Benefits are provided through Claremont Behavioral Health .  First 5 visits at no charge to you when a United Behavioral Health provider used, then the plan pays 80% of covered charges for visits 6-20 and 50% of covered charges for visits 21-52.  Maximum of 52 visits per calendar year.  If a non-CBH provider is used, the plan pays 80% of UCR covered charges for the first 15 visits and 50% of UCR covered charges for the next 32 visits; maximum of 47 visits per calendar year.

Inpatient benefits are provided through CBH only. Inpatient: 30 days per calendar year. Lifetime Max: 90 Days.  No inpatient benefits payable at non- contract facilities.