OptumHealth Behavioral Solutions offers full care management of your mental health and substance abuse needs including pre-certification of inpatient admissions, referrals for outpatient treatment, care advocacy follow-up and continued management post-discharge from higher levels of care.

Call OptumHealth at (866) 763-0466. Trained and licensed clinical staff is available 24 hours a day, 7 days a week to provide assessment, crisis counseling and referral to contracted providers, along with help selecting a provider.

The Trust has a Preferred Provider Organization (PPO) arrangement with Optum Behavioral Health for mental health and substance abuse services. This network of providers provides eligible employees and dependents with efficient, cost-effective services at discounted rates.

Providers not in the networks are called non-PPO providers. Non-PPO providers are reimbursed at a lower level of benefits and charges are allowed only up to usual, customary and reasonable (UCR) fees.

Although you may see any provider covered by the plan, you receive higher benefits if you use PPO providers—the choice is yours, each time you use your benefits.

• Find a Preferred Optum provider with the OptumHealth Provider Directory for Mental Health & Substance Abuse. Or call OptumHealth directly at (800) 231-6935.
• For additional resources, go to LiveWell Behavioral Health Online for OptumHealth’s industry-leading web site. The site contains a wealth of information and resources to help you with your daily life and any stressors you may be experiencing.

Look to your benefits booklets for more information.

Find the details of your mental health & substance abuse coverage in your Summary Plan Description (choose the link below based on whether you are in the “Sound” or “SoundPlus” plan). To determine whether you are covered under the “Sound” or “SoundPlus” plan, look at the front of your Sound Health & Wellness Trust ID card. It is printed on the far left-hand side under the Trust logo.

• Sound Plan PPO Summary Plan Description (including 1/1/11 Benefit Changes)
• SoundPlus Plan PPO Summary Plan Description (including 1/1/11 Benefit Changes)
• Eligible Dependent Children Definition