Benefits for Serious Mental Illness Sample Clauses

Benefits for Serious Mental Illness. Inpatient care received in a Participating Hospital or Participating Mental Health Treatment Facility for the Medically Necessary care, diagnosis and treatment of a Serious Mental Illness while the Member is a full-time inpatient is covered. Coverage is subject to the maximum number of days, if any, shown on the Schedule of Benefits. One (1) inpatient day, if any, may be exchanged for 2 days of treatment in a Partial Hospitalization, Residential Treatment Center and/or outpatient electroshock therapy (ECT) program in lieu of hospitalization up to the maximum benefit limitation. Outpatient care received from a Participating Provider for the Medically Necessary care, diagnosis and treatment of a Serious Mental Illness is covered. Coverage is subject to the maximum number of visits, if any, shown on the Schedule of Benefits. Any outpatient visits for the purpose of medication management will not be counted toward the maximum number of visits, but visits for medication management will be under the same terms and conditions as for outpatient visits for treatment of physical illness generally. Coverage for Serious Mental Illness will include the same Copayments as for any other physical illness.
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Related to Benefits for Serious Mental Illness

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