Costco

Mental health and substance abuse counselors
Psychologists and clinical workers
Psychiatrists
Residential treatment centers

To qualify for most benefits, your care must be approved and referred by Care Network before you receive services, except in the case of an emergency. If you or a family member needs help with a mental health or substance abuse problem, be sure to call the Care Network at 1-877-578-0528 before receiving services.

Mental Health Summary of Benefits

With referral and approval from the Care Network

Plan Benefits

Outpatient counseling, individual, family and group counseling sessions, up to 50 sessions per year per person.

Other outpatient and inpatient services

Level 1, Inpatient psychiatric hospitalization (one day of care = 1 unit)
Level 2, Day, evening or night treatment programs, including residential treatment
(two days of care = 2 units)
Level 3, Outpatient programs providing structured treatment three to five hours per day
(three days = 3 units)

For Levels 1, 2 and 3, benefits per person are payable for a maximum of 20 units per year and 60 units per lifetime.

First $5,000 in covered expenses paid 80%, no deductible

Covered expenses over $5,000 paid 100%

Without referral and approval from the Care Network

Plan Benefits

Outpatient counseling, up to five sessions per year per person.

Other outpatient and inpatient services not covered.

Paid 50% Reasonable and Customary (R&C) charges

To contact the Care Network call 1-877-578-0528 or on the web at www.unicare.com/youreap. The Care Network is open seven days a week and 24 hours a day.