Yale Health

Frequently Asked Questions

How do I access services?

You can access services 24 hours a day, 7 days a week by calling Magellan at 800-327-9240, TDD 800-456-4006.

Who can I contact at Yale Health with questions regarding access to behavioral health services through Magellan?

During regular business hours, you can contact the Behavioral Health Department by calling 203-436-5706 or 203-436-5667.

Who are the network providers?

We have a local network of mental health professionals in partnership with Magellan Health Services, a nationwide leader in mental health care.

Magellan maintains a comprehensive network specifically designed for Yale Health that includes psychiatrists, clinical psychologists, clinical social workers, psychiatric clinical nurse specialists, alcohol/drug counselors, hospitals and treatment facilities.

In addition to its existing providers, Magellan works closely with Yale Health to add providers to the network to meet our members’ needs.

I am a Yale Health member. Does my PCC need to refer me to a mental health provider?

No.  Yale Health members may call Magellan directly at 800-327-9240, TDD 800-456-4006 to access mental health/behavioral health services. 

What is a Behavioral Health referral?

A referral is the process by which Magellan provides you the name and contact information of a mental health provider for the purposes of diagnosis or treatment.

If you requested that Magellan give you the names of several providers, it is important to call Magellan back to let them know the name of the provider that you have selected. Magellan will then authorize the care.

Are there excluded conditions and treatments for Behavioral Health Services?

As with other Yale Health benefits there are some exclusions and limitations, see the Member Coverage Booklet.

What other Behavioral Health services are available?

Yale has an Employee Assistance Program (EAP) called Counseling and Support Services that offers brief, confidential, solutions-focused consultation and/or counseling for all types of personal issues. The program is at no cost to you and is available for both you and your household members.

Counseling and Support Services commonly assists with stress, family or parenting issues, alcohol or drug dependencies, depression, anxiety, marital or relationship issues, adjusting to change, child and elder care, grief and loss, work life balance and much more.

Whether you’re looking for information on health and wellness topics or you’re ready to seek personalized assistance, the Employee Assistance Program can help. You can access Counseling and Support Services by calling 800-327-9240 or TDD 800-456-4006.

Is there a cost for using the mental health/behavioral health benefit?

There is no cost for pre-authorized treatment by a network provider.

I am a staff/faculty member. What do I do if there is a mental health emergency?

When emergency care is necessary, please follow the guidelines below:

  • Seek the nearest emergency room, or dial 911 or your local emergency response service for medical and ambulatory assistance. If possible, call Magellan directly at 800-327-9240, TDD 800-456-4006 provided a delay would not be detrimental to your health.
  • After assessing and stabilizing your condition, the emergency room should contact Magellan directly at 800-327-9240, TDD 800-456-4006 to obtain your medical history and to assist the emergency physician in your treatment.
  • If you are admitted to an inpatient facility, have the facility contact Magellan as soon as reasonably possible.
  • If you seek care in an emergency room for a non-emergency condition, the plan will not cover the expenses.

If Magellan only authorized a certain number of outpatient sessions, what do I do if I need more sessions?

If your provider feels that you need additional sessions beyond the initial number authorized, he/she will work with Magellan.

What services are available through Magellan Health Services?

You and your dependents have access to a full range of behavioral health services as part of your Yale Health benefit, which includes treatment for stress, depression and anxiety as well as other mental health and substance use issues.

Magellan also provides Yale University's Counseling and Support Services (formerly known as the Employee Assistance Program). This service includes confidential, solutions-focused, brief consultation or counseling for all types of personal issues.

What is prior authorization for Behavioral Health and how do I get it?

All levels of care require prior authorization. By obtaining prior authorization for care, Magellan can ensure the appropriateness of your care, and refer you to a participating provider so that you do not have any out-of-pocket expenses.

You need to obtain prior authorization for all mental health/behavioral health services by contacting Magellan at 800-327-9240, TDD 800-456-4006.

If my Behavioral Health provider is not part of the network, will my care still be covered by Yale Health?

No.  Coverage is only for pre-authorized care by a network provider.

How can I check to see if my Behavioral Health outpatient provider is covered in the network?

You can call Magellan at 800-327-9240 or TDD 800-456-4006 to inquire if your current provider is part of the network or to get answers to your benefit questions.