Laserfiche WebLink
HHRC-EOC 02.10.2017 18 Evidence of Coverage <br />EXHIBIT B <br />COMPARISON OF BENEFITS <br />The Employee Assistance Program (EAP) is being offered by your employer to provide you with <br />confidential assistance from licensed mental health professionals. These professionals can help with <br />problems affecting your life at work as well as at home. Such problems include marital issues, family <br />relationships, depression and anxiety, alcohol and drug issues, and/or problems within the workplace. <br />THIS MATRIX IS INTENDED TO BE USED TO HELP YOU COMPARE COVERAGE BENEFITS <br />AND IS A SUMMARY ONLY. THE COMBINED EVIDENCE OF COVERAGE AND DISCLOSURE <br />FORM AND THE EAP SERVICES AGREEMENT SHOULD BE CONSULTED FOR A DETAILED <br />DESCRIPTIONOF BENEFITS, LIMITATIONS AND EXCLUSIONS. <br />A. Deductible Not applicable <br />B. Lifetime Maximum Not applicable <br />C. Professional Services The EAP provides: <br />Psychosocial Assessment <br />Treatment Referrals and Resources for Psychosocial Problems <br />24-hour Crisis Telephone Access <br />Six (6) Counseling Sessions Per Incident <br />Legal Referrals <br />Financial Counseling Referrals <br />Identity Theft Consultation <br />D. Outpatient Services Please see Item C: Professional Services <br />E. Hospitalization Services None <br />F. Emergency Health Coverage Please see Item C: Professional Services <br />G. Ambulance Services None <br />H. Prescription Drug Coverage None <br />I. Durable Medical Services None <br />J. Mental Health Services Please see Item C: Professional Services <br />K Chemical Dependency Services Please see Item C: Professional Services <br />L. Home Health Services None <br />M. Other None <br />Members pay no co-payment. Coverage is limited to: a) eligible employees; b) the eligible <br />employee’s children under the age of 26; c) persons covered under the eligible employee’s health <br />benefit plan; d) persons residing with the eligible employee, including domestic partners of the same <br />or opposite sex. <br />REV: 03-10-23 MI <br />ATTY/AGR.2023.039/Aetna (EAP Services Agreement) (Page 42 of 42)