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Agmt23 AETNA
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Agmt23 AETNA
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Last modified
3/28/2023 11:20:48 AM
Creation date
3/28/2023 11:19:57 AM
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Agreement
PROJECT NAME
AETNA Resources for Living -
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HHRC-EOC 02.10.2017 17 Evidence of Coverage <br />C. Exclusions <br />1) Inpatient treatment of any kind, or outpatient treatment for any medically treated <br />illness. <br />2) Psychiatrist services. <br />3) Prescription drugs. <br />4) Counseling services beyond the number of sessions covered by the benefit. <br />5) Services by counselors who are not Participating Providers. <br />6) Court ordered treatment or therapy, or any treatment or therapy ordered as a condition <br />of parole, probation, custody, or visitation evaluations, or paid for by Workers’ <br />Compensation. <br />7) Formal psychological evaluations which normally involve psychological testing and <br />result in a written report. <br />8) Fitness for duty evaluations which are used to evaluate whether an employee is safely <br />able to perform his or her duties. This typically includes psychological testing and a <br />written report. <br />9) Investment advice (nor does Plan loan money or pay bills). <br />10) Legal representation in court, preparation of legal documents, or advice in the areas of <br />taxes, patents, or immigration. <br />II. Telephonic WorkLife Program Services <br />A. Benefits <br />Our exclusive, phone-based program designed to assist members with a full range of <br />WorkLife issues. Members are connected with WorkLife specialists who can assist them <br />with child and elder care issues, temporary care, special needs, disaster relief, personal and <br />convenience services, and many other needs. <br />B. Limited Liability <br />Plan makes no warranties, expressed or implied, with respect to any information, service <br />or product provided by a WorkLife referral or on-line assessment provided to Members <br />(“Referees”) and all such warranties are expressly disclaimed by Plan and waived by <br />Group. Referrals to “Referees” do not imply an endorsement, recommendation, or <br />approval by Plan of the particular information, service, or product provided to the Referee. <br />While Plan makes every effort to make appropriate referrals for Members, Plan does not <br />guarantee the accuracy of the information, or the quality or appropriateness of the services <br />or products provided to the Referee. The decision about any information, products, or <br />services to a Referee must be made by the Members themselves or Group, as applicable. <br />REV: 03-10-23 MI <br />ATTY/AGR.2023.039/Aetna (EAP Services Agreement) (Page 41 of 42)
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