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<blockquote data-quote="scooby0048" data-source="post: 4283660" data-attributes="member: 50693"><p>IDK if this helps you or not, but here is an excerpt from the plan document of the Teamcare coverages, Central States, UPS plan U1:</p><p></p><p><strong>12.09 BEHAVIORAL HEALTH BENEFIT -OUTPATIENT</strong></p><p>A Covered Individual may receive from the Plan a Behavioral Health Benefit - Outpatient as follows:</p><p>(a) Covered Expenses—</p><p>All services rendered on an outpatient basis under the direction of a psychiatrist, Physician,</p><p>Clinical Psychologist, or licensed social worker performed for maintenance of a psychiatric</p><p>condition or chemical abuse program in affiliation with a Hospital, Psychiatric Treatment</p><p>Facility or Alcoholism or Substance Abuse Treatment Facility.</p><p>(b) Amount Paid—</p><p>The Plan will pay the level of benefits specified under Section 20.01(h) for all covered</p><p>outpatient expenses for each Covered Individual.</p><p>(c) Non-Covered Expenses—</p><p>The Plan will not pay charges for:</p><p>(1) Educational, vocational, financial, family or marital counseling;</p><p>(2) Legal Services;</p><p>(3) Recreational counseling;</p><p>(4) Services rendered by a federal, state or other institution for which the member</p><p>is not legally required to pay;</p><p>(5) Dues or contributions to a supportive organization or facility; and</p><p>(6) Services rendered by an individual who is not licensed or not registered in the</p><p>state where services are performed.</p><p>(7) Regressive therapy, megavitamin therapy, nutritionally based therapies for</p><p>chemical dependency treatment, and non-abstinence based chemical</p><p>dependency treatment;</p><p>(8) Custodial care, including, but not limited to, treatment not expected to reduce</p><p>the disability to the extent necessary to enable the patient to function outside a</p><p>protected, monitored or controlled environment;</p><p><strong><em><span style="color: #ff0000">(9) Services and treatment for intellectual disabilities, autism spectrum disorders (ASD) and/or developmental delays except for initial diagnosis. Applied Behavioral Analysis (ABA) may be covered for ASD;</span></em></strong></p><p><strong><em><span style="color: #ff0000"></span></em></strong></p><p><span style="color: #000000">If the ABA is covered, then this is what you can expect if you are part of the Central States plan:</span></p><p><span style="color: #000000"></span></p><p><span style="color: #000000">[ATTACH=full]274342[/ATTACH] </span></p></blockquote><p></p>
[QUOTE="scooby0048, post: 4283660, member: 50693"] IDK if this helps you or not, but here is an excerpt from the plan document of the Teamcare coverages, Central States, UPS plan U1: [B]12.09 BEHAVIORAL HEALTH BENEFIT -OUTPATIENT[/B] A Covered Individual may receive from the Plan a Behavioral Health Benefit - Outpatient as follows: (a) Covered Expenses— All services rendered on an outpatient basis under the direction of a psychiatrist, Physician, Clinical Psychologist, or licensed social worker performed for maintenance of a psychiatric condition or chemical abuse program in affiliation with a Hospital, Psychiatric Treatment Facility or Alcoholism or Substance Abuse Treatment Facility. (b) Amount Paid— The Plan will pay the level of benefits specified under Section 20.01(h) for all covered outpatient expenses for each Covered Individual. (c) Non-Covered Expenses— The Plan will not pay charges for: (1) Educational, vocational, financial, family or marital counseling; (2) Legal Services; (3) Recreational counseling; (4) Services rendered by a federal, state or other institution for which the member is not legally required to pay; (5) Dues or contributions to a supportive organization or facility; and (6) Services rendered by an individual who is not licensed or not registered in the state where services are performed. (7) Regressive therapy, megavitamin therapy, nutritionally based therapies for chemical dependency treatment, and non-abstinence based chemical dependency treatment; (8) Custodial care, including, but not limited to, treatment not expected to reduce the disability to the extent necessary to enable the patient to function outside a protected, monitored or controlled environment; [B][I][COLOR=#ff0000](9) Services and treatment for intellectual disabilities, autism spectrum disorders (ASD) and/or developmental delays except for initial diagnosis. Applied Behavioral Analysis (ABA) may be covered for ASD; [/COLOR][/I][/B] [COLOR=#000000]If the ABA is covered, then this is what you can expect if you are part of the Central States plan: [ATTACH=full]274342[/ATTACH] [/COLOR] [/QUOTE]
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