and if a second opinion is considered appropriate, MHN will authorize <br />J refeITa] to an Appropriately Qualified Health Professional. The Practitioner rendering the second <br />opInIon will provide a written consu1tation report to MHN, the Member and the original Participating <br />Practitioner. <br /> <br />I f the Member faces an imminent and serious threat to health, including, but not limited to, the <br />potential loss of life, limb or other major bodily function, or lack of timeliness would be detrimental <br />to the ability to regain maximum function, the second opinion will be rendered in a timely fashion <br />appropriate to the nature of the condition not to exceed 72 hours of MHN's receipt of the request, <br />whenever possible. For a complete copy of this policy, contact MHN at 1-800-227-1060. <br /> <br />8 <br />