Plan Details

Outpatient and In-patient hospitalizations 
For covered services, you'll pay 20% coinsurance in-network and 40% coinsurance out-of-network after deductible has been met, up to your out-of-pocket limit.

Medical necessity
Medical necessity and place of treatment appropriateness are determined by the Claim Administrator.  It is recommended you consult with your claims administrator to ensure "medical necessity" is met and services are covered. For services delivered by an out-of-network provider, a pre-authorization is highly recommended.

Coordination with Employee Assistance Program (EAP)
If you or your dependents need any type of behavioral health or substance use treatment, contact Health Coach from GE at 1-866-272-6007 to access your EAP benefits first. Through the EAP, you may be eligible for certain services, including short-term behavioral health treatment, at no cost to you. If you need additional treatment, your EAP counselor will refer you to providers within the treatment network.

Actions

Contact Health Coach from GE 24/7 at 1-866-272-6007 for a referral to an in-network provider and/or for necessary approvals. 

Visit Live and Work Well (access code: "GE") for additional resources including finding a provider, self-help, expert articles, work-life resources, and/or confidentially connect to expert guidance regarding conditions and situations that concern you.