Yale Health, in collaboration with Magellan Health, offers a comprehensive range of healthcare services and support to its members. Magellan Health is a leading healthcare company that provides managed care services, including behavioral health, specialty health, and pharmacy management. Through this partnership, Yale Health aims to enhance the overall well-being of its members by providing access to high-quality, affordable healthcare services.
Overview of Yale Health Magellan Services
Yale Health Magellan provides a wide range of services, including medical, behavioral health, and pharmacy benefits. The program is designed to support the unique needs of its members, with a focus on prevention, early intervention, and effective treatment. Some of the key services offered by Yale Health Magellan include:
- Medical benefits: Yale Health Magellan provides access to a network of primary care physicians, specialists, and hospitals, ensuring that members receive high-quality medical care.
- Behavioral health services: The program offers counseling, therapy, and other behavioral health services to support members' mental health and well-being.
- Pharmacy benefits: Yale Health Magellan provides access to a wide range of prescription medications, including generic and brand-name drugs, at discounted rates.
- Health education and wellness programs: The program offers various health education and wellness programs, including fitness classes, nutrition counseling, and stress management workshops.
Eligibility and Enrollment
To be eligible for Yale Health Magellan, individuals must be affiliated with Yale University, either as students, faculty, or staff. Eligible members can enroll in the program during the designated open enrollment period or within 30 days of experiencing a qualifying life event, such as marriage, divorce, or the birth of a child. The enrollment process typically involves completing an application form and providing required documentation, such as proof of affiliation with Yale University.
| Eligibility Category | Requirements |
|---|---|
| Students | Must be enrolled in a degree-granting program at Yale University |
| Faculty and Staff | Must be employed by Yale University, either full-time or part-time |
| Dependents | Must be the spouse, domestic partner, or dependent child of an eligible member |
Clinical Services and Support
Yale Health Magellan provides access to a range of clinical services and support, including:
Primary Care: Members can choose from a network of primary care physicians, including internal medicine, family medicine, and pediatric specialists.
Behavioral Health services are also available, including individual and group therapy, counseling, and psychiatric care.
Specialty Care: Members can access a range of specialty services, including cardiology, dermatology, gastroenterology, and orthopedics.
Pharmacy Benefits
Yale Health Magellan offers a comprehensive pharmacy benefit program, which includes:
- A wide range of generic and brand-name medications
- Discounted rates for prescription medications
- Convenient mail-order pharmacy services
- Pharmacy counseling and education
| Pharmacy Benefit Category | Copayment |
|---|---|
| Generic Medications | $10 |
| Preferred Brand-Name Medications | $30 |
| Non-Preferred Brand-Name Medications | $50 |
What is the eligibility criteria for Yale Health Magellan?
+To be eligible for Yale Health Magellan, individuals must be affiliated with Yale University, either as students, faculty, or staff. Eligible members can enroll in the program during the designated open enrollment period or within 30 days of experiencing a qualifying life event.
What services are covered under the Yale Health Magellan program?
+Yale Health Magellan provides a wide range of services, including medical, behavioral health, and pharmacy benefits. The program covers services such as primary care, specialty care, hospital stays, and prescription medications.
How do I enroll in the Yale Health Magellan program?
+To enroll in the Yale Health Magellan program, eligible members can complete an application form and provide required documentation, such as proof of affiliation with Yale University. Members can also enroll online or by phone during the designated open enrollment period.
