Mental Health Partial Hospitalization Program Treatment Covered by Optum in Dallas, Texas
The most frequently reported mental health conditions in young adults are depression, eating disorders, and suicidal behaviors. However, young adults experience other conditions as well, including anxiety disorders, bipolar disorders, and personality disorders. Roughly 75% of all mental disorders begin by age 24. BreakThrough by BasePoint provides outpatient rehab covered by Optum and works closely with insurance providers.
We have several facilities in the Dallas area and provide virtual care throughout Texas. Our highly skilled mental health professionals use day treatment programs to ensure you receive the intensive and structured care needed to address your mental health concerns. When you call us at 972-325-2633, we can verify your insurance coverage for Partial Hospitalization Programs (PHP) or Intensive Outpatient Programs (IOP). Our admission specialist can answer your questions about our programs and offer a free and confidential assessment.
What Is PHP for Mental Health Disorders?
A Partial Hospitalization Program (PHP) is a highly structured and intensive mental health outpatient option when you need more support than a traditional outpatient program but don’t require residential treatment. PHPs provide a stable, therapeutic environment during multiple days of the week during which you engage in individual and group therapy, medication management, psychiatric evaluations, and skills-building workshops.
PHPS are designed to treat a range of mental health conditions, including PTSD, bipolar disorder, depression, and anxiety. This level of care is ideal when you’re transitioning from an inpatient program, or you are experiencing worsening symptoms that interfere with daily functioning. Professional support and personalized treatment plans help stabilize mental health and build skills necessary for long-term recovery.
Who Is Optum, the PHP Insurance Provider?
Optum was established in 2011 as a health services subsidiary of UnitedHealth Group. They are headquartered in Eden Prairie, Minnesota, where they offer a comprehensive range of healthcare solutions through three primary divisions. OptumHealth provides direct patient care and wellness services and OptumInsight delivers data analytics, technology, and consulting to improve healthcare operations.
OptumRx functions as a pharmacy benefit manager to streamline medication access and management. These integrated services help improve healthcare delivery and reduce costs while improving patient outcomes. Optum is a key player in the healthcare industry, employing over 310,000 professionals around the world. They are dedicated to modernizing healthcare systems and providing innovative solutions to help meet the evolving needs of patients and providers. At BreakThrough by BasePoint, we work with most Optum policies. Call us today to confirm your insurance details.
BreakThrough by BasePoint Accepts Optum 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 Optum 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 Optum’s PHP Insurance Coverage for Mental Health Rehab?
Optum provides coverage for a Partial Hospitalization Program (PHP) as part of its commitment to comprehensive mental health care. Treatment through a partial hospitalization program center provides intensive and structured programs when you’re facing significant mental health challenges. These programs can serve as a bridge between residential care and traditional outpatient services.
You are typically involved in therapy for several hours each day over multiple days each week. This allows you to receive an intensive level of treatment similar to residential care, while still living at home. However, your coverage specifics are the factors that determine how well your treatment is covered and your out-of-pocket expenses. Coverage specifics include how long your policy will pay for therapy, the type of therapy, in-network provider status, and prior authorization requirements, to name a few. When you call BreakThrough by BasePoint at 972-325-2633, we can verify your insurance coverage and help estimate out-of-pocket expenses.
Which Mental Health Disorders Are Covered by Optum Plans for PHPs Near Me?
Young adults can experience various mental health conditions that are effectively treated in a Partial Hospitalization Program (PHP). The following are examples of mental health conditions, but it is not a full list. Call or contact us today to learn more about our day treatment services for young adults that can effectively reduce symptoms you may be experiencing.
Anxiety disorders are among the most common mental health conditions. You might experience excessive fear, worry, or nervousness that interferes with your daily life. The disorders can include generalized anxiety disorder, panic disorder, social anxiety disorder, and specific phobias. Symptoms range from persistent worry and restlessness to difficulty concentrating and other physical symptoms like rapid heart rate and fatigue.
Partial Hospitalization Programs (PHPs) can provide an intensive and structured treatment option when you require more support than traditional outpatient care. However, while Optum typically offers coverage, your policy benefits and limitations are determined by your plan. You can quickly and easily verify your insurance coverage for a day treatment center and understand the coverage specifics that influence your out-of-pocket costs when you call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can verify your insurance coverage for a day treatment program and offer you a free and confidential assessment.
Obsessive Compulsive Disorder (OCD) is a mental condition characterized by persistent and unwanted thoughts called obsessions. These typically trigger repetitive behaviors called compulsions that you feel compelled to perform to reduce the anxiety triggered by obsessions. Common obsessions include fears of contamination or the need for symmetry, which might trigger compulsions such as excessive cleaning or counting.
These symptoms substantially interfere with daily life. As part of the behavioral health benefits, Optum usually covers treatment for OCD, including a PHP. The program should incorporate evidence-based therapies, such as Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), to effectively manage OCD symptoms. However, your coverage specifics, including eligible providers, prior authorization requirements, and out-of-pocket costs, depend on your plan. To understand your coverage specifics and verify your coverage, call BreakThrough by BasePointt at 972-325-2633.
Depression is a prevalent mental health condition in which you'll feel persistent feelings of sadness or lack of interest in daily activities. You could also experience physical symptoms like appetite and sleep changes, fatigue, difficulty concentrating, or thoughts of self-harm and suicide. This significantly impairs your function at work and school.
A Partial Hospitalization Program (PHP) offers intensive and structured treatment when you experience severe symptoms of depression. Optum often covers PHPs that address depression symptoms, using evidence-based therapies, medication management, and group counseling. Your coverage specifics include eligible providers, services, and out-of-pocket costs. These can vary based on the plan you purchased and the employer agreement. Call BreakThrough by BasePoint today at 972-325-2633 for more information about our programs and to verify your insurance coverage.
Trauma-related mental health conditions arise when you have witnessed or experienced a distressing event. This can lead to symptoms like intrusive memories, nightmares, heightened anxiety, or avoidance behaviors. These symptoms impair your daily functioning and overall well-being. Within a day treatment program, you'll receive intensive therapy that typically incorporates evidence-based treatments to address trauma-related symptoms.
Optum offers coverage for PHPs as part of the behavioral health services of the insurance policy to address trauma-related disorders. However, your coverage specifics, including eligible providers and out-of-pocket costs, depend on the individual plan you've purchased and the employer agreement. When you call BreakThrough by BasePoint at 972-325-2633, we can verify your insurance coverage and assist you in receiving the maximum benefits under your insurance plan.
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental condition in which you experience symptoms of hyperactivity, impulsivity, and inattention. These symptoms can interfere with daily functioning or development. You may struggle with maintaining focus, following through on tasks, and organizing activities. This impacts your academic and occupational performance, as well as social relationships.
Treatment typically combines behavioral therapies, counseling, and medication management to help you develop strategies and improve functioning. Optum provides coverage for ADHD treatment as part of the behavioral health services part of your insurance plan. The program may include individual and group therapy, skills-building sessions, and medication management. Your coverage specifics will influence your out-of-pocket costs and vary depending on the plan and employer. You can quickly and easily determine the exact details of your coverage by calling BreakThrough by BasePoint at 972-325-2633.
Post-Traumatic Stress Disorder (PTSD) is a mental health condition that can develop after you have witnessed or experienced a traumatic event. This could include a personal assault, natural disaster, serious accident, or military combat. Symptoms include intrusive memories, severe anxiety, hypervigilance, and flashbacks. The symptoms significantly impaired daily functioning and quality of life.
Treatment often includes a combination of evidence-based psychotherapeutic approaches and medication management. As part of the behavioral health services portion of your Optimum insurance plan, you are likely to receive coverage for PTSD treatments, including a Partial Hospitalization Program (PHP). Your program may include individual and group sessions, skill-building activities, and medication management tailored to address your symptoms. To understand your coverage details that influence your out-of-pocket expenses, call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can verify your insurance coverage and offer a free and confidential assessment.
Personality disorders are mental health conditions categorized by persistent patterns of behavior, thinking, and inner experience that deviate from societal expectations. The patterns are pervasive and inflexible, leading to significant impairment in social, academic, and occupational areas. Examples include borderline, antisocial, narcissistic, and avoidant personality disorders. Treatment involves evidence-based psychotherapy to help you manage thoughts, feelings, and behaviors.
Optum offers coverage for treatment, including Partial Hospitalization Programs (PHPs), as part of its behavioral health services. However, your coverage specifics influence out-of-pocket expenses for treatment. These specifics can include premiums, deductibles, copays, in-network provider status, and prior authorization requirements. Asking for help can be difficult, but when you call BreakThrough by BasePoint at 972-325-2633, we offer you the help and support you need to achieve mental and emotional wellness.
Dual diagnosis is the co-occurrence of mental health conditions, and a substance use disorder. It requires simultaneous, integrated treatment to address both conditions concurrently. Each condition typically exacerbates the other, creating a more complex treatment environment, and making comprehensive care essential for recovery. PHPs offer structured therapy using evidence-based treatment when you require intensive care but not 24/7 supervision.
Optum Health provides coverage for dual diagnosis treatment in several environments, including a PHP drug treatment and mental health treatment program. It is crucial to identify your coverage specifics before beginning treatment, so you are not surprised by an unexpected medical bill. Call BreakThrough by BasePoint today at 972-325-2633 to verify your insurance coverage, estimate your potential out-of-pocket expenses, and receive a free and confidential assessment with treatment recommendations.
Does Optum Health Insurance Cover PHPs for Young Adults in Dallas?
Optimal Health Insurance typically includes coverage for Partial Hospitalization Program (PHP) for young adults in Dallas within the behavioral health benefits portion of the insurance policy. PHPs provide comprehensive mental health and substance abuse day treatment services when you’re struggling with a mental health condition or co-occurring substance use disorder. Your coverage specifics will depend on the insurance plan you purchased and employer agreements.
You can quickly and easily determine these specifics by calling BreakThrough by BasePoint below. Our admission specialist can verify your insurance coverage and help you understand the details, so you receive the maximum benefits under your insurance plan. Our PHP services are tailored to meet the needs of young adults who are navigating a life stage in which they are transitioning from adolescence to adulthood. We offer a free assessment to help you understand your treatment options and insurance coverage. Call us today to learn more about our programs and your Optum outpatient mental health coverage.
Does Optum Insurance Cover Dual Diagnosis PHPs for Mental Health Disorders in Young Adults Near Me?
Optum typically provides coverage for programs that address concurrent mental health and substance use disorders. This is called a dual diagnosis and requires integrated and specialized treatment to reduce the risk of relapse. Substance use disorders and mental health conditions typically exacerbate each other, making diagnosis and treatment more complex.
Within a mental health and substance abuse PHP treatment option, you have access to structured treatment that includes psychiatric evaluations, individual and group counseling, and skills-building workshops. At BreakThrough by BasePoint, we recognize that mental health conditions and substance use disorders do not occur in a vacuum, and we include family therapy to help identify communication challenges to ensure that the needs of all family members are heard and addressed.
When you call us at 972-325-2633, our admission specialist can answer your questions about your Optum Partial Hospitalization Program (PHP) coverage in Dallas, verify your insurance coverage, and offer a free and confidential evaluation with treatment recommendations. These steps help streamline the admission process and give you the information you need to make an informed treatment decision.
We recognize that taking the first step toward better mental health is challenging. We are here to walk you through your recovery journey every step of the way, from support during your first phone call, to addressing your insurance company’s documentation requirements, and providing you with resources within the community that can support your ongoing recovery.
Does Optum Insurance Cover Mental Health Therapy and Counseling PHPs in Dallas-Fort Worth, Texas?
Yes, Optum usually provides coverage for Partial Hospitalization Programs (PHPs) with therapy and counseling for young adults in Dallas-Fort Worth. This ensures that you receive an intensive and highly structured program to address your mental health concerns while still being able to live at home.
Your program will often include multiple therapy sessions each day over multiple days each week, including individual counseling and group therapy. However, your insurance coverage depends on the plan you purchased and employer agreements. When you call BreakThrough by BasePoint at 972-325-2633, our admission specialist can verify the details of your coverage and help you understand your policy’s benefits and limitations.
These steps enable you to receive the maximum benefits under your insurance plan. Our admission specialist can also offer a free and confidential assessment with treatment recommendations. This identifies the level of care required to address your mental health concerns and gives you the necessary information to make an informed healthcare decision. When you take proactive steps to understand your insurance coverage and explore local treatment options, it can facilitate access to appropriate mental health services personalized to meet your needs.
Dallas Mental Health PHPs That Take Optum Plans
BreakThrough by BasePoint has several facilities surrounding Dallas that work with Optum Partial Hospitalization Program (PHP) insurance. Each facility is staffed with highly skilled mental health professionals who provide day treatment benefits to young adults. Call or contact us today for more information about our treatment services and how we can help provide high-quality care for 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, was established in 1876 and spans nearly 100 square miles between Dallas and Fort Worth. It boasts attractions like the AT&T Stadium, home of the Dallas Cowboys, and Globe Life Field, where the Texas Rangers play. The city also features theme parks, the International Bowling Museum and Hall of Fame, and the University of Texas at Arlington.
- BreakThrough by BasePoint - Arlington, Texas: 3900 Arlington Highlands Blvd, Suite 237B, Arlington, TX 76018, United States
Forney, Texas, is recognized as the “Antique Capital of Texas,” reflecting a rich history that evolved from a frontier settlement into a city that honors its heritage while embracing growth. The Spellman Museum of Forney History offers insight into the area's past and showcases artifacts and photographs that narrate its development.
- BreakThrough by BasePoint – Forney, Texas: 713 W Broad St, Suite 100, Forney, TX 75126, United States
McKinney, Texas, was established as the county seat of Collin County and is named after Collin McKinney, a signatory of the Texas Declaration of Independence. The downtown area features 120 unique shops and a variety of dining options. The area includes notable attractions like Heard Natural Science Museum & Wildlife Sanctuary, which offers 289 acres of nature trails and exhibits.
- BreakThrough by BasePoint - McKinney, Texas: 4733 Medical Center Drive, McKinney, TX 75069, United States
Frisco, Texas, is located in the Dallas-Fort Worth Metroplex and is renowned for its dynamic blend of sports, culture, and entertainment. The city hosts several professional sports teams, including FC Dallas and the Frisco Rough Riders. It's home to the National 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 Optum Cover Evening PHPs in Dallas, Texas?
Optum typically provides coverage for Partial Hospitalization Programs (PHPs), no matter what time of the day the services are offered. The programs deliver intensive and highly structured mental health treatment, which often requires at least some daytime hours. Evening hours can accommodate individuals with daytime commitments, but the entire program is typically not available over evening hours.
BreakThrough by BasePoint offers PHP addiction treatment and mental health treatment in person and virtually across Texas. When you call us at 972-325-2633, our admission specialist can answer your questions about our day treatment for adults, potentially evening hours for therapy, and verify your insurance coverage with Optum Health. We can also provide a free and confidential assessment with treatment recommendations, giving you the necessary information to make an informed treatment decision.
Does Optum Cover Day Treatment in Dallas, Texas?
Optum usually provides coverage for day treatment centers in Dallas, Texas, that address the needs of young adults. Programs offer a structured and intensive mental health care option during the day, allowing you to return home in the evenings. BreakThrough by BasePoint specializes in the unique needs of young adults who are transitioning from adolescence to adulthood.
This lifestage typically involves becoming more independent, attending college, beginning a new career, and engaging in new relationships. We understand these unique stressors and how they impact other mental health conditions, including depression, bipolar disorder, obsessive compulsive disorder, post-traumatic stress disorder, and more. Our in-person and virtual treatment options address these lifestage concerns and mental health conditions.
When you call BreakThrough by BasePoint below, our admission specialist can verify your insurance coverage and help you understand the details that influence your out-of-pocket expenses. These coverage details can include your premiums, deductibles, co-pays, coinsurance, in-network provider status, and prior authorization requirements. We understand this first step can be a difficult one, but we’re here to support you every step of the way.
Does Optum Cover Online PHP Mental Health Treatment in Texas?
Yes, Optum usually offers coverage for online Partial Hospitalization Programs (PHPs) that address the mental health needs of young adults in Texas. Virtual programs also provide structured and intensive care opportunities comparable to in-person treatment. Insurance companies recognize the unique benefits that virtual care provides and the efficacy and effectiveness that have been demonstrated in multiple research studies.
You can receive comprehensive therapy and counseling from home, including individual and group counseling, psychiatric evaluations, medication management, and skills-building workshops, in the same way you would in an in-person program. As with an in-person program, your coverage specific depends on the individual plan and employer agreements. This includes your in-network provider status, prior authorization requirements, deductibles, copays, and coinsurance.
You can quickly and easily determine the details of your coverage by calling BreakThrough by BasePoint below. Our admissions specialist is adept at answering questions about insurance coverage, including “does Optum cover mental health in Dallas?” They can describe our online PHP rehab programs that provide flexibility and accessibility to treatment throughout Texas. Comprehensive care is tailored to meet your needs and addresses various mental health conditions. We can also offer you a free and confidential assessment with treatment recommendations that identify the level of care needed to address your mental health issues.
Checking My Optum Health Insurance Plans at BreakThrough by BasePoint
The quickest and easiest way to check your health insurance coverage for mental health treatment is to call BreakThrough by BasePoint at 972-325-2633. Our admission specialist can verify your insurance coverage and help you understand the benefits and limitations in your policy. You can call or complete our confidential Insurance verification form.
Our admission specialist will review your benefits and explain any potential out-of-pocket costs while guiding you through the next steps of receiving care. They can connect you with our financial counselor when your out-of-pocket expenses are overwhelming. This process ensures you are equipped with the information you need to make confident decisions about your mental health treatment options.
How to Get Optum Insurance to Pay for PHPs in Texas
The best way to have Optimum insurance cover your day treatment for addiction or mental health care is to understand the coverage limits. Do this quickly and easily by calling BreakThrough by BasePoint at 972-325-2633. Our admission specialist can verify your insurance coverage and identify the limitations in your policy that may affect coverage for your mental health treatment.
Optum makes decisions based on medical necessity, which may mean you are required to go through a prior authorization process. Our admission specialist will help you navigate the process and stay with you every step of the way from initiating documentation to finalizing the admission process. This proactive approach ensures that you clearly understand your insurance benefits and can access the necessary treatment without unexpected financial burdens.
How Many Times Will Optum Health Insurance Plans Pay for PHPs in Texas?
The number of times that Optum Health plans will pay for a Partial Hospitalization Program (PHP) in Texas for young adults depends on the plan. The number of sessions or the duration of coverage is not universally fixed and depends on several factors, including medical necessity, prior authorization, and the specifics in your plan.
To determine the exact number, you can call BreakThrough by BasePoint at 972-325-2633 to verify your coverage for day treatment for addiction recovery or mental health treatment, and to understand the factors in your policy that affect your out-of-pocket expenses. As you’re working with the insurance company, it’s helpful to understand some of the key terms.
When you first purchase an insurance plan, many insurance providers will use an underwriting process to assess the risk associated with insuring you. The information is gathered and then sent to an actuary who calculates the loss and liability the insurance company may experience. This helps determine the cost of the premiums.
Some policies have exclusions that limit coverage for specific types of treatment, while others may have an endorsement or an umbrella policy that modifies the policy to suit your needs better. Exclusions may not lower the cost of your premiums, but an umbrella policy or endorsement will typically increase the premium. When a claim arises, the information is sent to an insurance adjuster. They evaluate the loss to the company and determine an appropriate settlement to the healthcare provider.
We applaud the courage and bravery you have to take the first step in your recovery journey. We know that navigating insurance policies and reimbursement can be difficult, but we are here to help you every step of the way. We encourage you to pick up the phone and call us today. We can offer a free and confidential assessment over the phone with treatment recommendations so you understand the level of care needed to address your mental health issues and begin receiving the support and help you need today to begin restoring your quality of 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.
- A 2023 study demonstrated significant effects and improvements in young adults after a brief treatment in an intensive-level PHP.
- The most frequently reported mental health conditions in young adults include depression, eating disorders, and suicidal behaviors. Research has found that PHP treatment is a reasonable alternative to residential care, improving social role functioning, and is recommended to improve results.
- Mental illness is common and estimated to affect at least one in five adults in 2022. Mental illnesses of varying degrees of severity are confined to two broad categories to describe the conditions: any mental illness (AMI) and serious mental illness (SMI). About 50% of mental disorders begin by age 14, and 75% begin by age 24.
- Over 80% of Texas counties are classified as mental health professional shortage areas. The percentage of Texan adults reporting their mental health was not good for more than five days in the last month rose from 18.3% in 2015 to 29.3% in 2023.
- Insurance claim reports that by far, telehealth mental health had the highest number of claims in the southern states, including Texas, and the top mental health diagnoses were generalized anxiety disorders and major depressive disorder.