Our Complete Behavioral Health Solution

As a health plan focused exclusively on college health, we’ve worked hard to find solutions to problems faced by students and client administrators. With that driving force, we’re excited about our Complete Behavioral Health Solution. 

Designed to make sure our student members have access to behavioral health care where, when, and how they need it, the Complete Behavioral Health Solution goes beyond the traditional network with eight distinct features designed to improve access to care, quality of care, and outcomes.

Learn more below, download our resource, or schedule a call with our Sales Team for an in-depth discussion to learn how Wellfleet’s Complete Behavioral Health Solution can add value to and make a positive impact on your student health plan.

 

Inside our complete behavioral health solution

Designed to make sure our student members have access to behavioral health care where, when, and how they need it, the Complete Behavioral Health Solution goes beyond the traditional network with eight distinct features designed to improve access to care, quality of care, and outcomes.

How does our Complete Behavioral Health Solutions manage this? Learn more »

We coordinate with your school’s student counseling center when services are available. With each client school, our team gathers information about services provided at the school.

This information is provided to our customer service team, which directs available care to campus health services as the Student-Centered Medical Home.

Wellfleet offers robust, national behavioral health provider networks that include: 

  • Nearly 100,000 psychiatrists, PhD psychologists & APRNs, and Master’s level therapists
  • Nearly 5,000 facilities for inpatient and outpatient mental health and substance abuse care across the country

Members with the Cigna network can access an expansive national virtual network of counselors that supplements local networks with more than 43,000 providers. 

  • In addition to local providers, students can select virtual providers licensed in clients’ states without the restrictions of travel and distance.
  • Members with the Cigna network can also access personal and confidential video-based mental health and substance use care via their smartphone, tablet or computer.
  • Members of other networks offered by Wellfleet may have access to telemedicine services through their local providers as well. 

When out-of-network (OON) providers are utilized, Wellfleet accesses discounts negotiated with more than 23,000 out-of-network providers and facilities across the U.S. through the MINES Behavioral Health network

OON discounts average 50% or more off billed charges to deliver additional savings to members and the plan.

Wellfleet’s unique Student Formulary includes $0 copays for several commonly prescribed generic anti-depressant, anti-anxiety, and schizophrenia medications

Our industry-exclusive student-focused formulary manages the huge swings in cost of many drugs with the same clinical efficacy through effective utilization management programs, $0 copays on a select number of generics, and the placement of higher cost generics with lower cost alternatives at a higher copay.

We designed the Student Formulary to incentivize students and educate providers to consider drugs that offer similar efficacy at the most affordable cost.

Learn more about the Wellfleet Rx Student Formulary here »

All members can access CareConnect, Wellfleet’s 24/7 urgent behavioral health care and counseling line

CareConnect, an exclusive Wellfleet Student feature, is an integrated behavioral telehealth program offering student members easy access to licensed behavioral health clinicians 24/7/365 via telephone.

It works in sync with student health centers at Wellfleet client schools and Wellfleet Student health plans.

Counselors can assist with drug abuse and alcohol-related concerns, transition/adjustment issues, stress, cultural diversity issues, eating disorders and body concerns, anger management issues, suicidal/homicidal ideations, relationship problems, and more.

Learn more about the CareConnect here »

Wellfleet’s Provider Relations recruitment department is committed to 100% behavioral health provider access for each school’s referral list at in-network benefits.

Our student-focused Provider Relations team partners with schools to identify local and virtual providers to service members.

The team can facilitate conversations with local providers and build relationships with clients in their community, helping students find proper care.

In addition, Wellfleet works with providers on the credentialing process and can assist in rounding out the network by recruiting more providers.

Above and beyond the Provider Relations service we provide above, Wellfleet assures that counselors and therapists that schools refer to every day are given in-network status.

All Wellfleet plans also feature expert Student Behavioral Health Case Management designed to assist your students with more complicated or severe needs.

Wellfleet’s Case Management provides a variety of services to forward the Triple Aim — providing the right care, at the right cost, with member satisfaction. 

Wellfleet offers optional Case Management to all members who have experienced inpatient behavioral health admissions as well as students with a variety of identified behavioral health triggers, including:

  • Incoming calls from members for key diagnoses or trigger wording 
  • All hospital stays above a specified length
  • All inpatient behavioral health stays
  • Claims for key diagnoses
  • Claims above a specific dollar threshold 

LEARN MORE

Download our Complete Behavioral Health resource

Interested in learning more about the Complete Behavioral Health Solution and how it can impact your health plan?

Resource Download Form

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Wellfleet is the marketing name used to refer to the insurance and administrative operations of Wellfleet Insurance Company, Wellfleet New York Insurance Company, and Wellfleet Group, LLC. All insurance products are administered or managed by Wellfleet Group, LLC. Product availability is based upon business and/or regulatory approval and may differ among companies.