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EMPLOYEE BENEFITS

 
Enlisted Benefits
Click here for a summary of all enlisted benefits.
 
The Commonwealth provides enlisted (sworn) members and their eligible dependents with mental health counseling services.  This benefit is administered by Pennsylvania Blue Shield in accordance with the plans listed below.
The Member Assistance Program strongly recommends that anyone who chooses to utilize mental health counseling benefits to contact Blue Shield prior to your first appointment.  This will ensure all the necessary information is in place for ensuring payment according to your plan. The number to call for either the Indemnity Plan (Classic Blue) or the Preferred Provider Option (PPO) is 1-866-727-4935.

INDEMNITY PLAN (Classic Blue):
This benefit provides up to 12 free psychotherapy visits for each member and each eligible dependent per contract year (July 1 through June 30).  A member or dependent may use a licensed psychologist or psychiatrist of their choice.  Claims will be processed through Blue Shield under the following conditions:
 
  • If a Blue Shield participating provider (psychologist or psychiatrist) is chosen, payment will be made in full and the member or dependent will have no out-of pocket expenses. 
  • Any additional visits beyond the 12 visits payable, will be eligible under Major Medical, subject to any deductible and co-insurance amounts required under Major Medical Services. 
  • If a non-participating provider is chosen, Blue Shield will reimburse 100% of the PRC (Providers Reasonable Charge), approximately $25.00 to 50.00, and the member or dependent will be responsible for any difference between the PRC and the providers charge.  If you use a non-participating provider, you should contact Blue Shield and the provider to inquire about charges that may incur prior to your first appointment with the non-participating provider.  

PREFFERED PROVIDER OPTION (PPO):
This benefit provides up to 60 psychotherapy visits for each member and each eligible dependent per calendar year (January1 through December 31).  Additionally, each member or dependent is required to pay a $25.00 co-pay per visit.  A member or dependent may use a licensed psychologist or psychiatrist of their choice that is listed within the PPO network.  Claims will be processed through Blue Shield under the following conditions:
 
  • If a Blue Shield PPO in-network participating provider (psychologist or psychiatrist) is chosen, payment will be made in full and the member or dependent will be responsible for a $25.00 co-pay per visit. 
  • If a non-participating provider is chosen, the member or dependent will be required to pay for the services out-of pocket until a $250.00 deductible is met. After the deductible is met all expenses may be submitted to Blue Shield for reimbursement consideration.  If you use a non-participating provider, you should contact Blue Shield and the provider to inquire about charges that may incur prior to your first appointment with the non-participating provider.  
If you have questions whether the Psychologist/Psychiatrist is a licensed BlueShield provider, contact Pennsylvania Blue Shield at 1-866-727-4935.
 
In addition to the above benefits, The State Employee Assistance Program (SEAP) entitles all PSP personnel and their family members up to three free evaluation sessions with designated providers, per incident, when seeking professional assistance to help cope with concerns such as stress, family issues, legal and financial problems, drugs and alcohol, physical abuse, depression, etc.

 

Vision Plan: MAP Vision Benefits through Davis Vision

 


Enlisted Retirees Benefits 
THE EMERGENCY COUNSELING BENEFIT/CLASSIC BLUE INDEMNITY PLAN
Outpatient mental health visits under the traditional indemnity plan, are the following:  once the deductible is met, (retirement deductible prior to July 1, 2007 - individual ($100.00) or family ($300.00)) or (retirement deductible - after July 1, 2007 individual ($250.00) or family ($750.00),  major medical will pay for 80% of the ‘in network’ provider reasonable charge (PRC) and the retiree is responsible for 20% of the PRC.  There is no limit to your mental health outpatient visits.  If you choose an ‘out of network ‘provider  you will be responsible for the deductible, 20 % co pays, and the “difference” between the PRC and the provider’s “actual” charge. 

THE PPO MENTAL HEALTH OUTPATIENT PLAN   
Your mental health outpatient visits are a $25.00 co-payment with unlimited visits to an “in network' provider.   If you choose an “out of network” provider, then you must first pay the deductible – individual ($100.00) or family ($300.00) if retired prior to 07/01/07, or individual ($250.00) or family ($750.00) if retired after 07/01/07.  If you choose an “out of network” provider you will be responsible for the deductible, 20 % co pays, and the “difference” between the PRC and the provider’s “actual” charge.
 
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Civilian Personnel, Liquor Control Enforcement Officers, and their Families: 
 
The Commonwealth provides all state employees (which include civilian PSP personnel and Liquor Control Enforcement Officers) and their eligible dependents with mental health counseling services.  These services are available through the State Employee Assistance Program (SEAP).  The Office of Administration, in cooperation with the Pennsylvania Employees Benefit Trust Fund (PEBTF), has selected United Behavioral Health (UBH) to provide SEAP services.
 
SEAP offers confidential, personal support for a wide range of personal and work related issues, from everyday concerns to serious problems.
 
Prior to taking advantage of your SEAP benefits, you MUST call the SEAP hotline number at   1-800-692-7459, available 24 hours a day.  Personnel may continue to use the services of MAP in addition to any benefits they obtain from SEAP.
 
The State Employee Assistance Program (SEAP) entitles all PSP personnel and their family members up to three free evaluation sessions with designated providers, per incident, when seeking professional assistance to help cope with concerns such as stress, family issues, legal and financial problems, drugs and alcohol, physical abuse, depression, etc.
 
In addition to the SEAP evaluation benefit, Civilian Personnel, Liquor Control Enforcement Officers, and their dependents, have additional services available to them, including, but not limited to, up to 60 outpatient mental health visits with a minimal co-payment of $15.00 per visit. 
 
Any questions can be directed to the SEAP consultation line at 1-800-692-7459 or the MAP main office at 1-877-709-7674.