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The following
are answers to questions your employees may have regarding services offered
by Organizational Health Incorporated. Please feel free to contact us
with any additional questions you or your staff may have.
QUESTIONS ABOUT
EMPLOYEE & FAMILY ASSISTANCE PROGRAMS (EFAP)
Why should I see an EFAP counsellor?
Will you talk to my employer / supervisor?
What is your background, training, professional
accreditation?
Can I bring in my family?
How many sessions can I attend?
What if I need more sessions?
What if I have a different problem in a few months, can
I come back to see you?
Do I have to pay for these sessions?
If I do not like my counsellor, can I request a new
one?
Can any member of my family see a counsellor?
Do you have evening appointments?
QUESTIONS ABOUT DISABILITY MANAGEMENT
What is an OHI case / care manager and why do they need to
be involved in my claim?
How and when will I receive my STD benefits?
How does OHI make decisions regarding my claim?
Is my medical information kept confidential?
What if I am unable to return to work during the
short-term disability period?
QUESTIONS ABOUT
EMPLOYEE & FAMILY ASSISTANCE PROGRAMS (EFAP)
Why should I see an EFAP counsellor? If you have a problem or concern
that needs short-term assistance, your EFAP program can help.
Examples of problems may include:
- Stress at home or on
the job
- Family Problems
- Marriage/relationships
- Mediation
- Alcohol, drug abuse
or gambling
- Divorce/separation
- Job performance
concerns
- Loss of a loved one
- Anxiety, Depression
or other psychological problems
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Will you talk to my employer / supervisor? No. EFAP services are
confidential. There will be no way to identify that you have accessed
our services. OHI’s reporting to your employer is generic. The
only time that there may be contact with an employer is if:
- Your appointment is
a mandatory referral from your employer (your employer required
you to see a counsellor);
- If you give
permission for the counsellor to speak with your employer (ie.
if there were workplace issues you wanted to address)
- If you posed a
serious threat of harm to someone in the workplace.
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What is your background, training, professional
accreditation? Our counsellors have a variety of background
and training. They all have a Master’s level of education or
higher along with a minimum of 10 years as an EFAP counsellor.
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Can I bring in my family? Yes. You are welcome to
bring a support person, or if the problem / concern involves a family
member, they can attend.
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How many sessions can I attend? It varies. Sometimes
people come in just once, to talk things over with a person and help
with their decision-making. Generally there are 3-5 sessions with a
counsellor.
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What if I need more sessions? If there are a limited
number of sessions needed, our counsellor will seek approval for an
extension. However, if it appears that there is long-term counselling
needed, your counsellor will help you move to another care provider
who can give you the help you need.
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What if I have a different problem in a few
months, can I come back to see you? Yes. Just call and make
an appointment.
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Do I have to pay for these sessions? Generally this is a benefit
that is covered through your employer. However, please contact OHI
regarding specific benefit entitlement for your individual company.
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If I do not like my counsellor, can I request a new one? Yes. It is very
important to feel comfortable with your counsellor. When you call in
for another appointment, request that a new counsellor be assigned.
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Can any member of my family see a counsellor? If your family member is
a spouse, or a dependent child, they can access our services.
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Do you have evening appointments? Yes.
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QUESTIONS ABOUT
DISABILITY MANAGEMENT
What is an OHI case / care manager and why do they need to
be involved in my claim? OHI case and care managers are an added benefit
of your disability benefit plan. They partner with you and your
family doctor (and other care providers) to ensure you are receiving
appropriate treatment in a timely manner and can assist with
arranging medical tests and treatment, if required. They also are a
source of information, support and education regarding your medical
condition during your illness and recovery. When you are ready to
return to work, they will assist in the return to work planning, and
follow up with you and your employer until you are back to full
duties.
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How and when will I receive my STD benefits? In most cases, your
employer will pay your short-term disability benefits directly to you
via whatever method is currently in place, ie. direct deposit or
cheque. These payments occur once the OHI Adjudicator has made a
decision on your STD claim eligibility and a notice is sent to your
employer – generally within 24-48 hours of receiving the required
information to make the decision.
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How does OHI make decisions regarding my claim? OHI bases decisions on
objective medical information gathered from your family physician and
other care providers. Other resources/tools consulted include medical
practice guidelines with duration information and internal clinical
resources with expertise in disability management.
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Is my medical information kept confidential? Yes, OHI adjudicators,
case and care managers adhere to a national privacy policy (PIPEDA)
that prevents us from disclosing any confidential medical information
without your written consent.
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What if I am unable to return to work during the short-term
disability period? OHI will assist by either requesting your
employer to send out a long-term disability application package to
you, or OHI does this for some employers. OHI will also send a release
of information form for you to sign which will authorize OHI to send
all relevant medical information on the OHI file to your Long-term
disability insurer to assist them in making a decision regarding your
eligibility to LTD benefits. In some cases, OHI may remain involved
if/when you transition to LTD benefits – this decision is
determined individually.
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Often there are
questions regarding medical issues and treatments such as
medications. Your case/care Manager will address these questions
individually with you depending on your medical diagnosis and
prescribed treatment.
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