Behavioral Health Benefits
Claremont EAP
Fresno Unified School District and the Joint Health Management Board understand that you and your family members might experience a variety of personal or work-related challenges. Through the Claremont EAP, you have access to resources, information, and counseling that are fully confidential and no cost to you.
Who can utilize
All employees/retirees, dependents of employees/retirees, and members of your household
Consultations Available for Subjects Such As:
- Childcare and eldercare assistance
- Emotional issues like stress, anxiety and depression
- Marital, relationship or family problems
- Bereavement or grief counseling
- Substance abuse
- Identity theft
- Financial services to support issues including budgeting, debt
- management, financial planning and more
- Legal services provides one consultation per issue (25% discount) to guide you through a divorce, child custody, real estate issues and other topics
- Work/Life services to offer referrals for important matters such as Adoption Assistance or School/College Assistance, among other subjects
Number of sessions
5 face-to-face sessions per year per family member per incident
How to Access:
- By phone: 800.834.3773
- Online: www.claremonteap.com
Informational Flyer
ClaremontEAP_Brochure Download Brochure
If you are enrolled in Medical Plan Option A or B, your mental health & substance abuse coverage is through Simple Behavioral. Preauthorization is required for all mental health and substance abuse services. If you are enrolled in Medical Plan Option C, your coverage is through Kaiser.
Mental Health Services | Participating Provider | Non-Participating Provider |
---|---|---|
Deductible Combined with Medical |
None |
Plan A $750 / Plan B $3,000 - Person Plan A $1,500 / Plan B $6,000 - Family |
Annual Out-of-Pocket Maximum Combine with Medical |
Plan A $2,100 / Plan B $5,700 - Person Plan A $4,200 / Plan B $11,400 - Family |
Plan A $10,000 / Plan B $12,000 - Person Plan A $20,000 / Plan B $24,000 - Family |
Inpatient, Partial and Day Treatment Prior authorization required for all inpatient services |
100% | Plan A 60% / Plan B 50% of UCR, Subject to Deductible |
Outpatient Office Visits |
100% after $10 Copay Copay waived for substance use disorder |
Plan A 60% / Plan B 50% of UCR, Subject to Deductible |
Any questions pertaining to your mental health and/or substance abuse coverage can be directed to Simple Behavioral by calling 888.425.4800 or visiting their website at https://go.simpletherapy.com/fresnousd.