Examples of Severe Mental Illness in a sentence
If the Insured receives services other than Emergency Services in a Mental Health or Severe Mental Illness facility without obtaining Prior Authorization from SHL, benefits will be reduced to 50% of what the Insured would have received if the services had been Prior Authorized, provided however, that the benefits paid will not be less than 50% of the Eligible Medical Expenses, or the Recognized Amount when applicable.
Mental Health Services and Severe Mental Illness Services All benefits are subject to the Utilization Management process through Behavioral Healthcare.
All non-routine, outpatient Mental Health or Severe Mental Illness Services require Prior Authorization.
All inpatient Mental Health or Severe Mental Illness Services require Prior Authorization.