Partial Hospitalization Program Rehab Covered by Meritain in Dallas, Texas
Partial Hospitalization Programs (PHPs) fill a unique niche in mental health care, offering an intensive level of treatment that’s comparable to what you would receive in a residential treatment program but still allowing you to return home at night. BreakThrough by BasePoint has several facilities in Dallas and provides virtual mental health care throughout Texas.
Each treatment center is staffed with highly skilled mental health professionals who have experience treating depression, anxiety, obsessive compulsive disorder, attention deficit disorder, bipolar disorder, and more. When you call us at 972-325-2633, we can provide you with information about outpatient rehab covered by Meritain, verify your coverage, and offer a free and confidential assessment with treatment recommendations. This identifies the level of care needed to address your concerns and gives you the information you need to make an informed healthcare choice.
What Is PHP for Mental Health Disorders?
Partial Hospitalization Program (PHP) is sometimes called a day treatment program. It’s a structured, intensive outpatient option when you need more support than traditional therapy but doesn’t require 24/7 supervision. PHP offers a safe and therapeutic environment with comprehensive care during the day, typically including individual and group therapy, psychiatric evaluation, medication management, and support for co-occurring conditions.
PHP is ideal when you experience significant emotional or behavioral challenges but are medically stable and motivated to participate in treatment. PHP provides consistent therapeutic interventions, helping to stabilize your symptoms, build healthy coping strategies, and transition smoothly into long-term recovery. It serves as a vital step in the continuum of care, providing a bridge between residential and outpatient treatment and promoting healing while maintaining life responsibilities.
Who Is Meritain, the PHP Insurance Provider?
Meritain Health was established in 1983 as North American Health Plans and rebranded to the current name in 2006. Headquartered in Amherst, New York, the company operates as one of the largest third-party administrators (TPAs) of self-funded health benefits. In 2011, Meritain Health became a subsidiary of Aetna, which later merged with CVS Health in 2018.
This improved the resources and network capabilities available to members. The company offers a comprehensive suite of services, including customized health plan administration, access to extensive provider networks, and wellness programs aimed at promoting healthier lifestyles among its members. By integrating medical and pharmaceutical benefits, Meritain Health strives to deliver cost-effective, flexible solutions tailored to the unique needs of employers and their employees.
BreakThrough by BasePoint Accepts Meritain 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 Meritain 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 Meritain’s PHP Rehab Insurance Coverage for Mental Health Treatment?
Meritain Health provides coverage for Partial Hospitalization Programs (PHPs) as part of its commitment to comprehensive mental health treatment. PHPs offer structure, intensive care during the day at a level beneficial for those who require more support than traditional outpatient therapy but do not need residential care.
Meritain usually covers services such as individual and group therapy, medication management, and support for co-occurring conditions. However, your coverage specifics, such as the duration and extent of treatment, vary based on your individual plan. Call BreakThrough by BasePoint today at 972-325-2633 to fully understand your benefits, including those that influence your out-of-pocket expenses.
Which Mental Health Disorders Are Covered by Meritain Plans for PHP in Dallas, TX?
Young adults can experience various mental health conditions that respond to structured, intensive outpatient programs in day treatment for addiction and mental health. Following is a list of examples, but it is not a full list. Call or contact us today to learn about mental health conditions that the highly skilled clinicians at BreakThrough by BasePoint treat.
Depression is a prevalent mental health condition in which you experience persistent feelings of sadness and hopelessness. You might lack interest or pleasure in daily activities, each of which significantly impacts your ability to function at work and school. Other symptoms can include a change in appetite or sleep, fatigue, difficulty concentrating, and thoughts of self-harm or suicide.
Meritain Health offers coverage for various depression programs, including Partial Hospitalization Programs (PHPs) that are designed to treat depression. These programs typically encompass individual therapy, group counseling, and psychiatric evaluations, with medication as necessary. Your coverage specifics, including eligibility and out-of-pocket expenses, depend on your plan. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can verify your coverage and help you understand the details that impact out-of-pocket expenses.
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental condition in which you have patterns of intention, hyperactivity, and impulsivity that interfere with daily functioning and development. You can struggle with maintaining focus, following through on tasks, and organizing activities, and may exhibit excessive movement or impulsive decision making. These symptoms impact work, school, and social relationships.
Meritain Health offers coverage for various treatments designed to address the symptoms of ADHD, including PHP, which provides structured, intensive therapy tailored to address your challenges. Call BreakThrough by BasePoint today at 972-325-2633 for more information about our day treatment for adults and young adults that addresses ADHD symptoms and to verify your insurance coverage.
Trauma-related disorders arise from being exposed to distressing events, leading to persistent emotional and psychological challenges. Symptoms can include flashbacks, severe anxiety, and intrusive thoughts that impair daily functioning and overall well-being. Usually provides coverage for programs tailored to meet the needs of individuals dealing with trauma.
A partial hospitalization program provides a structured day treatment program that usually includes individual, group, and family counseling. To fully understand your benefits, call BreakThrough by BasePoint at 972-325-2633. Our admissions specialist can verify your insurance coverage and help you understand the coverage details that influence your out-of-pocket costs.
Anxiety disorders are a range of mental health conditions characterized by excessive fear and related behavioral disturbances. The disorders can significantly impair your daily functioning and lead to mental and physical symptoms. Common anxiety disorders include general anxiety disorder, social anxiety disorder, and phobias.
Meritain Health usually offers coverage for mental health treatments tailored to meet the needs of individuals with anxiety disorders, including partial hospitalization programs. However, the specifics of your policy determine the benefits and limitations that affect your out-of-pocket expenses. Call BreakThrough by BasePoint today at 972-325-2633 for more information about our day treatment for addiction recovery and mental health disorders, and to verify your insurance coverage.
Post-Traumatic Stress Disorder (PTSD) is a condition that's typically triggered by witnessing or experiencing a traumatic event. Symptoms include intrusive memories, heightened anxiety, and avoidance behaviors, which significantly impair your academic and work performance. Meritain Health provides coverage for various PTSD treatments that address your symptoms and help improve your quality of life.
However, the specifics of your coverage, such as eligibility for treatment and associated costs, depend on your plan. Some plans place limitations on the type or length of treatment you can receive, while others may limit your access to in-network providers. Call BreakThrough by BasePoint today at 972-325-2633 for more information about our day treatment for addiction and mental health conditions and to verify your insurance coverage.
Personality disorders are characterized by persistent patterns of behavior, thinking, and an inner experience that deviates markedly from societal expectations. Examples include borderline, narcissistic, and antisocial personality disorders. Patterns of behavior and thinking are pervasive and inflexible, leading to significant impairment and social, occupational, academic, or other areas of functioning.
Meritain Health typically covers various treatments, including Partial Hospitalization Programs (PHPs) and Intensive Outpatient Programs (IOPs). These offer a structured and intensive therapy option during the day so you can return home in the evenings. Coverage details are defined by your policy and include factors that affect your out-of-pocket costs. These factors can include deductibles, copays, coinsurance, limitations, network provider status, and prior authorization requirements. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can explain the outpatient rehab covered by Meritain Health, verify your insurance coverage, and offer a free and confidential assessment.
Obsessive Compulsive Disorder (OCD) is a mental health condition marked by persistent and unwanted thoughts called obsessions that lead to repetitive behaviors or mental acts called compulsions. Individuals with OCD feel driven to perform the compulsions to mitigate the distress and anxiety caused by the obsessions. Symptoms significantly interfere with daily activities and quality of life.
Meritain Health offers coverage for treatment, including Partial Hospitalization Programs (PHP) that provide structured and intensive therapy. However, the benefits and limitations in your policy determine how much therapy is covered. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can verify your insurance coverage and provide you with an estimate of your potential out-of-pocket expenses. They can also offer a free and confidential evaluation to help identify the level of care needed to address your mental health condition.
Dual diagnosis is the co-occurrence of a substance use disorder and a mental health condition, necessitating an integrated approach to address both issues simultaneously since they often exacerbate each other. If you experience a dual diagnosis, it can impact your emotional well-being and daily functioning, which requires PHP drug treatment and mental health treatment.
Meritain Health typically offers coverage for PHP designed for dual diagnosis treatment. Services can include individual, group, and family counseling, medication management, skills-building workshops, and support for co-occurring conditions. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can verify your insurance coverage and offer a free and confidential assessment with treatment recommendations so you have the necessary information to make an informed healthcare choice.
Does Meritain Insurance Cover Mental Health PHPs for Young Adults in Dallas?
Meritain Health usually provides coverage for Partial Hospitalization Programs (PHPs) and Intensive Outpatient Programs (IOPs) as part of its comprehensive mental health benefits. PHP and IOPs offer structured intensive outpatient care. An IOP is far more flexible than a PHP, offering a lower level of treatment than. PHP is beneficial for young adults requiring more support than traditional outpatient therapy.
The coverage specifics in your Meritain Health policy depend on the individual plan you purchased. Specifics include your premiums, deductible, coinsurance, co-payment, network provider status, and prior authorization requirements. When you receive treatment from an in-network provider, it can optimize your coverage and reduce your out-of-pocket expenses. BreakThrough by BasePoint works with Meritain outpatient mental health policies to help cover your expenses for day treatment services.
However, before beginning treatment, you must verify your insurance coverage, so you’re not surprised by an unexpected medical bill. The admission specialist at BreakThrough by BasePoint can help you with verification, understanding your coverage specifics, and offering you a free and confidential assessment to identify the level of care needed for your mental health concerns. Call us today below for more information about our day treatment center and the in-person and virtual care we offer throughout Texas.
Does Meritain Insurance Cover Dual Diagnosis PHPs for Young Adults Near Me?
Meritain Health typically provides coverage for a partial hospitalization program designed to treat dual diagnosis in young adults. Dual diagnosis is the co-occurrence of a substance use disorder and a mental health condition that requires an integrated treatment approach. This diagnosis typically exacerbates each other and treating one without the other generally leads to failure.
In a dual diagnosis PHP, your customized program can include individual and group therapy, psychiatric evaluations, medication management, and skills-building workshops to address mental health conditions and co-occurring substance use disorders. However, the amount of your coverage depends on the policy you purchased. Meritain Health can offer coverage for PHP addiction treatment and mental health conditions, but you must verify your insurance coverage before beginning treatment.
When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can help you understand your coverage specifics that influence out-of-pocket expenses and will offer a free and confidential assessment with treatment recommendations so you have the information you need to make an informed treatment decision. This is an important step in your recovery journey, and we’re here to support you every step of the way.
Does Meritain Insurance Cover Therapy and Counseling PHPs in Dallas-Fort Worth?
Yes, Meritain Health typically offers coverage for therapy and counseling within a PHP for young adults in Dallas-Fort Worth. Your customized PHP usually includes individual and group therapy and may include family counseling as well, recognizing that mental health conditions and substance use disorders do not occur in a vacuum.
Therapy and counseling are an integral part of your recovery journey. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can’t answer your questions about our therapy and counseling programs available within a day treatment center and how your coverage specifics influence out-of-pocket expenses.
This includes your premiums, deductibles, copays, network providers’ status, and prior authorization requirements. We can also offer you a free and confidential assessment with treatment recommendations, so you have the information you need to make an informed healthcare decision.
Dallas Mental Health PHPs That Take Meritain Insurance Plans for Young Adults
BreakThrough by BasePoint has several facilities in the Dallas area, staffed by highly skilled and experienced mental health professionals. This means whether you choose in-person treatment or virtual therapy, you’ll receive the same high-quality care. Call or contact us today for more information about our day treatment center and the PHP rehab opportunities available to you.
- 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 an exciting city located between Dallas and Fort Worth. It's known for a blend of culture, sports, and entertainment. It is home to major attractions like the AT&T Stadium, Six Flags Over Texas, and the University of Texas at Arlington. A growing arts community, scenic parks, and diverse dining opportunities are also available.
- BreakThrough by BasePoint - Arlington, Texas: 3900 Arlington Highlands Blvd, Suite 237B, Arlington, TX 76018, United States
Forney, Texas, is a charming city just east of Dallas known for its welcoming community, historic downtown, and small town appeal. Forney is often called the “Antique Capital of Texas,” blending a rich heritage with modern growth, excellent schools, and convenient access to urban amenities, making it a desirable place for residents and visitors.
- BreakThrough by BasePoint – Forney, Texas: 713 W Broad St, Suite 100, Forney, TX 75126, United States
McKinney, Texas, is a picturesque city north of Dallas known for its historic downtown area, tree-lined streets, and vibrant community. It offers a mix of small-town charm and modern living, with top-rated schools and scenic parks. The city provides a welcoming environment for families, professionals, and visitors.
- BreakThrough by BasePoint - McKinney, Texas: 4733 Medical Center Drive, McKinney, TX 75069, United States
Frisco, Texas, is located just 25 minutes north of Dallas, and is renowned for its dynamic blend of sports and entertainment. Known as “Sports City USA,” Frisco hosts several professional teams, including FC Dallas and the Frisco RoughRiders, and the National Videogame Museum, offering residents and visitors a rich array of experiences.
- BreakThrough by BasePoint - 8275 Judges Way, Frisco, TX 75036 Suite 100F
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Does Meritain Cover Evening PHPs in Dallas, Texas?
Meritain Health usually provides coverage for Partial Hospitalization Programs (PHPs), which offer intensive and structured mental health treatment. Because of the intensity of treatment, most PHP treatment occurs during daytime hours and still allows you to return home in the evening. However, Meritain Health does not determine whether they cover treatment in partial hospitalization program centers based on the hour of the day.
Instead, Meritain determines eligibility based on medical necessity for treatment. To receive coverage under Meritain’s partial hospitalization program insurance, you often must demonstrate that your care is medically necessary to treat your diagnosis. This is accomplished using a prior authorization process in which you submit documentation from physicians demonstrating that your symptom severity is significant and requires a partial hospitalization program, or you have failed treatment in a traditional outpatient treatment option.
BreakThrough by BasePoint provides PHP care in Dallas-Fort Worth and virtually throughout Texas. Your coverage specifics are determined by your insurance plan. When you call us at 972-325-2633, our admission specialist can verify your insurance coverage and determine the specifics in your policy. This information can be used to estimate your potential out-of-pocket expenses and determine the best way for you to receive the maximum benefits in your insurance plan. Call or contact us today to receive the assistance you need.
Does Meritain Cover Day Treatment in Dallas, Texas?
Meritain’s partial hospitalization program coverage in Dallas usually includes coverage for day treatment programs that address substance use disorders, mental health conditions, and dual diagnosis. This allows you to receive intensive mental health care at a level comparable to residential treatment while still being able to return home in the evening.
Mental health and substance abuse day treatment programs typically include individual, group, and family therapy to help address your mental health issues. However, coverage, including eligibility for services and associated costs, depends on your plan. You can easily determine the extent of your day treatment benefits by calling BreakThrough by BasePoint at 972-325-2633.
Our admission specialist can identify your coverage details and help estimate your out-of-pocket expenses. They can also help you receive the maximum benefits in your insurance plan or connect you with our financial counselors who may have financial assistance options when you qualify. When you aren’t sure about your mental health challenges or need verification and treatment recommendations, you can request a free and confidential assessment to help you make an informed treatment decision.
Does Meritain Cover Online PHP Treatment in Texas?
The admission specialist at BreakThrough by BasePoint is routinely asked about insurance provider coverage, including “does Meritain cover mental health in Dallas?” Your provider coverage for mental health in substance abuse PHP treatment depends on your policy. Coverage specifics can include items like deductibles, copays, coinsurance, limitations, in-network provider status, and prior authorization requirements.
These factors influence your out-of-pocket expenses. It’s easy to review your policy details by calling BreakThrough by BasePoint below. Our admission specialist can verify your insurance coverage and estimate out-of-pocket expenses. When these are overwhelming, we can also connect you with our financial counselor because we understand the importance of receiving high-quality mental health care for your future and your family. When requested, we can also provide a free and confidential assessment with treatment recommendations so you have the necessary information to make an informed healthcare choice.
Checking My Meritain Health Insurance Plans at BreakThrough by BasePoint
Before receiving treatment, you should check your Meritain Health insurance plan coverage so you’re not surprised by an unexpected medical bill. The easiest way to do this is by calling BreakThrough by BasePoint at 972-325-2633. Our admission specialist can verify your coverage. Learning some key insurance terms can help you understand your coverage details.
Insurance companies begin with an underwriting process to assess the risk they have in insuring you. This information is sent to an actuary who calculates the probability of liability and loss to the company. The information is used to set the cost of the premium. Policies can include exclusions that limit coverage and endorsements or umbrella policies that modify the coverage. Increasing coverage can increase your premiums. Claims are evaluated by an insurance adjuster, who determines the loss to the company and the appropriate settlement.
How to Get Meritain to Pay for PHPs in Texas
The best way to get Meritain Health to pay for a PHP for substance abuse or mental health treatment is to understand your coverage details, benefits, limitations, and exclusions. This information identifies what your insurance policy will cover. When you work with the admission specialist at BreakThrough by BasePoint, they can verify your insurance coverage and help you understand your coverage details.
By working within the insurance company’s limitations, you can receive the maximum benefits under your policy. This might mean receiving care from an in-network provider or submitting prior authorization documentation to prove medical necessity. Whatever is required, BreakThrough by BasePoint is here to help you get through the paperwork so you can receive the care you need to achieve mental and emotional wellness.
How Many Times Will Meritain Health Insurance Pay for PHPs in Dallas, Texas?
The number of times that Meritain Health pays for a PHP in Dallas, Texas, depends on the benefits and limitations in your insurance policy. Most insurance policies place limits on the type or duration of therapy you can receive or may limit the type of mental health professionals who can provide care.
Some policies offer coverage for inpatient, outpatient, and virtual care, while others limit one or all of these options. When you call BreakThrough by BasePoint at 972-325-2633, our admissions specialist can identify the benefits and limitations in your insurance policy as they verify your coverage. This helps us to help you receive the maximum benefits under your insurance plan. We understand that taking the first step to good mental health is challenging. We are here to help you through the insurance paperwork, admission process, and support your recovery journey. You are not alone, and we are here to help.
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.
- Partial hospitalization programs and intensive outpatient programs are structured outpatient treatment options that provide an intensive level of treatment that is comparable to treatment in a residential center while you live at home.
- One out of 13 adults in Texas experiences a major depressive episode. Young adults in Texas report higher levels of serious mental illness compared to older adults. A 2023 study demonstrated significant effects and improvements of intensive-level PHP delivered to young adults over a brief period.
- In 2023, 36.8% of Texas adults expressed feelings of anxiety and depression as compared to 32.3% of adults throughout the U.S.
- Over 80% of Texas counties are classified as mental health professional shortage The percentage of Texan adults reporting their mental health was not good for more than five days in the last month has risen from 18.3% in 2015 to 29.3% in 2023.
- Bipolar disorder shifts your mood, energy, and ability to function. One percent of the population aged 18 and older has bipolar disorder in any given year. Experts believe that PHPs are reasonable alternatives to inpatient care when symptoms, cost, and family interactions are considered.