Partial Hospitalization Outpatient Rehab Covered by Magellan in Dallas, Texas
The highly skilled and experienced mental health professionals at BreakThrough by BasePoint understand the challenge of living with a mental health condition that can disrupt your daily activities, including school and work. We have the education and expertise to provide treatment for young adults with depression, anxiety, obsessive compulsive disorder, attention deficit disorder, and more.
We specialize in providing care for young adults going through a unique life stage in which they face challenges transitioning into a new career, education, academic setting, and relationships. We provide you with the necessary support in a safe and supportive environment where you can work through these challenges and emerge more productive and with better emotional and mental health. When you call BreakThrough by BasePoint at 972-325-2633, our admissions specialist can answer your questions about our outpatient treatment programs, verify your insurance coverage, and offer a free and confidential assessment so you have the information you need to make an informed treatment decision.
What Is a PHP for Mental Health Treatment?
Partial hospitalization programs provide a structured outpatient treatment option in which you receive an intensive level of care, comparable to what you would receive in a residential treatment center. However, you can return home in the evening, which is ideal when you have a supportive environment and do not need 24/7 supervision.
At BreakThrough by BasePoint, we tailor your treatment plan to meet your needs using a comprehensive evaluation that identifies your challenges and determines the level of care needed to address them. In your tailored PHP, you received several hours of therapy each day for five days each week. Your program can also include holistic approaches to mental health treatment, such as learning life skills or the importance of nutrition to your mental and emotional well-being.
Who Is the PHP Insurance Provider Magellan?
Magellan Health is a managed healthcare company that specializes in behavioral health services. They offer insurance solutions and support for mental health and substance use treatment. The company was founded in 1969 and is headquartered in Scottsdale, Arizona. They have built a strong reputation for delivering evidence-based care management through employer-sponsored health plans, Medicaid, Medicare Advantage, and commercial insurers.
The company focuses on personalized treatment coordination in complex areas like behavioral health and specialty healthcare. Magellan Health covers a broad range of services, including employee assistance programs, digital cognitive behavioral therapy, and clinical support tools. Their network includes licensed therapists, psychiatrists, and treatment facilities nationwide. Magellan was acquired by Centene Corporation in 2021 to improve behavioral health integration across medical care platforms. At BreakThrough by BasePoint, we work with most insurance providers. Call us today to confirm your insurance details.
BreakThrough by BasePoint Accepts Magellan 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 Magellan PHP mental health coverage levels.
Call us today to schedule a same day assessment at (972) 325-2633 or fill out our inquiry form.
Breakthrough by BasePoint: Verify Insurance
What Is the Magellan PHP Rehab Coverage for Mental Health Treatment?
Magellan offers coverage for mental health conditions as regulated by two federal laws that mandate insurance providers offer coverage for mental health and substance use disorder treatment comparable to the coverage for medical and surgical care. However, the level of benefits and limitations on your policy depends on the plan you purchase.
When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can answer your questions about your insurance coverage details, including those that influence your out-of-pocket expenses. These factors include deductibles, copays, coinsurance, network provider status, and prior authorization requirements. We understand how difficult it can be to ask for help and want you to know that we are here to walk you through the process so you can receive the high-quality mental health care needed to address your concerns.
Which Mental Health Disorders Are Covered by Magellan Plans for PHP in Dallas, TX?
Young adults can experience various mental health conditions that respond to in-person and virtual outpatient treatment. The following is a list of examples of mental health conditions, but it is not a full list. Call or contact us today for more information about our mental health and substance abuse PHP treatment that can restore your life.
Depression is a prevalent mental health condition, but a serious one. Left untreated, it can have devastating effects on your life and the lives of your loved ones. You might experience changes in appetite, sleep disturbances, fatigue, and difficulty concentrating that significantly impair your daily functioning. Magellan Health offers coverage for various services that address depression in young adults.
A partial hospitalization program can serve as an intermediate level of care, providing comprehensive support without requiring hospitalization. To determine the exact details of your Magellan coverage for depression treatment, call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can answer your questions, such as “Does Magellan cover mental health in Dallas?”, identify your coverage details, and estimate your out-of-pocket expenses.
Post Traumatic Stress Disorder (PTSD) includes symptoms like intrusive memories, flashbacks, and severe anxiety that's related to experiencing or witnessing a traumatic event. These symptoms will significantly disrupt daily life and lead to difficulties at work, school, relationships, and overall well-being. Magellan usually covers in-person and virtual hospitalization programs that address symptoms of PTSD.
You have access to intensive, structured therapy during the day while being able to return home in the evening. This provides more support than traditional outpatient therapy but less than 24/7 supervision during hospitalization. To understand your coverage specifics that influence out-of-pocket expenses, call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can answer your questions about our day treatment services, verify your insurance coverage, and explain how to best meet your potential out-of-pocket expenses.
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by symptoms such as inattention, hyperactivity, and impulsivity. You might experience challenges in maintaining focus, organizing tasks, following instructions, and regulating impulsive behavior. These difficulties impact various aspects of your life. Magellan Health provides coverage for a range of services designed to treat ADHD.
Within PHP, you are provided with intensive treatment during the day that's particularly beneficial for learning healthy coping strategies and engaging with peers during group therapy. It is crucial to identify your coverage specifics that impacts costs. This helps reduce the risk of receiving an unexpected medical bill. Call BreakThrough by BasePoint today at 972-325-2633 to verify your insurance coverage and request a free and confidential assessment with treatment recommendations.
Trauma is the emotional and psychological response to witnessing or experiencing traumatic events. Trauma can lead to conditions such as PTSD. You might experience symptoms such as heightened anxiety, avoidance behaviors, and intrusive memories. Magellan outpatient mental health coverage typically includes programs designed to treat trauma-related disorders.
Day treatment programs provide you with a level of care that addresses your condition while allowing you to live at home. Call BreakThrough by BasePoint today to learn more about your coverage specifics, including whether your policy has requirements for in-network providers or prior authorization documentation.
Anxiety disorders are a range of conditions that have similar symptoms, including excessive fear, worry, and related behavioral disturbances. Common types of anxiety disorders include generalized anxiety disorder, panic disorder, social anxiety disorder, and specific phobias. Each has unique symptoms, but all typically have physical and mental symptoms that include sleep disturbances, rapid heartbeat, and difficulty concentrating.
Magellan Health can cover in-person and virtual partial hospitalization programs designed to treat anxiety disorders. However, your coverage specifics for PHP addiction treatment and mental health conditions depend on your policy. Call BreakThrough by BasePoint today at 972-325-2633 for more information about our programs and to verify your insurance coverage.
Personality disorders are a category of conditions characterized by patterns of behavior, thinking, and inner experience that deviate markedly from societal expectations. The patterns are pervasive and inflexible, leading to impairment and social, occupational, or other areas of functioning. Common examples include borderline, antisocial, and narcissistic personality disorders. You might experience challenges with self-image, impulse control, and relationships.
Magellan Health typically includes coverage for programs designed to treat personality disorders. When you call BreakThrough by BasePoint, our admission specialist can answer your questions about our day treatment programs, verify your insurance coverage, and provide a free and confidential assessment. These are some of the first steps to the admission process, which you can complete with just a couple of phone calls.
Obsessive Compulsive Disorder (OCD) is a mental health condition characterized by intrusive and unwanted thoughts called obsessions. These lead to repetitive behaviors called compulsions, which are used to reduce the distress and anxiety caused by the obsessions. Effective treatment typically includes Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP). In some cases, medication management may be necessary.
Magellan Health provides coverage for various mental health services tailored for OCD treatment. In some cases, individuals with OCD may choose self-medication with alcohol or illegal drugs, leading to a dual diagnosis. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can describe our mental health and substance abuse day treatment plan, verify your insurance coverage, and offer a free and confidential assessment with treatment recommendations. This helps to identify the level of care you need to address your mental health concerns while completing several of the first steps for admission.
Dual diagnosis is the co-occurrence of a substance use disorder and a mental health condition, such as depression, anxiety, ADHD, or OCD. Symptoms of dual diagnosis are often intertwined, and each condition exacerbates the other. This makes treatment more complex. Effective management requires an integrated and simultaneous treatment approach to promote comprehensive healing and reduce the risk of relapse.
Magellan Health offers coverage for partial hospitalization programs tailored to meet the needs of individuals with dual diagnosis. However, while this level of care is beneficial, your coverage details depend on the plan you purchased. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can describe our PHP for substance abuse and mental health conditions, verify your insurance coverage, and help you understand the specifics in your policy that influence your out-of-pocket expenses.
Does Magellan Insurance Cover Mental Health PHPs for Young Adults Near Me?
Yes, Magellan Health typically provides coverage for Partial Hospitalization Programs (PHPs) for young adults who require intensive mental health treatment. PHPs offer a structured and comprehensive approach to day programming while allowing you to return home in the evenings. The level of care is beneficial for young adults managing conditions like bipolar disorder, depression, and anxiety.
It provides a supportive environment without full hospitalization. However, your coverage specifics vary depending on your individual Magellan plan. Several factors impact out-of-pocket expenses, including network provider status, copayments, coinsurance, and prior authorization requirements. These can also influence the extent of your coverage and limitations on your benefits.
The best way to get detailed information about your plan is to call BreakThrough by BasePoint below. Our admission specialist can answer your questions about our day treatment programs, verify your insurance coverage, and offer you a free and confidential assessment that can help determine the level of care you need to address your concerns.
Does Magellan Insurance Cover Dual Diagnosis PHPs in Dallas, Texas for Young Adults?
Dual diagnosis is the concurrent diagnosis of a mental health condition and substance use disorder. In young adults, this can create a complex situation that requires integrated and simultaneous care. A partial hospitalization program can effectively bridge the gap between inpatient and outpatient care while allowing you to return home in the evening.
This is especially beneficial when you’re managing complex conditions, as it provides a comprehensive and supportive environment while allowing you to maintain some of your daily activities. In Dallas, Texas, BreakThrough by BasePoint provides outpatient rehab covered by Magellan insurance. We work closely with insurance companies to ensure you receive the maximum benefits in your plan to support your recovery.
Our programs are specialized for young adults who face mental health and substance use challenges, including personalized therapy sessions, medication management, and holistic support tailored to your needs. However, your coverage specifics will depend on the plan you purchased. Several factors influence how much you pay for treatment, including your premiums, deductible, copayment, coinsurance, in-network provider status, and prior authorization requirements.
When you call BreakThrough by BasePoint at 972-325-2633, we can provide you with a description of our day treatment for adults, verify your insurance coverage, and help estimate out-of-pocket expenses. We can also offer a free and confidential assessment with treatment recommendations, so you have the necessary information to make an informed treatment decision.
Does Magellan Insurance Cover Therapy and Counseling PHPs in Dallas, TX?
Yes, Magellan Health typically offers coverage for therapy and counseling within a partial hospitalization program. These therapeutic interventions are crucial to an Intensive Outpatient Program (IOP) or a Partial Hospitalization Program (PHP). This level of care is beneficial when you require more support than traditional outpatient therapy but do not need full inpatient hospitalization.
BreakThrough by BasePoint has several facilities in Dallas and provides virtual care throughout Texas, including day treatment services that are uniquely designed for young adults and the mental health conditions they may experience. Magellan outpatient mental health coverage will depend on your policy. When you call us at 972-325-2633, our admission specialist can verify your coverage details, including the factors influencing your financial cost.
Our admission specialist will verify your coverage and help you to understand your deductibles, copays, coinsurance, network status, and prior authorization requirements. We can also connect you with our financial counselor, who can identify potential financial assistance to help cover some expenses when you qualify. Finally, they can also offer a free assessment that identifies your needs and determines the level of care required to address your concerns. Each step helps streamline your admission process and can be accomplished with just a couple of phone calls.
Dallas Mental Health PHPs That Take Magellan Plans for Young Adults
BreakThrough by BasePoint has several facilities in Dallas where we provide in-person care and virtual day treatment benefits throughout Texas. Each facility is staffed by highly skilled clinicians, so you receive the same level of care. Call or contact us today to learn more about your Magellan partial hospitalization program insurance and how we can help.
- 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 located between Dallas and Fort Worth. Today, the city spans roughly 100 square miles and is renowned for attractions like the AT&T Stadium, where the Dallas Cowboys play, and Globe Life Field, where the MLB Texas Rangers play. The city also hosts the University of Texas at Arlington and the National Medal of Honor Museum.
- BreakThrough by BasePoint - Arlington, Texas: 3900 Arlington Highlands Blvd, Suite 237B, Arlington, TX 76018, United States
Forney, Texas, is 23 miles east of Dallas and Kaufman County. The city has experienced significant population growth, reaching roughly 51% from 2020 to 2023. Forney boasts a rich history, an active community, a strong school system, and diverse economic growth in retail, healthcare, and small manufacturing.
- BreakThrough by BasePoint – Forney, Texas: 713 W Broad St, Suite 100, Forney, TX 75126, United States
McKinney, Texas, is roughly 30 miles north of Dallas and one of the fastest-growing cities in the country. McKinney is known for its historic downtown, tree-lined streets, and strong economy. It consistently ranks among the best places to live in America, offering excellent schools, parks, and cultural amenities.
- BreakThrough by BasePoint - McKinney, Texas: 4733 Medical Center Drive, McKinney, TX 75069, United States
Frisco, Texas, is a growing city in the Dallas-Fort Worth metroplex with a population of just over 235,000. The city is known for its family-friendly atmosphere, award-winning schools, and booming economy. Frisco is home to the Dallas Cowboys headquarters, the Videogame Museum, and the Museum of the American Railroad.
- BreakThrough by BasePoint - 8275 Judges Way, Frisco, TX 75036 Suite 100F
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Does Magellan Insurance Cover Online PHPs in Texas?
Yes, Magellan Health usually provides coverage for online partial hospitalization programs throughout Texas. An online program offers the same intensive, structured mental health treatment over a digital platform, allowing you to receive comprehensive care from your home. The virtual mental health program at BreakThrough by BasePoint, helps to address the gaps in mental health treatment throughout Texas.
In the state, 80% of the counties are classified as mental health professional shortage areas. This approach is beneficial when you’re looking for flexibility without compromising quality of care. Telehealth services provide greater privacy, increase access to specialized providers in remote areas, and offer flexible scheduling options. This flexibility can lead to improved compliance with treatment and help avoid unnecessary hospitalizations.
However, the extent of your benefits and limitations depends on the policy you purchased. Some policies place limitations on the number or type of therapy you can receive. To understand the exact details of your telehealth PHP coverage, call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can answer questions for you about our program and verify your insurance coverage. They can also help you understand the details of your coverage, including whether in-network providers are required, or prior authorization is necessary.
Does Magellan Cover Evening PHPs in Dallas?
Magellan Health usually offers coverage for a Partial Hospitalization Program (PHP) that provides intensive, structured mental health treatment. Most traditional PHPs are primarily scheduled during the day. Evening options are far less common because of the higher intensity level of care required. Some of your therapy in a PHP can be scheduled during evening hours.
Intense, structured outpatient programs that can have day and evening options are typically Intensive Outpatient Programs (IOPs). These IOPs are less intensive than a PHP while still providing comprehensive support to help you manage your mental health condition. An IOP may be a step down from a PHP before you begin traditional outpatient therapy, depending on your needs.
How much your Magellan policy will cover depends on the plan. Your policy will have specific benefits and limitations on the type of therapy or the duration of therapy that may be covered. To understand your coverage details, call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can provide you with the information you need to make the best decision for your health.
Does Magellan Cover Day Treatment in Dallas?
Yes, Magellan’s partial hospitalization program coverage in Dallas does offer benefits to young adults experiencing mental health conditions. These day treatment centers provide individual and group therapy programs along with skills-building workshops, psychoeducation, and other strategies that address your mental health needs. Programs are typically during the daytime hours, allowing you to go home in the evenings.
They are beneficial when you need more support than a traditional outpatient program, but do not need full inpatient hospitalization. Most programs include from 25 to 35 hours of therapy each week, and your program duration depends on your customized plan and how you progress through therapy. The specifics of your coverage depend on the plan you purchased.
These specifics influence your out-of-pocket expenses at a partial hospitalization center, whether you’re receiving in-person or virtual treatment. Call BreakThrough by BasePoint today below for more information about your Magellan policy and the documentation your insurance company requires before you can begin care.
Checking My Magellan Health Insurance Plans at BreakThrough by BasePoint
Before receiving treatment, it’s crucial to verify your insurance coverage so you’re not surprised by an unexpected medical bill. The easiest and most effective way is to call BreakThrough by BasePoint at 972-325-2633 or fill out our online insurance form. Our admissions specialist is adept at working with insurance providers, including Magellan Health.
They can help you get the maximum benefits in your plan for day treatment for addiction and mental health conditions. They will also help you understand your coverage details, which are the benefits and limitations in your policy that affect your out-of-pocket expenses. We can also offer you a free and confidential assessment with treatment recommendations, so you are fully aware of the level of care needed to address your mental health condition.
How to Get Magellan to Pay for Mental Health PHPs in Texas
The best way to get Magellan Health to pay for your mental health partial hospitalization program in Texas is to know and understand your insurance benefits and limitations. When you call BreakThrough by BasePoint at 972-325-2633, we can verify your insurance coverage and help you understand the documentation needed to submit a claim for approval.
Understanding the insurance terms can help you understand the process. Before you purchase an insurance policy, an underwriting process will assess the risk the insurance company has that’s associated with insuring you. This information is sent to an actuary who calculates the probability of loss and liability. This information is used to set the premium levels. Some policies can include an exclusion that limits your coverage, and others may include an endorsement or an umbrella policy that offers more benefits. Endorsements and umbrella policies will increase insurance premiums. After submitting a claim for service, the insurance adjuster evaluates the loss to the company and the benefits to you. They will determine an appropriate settlement based on this information.
How Many Times Will Magellan Insurance Pay for Mental Health PHPs in Dallas?
The number of times that Magellan Health pays for a mental health PHP is defined in your insurance policy. Some policies limit the number of therapy sessions you can receive in a year, and others limit the type of therapy you can receive, even within a structured and inclusive program like a partial hospitalization program.
The best way to receive the maximum benefits in your policy is to understand the insurance company’s documentation requirements for medical necessity. This is typically the information insurance companies use to determine whether to pay a claim. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can help you understand your coverage for day treatment for addiction recovery or mental health treatment. We recognize that asking for help is challenging. Our mental health professionals and staff understand the difficulty in making that first phone call. We are here to help you and walk through this journey with you.
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.