The Employee Member Assistance Program (EMAP) provides mental/behavioral health and substance abuse benefits and offers support services and referrals to mental/behavioral health specialists. The EMAP covers Participants and their family members enrolled in the Indemnity PPO Medical Plan.
Mental/behavioral health and substance abuse benefits for Kaiser HMO Participants are provided through the Kaiser HMO.
The EMAP covers inpatient and outpatient mental/behavioral health and substance abuse care. The program is designed to help you and your covered family members resolve personal problems in the early stages. You can get help with:
- Stress
- Aging
- Anxiety
- Family issues
- Work issues
- Finances
- Parenting
- Grief/loss
- Relationships
- Marriage
- Alcohol/drug abuse
- Depression
HMC HealthWorks® (HMC) administers the EMAP. HMC’s provider network includes psychiatrists, psychologists, therapists, marriage/family/child counselors, hospitals, acute care facilities, and rehabilitation centers.
Whenever you or your covered dependent needs help with mental/behavioral health or substance abuse problems, you can call HMC at 800-461-9179, night or day. An HMC Care Manager will refer you to a network provider near your work or home and help you schedule appointments. To help make sure you receive proper care, your Care Manager will also follow your treatment every step of the way.
All discussions between you, your Care Manager, and your provider are confidential. Information about your EMAP services cannot be released without your written consent, except by court order, imminent threat of harm to self or others, or in situations of abuse.
The Fund pays for EMAP services the same way as it does for any other medically necessary health care service covered under the Indemnity PPO Medical Plan. Refer to your plan’s Benefits Chart to see the coverage levels.
Precertification is required for non-emergency inpatient hospital and rehabilitation facility services. When HMC coordinates the admission, precertification is automatic. However, if you are admitted to a hospital or other facility without precertification by HMC, a penalty may apply and your benefits may be reduced.
800-461-9179, 24 hours a day, seven days a week
https://hmc.personaladvantage.com
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