Partial Hospitalization Outpatient Rehab Covered by Cigna in Dallas, Texas
BreakThrough by BasePoint provides a highly effective Partial Hospitalization Program (PHP) to address the mental health needs of young adults using evidence-based therapies. We have several facilities in Dallas, and our highly skilled mental health professionals provide virtual care throughout Texas. Conditions may include obsessive compulsive disorder, depression, anxiety, personality disorders, self-harm, and more.
When you call us at 972-325-2633, our admission specialist can verify your insurance coverage and help you understand the insurance details that influence your out-of-pocket expenses. They can also offer a free and confidential assessment with treatment recommendations. This ensures you have the necessary information to make an informed treatment decision. We understand how challenging it is to make the first phone call to ask for help. We want you to know that we do everything we can to make the process as easy and smooth as possible.
What Is a PHP for Mental Health Rehab?
A PHP for mental health rehab is a structured, short-term treatment option designed for people who need intensive treatment but do not require 24/7 supervision. These programs provide a higher level of support than traditional outpatient therapy, typically involving several hours of therapy each day, five to seven days a week.
Services in your customized treatment program may include individual and group therapy, psychiatric care, medication management, and wellness education. Day treatment centers that offer a PHP help you stabilize symptoms while building coping skills and transitioning from crisis stabilization to recovery within a supportive setting. This level of care is beneficial when you’re stepping down from an inpatient treatment setting or require more structure than a traditional outpatient program. PHP rehab empowers you to continue living at home while receiving comprehensive mental health support, which promotes independence and healing.
Who Is the PHP Insurance Provider Cigna?
Cigna is a global health services company formed in 1982 through the merger of the Insurance Company of North America (INA) and Connecticut General Life Insurance Company (CG). The name “Cigna” is derived from a combination of letters from these predecessors. Cigna’s headquarters are in Bloomfield, Connecticut, where they administer a comprehensive range of products and services.
These include medical, dental, disability, life, and accident insurance. The company operates in over 30 countries and serves approximately 180 million people worldwide. Cigna offers employer-sponsored health plans, individual and family plans through the marketplace, Medicare Advantage, Medicare Supplement Insurance, international health insurance, and pharmacy benefit management services. The company is committed to enhancing health outcomes by providing integrated, personalized solutions to meet your needs. BreakThrough by BasePoint routinely works with Cigna health insurance. You can call us today to learn more about your insurance coverage details and to verify coverage treatment.
BreakThrough by BasePoint Accepts Cigna 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 Cigna 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 Cigna’s PHP Treatment Coverage for Mental Health?
Cigna typically provides coverage for Partial Hospitalization Program (PHP) treatment as part of its behavioral health benefits. This supports you when you need intensive mental health care without 24/7 inpatient supervision. Coverage for day treatment services typically includes individual and group therapy, psychiatric evaluations, medication management, and crisis stabilization, depending on your insurance plan and medical necessity.
Most Cigna policies require prior authorization to demonstrate the need for medical services. When you call BreakThrough by BasePoint at 972-325-2633, we can verify your health insurance coverage for day treatment programs and help you understand the coverage details that influence your out-of-pocket expenses. When prior authorization is needed, we can help gather the necessary information, so you receive the maximum benefits under your health insurance plan.
Which Mental Health Disorders Are Covered by Cigna Plans for PHP Near Me?
Young adults can experience various mental health conditions, which require treatment by clinicians who understand the unique needs of this age group. This includes how these mental health conditions impact normal life stage events. The following is a list of examples, but it is not a full list of mental health conditions covered by Cigna.
Anxiety disorders include a range of conditions characterized by excessive fear, worry, or nervousness interfering with your daily activities. Common types include generalized anxiety disorder, panic disorder, social anxiety disorder, and specific phobias. You may experience symptoms like a rapid heartbeat, restlessness, and difficulty concentrating. Your customized program may include a combination of therapy, medication, and lifestyle adjustments.
Cigna Healthcare does offer coverage for various levels of care for anxiety disorder symptoms. However, your benefits depend on your insurance plan, including deductibles, copays, network status, and prior authorization requirements. You can easily verify your insurance coverage by calling BreakThrough by BasePoint at 972-325-2633. Our admission specialist can also offer you a free assessment with treatment recommendations to determine the level of care needed to address your anxiety disorder symptoms.
Trauma-related mental health conditions, such as Post Traumatic Stress Disorder (PTSD), can be triggered after experiencing or witnessing traumatic events, such as a natural disaster, abuse, violence, or combat. This can lead to persistent symptoms of intrusive memories, heightened anxiety, and avoidance behaviors. This significantly disrupts daily life.
Cigna Healthcare provides coverage for various treatments, including a Partial Hospitalization Program (PHP), which provides an intensive, structured treatment program that involves multiple sessions each day over five to seven days each week to focus on symptom management and recovery strategies. Call BreakThrough by BasePoint today at 972-325-2633 to learn about the specific terms of your insurance plan, how medical necessity affects treatment, and request a free assessment with treatment recommendations for trauma-related mental health conditions.
Personality disorders are a category of mental health conditions that are characterized by patterns of behavior, thinking, and inner experience that deviate markedly from societal expectations. The patterns are pervasive, enduring, and inflexible, leading to significant impairment in your personal, social, and occupational functioning. Examples include antisocial, narcissistic, borderline, and obsessive compulsive personality disorders.
Treatment typically involves psychotherapy, and in some cases, medication may be prescribed to address specific symptoms. Cigna Healthcare provides coverage for various personality disorders when you require more support than traditional outpatient care but do not need 24/7 inpatient hospitalization. Coverage specifics for PHPs depend on your health plan, coverage specifics, medical necessity, and whether the program is within Cigna's network. You can learn more about your coverage details, verify your insurance coverage, and request a free and confidential assessment when you call BreakThrough by BasePoint at 972-325-2633.
Obsessive Compulsive Disorder (OCD) is a mental health condition that's marked by persistent, intrusive obsessive thoughts and repetitive behaviors called compulsions. These significantly interfere with your daily functioning and quality of life. Common obsessions might include fears of contamination or concerns about ordering symmetry, while compulsions might involve excessive cleaning, checking, or counting.
Cigna Healthcare provides coverage for various treatment options to address OCD symptoms, including Partial Hospitalization Programs (PHPs). These programs typically involve multiple therapy sessions and can be provided in person or virtually. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can answer common questions, such as “does Cigna cover mental health in Dallas?”, verify your insurance coverage, and help estimate your potential out-of-pocket expenses.
Depression is a prevalent mental health condition characterized by persistent feelings of sadness, hopelessness, and a lack of Interest or pleasure in daily activities. You might experience fatigue, difficulty concentrating, self-harm, or changes in appetite and sleep. Effective treatment usually includes a combination of talk therapy, medication, and lifestyle modifications.
Cigna Healthcare usually offers coverage for depression treatment, including PHPs. At BreakThrough by BasePoint, your customized treatment program will focus on symptom management and coping strategies. When you call us at 972-325-2633, we can verify your insurance coverage, determine medical necessity documentation needs, estimate your expenses, and offer a free and confidential assessment with treatment recommendations to identify the level of treatment needed to address your needs.
Post-Traumatic Stress Disorder (PTSD) can be triggered if you witness or experience a traumatic event. This might include violence, abuse, rape, or combat. These symptoms significantly impair your daily functioning and overall well-being, including flashbacks, severe anxiety, and nightmares. Treatment plans typically include talk therapy, medication, or a combination of both.
Cigna Healthcare offers benefits for treatment, including in a partial hospitalization program. These programs typically include multiple therapy sessions each week, focusing on symptom management and coping strategies. Coverage specifics, such as eligibility, prior authorization requirements, and your out-of-pocket costs, will depend on the plan and the medical necessity of the treatment. Call us today at 972-325-2633 to review your plan details, verify your insurance coverage, and request a free and confidential assessment.
A dual diagnosis is the co-occurrence of a substance use disorder and mental health condition. This complicates treatment because the conditions exacerbate each other. When you have a dual diagnosis, you can experience challenges such as depression coupled with alcohol and dependence or anxiety alongside prescription drug misuse. Effective treatment requires an integrated approach addressing the disorders simultaneously.
Cigna Healthcare provides coverage options at various levels in substance abuse day treatment programs that also address mental health conditions. The programs offer intensive structured therapy during the day, while allowing you to return home in the evening. Substance abuse PHP treatment can include medication management, individual and group therapy, and skills-building workshops. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can answer questions about day treatment for addiction recovery and mental health conditions, verify your insurance coverage, and offer a free and confidential assessment that can determine the level of treatment needed to address your concerns.
Does Cigna Insurance Cover Mental Health PHPs for Young Adults in Dallas?
Outpatient rehab covered by Cigna often includes day treatment benefits for young adults as part of their behavioral health services. This ensures you have access to intensive mental health treatment without the need for overnight hospitalization. However, your coverage specifics will depend on your plan and the medical necessity of the treatment.
These specifics influence out-of-pocket expenses, including insurance premiums, deductibles, coinsurance, copays, network provider status, and prior authorization requirements. Young adults in Dallas who are seeking Intensive Outpatient Programs (IOP) or Partial Hospitalization Program (PHP) services for mental health conditions can call BreakThrough by BasePoint below. Our admission specialist can verify your insurance coverage details and offer a free and confidential assessment with treatment recommendations. This gives you the information you need to make an informed healthcare choice.
Does Cigna Insurance Cover Dual-Diagnosis PHPs Near Me?
Cigna Healthcare offers coverage for day treatment centers that provide a PHP for young adults with dual diagnosis. This is the concurrent diagnosis of a mental health and substance use disorder. The programs are specialized to address the unique needs simultaneously since these conditions typically exacerbate each other, making diagnosis and treatment more complicated.
However, the extent of your coverage benefits will depend on your insurance plan. To determine if dual diagnosis PHPs near you are covered, you can call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can answer your questions about Cigna’s outpatient mental health benefits included in your plan, verify your insurance coverage, and offer a free and confidential assessment with personalized treatment recommendations. This helps identify the level of care needed to address your mental health condition.
Dallas Mental Health PHPs That Take Cigna Plans
BreakThrough by BasePoint has several facilities in Dallas and provides virtual care throughout Texas. Each facility is staffed with experienced and licensed clinicians whose goal is to provide you with quality mental health care and promote restoration and recovery. Call or contact us today for more information about our day treatment for adults and to verify your insurance coverage.
- 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 is an active city located between Dallas and Fort Worth. They were founded in 1876 and incorporated in 1884. They are renowned for attractions like the Dallas Cowboys, Texas Rangers, Six Flags Over Texas, Hurricane Harbor, and the University of Texas at Arlington. The diverse economies include manufacturing, education, and entertainment markets.
- BreakThrough by BasePoint - Arlington, Texas: 3900 Arlington Highlands Blvd, Suite 237B, Arlington, TX 76018, United States
Forney, Texas, is part of the Dallas-Fort Worth Metroplex and is located in Kaufman County. They have undergone significant growth since the 2020 census, offering a blend of historic charm and modern development. Experts project continued growth in the coming years, supported by a family-friendly environment, quality schools, and proximity to major urban centers.
- BreakThrough by BasePoint – Forney, Texas: 713 W Broad St, Suite 100, Forney, TX 75126, United States
McKinney, Texas, is 30 miles north of Dallas. They were established in 1848 and named after Collin McKinney, a signer of the Texas Declaration of Independence. The city is renowned for its historic charm, featuring preserved 19th-century architecture, and has been recognized among the top U.S. cities for quality of life.
- BreakThrough by BasePoint - McKinney, Texas: 4733 Medical Center Drive, McKinney, TX 75069, United States
Frisco, Texas, is located 25 miles north of Dallas with a population of just over 225,000. The city was established in the early 1900s and named after the St Louis-San Francisco Railway, reflecting its origins as a railroad town. They also boast attractions like the National Videogame Museum, a historic downtown, and the Museum of the American Railroad.
- BreakThrough by BasePoint - 8275 Judges Way, Frisco, TX 75036 Suite 100F
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Does Cigna Insurance Cover PHP Therapy and Counseling in Dallas, Texas?
Yes, Cigna Healthcare typically provides coverage for mental health treatment that includes therapy and counseling services within a day treatment program. Two federal laws mandate that health insurance providers offer coverage to treat mental health conditions and substance use disorders at comparable benefit levels as they do for medical and surgical care.
However, the extent of your benefits, limitations, and exclusions is determined by the insurance plan you purchased. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can answer your questions about Cigna partial hospitalization program coverage in Dallas and throughout Texas. They can also help you understand the specifics in your coverage that influence your costs and offer you a free assessment that can determine the level of treatment needed to address your mental health condition.
Does Cigna Insurance Cover Online PHPs in Texas?
Your coverage for online PHP care in Texas depends on your healthcare plan and the medical necessity of the treatment. Cigna Healthcare provides PHP mental health treatment as part of its behavioral health services. You can quickly and easily determine if your plan includes day treatment for addiction and mental health care by calling BreakThrough by BasePoint below.
Cigna partial hospitalization program insurance typically provides virtual care options, including access to licensed behavioral health care professionals. Virtual care encourages you to connect with therapists and psychiatrists using the phone or video calling to receive intensive mental health care. However, prior authorization is usually required, and your coverage specifics depend on factors like provider network status and medical necessity.
You can quickly and easily explore your options to receive virtual PHP coverage in Texas by calling BreakThrough by BasePoint at 972-325-2633. Our admission specialist can verify your insurance coverage and help you understand the details that influence your costs, and help you receive the maximum benefits under your health insurance plan.
Insurance companies make payment decisions based on medical necessity, which means that you have documentation to demonstrate the level of care requested is the level of care required to address your mental health condition. This is the function of prior authorization, which in turn helps us estimate your potential out-of-pocket expenses.
Does Cigna Cover Evening PHPs in Dallas?
Cigna Healthcare will typically cover Partial Hospitalization Programs (PHPs) and day treatment programs under the behavioral health services portion of your health insurance plan. They base your benefit level on the effectiveness of the care provided and not the time of day you receive it. Most partial hospitalization programs provide care during daytime hours.
This ensures you have the time to receive several hours of therapy each day. You may have some flexibility to receive some hours in the evening, but most programs do not offer all treatment in the evening hours. An Intensive Outpatient Program (IOP) can offer more flexibility and provide care during the evening hours, but the intensity level of treatment is also less than a PHP.
Evening sessions help you meet some of your work and school obligations while receiving treatment. However, we recognize the necessity to prioritize your PHP addiction treatment and mental health treatment in your recovery journey. Our free and confidential assessment with treatment recommendations can help identify the level of care you require to appropriately address your needs. When you call BreakThrough by BasePoint below, our admission specialist can verify your insurance coverage and help you begin the admission process.
Checking My Cigna Insurance Plans at BreakThrough by BasePoint
You must verify your insurance coverage before beginning treatment, so you are not surprised by an unexpected bill. The fastest and easiest way to do this is to call BreakThrough by BasePoint at 972-325-2633 or fill out our insurance verification form, and we will verify coverage and tell you the details of your policy that influence your expenses.
This helps you to receive the maximum benefits under your insurance plan. Some of those factors include whether your insurance policy requires an in-network provider or prior authorization. Your plan may limit the number or type of therapy you can receive. Your benefits may include inpatient and multiple levels of outpatient treatment, or your plan may exclude certain types of treatment. After learning your insurance plan benefits and limitations, we can also offer a free and confidential assessment with treatment recommendations, so you know the level of care needed to address your challenges.
How to Get Cigna to Pay for Mental Health PHPs Near Me
The best way to get Cigna to pay for a mental health partial hospitalization program center is to understand your policy. When you call BreakThrough by BasePoint at 972-325-2633, we can verify your coverage and discuss the details that affect your costs. It is helpful to understand key insurance terms, so you know how these financial decisions are made.
Before an insurance policy is written and sold, it goes through an underwriting process in which the company assesses the risk associated with insuring you. An actuary then uses this information to calculate the probability that the company will experience a loss and the liability they may hold. This is how the cost of your premiums is set. Your policy may include exclusions that limit your coverage, and an endorsement can modify the policy so you receive benefits to meet your needs. Each of these changes affects the cost of your premiums. Once a claim is submitted, an insurance adjuster evaluates the loss to the company and determines the appropriate settlement. The cost that’s not paid is your out-of-pocket expenses.
How Many Times Will Cigna Insurance Pay for Mental Health PHPs in Dallas, TX?
The number of times that Cigna Healthcare pays for mental health PHP in Dallas or throughout Texas relies heavily on your insurance plan and the medical necessity of your treatment. Each case is assessed individually. An insurance case manager considers factors such as the severity of your symptoms, effectiveness of prior treatments, diagnosis, and evidence-based therapies backed by research.
Typically, Cigna requires prior authorization to ensure treatment is medically necessary and qualifies for coverage. All insurance companies use medical necessity as a benchmark to provide benefits. This means that the planned care has proven to be effective for your symptoms and mental health condition. Your symptom severity must also meet the intensity level of the planned treatment program.
For example, when you are seeking care in a partial hospitalization day treatment program, most insurance companies require that your symptoms have significantly interfered with daily life and are severe enough that you would not experience successful treatment at a lower level of care, such as traditional outpatient therapy. The best way to determine the coverage limits under your plan is to call BreakThrough by BasePoint at 972-325-2633 and speak with our admission specialist.
They can verify your insurance coverage and determine the details that influence how many times you can receive treatment within the year or in the life of the policy. They can also help estimate your out-of-pocket expenses based on this information and offer you a free and confidential assessment with treatment recommendations.
This assessment helps to determine the level of care needed to address your mental health challenges. We recognize that taking the first step to ask for help is often the biggest step. We understand and want to provide you with high-quality mental health care to support your mental health recovery and restore your personal and professional life.
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.
- Data show partial hospitalization programs (PHPs) are reasonable alternatives to residential care when you meet certain criteria, such as symptoms, cost, and family interactions.
- Partial hospitalization programs and intensive outpatient programs are structured outpatient treatment options. A PHP provides an intensive level of care comparable to treatment in a residential center while allowing you to live at home.
- Anxiety disorders are the most common mental health challenge in the U.S., affecting roughly 40 million adults. Anxiety is highly treatable but only 36.8% receive treatment. People with anxiety are more likely to visit the doctor or hospital and more likely to be hospitalized for psychiatric disorders than those without anxiety.
- In 2023, the percentage of adults diagnosed with depression was 10% greater than in 2015. Adults with a depressive disorder have a 64% higher risk of developing heart disease. Roughly 39% of adults did not receive treatment and 10.6% of all physician office appointments included depression.
- More than 60% of college students met the criteria for at least one mental health problem. A 2022 study surveyed 54,000 undergraduate college students, finding 77% experienced moderate or severe psychological stress, 54% loneliness, and 30% suicidal behavior.