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Routine Gynecological Care
Routine gynecological services (including pap smears, an annual check-up and mammography screening when appropriate) are available to all female Members of Atlantis Health Plan You may receive these services from your Primary Care Provider or you can go to an Atlantis Health Plan participating gynecologist or obstetrician/gynecologist of your choice. (The list of participating OB/GYNs is included in the Atlantis Health Plan Provider Directory.) If you choose to go to an OB/GYN for primary and preventive gynecological care, you are entitled to two (2) visits per year without a referral. In addition, you may self-refer for any follow-up services required as a result of such visits or an acute gynecological condition.
Obstetrical/Maternity Care
You may select the participating Atlantis Health Plan Obstetrician or Certified Nurse Midwife of your choice to provide all care necessary during the course of your pregnancy and delivery.
Hospice
Hospice services are a covered benefit, whether the services are provided directly at the hospice or through the hospice on an outpatient basis, for up to two hundred and ten (210) days. Up to five (5) visits are provided for bereavement counseling for family members.
Behavioral Health Services
Mental Health and Substance Abuse treatment services are provided by Atlantis' behavioral health care management program. The services include inpatient, outpatient, rehabilitation, and aftercare benefits. These benefits are subject to the terms and conditions described in your Subscriber Contract and the limitations shown in your Schedule of Benefits.
If you or a covered family Member needs behavioral health services, simply call Atlantis Health Plan at 1-800-469-5636. Clinical case managers are available twenty-four (24) hours a day, seven (7) days a week. All calls are strictly confidential. Arrangements will be made for consultation and referral to an appropriate licensed specialist or participating facility. If, due to an emergency, you were unable to call the program prior to receiving care, you or a representative must contact the Atlantis Health Plan within twenty-four (24) hours.