Common use of Serious Mental Illness Clause in Contracts

Serious Mental Illness. Covered Services include treatment of Serious Mental Illness when authorized by HMO or its designated behavioral health administrator and rendered by a Participating Provider which includes a Psychiatric Day Treatment Facility. Services are subject to the same terms and conditions as medical and surgical benefits for any other physical illness. Chemical Dependency Services. Coverage for treatment of Chemical Dependency is the same as coverage for treatment of any other physical illness but is restricted as described in LIMITATIONS AND EXCLUSIONS. Inpatient treatment of Chemical Dependency must be provided in a Chemical Dependency Treatment Center. Some services may require Prior Authorization by HMO or its designated behavioral health administrator. Emergency Services PCPs provide coverage for Members 24 hours a day, 365 days a year. You must notify Your PCP within forty-eight