If no applications are filed by these members, they will only be allowed to use the providers listed with Unity-UW Health in Dane County. Your Choice or subscribers should contact the plans directly. The subscriber s current plan is required to provide a list of all plan providers that will not be available in 2001. Subscribers should contact their plans if they have not received this information by October 6th. This benefit will provide coverage for smoking cessation products that require a written prescription and are prescribed by a plan provider, such as Zyban, nicotine inhalers or sprays.
Coverage is limited to one three-month course of pharmacotherapy per contract year.
The health plans may require a referral or pre-authorization for these products. Participants should contact the plans directly during Dual-Choice to determine how the plan will administer the benefit. There are no annual dollar maximums for mental health services in 2001. The dollar maximums continue to be suspended due to the federal Mental Health Parity Act. Annual day limits for inpatient mental health services and annual dollar maximums for alcohol and drug abuse treatment remain in force and are combined with mental health services for determining if benefits for alcohol and drug abuse have been exhausted.