For NAP Members
ValueOptions (VO) is the Administrator for Mental Health and Substance Abuse coverage for NAP members. NAP members have the option of using any licensed provider and receiving non-network benefits if the provider is not in the ValueOptions network.
Deductibles and Limits for NAP Members*
Provision
Combined Mental Health and Substance Abuse Benefits
ValueOptions-Administered Network Benefits
ValueOptions-Administered Non-Network Benefits*
(Care received from ValueOptions network providers)
(Care received from any licensed provider)
Annual Deductible
(Combined with Medical Deductible)
  • $120/person
  • No more than $320/family
  • $240/person
  • No more than $680/family
Annual Out-of-Pocket Maximum
(Combined with Medical Out-of-Pocket Maximum)
  • $750/person
  • No more than $1,500/family (includes deductible)
  • $1,000/person
  • No more than $2,000/family (includes deductible)
Lifetime Maximum
None
None
Autism Applied Behavior Analysis (ABA)
Applied Behavioral Analysis (ABA) is a type of treatment for autism that emphasizes behavioral training and management through positive reinforcement, self-help, and social skills training. ABA is used to help improve behavior, communication, and overall function. ABA for the treatment of autism is fully covered under both administrators.
Fully Covered
Requires authorization by plan
* Network benefits and limits may not be combined with non-network benefits and limits.
Please note that the deductibles and out-of-pocket maximums for mental health and substance abuse treatment are combined with deductibles and out-of-pocket maximums in your medical plan.