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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:


Informational Flyer

ClaremontEAP_Brochure Download Brochure


 

Simple Behavioral Logo

 

 

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