Aetna Health Insurance Coverage for Young Adults Mental Health Therapy and Treatment in Dallas, Texas

In 2021, 26.4% of young adults in Texas reported that their mental health was not good for five or more days in the past month. Research has determined that most mental health conditions appear before a person turns 25. BreakThrough by BasePoint has three facilities surrounding Dallas that offer mental health treatment for young adults aged 18 to 28.

Our experienced and skilled mental health professionals offer treatment for depression, anxiety, bipolar disorder, and many other mental health conditions. BreakThrough by BasePoint also offers free, confidential mental health assessments with treatment recommendations for young adults to help answer questions and begin the admission process. Call us today at 972-325-2633 or book an assessment online to answer your questions so you can make an informed treatment decision.

Who Is the Mental Health Insurance Provider Aetna?

Founded in 1853 in Hartford, Connecticut, Aetna is a leading healthcare company, offering a range of insurance products including medical, dental, pharmaceutical, and behavioral health plans. In 2018, the company became a subsidiary of CVS Health, which allowed it to expand its reach in the healthcare sector. Aetna provides comprehensive mental health services, including therapy, counseling, and addiction treatment.

These services are accessible through a nationwide network of behavioral health providers and more than 89,000 Employee Assistance Programs. Aetna also offers resources tailored to various groups, including teens, young adults, and the LGBTQ+ community. The commitment to mental health parity ensures that coverage for these conditions is on par with that for physical health conditions, which promotes equitable access to necessary care.

Two federal laws regulate mental health coverage. However, there are exceptions. At BreakThrough by BasePoint, we accept most Aetna insurance plans. Contact us to verify your coverage and estimate your potential out-of-pocket expenses.

What Is Aetna’s Mental Health Treatment Coverage?

Aetna provides comprehensive mental health treatment coverage with services that are accessible in person and using telehealth options. This ensures that members have the flexibility and convenience to receive the care they need. The specific mental health services may vary depending on your policy. Generally, coverage includes outpatient and inpatient services like individual therapy, support group therapy, and family counseling.

Insurance companies typically cover medically necessary care using evidence-based treatments. These treatments may include Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and motivational interviewing. Aetna also has programs tailored to various groups, such as children, teens, and older adults. The objective is to support diverse mental health needs and improve the member’s overall physical and mental health. Aetna emphasizes mental health parity to ensure the plan coverage is comparable to physical health conditions.

BreakThrough by BasePoint Accepts Insurance for Mental Health Therapy

Our free assessment with a licensed clinician will provide you with a recommendation for the appropriate level of care for young adults struggling with a mental health disorder. We can also check your insurance coverage levels.

Call us today to schedule a  same day assessment at (972) 325-2633 or fill out our inquiry form.

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Does Aetna Health Insurance Cover Dual-Diagnosis Therapy and Treatment for Emerging Adults in Texas?

Yes, Aetna health insurance plans typically cover dual diagnosis treatment. Dual diagnosis is the co-occurrence of a mental health disorder and substance use disorder. Mental health disorders can include depression, schizophrenia, and PTSD (Post-Traumatic Stress Disorder) to name a few. Dual diagnosis treatment is specialized. Mental health and addiction treatment must occur simultaneously to increase the potential for success.

Your insurance benefits define your mental health services, and these can vary depending on your health plan. You should have detailed information on your coverage benefits and limitations to determine the best way to maximize your insurance benefits. Call us at 972-325-2633 so our admission specialists can identify your potential out-of-pocket expenses, including premiums, deductibles, copay, and coinsurance.

Which Emerging Adult Mental Health Disorders Are Covered by Aetna Insurance Plans in Texas?

Aetna’s mental health coverage in Dallas covers various treatments for young adults. BreakThrough by BasePoint provides an evidence-based treatment that teaches coping strategies and supports emotional well-being. The following is a list of examples, but it is not a full list. Call us today to learn more about our programs and to verify your Aetna mental health services policy.

Post Traumatic Stress Disorder (PTSD) is a mental health condition that's triggered by experiencing or witnessing a traumatic event. This could include natural disasters, serious accidents, or military combat. Symptoms typically include intrusive memories, avoidance behaviors, and heightened reactions. Treatments involve trauma-focused psychotherapies like cognitive processing therapy or Eye Movement Desensitization and Reprocessing (EMDR).

Your coverage may also include medications such as Selective Serotonin Reuptake Inhibitors (SSRIs). Aetna insurance plans generally provide coverage for PTSD treatments, both psychotherapy and medication management. The extent of the coverage depends on your plan, which may require prior authorization before treatment can begin. Aetna advises its members to review the policy details to ensure they understand the benefits available for PTSD treatment. You can do this easily by contacting us at 972-325-2633.

Obsessive Compulsive Disorder (OCD) is a chronic mental health condition that is characterized by recurring, unwanted thoughts (obsessions) and repetitive behavior or mental acts (compulsions). These obsessions often cause significant anxiety or distress and you perform the compulsions to alleviate this discomfort. This happens even when the actions are irrational or disruptive.

Common obsessions include fear of contamination, harm, or needing symmetry. The compulsions might involve excessive cleaning, checking, or ordering items. OCD can significantly impair daily functioning and relationships when it's left untreated. Aetna insurance generally provides coverage for OCD treatment that can include Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP). The extent of coverage depends on your plan and many plans require prior authorization or have network restrictions. You should have a detailed understanding of what your insurance policy will cover before beginning treatment. You can do this easily by calling BreakThrough by BasePoint.

Trauma treatment addresses the psychological impact that distressing events have had on you. The goal is to help you process and integrate the experience using trauma-focused cognitive behavioral therapy, EMDR, and somatic therapies that focus on bodily sensations related to the trauma. The goal is to reduce the symptoms and improve your emotional regulation, thus improving your overall function.

Aetna offers coverage for various trauma treatments as part of its mental health services. Coverage specifics, such as the number of therapy sessions, types of approved treatments, deductibles, and copay, will vary by plan. It's important to understand the details of your coverage, which you can do easily by calling us at 972-325-2633.

Depression is a common mental health disorder that's characterized by persistent feelings of sadness, loss of interest, and various physical and emotional challenges. Treatment involves psychotherapy and may include antidepressant medications to alleviate symptoms. Aetna's health insurance plans generally cover depression treatment, including therapy sessions and medication management.

However, the coverage specifics vary. Before starting therapy, you must verify your coverage limits and benefits so you are not surprised by a medical bill. You can do this easily by calling us and speaking with our admission specialist who can also help estimate your out-of-pocket expenses.

Anxiety disorders include conditions that are characterized by excessive fear or worry. This includes panic disorder, social anxiety disorder, and generalized anxiety disorder. Treatment often involves psychotherapy and mindfulness practices to reduce stress and improve emotional regulation. Treatment may also include medications like SSRIs or benzodiazepines for symptom management.

Aetna mental health insurance offers coverage for anxiety disorder treatment, including therapy and medication. However, the extent of your coverage depends on your plan and your policy. Most plans have requirements or limitations on their benefits. To understand your maximum insurance benefits, call BreakThrough by BasePoint today at 972-325-2633.

Dual diagnosis is the medical term used to describe the co-occurrence of a mental health disorder and a substance use disorder. Effective treatment is highly specialized and requires an integrated approach that addresses both conditions simultaneously. Treatment typically includes a combination of psychotherapy, medication management, and support groups.

Aetna supports dual diagnosis treatment by providing coverage for these integrated programs that tackle mental health conditions and addiction at the same time. Your coverage specifics will likely limit the types of services that are covered, prior authorization requirements, in-network requirements, and out-of-pocket expenses. You are advised to have a detailed knowledge of your coverage limits so you're not surprised by a medical bill. You can do this easily by calling BreakThrough by BasePoint at 972-325-2633.

Mental Health Therapy and Treatment Programs Covered by Aetna Health Insurance in DFW

We are routinely asked, “Does Aetna cover mental health in Dallas?” Aetna stresses mental health parity, covering in-person and telehealth treatment options depending on your policy and geographic location. The following is a list of program examples Aetna may cover but it is not a full list. Call us today for more information and to verify your insurance policy.

Mental health inpatient programs provide you with intensive around-the-clock care in a facility with the capability of treating severe mental health conditions, such as acute depression, schizophrenia, or suicidal ideation. These programs focus on stabilization and crisis management through a structured treatment plan that involves psychotherapy, medication management, and group therapy.

Inpatients receive personalized care under the supervision of a team of mental health professionals. Insurance providers generally cover inpatient mental health treatment although the specifics depend on your policy. Coverage may include psychiatry and psychiatric evaluations, medications, and various evidence-based treatment options. Aetna provides coverage for medically necessary care, so your policy may require prior authorization before treatment can begin. When you call us, our admission specialists can verify your treatment coverage and estimate your out-of-pocket expenses.

A mental health Intensive Outpatient Program (IOP) provides you with highly structured treatment that allows you to continue living at home while attending several therapy sessions each week. An IOP is designed for people who need more support than a traditional outpatient program but do not require inpatient care. Typically, treatment includes individual and group therapy.

Treatment also includes skill-building sessions focusing on managing symptoms, stress management, and improving coping strategies. Aetna provides coverage for IOPs as a part of its mental health benefits. Depending on the plan, members can access treatment from in-network providers, with potential coverage for therapy, evaluations, and care coordination. Many plans require prior authorization or referrals, so you must confirm your coverage details before beginning treatment.

Partial Hospitalization Programs (PHPs) are intensive, day treatment programs when you require significant mental health support but not necessarily an overnight hospital stay. Most people receive several hours of therapy each day but return home in the evenings. These programs provide a structured environment for various evidence-based and holistic approaches to care, medication management, and skills-building workshops.

Typically, Aetna's mental health services cover benefits for PHPs, which ensures access to comprehensive care. Because PHPs involve a higher level of care, most policies require prior authorization and may require you to follow in-network provider guidelines. 

Traditional outpatient mental health services help when you need regular therapy or medication management but do not require intensive treatment. These programs are often used as a step down to more intensive IOPs or PHPs. You can still receive individual, group, and family counseling, and consultations with psychiatrists. Outpatient care is a flexible option.

These programs allow you to meet many work and school obligations while addressing mental health needs. Aetna insurance supports outpatient mental health care and covers a wide range of services. However, your covered specifics, including session limits, exclusions, in-network requirements, and prior authorization, depend on the policy. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialists can review your documentation and confirm your coverage details.

Virtual treatment is typically provided over an encrypted phone or video line. These telehealth platforms enable you to access care remotely while maintaining confidentiality. Virtual treatment is beneficial when you have limited access to in-person services or if you prefer the convenience of online sessions. Common services include individual and group therapies, psychiatric consultations, and follow-up for ongoing treatment.

Aetna includes virtual mental health treatment as part of its mental health coverage. Members can schedule video appointments with licensed therapists and psychiatrists through in-network telehealth providers. Coverage details typically vary, including deductibles, co-payments, and session limits. Your virtual services are particularly valued for accessibility and flexibility, allowing you to receive care from the comfort of your home.

Does Aetna Health Insurance Cover Mental Health Therapy and Treatment for Emerging Adults in Dallas, Texas?

Aetna’s mental health insurance plans generally cover therapy and treatment for emerging adults in Dallas, Texas. Your coverage includes services such as therapy, counseling, medication management, and holistic approaches that address self-care strategies and whole-person wellness. They utilize in-person and telehealth treatment options to increase accessibility and affordability for their members.

The specific benefits of your Aetna mental health coverage in Dallas may vary based on the limits and benefits of your plan. Before beginning treatment, it’s important to have detailed information on your insurance coverage so you can maximize your benefits and reduce your out-of-pocket expenses. For precise information, we encourage you to call BreakThrough by BasePoint below. Our admission specialist can verify your coverage and schedule a free assessment.

How to Get Aetna Insurance To Pay For Mental Health Therapy in Dallas, TX

You can take several steps that will help to maximize your insurance benefits and get Aetna insurance to pay for your mental health therapy in Dallas, Texas. These steps begin with understanding the coverage, benefits, and limitations of your insurance plan. You can do this easily by calling BreakThrough by BasePoint at 972-325-2633. Our admission specialist can verify your insurance coverage.

They will also provide you with information so you can make an informed decision about care. Our admission specialist and financial counselor are adept at working with insurance companies and explaining how the claims process works. They can help guide you through the admission process, including working with your insurance company, determining if prior authorization is required, and helping you understand your potential out-of-pocket expenses.

Dallas, Texas Mental Health Outpatient Treatment Programs That Take Aetna Health Insurance

BreakThrough by BasePoint has Aetna mental health providers in Dallas at three facilities providing mental health treatment for young adults. Each facility is staffed with highly skilled and experienced mental health professionals ready to answer your questions and provide the assistance you and your family need. Contact us today to learn how we can help repair and restore your life.

Map of BasePoint BreakThrough's locations

Arlington, Texas, is located inside the Dallas-Fort Worth metroplex. It is home to major destinations such as the AT&T Stadium and Globe Life Field. The city is known for professional sports teams like the Dallas Cowboys and the Texas Rangers. Arlington also hosts Six Flags over Texas, a popular amusement park, and boasts many theaters, museums, and music venues. The proximity to Dallas and Fort Worth makes it a hub for business and tourism. The city combines suburban charm with urban amenities.

  • BreakThrough by BasePoint - Arlington, Texas: 3900 Arlington Highlands Blvd, Suite 237B, Arlington, TX 76018, United States

Forney, Texas, is often called the “Antique Capital of Texas.” It's a charming city just east of Dallas known for its rich history and small-town appeal. Forney also offers a mix of suburban living and rural charm with a thriving antique district that attracts enthusiasts from around the region. The city has experienced significant growth in recent years, including new residential developments, schools, and businesses. Forney is also known for its excellent school system and community-oriented events, which makes it a popular choice for families.

  • BreakThrough by BasePoint – Forney, Texas: 713 W Broad St, Suite 100, Forney, TX 75126, United States

McKinney, Texas, is a fast-growing city that is celebrated for its historic charm and vibrancy. The picturesque downtown square offers a blend of boutique shops, fine dining, and local art galleries. The rich history is reflected in its well-preserved 19th-century architecture and landmarks. McKinney is recognized for its excellent schools, parks, and a strong sense of community. The combination of a thriving economy, quality of life, and proximity to Dallas, provides residents with small-town charm and modern conveniences.

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How to Check My Aetna Health Insurance Plan Coverage Levels at BreakThrough by BasePoint

The best way to check your Aetna mental health insurance coverage is to call BreakThrough by BasePoint at 972-325-2633. Our mission specialist is adept at answering your questions such as “Does Aetna cover mental health therapy?” They can verify your insurance coverage and estimate your potential out-of-pocket costs. This information helps you maximize your benefits and minimize your out-of-pocket expenses.

Insurance companies evaluate your bills after a claim is submitted. An insurance adjuster will evaluate the claim and determine how much is paid in the settlement. Your out-of-pocket expenses include your deductibles and copays. These costs are determined by the insurance company when they estimate the risk of offering you health insurance. The risk includes their potential loss for claims submitted that fall under the insurance policies coverage. Our admission specialist can help estimate your potential out-of-pocket costs and connect you with our financial counselor who may offer a payment plan if you qualify. You can call or fill out our online insurance form to start the process.

Does Aetna Health Insurance Cover Mental Health Therapy and Counseling for Young Adults in Dallas-Fort Worth, Texas?

Aetna’s mental health insurance policies typically cover therapy and counseling for young adults in the Dallas-Fort Worth area. Aetna is concerned with mental health equity for all its members and often includes benefits for individual, group, and family therapies as well as medication management. They offer resources for in-person and telehealth options helping people who live outside a service area.

Your coverage specifics depend on your plan. BreakThrough by BasePoint can verify your details and determine if your policy requires in-network providers, prior authorization, or has limitations on the types of therapy or duration of therapy. Each of these factors is crucial in your decision where to receive care.

The number of times that Aetna health insurance pays for mental health therapy is based on your policy coverage and limitations. Aetna may limit the number of therapy sessions, the type of therapy, or the duration of therapy for a single diagnosis. Call us today to verify your coverage and learn how to maximize your benefits.