intro
Mental health coverage and substance abuse treatment are available to employees, dependents, and retirees who are covered under the Auburn Medical Plan.
While our EAP addresses everyday living problems, mental health benefits address clinical issues such as depression, anxiety, abuse, childhood trauma, substance abuse and other serious conditions. Uprise Health assists employees and families by identifying and working through conditions that may be a focus of clinical attention such as:
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Adjustment disorder
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ADD/ADHD
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Anxiety disorders
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Autism
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Depression and mood disorders
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Impulse control disorders
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Schizophrenia and other psychotic disorders
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Substance abuse disorders
Inpatient and Outpatient
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Number of days determined by medical necessity
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Co-pay same as medical plan
Transition of Care
For transition of care, Uprise Health offers one to three visits based on the intensity of services and the severity of the patient’s illness for those individuals currently receiving clinical behavioral healthcare treatment.
Call 800-925-5327 or visit the Uprise website (Company Code: AUBURN) for more information.
To submit a claim
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You can submit a claim on the Member Portal.
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Additional information on establishing your online account and accessing the Member Portal is listed below.
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You can also complete the Reimbursement Form and either mail it to P.O. Box 30018, Laguna Niguel, CA 92607, or fax it to 714-556-5430.
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Key Documents
Summary of Benefits
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Effective: January 1, 2024
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Summary Document #: 559777215382
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Important Information: All benefits are based on the appropriate level of care and medical necessity guidelines. Provider/facility licensure by the state to provide covered services and facility accreditation by The Joint Commission or CARF is required.
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PPO Plan
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Calendar Year Deductible: $500 per person per year with a three-member family maximum
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Calendar Year Out-Of-Pocket Maximum: $9,450 Individual / $18,900 aggregate family maximum
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HDHP
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Calendar Year Deductible: $2,500 self-only coverage / $5,000 family coverage
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Calendar Year Out-Of-Pocket Maximum: $5,000 self-only coverage / $10,000 family coverage
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Member Portal
Member Portal and Registration
The following content is available in the Member Portal:
Claims and Authorizations
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View your authorizations.
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Request EAP authorizations.
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View claims.
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File for reimbursement claims.
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View Explanation of Benefit documents (EOBs).
Coverage and Benefits
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View coverage and benefits.
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View benefits in detail.
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Check your out-of-pocket payments and deductible.
Provider Information
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Search for provider by name, zip code or specialty.
Change Information
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You can change your member demographics after you notify Auburn University Human Resources.
Establishing the Member Portal Account
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Click Member Portals and select Sign In.
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Select “Don’t have an account? Register Now.”
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Enter your Last Name and Date of Birth and then click Next. (Each member accessing mental health/substance abuse services must have their own registration and login.)
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Select Health Plan from the drop-down menu and then click Next.
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You will then be asked to create and/or confirm the following information:
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Username
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Password
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Email
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Phone number
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Preferred contact method
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Secret question and answer
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Any additional notes (optional)
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After entering this information, click Register.
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Once you complete the registration process, you will receive an email confirming your request.
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After your request is approved, you will receive another confirmation email.
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As you log in, you will enter a new password.
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You can log in to the member portal using your username and password.
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If you are unable to log in, please email helpdesk@americanbehavioral.com.
