Fresno Unified School District
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 | In-Network (1) | Out-of-Network (2)(3) |
|---|---|---|
|
Inpatient |
Plans A & B: Covered 100% as certified medically necessary. Inpatient, partial and day Treatment |
Plan A: 60% UCR after deductible Plan B: 50% of UCR after deductible |
| Unlimited visits/calendar year/member | ||
| Outpatient |
Plans A & B: $10 Copay per visit
|
Plan A: 60% UCR after deductible Plan B: 50% of UCR after deductible |
| Unlimited visits/calendar year/member | ||
| Substance Abuse Services | In-Network (1) | Out-of-Network (2)(3) |
|---|---|---|
|
All levels of substance abuse |
Plans A & B: Covered 100% |
Plan A: 60% UCR after deductible Plan B: 50% of UCR after deductible |
Pre-authorization applies to inpatient services only.
(1) There is no deductible for In-Network mental health and substance abuse services.
(2) Out-of-Network Medical & Mental Health Deductibles are combined. Please refer to page 11 for Out-of-Network Annual Calendar Year Deductibles.
(3) Member pays coinsurance applicable to Usual, Customary and Reasonable (UCR) rate.
Any questions pertaining to your mental health and/or substance abuse coverage can be directed to SimpleBehavioral by calling
888.425.4800, emailing info@simpletherapy.com or visiting their website at simpletherapy.com/go/fresnousd.