MILA : WHAT IS COVERED

	Benefits Summary


	What Is Covered

Explanation of Terms

Covered Medical Services

Other Medical Services

Non-Routine Care and Services

What is Covered Under the Behavioral Health Program

The Member Assistance Program (MAP)

Required Approval for Behavioral Health Care

What Treatment is Covered

Plan Limits

The Prescription Drug Program

Medical Expensese Not Covered Under the Plan

Charges Not Covered in the Behavioral Health Program

Charges Not Covered in the Prescription Drug Program

Coordination of Benefits

Third Party Reimbursement and Subrogation


	Participation Under the Plan


	Claims and Appeals


	Your Rights Under ERISA


	Administrative Information


	Glossary

WHAT IS COVERED

The Member Assistance Program (MAP)

The Member Assistance Program (MAP) is a counseling service designed to help you with any problems you may face. ComPsych, a behavioral health manager, administers the MAP.

All care is confidential. No one (not even your employer or the MILA Fund Office) besides you, your treatment provider and ComPsych knows what treatment you are getting, or why you are being treated.

To access care, simply call the MAP 24 hours a day, seven days a week, at the toll-free number you’ll find in the Resources chart in the Administration Information section at the back of this SPD. A ComPsych Behavioral Health Manager will discuss your concerns, answer your questions and, if appropriate, coordinate approval of and a plan for care or treatment. Up to three consultations per crisis will be covered at no charge to you. If appropriate, the MAP representative will refer you to a ComPsych Behavioral Health Manager.