Mental Health and Chemical Dependency Coverage

If you enroll in the Retiree Medical Plan, mental health and chemical dependency coverage is included and provides you and your covered dependents with benefits for treatment of mental health and chemical dependency conditions.

For more details about these benefits, review your Retiree Medical Plan SPD or contact your carrier.

This information doesn’t apply to you if you enroll in a Health Maintenance Organization (HMO) or Medicare HMO. If you enroll in an HMO or Medicare HMO, contact the carrier directly for details about its mental health and chemical dependency benefits. HMO/Medicare HMO contact information is listed on the back of your medical ID card and on the Your Benefits Resources Web site at http://digital.alight.com/alcatel-lucent.

Eligibility

Eligibility for Coverage

You receive mental health and chemical dependency coverage if you enroll in:

If you enroll in a Health Maintenance Organization (HMO) or Medicare HMO, contact the carrier directly for details about its mental health and chemical dependency benefits. HMO/Medicare HMO contact information is listed on the back of your medical ID card and on the Your Benefits Resources Web site at http://digital.alight.com/alcatel-lucent.

Coverage Options and Costs

Coverage Options

Mental health and chemical dependency benefits for you and your eligible dependents will be administered directly by your Retiree Medical Plan carrier. For more information, contact your carrier.

Mental health and chemical dependency coverage provides you and your covered dependents the flexibility to seek in- or out-of-network care.

Costs

Your contributions are paid as part of your Retiree Medical Plan contributions. Your level of coverage depends on your method of treatment and whether you use an in-network or out-of-network provider.

For your specific costs, visit the Your Benefits Resources Web site at http://digital.alight.com/alcatel-lucent.