Director's Message

Director's Message

Plan options abound for help with emotional and behavioral health

OptumHealth(sm) Behavioral Health Solutions provides help for life’s challenges when you are enrolled in our High Option Plan.

No matter what you face in life, here at the Plan we want to ensure you receive the best value for your health care dollars.  One of the ways to achieve this goal would be choosing an In-Network provider to utilize mental health and substance abuse services.  Although you do have the option of choosing an out-of-network provider, the cost could increase, and you will not receive deeper provider discounts.    

With Optum®, members have access to over 167,000 in-network clinicians and 3,000 in-network facilities in more than 5,300 locations nationwide.  These In-Network providers are easy to locate 24 hours-a-day, 7 days-a-week by either using our online provider locator or by calling Optum’s toll free number at 877-468-1016.

We do understand that mental and emotional well-being is essential to overall health.  Positive mental health allows you to realize your full potential, cope with stresses of life, work productively and make meaningful contributions to your community.  Optum® is a recognized leader specializing in provider behavioral health care and substance use services and provides our mental health and substance use benefits.

High Option--Optum 

Taking advantage of these services can help you deal with life’s challenges and assist you in managing a wide range of mental health and substance use conditions, including abuse and domestic violence, depression, phobias, addictions, eating disorders, Alzheimer’s and dementia, obesity, schizophrenia, anxiety, obsessions and compulsions, stress, autism, personality disorders, traumatic brain injury (TBI), and bipolar disorder

By visiting our website at www.nalchbp.org and clicking the member resources link then clicking the OptumHealth link, you can access many of Optum’s resources.  There are informative articles, interactive self-help programs, and much more to help cope with life’s challenges and promote a healthier well-being.

Substance Use Disorder (SUD) Program

The SUD program is offered by the Plan through Optum®. This program offers assistance in finding In-Network providers and treatment options in the area and provides education about the SUD condition. Optum® has implemented a Substance Use Treatment Helpline that is available 24/7 to our members. You have immediate access to a licensed clinician at all times.  The clinician can arrange for an almost immediate face-to-face evaluation with an In-Network expert who can create a unique care strategy. Better treatment outcomes occur when you have a clear individualized treatment plan within your community. Call Optum® at 855-780-5955 to speak with a licensed clinician who can help guide you to an In-Network treatment provider or treatment center.

Substance Use Disorder Care Management Program 

This clinical care management outreach program through Optum® provides ongoing support for those individuals impacted by substance use readmissions and relapse. Upon readmission or during discharge, qualifying participants are called to complete an introductory call to join the program and are assigned a master’s level clinician to provide phone-based support and advocacy. This program is designed to engage participants in successful recovery by developing the best treatment options and guiding the participants to the right care

Consumer Driven and Value Option--Cigna 

Good news – there is also help when you are enrolled in the Consumer Driven or Value Option Health Plan.

Through the Cigna Behavioral Health Network, you have access to over 229,000 In-Network clinicians, over 4,500 In-Network facilities and over 13,000 In-Network clinics that provide quality service. 

Like our High Option Plan, you can take advantage of services that assist you in managing a wide range of mental health and substance use conditions, including abuse, depression, alcohol and drug addiction, eating disorders, Alzheimer’s and dementia, post-traumatic stress disorder, anxiety, schizophrenia, bipolar disorder and stress.

At www.mycigna.com members can easily access treatment resources, interactive self-assessment tools, and educational materials. The www.mycigna.com website provides convenient, confidential, and open access to information you need when you need it.

An online search tool is also available to help you find an In-Network clinician. By calling 855-511-1893, a specialist will help you identify the nature of your problem and match you with an In-Network provider who has the appropriate experience to help with your specific needs.

Remember, by choosing an In-Network provider when utilizing these mental health and substance use services, you will receive the best benefit.

NALC Health Benefit Plan Achieves Re-accreditation

The Plan was recently notified by Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) that, because of the Plan’s commitment to high quality of care and full compliance with AAAHC’s standards, we have been awarded with a Certificate of Accreditation, effective June 23, 2019 through June 22, 2022.

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Note: The information located in this article is only a summary of some of the NALC Health Benefit Plan benefits.  Detailed information can be found in the NALC Health Benefit Plan's official 2019 brochure (RI 71-009).  All benefits are subject to the definitions, limitations, and exclusions set forth in the official brochure.