Frequently Asked Questions Who is eligible for services at BHP? To be eligible, you must be a regular full-time or part-time member of our faculty or staff, or a non-Medicare eligible retiree, enrolled in a University Health Care Plan. Enrolled spouses and domestic partners, as well as dependent children age 18 and older, are also eligible. BHP does not provide pediatric services, and therefore enrolled children under age 18 are not eligible for BHP Plan benefits. 2016 Eligibility Table What is the cost of services? YOUR PPO Plan: Services received through BHP are not subject to the $20 copay per visit (i.e., there is no out-of-pocket cost). YOUR HSA-Eligible Plan: Services received through BHP are subject to the annual deductible and are covered at 100% after the annual deductible is met. How do I use my University Health Care Plan for BHP services? BHP will need to confirm your coverage through your Third-Party Administrator (TPA), which is either Aetna or Excellus, when scheduling an appointment. As there is no out-of-pocket cost to you or your covered dependents (age 18 and older) if you are enrolled in the PPO Plan, no claims will be processed through your Health Care Plan. However, federal regulations governing HSA-eligible plans require that HSA-eligible Plan members pay the allowable cost of all covered medical and pharmacy benefits until after they have satisfied their deductible. Therefore, if you are an HSA-Eligible Plan member, BHP will submit your claim to your TPA and will bill you for services until your deductible is satisfied. If my spouse or domestic partner has insurance through his/her employer, can he/she still be seen in BHP? No, unfortunately not. BHP is a benefit available only to those who are enrolled in the University of Rochester Health Care Plans. Do I need a referral to be seen in BHP? No. Referrals or prior authorizations are not necessary. What can I expect in my first appointment? In your first appointment at BHP, your clinician will talk with you about your treatment goals and preferences. Some of the issues discussed will include the appointment frequency, the best type of therapy approach to meet your needs, and the opportunity to meet with a psychiatrist or nurse practitioner to discuss the possible role of medication in your treatment. The clinician will also ask about the emotional difficulties you have been experiencing and about relevant issues in your family life, work, and relationships. Within the first few sessions, you and your clinician will have developed a treatment plan that is tailored to your individual needs. I already have a mental health counselor in the community. Can I continue to see my counselor, and come to BHP just to see a psychiatrist or nurse practitioner who will prescribe my medications? It is possible, depending on your treatment needs. To determine whether a BHP provider should have a role in your medication treatment, you can meet with a BHP provider who will review your current treatments and need for medication management. If you would like to set up an appointment with a BHP provider, call the BHP office for an appointment My PCP is prescribing my psychiatric medications, and he/she would like to get a consultation about possible changes to make my medications more effective. Is that possible? Yes, please ask your PCP to call BHP to request a medication consultation. Are my records stored in eRecord? Our records are part of the University of Rochester electronic medical record system known as eRecord. Electronic medical records (EMR) improve the consistency and coordination of individual health care, allowing us to provide higher quality care with greater attention to patient safety. With eRecord, you and your care team have access to important information about your medications, allergies, medical conditions, and treatments that may affect your emotional well-being or response to medications. We appreciate that your health information is private and must be carefully protected. Following the Health Insurance Portability and Accountability Act (HIPAA) patient privacy guidelines, all EMR access is logged and retained and only those who are involved in your treatment or in Plan administration are permitted to see it.