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.

 

When you call Magellan’s telephone number just stay on the line and provided you do not chose any options offered by the automated telephone tree you will be connected to a licensed mental health clinician. If outpatient treatment is recommended you will be given a few names of providers in our network plus their contact information. In this case, you need to call the providers to see if they are available and make an appointment. Alternatively, you can ask the Magellan clinician to find you the earliest possible appointment with an available provider. Magellan will call you back with the date and time of your appointment.

Another way to find a network provider is through this link to the Yale Health/Magellan web page. Chose the provider search function from the menu on the top and select the Behavioral Health Network. This brief video will demonstrate the process. Once you have selected a network provider from the list and obtained an appointment call Magellan for treatment authorization.

At any point, if you are unsuccessful in getting an appointment with a Behavioral Health network provider you can ask for a Magellan clinician to do this for you.

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

Here is some tips when caontacting Magellan to access behavioral health services:

When you call Magellan’s telephone number just stay on the line and provided you do not chose any options offered by the automated telephone tree you will be connected to a licensed mental health clinician. If outpatient treatment is recommended you will be given a few names of providers in our network plus their contact information. In this case, you need to call the providers to see if they are available and make an appointment. Alternatively, you can ask the Magellan clinician to find you the earliest possible appointment with an available provider. Magellan will call you back with the date and time of your appointment.

Another way to find a network provider is through this link to the Yale Health/Magellan web page. Chose the provider search function from the menu on the top and select the Behavioral Health Network. This brief video will demonstrate the process. Once you have selected a network provider from the list and obtained an appointment call Magellan for treatment authorization.

At any point, if you are unsuccessful in getting an appointment with a Behavioral Health network provider you can ask for a Magellan clinician to do this for you.

If you have questions or have difficulties using behavioral health services please contact Cheryl Doebrick, PhD (203-436-5706) or Borislav Meandzija, MD (203-436-5667) in the Behavioral Health Department during regular business hours.

Who are the network providers?

The Yale Health behavioral health benefit offers treatment for covered mental health conditions and addictions through a local network of private practitioners that includes psychiatrists, clinical psychologists, clinical social workers, psychiatric clinical nurse specialists, and alcohol/drug counselors, and affiliated organizations such as Yale New Haven Hospital.

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. 

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 manages 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.