Behavioral Health Consultations: In order for a Covered Person to receive a behavioral health consultation under this program, the Covered Person must complete a Medical History Disclosure and an assessment that is specific to the Behavioral Health Program. This disclosure may be completed either online or by telephone with a designated Behavioral Health Program representative. In addition, the Covered Person must also agree to Teladoc’s Informed Patient Consent and Release Form confirming an understanding that the behavioral health provider is not obligated to accept the Covered Person as a patient. If the Covered Person fails to complete the Medical History Disclosure, the Covered Person will not have access to the behavioral health providers through the Behavioral Health Program. Scheduling: Teladoc will provide the Covered Person with information identifying each behavioral health provider’s licensure, specialties, gender, and language, and will provide sufficient biographical information on each behavioral health provider to allow the Covered Person to choose the provider from whom they wish to receive treatment. The Covered Person may schedule consultations through either Teladoc’s website or the mobile platform. When scheduling a subsequent consultation, the Covered Person may choose to receive the consultation from the same provider or from a different behavioral health provider. There are no limitations on the number of behavioral health consultations a Covered Person may receive under the Behavioral Health Program. Individual Sessions: The initial behavioral health consultation is expected to be 45 minutes in length, on average followed by subsequent psychiatric visits that will be shorter in length. At the beginning of the behavioral health consultation, the Covered Person will be required to complete a brief intake assessment before proceeding with the session. A behavioral health provider may determine that the treatment of a Covered Person’s particular behavioral health issue would be managed more appropriately through in- person therapy. In such a case, the behavioral health provider will encourage the Covered Person to make an appointment for an in-person visit. Clarifications: Unlike the consultations provided under the general medicine program, the behavioral health consultations under the Behavioral Health Program: • Are not accessible 24 hours per day, 365 days per year. Rather, a Covered Person must schedule a behavioral health consultation with a behavioral health provider and the consultation must occur within a time period for which the behavioral health provider is scheduled to support the Behavioral Health Program. • Are not intended to be cross-coverage consultations. Rather, the Behavioral Health Program is designed to make behavioral health providers available by telephone or video conference even when another behavioral health counselor is available to the Covered Person for an in-person visit. • Are not intended to be provided in Emergency situations. • Are not available for Teladoc therapy for Covered Persons under the age of 13. • Are not available for Teladoc psychiatry for Covered Persons under the age of 18. -70- .