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Required Changes for Mental Health and Substance Use Disorder Coverage

Apr 01, 2016

March 18, 2016

UnitedHealthcare of California (HMO) has carefully reviewed its Mental Health and Substance Use Disorder coverage for Small and Large Group employers in response to a comprehensive survey conducted by the Department of Managed Health Care (DMHC). DMHC has surveyed all health care service plans in California regarding their Mental Health and Substance Use Disorder coverage and compliance with state and federal laws. As a result of this DMHC survey, the following changes have been made to UnitedHealthcare’s coverage effective January 1, 2016, regardless of group’s renewal date:

UnitedHealthcare is issuing notices to employers to distribute to their employees and dependents advising them of significant changes, such as the cost-sharing changes and the EOC language changes. The member notice will include an overview of the changes, an EOC Addendum, and a benefits grid highlighting the cost-sharing changes from Inpatient to Outpatient Services.

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