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 Mental Health/Substance Abuse Benefits 

If you enroll in a State medical plan, you and your enrolled dependents will automatically receive mental health and substance abuse coverage. However, your mental health and substance abuse benefits vary depending on the medical plan in which you are enrolled.

EPO PLAN

Your EPO plan must authorize all of your mental health and substance abuse services to be eligible for coverage. In addition, out-of-network services are not covered under any of the EPO plans. Contact your EPO plan for more details.

PPO AND POS PLANS

Your mental health and substance abuse benefits are provided by APS Healthcare Bethesda, Inc. The following types of services are covered under this plan:

  • Inpatient facility and professional services;
  • Partial hospitalization;
  • Intensive Outpatient Program; and
  • Outpatient facility and professional services.

To get the most from your benefits, you should contact APS before receiving any services.