Boise State University Human Resource Services - Benefits

Insurance - Mental Health, Substance Abuse, EAP

  1. Eligibility
  2. Enrollment
  3. Waiting Periods
  4. Medical Insurance
  5. Dental Insurance
  6. Vision Insurance
  7. Monthly Health Insurance Premiums
  8. Mental Health, Substance Abuse and Employee Assistance Program (EAP) Benefits
  1. When Coverage Ends
  2. COBRA
  3. When You Retire
  4. Basic and Supplemental Life Insurance
  5. NCPERS
  6. Supplemental Insurance Programs
  7. Disability: Short and Long Term


Eligibility

All benefit eligible employees and their dependents, not enrolled in one of the State’s medical plans, are only eligible for the EAP benefits. Employees and dependents enrolled in the State’s medical plan are eligible for the EAP and Mental Health & Substance Abuse.


Summary of Benefits - EAP

Employees and their dependents are allowed 5 visits per plan year. Pre-authorization is required. Services are designed to help the employee cope with any mental health, chemical dependency, marital, family, legal or financial problems. To utilize the EAP, employees must contact Business Psychology Associates, 343-4180 or 1-877-427-2327.


Summary of Benefits – Mental Health & Substance Abuse

Mental Health Parity Plan Design
Benefit PPO in Network PPO Out of Network Traditional
EAP Five Visits per year No Benefit Five Visits per year
Mental Health
Deductible
(No Separate Deductible)		 $250 Individual/
$750 Family		 $500 Individual/
$1500 Family		 $350 Individual/
$1,050 Family
Inpatient Care Plan pays 85% of allowable
charges after deductible		 Plan pays 70% of allowable
charges after deductible		 Plan pays 80% of allowable
charges after deductible
Outpatient Care $20 Copay for Office Visits
All other charges: Plan pays
85% of allowable charges
after deductible		 Plan pays 70% of allowable
charges after deductible
Plan pays 80% of allowable
charges after deductible
Annual Maximum Benefit
Non SMI
In Patient Care
Out Patient


8 Days
30 Visits


8 Days
30 Visits


8 Days
30 Visits

Filing Claims

Filing claims is not necessary for covered service you receive from an in-network participating provider. You may have to submit a claim to Business Psychology Associates for out-of-network mental health and substance abuse services.

Contact Information

We recommend you contact the carrier prior to having any services performed.

General Information:

State of Idaho’s Office of Insurance Management, http://adm.idaho.gov/insurance

1-800-531-0597, 332-1860, ogi@adm.idaho.gov

Employee Assistance Program (EAP) & Integrated Behavioral Health Plan (IBHP):

Business Psychology Associates, BPA, http://www.bpahealth.com

1-877-427-2327 or 1-208-343-4180