Duke HR - Health & Dental Benefits

Fill out the Out-of-Network Claim Form and mail it to:

Cigna Behavioral Health
PO Box 46270
Eden Prairie, MN 55344

Claims must be submitted within 180 days of date of service.

Duke offers free short-term counseling through the Personal Assistance Service (PAS). The staff of licensed professionals offer assessment, short-term counseling and referrals to help resolve a range of personal, work and family problems. PAS services are available free of charge to Duke faculty and staff, and their immediate family members. For 2010, PAS has expanded the number of free visits from six to eight.

Mental Health and Substance Abuse Benefits

Duke offers both outpatient and inpatient mental health and substance abuse benefits under each of our medical plans. Mental health and substance abuse benefits are administered through CIGNA Behavioral Health.

In adherence to the federal Mental Health Parity regulations, Duke has removed the limits on inpatient and outpatient mental health care from in-network providers for all four medical plans.

For Duke Options, the limit on out-of-network visits has also been removed. However, out-of-network visits under Duke Options beyond 20 per calendar year will require approval by a case manager.

Mental Health Providers

To find a network provider, call CIGNA Behavioral Health toll-free at 1-888-253-8552 or log on to their web site (Employer ID: Duke, PIN: employee). You can also browse a list of Duke mental health providers that are considered network providers for Duke employees and their dependents

Plan Chart

Details about these benefits are outlined in the chart below:

Duke Select (HMO)

Duke Basic (HMO)

Duke Options (Blue Cross Blue Shield PPO)

Blue Care (Blue Cross Blue Shield HMO)

CIGNA Behavioral Health

In-Network

Out-of-Network

Outpatient

Covered in full after $35 co-pay per visit for individual/family therapy

After $500 annual deductible, plan pays 70% of allowable charge¹

Limit of 20 visits per calendar year for Duke Select, Duke Basic, and Blue Care

Precertification required for psychological testing, electroshock therapy, hypnosis

Inpatient

Co-pay of $450 or $550 per admission ($450 per admission co-pay for Duke facility; $550 for all other in-network admissions)

After $700 per admission co-pay, plan pays 70% of allowable charge¹.

Alternative care limited to non-residential programs

Limit of 20 days per calendar year for Duke Select, Duke Basic, and Blue Care

Must be precertified prior to admission

All payments are based on the allowable charge. You are liable for charges over the allowable charge when receiving out-of-network services.