Orange County NC Website
13 <br />ADDENDUM C <br />FEE SCHEDULE AND CONDITIONS OF OFFER <br />BASIC FEES Fee PEPM <br />Basic Services <br />[Choose only one] $I 25 <br />X Face to Face Employee Assistance Program <br />Model -- Choose selected model below: <br />® 3-session ^ 4-session <br />^ 5-session ^ 6-session <br />^ 8-session <br />Or <br />Telephonic Only Services <br />Optional Services <br />_ Magellan Website Coached Services <br />X Legal Consultation Services $0.07 <br />Work Life Resource and Referral $$0.22 <br />Services --Choose model below: <br />®Basic <br />^ Full <br />^ Full, with Convenience Services <br />Nurse Line Services <br />Financial Consultation Services <br />SUPPLEMENTAL FEES <br />Additional Services <br />Additional Trainings $125 per clinician <br /> hour <br />_ Additional Sessions <br /> $90.00 er Session <br />Additional Communications Materials <br />_ Additional Videos $14.00 per unit <br />_ Additional Wallet Cards $0 10 per unit <br />Additional Brochures $0 40 per unit <br />_ Additional Posters $1 60 per unit <br />International Services <br />_ Se[-up Fee US $3000 <br />Face-to-Face Counseling Services US $225 per one- <br /> hour session <br />Magellan Behavioral Health, Znc. 11 <br />Growing Business Services Agreement <br />Rev. 3/OH/09 <br />