Partial Hospitalization Outpatient Rehab Covered by Aetna in Dallas, Texas
Young adulthood is a time of transition. When you also experience a mental health condition, it can create unique challenges. Experts believe a Partial Hospitalization Program (PHP) is a reasonable alternative to inpatient care and can address symptoms, reduce costs, and encourage family interactions. BreakThrough by BasePoint provides in-person care at several facilities in Dallas and virtual care throughout Texas.
Our highly skilled mental health professionals have years of experience treating young adults, and your customized treatment plans address mental health needs. We have experience treating depression, anxiety, obsessive compulsive disorder, attention deficit disorder, post-traumatic stress disorder, and more. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can offer a free and confidential assessment with treatment recommendations. We recognize that mental health conditions can feel overwhelming, but we want you to know that you are not alone.
What Is a Partial Hospitalization Program for Mental Health Treatment?
A Partial Hospitalization Program (PHP) is an intensive, structured mental health treatment that provides comprehensive care without requiring an overnight stay. PHP serves as a middle ground between inpatient hospitalization and traditional outpatient therapy, offering daily support while allowing you to return home in the evening. Your customized treatment includes individual and group therapy, medication management, and skill-building sessions.
These are designed to help stabilize your mental health and develop coping strategies. These day treatment programs provide the highest level of therapeutic intervention without requiring hospitalization and are beneficial when you struggle with mental health conditions that require more support than weekly therapy. PHP offers a highly structured yet flexible approach to recovery, ensuring that you get the care you need while maintaining a level of independence. If you or a loved one needs structured mental health support, day treatment for adults may be an effective option.
Who Is the Partial Hospitalization Outpatient Insurance Provider Aetna?
Aetna was established in 1853 as the Aetna Life Insurance Company. It has since evolved into a leading health insurance provider, offering a comprehensive range of products and services to individuals and employers. Plans include medical, pharmaceutical, dental, medical management, behavioral health, and managed care for Medicare and Medicaid. Aetna has been a subsidiary of CVS Health since 2018.
This allows the company to leverage a vast network from CVS to deliver quality healthcare solutions nationwide. Aetna is committed to innovation and customer-centric care, continuing to adapt to the changing healthcare landscape so you receive support and resources. Whether you’re seeking coverage for routine medical needs or specialized services, the insurance provider’s diverse portfolio may help meet a wide array of healthcare requirements. At BreakThrough by BasePoint, we work with most Aetna plans to reduce your financial burden. Contact us today to verify your insurance coverage and learn more about our Intensive Outpatient Programs (IOPs) and Partial Hospitalization Programs (PHPs).
BreakThrough by BasePoint Accepts Aetna PHP Insurance
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 Aetna PHP mental health 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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What Is Aetna’s PHP Treatment Coverage?
Aetna offers coverage for PHPs, providing intensive, structured mental health treatment without the need for overnight hospitalization. Your program may involve four to six hours of daily therapy over five to seven days each week. A customized treatment plan can include individual and group therapy, family therapy, medication management, and skills-building workshops.
To access coverage, most plans require prior authorization or pre-certification. This process involves determining your eligibility for the program and ensures that the treatment is medically necessary and will be covered by the insurance plan. Requests can be submitted through the provider portal or by working with BreakThrough by BasePoint at 972-325-2633. Our admission specialist can help gather the documentation to prove medical necessity for outpatient rehab covered by Aetna. They can also verify your insurance coverage and help you understand the details that impact your out-of-pocket expenses.
Which Mental Health Disorders Are Covered by Aetna Insurance Plans for PHP in Dallas?
Young adults can experience various mental health conditions that are typically exacerbated by the transitional life stage of young adulthood. The following are mental health disorders that respond to a Partial Hospitalization Program (PHP), but it is not a full list. Call or contact us today for more information about our programs and to request a free assessment.
Anxiety disorders are among the most prevalent mental health conditions. They are characterized by persistent and excessive worry that can interfere with your daily activities. If PHP program allows you to receive comprehensive care during the day while returning home in the evening. This facilitates recovery without hospitalization, allowing you to practice the skills you learn in real situations.
Aetna health insurance typically covers PHPs for mental health conditions, including anxiety disorders. You can learn about your coverage specifics when you call BreakThrough by BasePoint at 972-325-2633. We can identify your in-network or prior authorization requirements as well as help you understand the details of your coverage that affect your out-of-pocket costs.
Personality disorders are complex mental health conditions characterized by persistent patterns of behavior, cognition, and inner experiences that deviate markedly from cultural expectations. These patterns lead to impairment in personal, social, and occupational functioning. 10 personality disorders are recognized diagnoses, including borderline, narcissistic, schizoid, and obsessive compulsive personality disorders.
A partial hospitalization program offers an intense, structured treatment and comprehensive care that can help you avoid hospitalization. Aetna partial hospitalization program insurance is usually part of the health insurance policy. Prior authorization is often required for PHP services, so it's advisable to review your plan's requirements. You can do this quickly and easily by calling BreakThrough by BasePoint at 972-325-2633 and speaking with our admission specialist. They can offer a free and confidential assessment with treatment recommendations, so you understand the level of care needed to appropriately address your symptoms.
Post Traumatic Stress Disorder (PTSD) is a mental health condition triggered by a traumatic event. You may have witnessed or experienced it, which triggers symptoms like intrusive memories, emotional numbness, and flashbacks. A Partial Hospitalization Program (PHP) provides an intensive and highly structured therapeutic environment where you receive comprehensive care that helps reduce the need for hospitalization.
When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can answer your questions about your insurance coverage. They are routinely asked, “Does Aetna cover mental health in Dallas?” They can answer your questions about your coverage details and program experiences and offer you a free and confidential assessment with treatment recommendations that identify the level of care you require to adequately address symptoms.
Obsessive Compulsive Disorder (OCD) is a mental health condition marked by persistent and intrusive thoughts as well as repetitive behaviors and mental acts. Intrusive thoughts are called obsessions, and the repetitive behaviors are called compulsions. The symptoms significantly disrupt your well-being. PHP offers a structured treatment option with services like individual and group therapy and medication management.
These services help you receive the care you need while living at home. Aetna health insurance policies usually cover a partial hospitalization program for mental health conditions, including OCD. However, your coverage specifics depend on your plan and state regulations. Prior authorization is often required to determine medical necessity for treatment. Call BreakThrough by BasePoint today at 972-325-2633 for more information about our day treatment services and to verify your insurance coverage.
Experiencing or witnessing a traumatic event can lead to significant mental health challenges. This can include Post-Traumatic Stress Disorder (PTSD), which is characterized by severe anxiety and emotional numbness. PHP offers intensive treatment when you're coping with a trauma-related disorder but don't need 24/7 supervision.
Aetna health insurance plans generally include coverage for a PHP that addresses trauma-related mental health conditions. However, your coverage specifics depend on several factors, and they influence your out-of-pocket expenses. Prior authorization is typically required to determine medical necessity for treatment. Call BreakThrough by BasePoint at 972-325-2633 for more information about the care we provide for trauma-related conditions and to verify your insurance coverage.
Depression is a common but serious mental health condition characterized by feelings of sadness and loss of interest. You can experience physical symptoms, including alterations in sleeping and eating patterns. Additionally, depression can co-occur with anxiety disorders, post-traumatic stress disorders, or bipolar disorder. A highly structured and customized outpatient PHP addresses physiological, environmental, and lifestyle factors that influence depression.
While Aetna insurance typically covers at least part of the cost of a partial hospitalization program, the amount of coverage, benefits, and limitations will depend on your policy. Call BreakThrough by BasePoint today for more information about our day treatment for addiction and mental health conditions and to verify your insurance coverage, including identifying in-network provider status and prior authorization requirements.
Dual diagnosis is the co-occurrence of mental health and substance use disorders. This presents a complex challenge that requires an integrated treatment approach. Partial Hospitalization Programs (PHPs) are an intensive, structured care approach that provides services to support substance abuse treatment and co-occurring mental health conditions. Programs allow you to receive comprehensive treatment while returning home in the evening.
Outpatient rehab covered by Aetna typically includes PHP for dual diagnosis. However, your coverage specifics depend on your Aetna policy and state regulations. Most policies require prior authorization to receive services. When you call BreakThrough by BasePoint at 972-325-2633, our admissions specialist can identify your benefits and limitations, describe the coverage details, and help you receive the maximum benefits allowed under your plan.
Does Aetna Health Insurance Cover Mental Health PHPs for Emerging Adults in Texas?
Most Aetna plans provide coverage for PHPs tailored to meet the needs of emerging adults. This ensures the provider is compliant with federal law, mandating coverage for mental health treatment is comparable to that offered for medical and surgical care. However, the coverage specifics can vary widely, including your premiums, deductibles, coinsurance, in-network provider status, and prior authorization requirements.
When you call BreakThrough by BasePoint below, our admission specialist can verify your insurance coverage and explain the details that influence your out-of-pocket expenses. We specialize in providing care for young adults who are experiencing mental health challenges. Our day treatment services are customized to meet the needs identified during your comprehensive assessment and evaluation.
Does Aetna Health Insurance Cover Dual-Diagnosis PHPs in Dallas, Texas?
Aetna health insurance plans typically include coverage for PHP rehab that addresses the needs of individuals with co-occurring conditions. Dual diagnosis is the term used to identify an individual who has two mental health conditions, often a substance use disorder and a co-occurring mental health diagnosis.
The program is structured to provide intensive care without an overnight stay while providing integrated care, simultaneously addressing both conditions. This is critical since each condition typically exacerbates the other. Your program may include individual, group, and family therapy, medication management, skills-building workshops, and support for co-occurring conditions. Not all PHP addiction treatment programs are designed to address co-occurring or dual diagnosis conditions.
Substance abuse day treatment programs that can address dual diagnosis must have a strong mental health component to ensure you receive the necessary care to treat your condition. BreakThrough by BasePoint provides day treatment benefits for young adults struggling with mental health conditions and who require PHP for substance abuse treatment. We work with most Aetna insurance plans and encourage you to call us to confirm your insurance coverage and learn more about our dual diagnosis day treatment for addiction recovery that can significantly influence restoring and repairing your quality of life.
Dallas Mental Health PHPs That Take Aetna Health Insurance
BreakThrough by BasePoint has several facilities in Dallas, and we are proud to provide virtual care throughout Texas. Each facility is staffed with highly skilled mental health professionals with experience and education to address the unique needs of young adults. Call or contact us today to learn more about our programs, understand your insurance coverage, and request a free assessment.
- Arlington, TX: 3900 Arlington Highlands Blvd Suite 237B Arlington, TX 76018
- Forney, TX: 713 W Broad St Suite 100 Forney, TX 75126
- Frisco, TX: 8275 Judges Way, Suite 100F, Frisco, TX 75036
- McKinney, TX: Virtual Mental Health Treatment
Arlington, Texas, is nestled between Dallas and Fort Worth. The city was founded in 1876 and has since grown to a population of just under 400,000 residents. Arlington is renowned for attractions like AT&T Stadium and the Original Six Flags over Texas. They host the University of Texas at Arlington, contributing to the city's dynamic and diverse character.
- BreakThrough by BasePoint - Arlington, Texas: 3900 Arlington Highlands Blvd, Suite 237B, Arlington, TX 76018, United States
Forney, Texas, is a city in Kaufman County that's approximately 20 miles east of Dallas. The population of just under 24,000 spans about 15.8 square miles and is part of the Metroplex. Individuals and businesses seeking a blend of small-town charm and suburban convenience will find it in Forney.
- BreakThrough by BasePoint – Forney, Texas: 713 W Broad St, Suite 100, Forney, TX 75126, United States
McKinney is a rapidly growing city just 30 miles north of Dallas. It's renowned for its Historic downtown area featuring locally owned boutiques and a unique dining experience. The city also offers attractions like the Heard Natural Science Museum and Wildlife Sanctuary, various seasonal festivals, and a bustling farmers market that contributes to its community atmosphere.
- BreakThrough by BasePoint - McKinney, Texas: 4733 Medical Center Drive, McKinney, TX 75069, United States
Frisco, Texas, is a rapidly growing city just 25 miles north of Dallas that's known for its family-friendly community atmosphere and attractions like the National Videogame Museum, Riders Field, and the Dallas Cowboys headquarters.
- BreakThrough by BasePoint - 8275 Judges Way, Frisco, TX 75036 Suite 100F
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Does Aetna Health Insurance Cover PHP Therapy and Counseling for Young Adults in Dallas, Texas?
Aetna health insurance plans usually offer coverage for Partial Hospitalization Programs (PHPs) tailored to the needs of young adults. However, your coverage specifics can vary, which significantly impacts your out-of-pocket expenses. These specifics include your insurance premiums, deductible, copay, coinsurance, in-network provider status, exclusions, and prior authorization requirements.
Wading through this insurance jargon and understanding how to receive the maximum benefits in your plan can be frustrating. We encourage you to call BreakThrough by BasePoint at 972-325-2633 so our admission specialists can walk you through the details of your insurance coverage, answer your questions about our partial hospitalization program center, and offer a free and confidential assessment with treatment recommendations. This provides you with the information to make an informed healthcare choice that can impact your future.
Does Aetna Cover Evening PHPs in Texas?
Yes, Aetna health insurance policies typically cover day treatment centers offering daytime or evening care. Most health insurance providers make decisions about coverage based on medical necessity and the effectiveness of the care provided. The time of day in which you receive PHP drug treatment or mental health care is not an indication of effective treatment.
At BreakThrough by BasePoint, our programs are tailored to meet your needs based on a comprehensive evaluation. Your program may include individual, group, or family therapy, medication management, or skills-building workshops designed to improve your mental health condition. Although a PHP traditionally operates during daytime hours, some may span afternoon and evening hours.
Intensive outpatient programs may also be available when you require more support than traditional therapy but less than a full-day PHP. These programs often provide services in the evening, allowing you to maintain many of your daily responsibilities while still receiving treatment. Call BreakThrough by BasePoint today to request a free assessment with treatment recommendations that identify the level of care needed to address your mental health challenges. These steps help to streamline your admission process.
Does Aetna Cover Online PHPs in Texas?
Aetna outpatient mental health coverage generally includes partial hospitalization programs administered in person or online. However, your Aetna partial hospitalization program coverage in Dallas or across Texas depends on your coverage details. For example, deductibles, copays, coinsurance, and network requirements will influence out-of-pocket expenses. Aetna also offers virtual care options through counseling services that allow members access at home.
However, these services are more similar to traditional outpatient care, in which you receive one session a week or every other week as opposed to a partial hospitalization program from a day treatment center that provides care for several hours each day over many days each week. When you call BreakThrough by BasePoint below, our admission specialist can verify your insurance coverage and help you understand the details of your policy that influence your out-of-pocket expenses.
How to Check My Aetna Insurance Plan Coverage at BreakThrough by BasePoint
The simplest and easiest way to check your Aetna insurance plan coverage is to call BreakThrough by BasePoint at 972-325-2633. Our admission specialist is adept at working with insurance providers and verifying insurance coverage. Our admission specialist will also help you understand the details of your plan. Understanding the key terms helps you to interpret how your insurance benefits and limitations are determined.
Insurance coverage begins with an underwriting process that assesses the risk associated with providing you a policy. An actuary calculates the probability that the insurance company will experience a loss from the information gathered by the underwriting process. This information sets the insurance premiums. Your policy can include an exclusion limiting coverage or an endorsement that modifies the policy. When a claim arises, an insurance adjuster evaluates the medical necessity of the claim and determines the appropriate settlement that should be made. Additionally, an umbrella policy can provide extra coverage beyond the standard limits, which comes with a higher premium. Each of these steps is an important factor in determining your coverage details, including benefits and limitations in your policy.
How to Get Aetna to Pay for Mental Health PHPs Near Me
The best way to get your maximum Aetna outpatient mental health benefits is to understand your policy’s limitations and coverage options. For example, several factors influence your out-of-pocket expenses, including in-network provider requirements, prior authorization requirements, copays, coinsurance, and deductibles. When you call BreakThrough by BasePoint at 972-325-2633, we verify your coverage and explain your options.
This helps you receive the maximum benefits under your plan. We handle all of this on your behalf and will explain your coverage details, so you understand how the health care coverage works. Choosing an in-network provider maximizes your coverage and minimizes your out-of-pocket expenses. When BreakThrough by BasePoint is not in-network with your Aetna insurance plan, you can work with our financial counselors to identify financial assistance that may help reduce out-of-pocket expenses while receiving high-quality mental health care from skilled and experienced professionals.
When your policy requires prior authorization, we work closely with you to secure the necessary documentation and approval from Aetna before beginning treatment. Coordinating these steps ensures that all requirements for coverage are met and helps us provide an estimate of your potential out-of-pocket charges.
How Many Times Will Aetna Insurance Pay for Mental Health PHPs in Texas?
Aetna insurance plans usually provide coverage for partial hospitalization programs with specific limitations and benefits. The number of times Aetna pays for mental health PHPs in Texas depends on your plan and the limitations in your policy. They may limit the number of days or sessions that are covered or may limit the type of therapy you can receive.
Each case is assessed independently to determine the appropriate duration of treatment based on medical necessity and documentation. To understand the specifics, including limitations are requirements to receive the maximum benefits in your plan, call BreakThrough by BasePoint at 972-325-2633. We can review your plan documentation and work with the Aetna insurance provider to get personalized information about your coverage, including the extent of your benefits and whether prior authorization is required. We help gather the necessary information to prove medical necessity and work on your behalf every step of the way.
The first step to getting Aetna insurance to pay for your virtual mental health therapy in Texas is to verify your plan details and understand what virtual counseling services are covered. Start by contacting BreakThrough by BasePoint at 972-325-2633. Our admission specialist will review your policies and benefits for mental health services, including online treatment and remote psychotherapy.
They will also determine if prior authorization is required before you begin treatment and if we are in network with your Aetna plan. Our admission specialist can handle specifics of verifying coverage, estimate your potential out-of-pocket expenses, and offer a free assessment with treatment recommendations so you have the necessary information you need to make an informed decision about receiving virtual mental health services at BreakThrough by BasePoint.
- Experts believe a PHP is a reasonable alternative to inpatient care. Before admission, factors that affect treatment must be considered, such as symptoms, cost, and family interactions. Data suggests programs can fulfill different functions within the mental health care system.
- Data gathered after partial hospitalization treatment reveals a significant symptom decrease in people with borderline personality disorder, including a reduction in suicidal and self-mutilatory acts, lower inpatient days, and better social function.
- Data show that 4.7% of young adults were diagnosed with bipolar disorder, and an estimated 82.9% of those had a serious impairment. Data show a brief partial hospitalization program is clinically and cost-effective.
- An acute partial hospitalization program treatment study demonstrated that cognitive behavioral therapy and other evidence-based psychotherapy techniques effectively reduced symptom severity and improved cognitive functioning.
- Over 80% of Texas counties are classified as mental health professional shortage areas. Texas has among the lowest addiction treatment beds per 100,000 people in the U.S. and a significant shortage of mental health treatment beds, which is significantly impacted by a shortage of employees.