Carelon Health Insurance Coverage for Bipolar Disorder Therapy & Treatment in Fort Lauderdale, Florida

Bipolar Disorder Treatment Statistics and Information in Florida

Bipolar disorder is a significant mental health concern in the Sunshine State, affecting men and women equally and often emerging between the ages of 15 and 25, according to the University of Florida Health. In 2021, the National Alliance on Mental Illness (NAMI) reported that 648,000 adults in the state were living with a serious mental illness, including bipolar disorder.

Hospitalization rates reflect the impact of mood disorders, with the Florida Department of Health recording an age-adjusted rate of 442.9 per 100,000 individuals in 2023. Additionally, the Healthcare Cost and Utilization Project found that inpatient stays for bipolar and related disorders averaged 83.6 per 100,000 people. Employment data from SAMHSA highlights the challenges individuals face, with 13,607 adults diagnosed with bipolar and mood disorders employed and 18,310 unemployed between mid-2020 and mid-2021.

More Info on Carelon Insurance Health Brands, Products, and Service Offerings

Carelon’s third-party administration services stem from one of the nation’s largest healthcare organizations, offering innovative solutions that strengthen the entire healthcare system. With expertise in pharmacy, behavioral health, medical benefits management, payment integrity, and research, Carelon has positioned itself as a leader in healthcare services. Below is an overview of some of their key brands, products, and services:

• Carelon Claims Processing – A streamlined approach to accurate, efficient claims management. For those receiving care outside the Carelon provider network, medical claims can be processed independently through the Carelon online portal.
• Carelon Self-Funded Plans – Tailored health plans for employers seeking more control over healthcare expenses.
• Carelon Employee Benefits – Comprehensive benefits for employee health and well-being.
• Carelon Wellness Programs – Proactive health initiatives, including Carelon Wellbeing, the company’s Employee Assistance Program (EAP), aimed at promoting healthier lifestyles.
• Carelon Preferred Providers – A broad network of trusted healthcare professionals and facilities delivering quality care.
• CarelonRx – A pharmacy benefits manager that enhances medication access, manages costs, and ensures appropriate treatment plans.
• Carelon Member Services – Personalized customer support, accessible via the Carelon customer service number on the back of your insurance ID card, for a seamless healthcare experience.
• Carelon Online Portal – Convenient digital access to plan details, claims, and provider directories.
• Carelon Plan Options – Flexible healthcare plans designed to accommodate diverse needs and budgets.
• Carelon Benefit Administration – Comprehensive management of employer-sponsored health plans.
• Carelon Group Health Plans – Scalable health coverage solutions for businesses of all sizes.

What is Carelon Health Insurance Coverage for Bipolar Disorder Therapy and Treatment in Florida?

Carelon health insurance coverage for bipolar disorder therapy and treatment in Florida refers to how much your insurance policy provides financial support for various mental health services. Coverage specifics will vary, but if you have a Carelon-administered policy, you’ll commonly have access to essential treatment services for managing bipolar disorder and other conditions.

What does Carelon cover for bipolar disorder treatment? The Carelon provider network includes specialized, evidence-based mental health treatment programs from reputable providers like The Sylvia Brafman Mental Health Center in Florida. Our tailored, comprehensive mental health care ensures meaningful support for bipolar spectrum condition.

Does Carelon Cover Bipolar Disorder Treatment and Therapy Programs Near Me?

Carelon provides coverage for bipolar disorder treatment and therapy programs, but the specifics depend on your plan. Carelon plan options often include access to therapy, medication management, and specialized treatment programs developed to stabilize mood swings and improve daily functioning. To confirm coverage for bipolar disorder treatment near you, check your insurance benefits using our insurance verification form.

The Carelon provider network connects you with licensed therapists, psychiatrists, and treatment centers, like Sylvia Brafman, specializing in bipolar disorder. Coverage may include services such as outpatient care, Intensive Outpatient Programs (IOPs), and medication support. Understanding your plan details facilitates access to the proper treatment while managing costs.

Carelon-Covered Bipolar Intensive Outpatient Programs

Intensive Outpatient Programs (IOPs) provide structured mental health treatment addressing bipolar spectrum disorder. They’re ideal if you need more support than traditional outpatient care but do not require inpatient care. These programs include multiple weekly therapy sessions, medication management, and skill-building to stabilize mood and manage daily life.

Carelon health benefits typically cover these programs. Coverage commonly extends to psychotherapy, psychiatric care, and wellness resources, but the specifics depend on multiple factors. To confirm eligibility and find a Carelon-covered IOP near you, check your insurance documents or contact The Sylvia Brafman Mental Health Center.

Carelon-Covered Bipolar Partial Hospitalization Programs

Partial Hospitalization Programs (PHPs) offer intensive, structured, all-day treatment for bipolar mental health condition while allowing you to return home in the evenings. These programs provide daily therapy, medication management, and coping strategies to help you or your loved one manage this mood instability disorder in a supportive environment.

Carelon often includes PHPs in its behavioral health coverage, reducing treatment costs for those who qualify. Since coverage details vary by plan, it’s best to verify benefits with Carelon customer service or a trusted healthcare provider like Sylvia Brafman to understand available options for bipolar PHP treatment.

Carelon-Covered Bipolar Outpatient Programs

Outpatient programs for bipolar mood swing disorder offer flexible treatment options, including individual therapy sessions, medication management, and support groups. These programs often only involve one or two sessions a week. They help you manage symptoms while maintaining daily responsibilities such as work, school, and family life.

Carelon health coverage usually includes support for outpatient care for bipolar syndrome. You’ll have access to therapy sessions with licensed professionals and medication management, among other services. Coverage specifics depend on your plan and other elements, so checking with Carelon member services or a participating provider like Sylvia Brafman can determine available services and treatment costs.

Bipolar I Disorder

Bipolar I disorder is a mental health condition characterized by extreme mood swings, including manic episodes that last at least seven days or are so severe that immediate hospitalization is needed. These manic periods are often followed by depressive episodes, which can be just as intense and disruptive.

Carelon typically covers treatment for bipolar I disorder as part of its behavioral health benefits. This may include access to therapy, medication management, and other mental health resources tailored to help you manage symptoms and improve stability.

Bipolar II Disorder

Bipolar II disorder is marked by cycles of hypomanic episodes and depressive episodes. Unlike bipolar I disorder, the manic periods in bipolar II are less intense (hypomania) but can still significantly affect mood, energy levels, and daily functioning. The depressive phases, however, can be quite severe, often leading to feelings of hopelessness or exhaustion.

Carelon health coverage commonly extends to treatment for bipolar II disorder. This can include therapy, medication, and support services tailored to your unique needs. Whether through outpatient therapy or more intensive options, Carelon provides coverage to help manage symptoms and improve overall quality of life.

Cyclothymic Disorder

Cyclothymic disorder causes frequent, brief periods of hypomanic symptoms (elevated mood and energy) and depressive symptoms. However, these mood swings are not as extreme as those seen in bipolar I or II disorders. People with this condition may experience ongoing emotional instability, leading to challenges in maintaining consistent moods over time.

Carelon health benefits usually cover treatment for cyclothymic disorder. Coverage likely includes psychotherapy, medication management, and support services aimed at stabilizing mood fluctuations and improving overall functioning.

Substance-Induced Bipolar and Related Disorder

Substance-induced bipolar and related disorders occur when substance use triggers symptoms similar to bipolar disorder, including mood swings, manic episodes, or depressive states. These mood shifts are often linked to drugs or alcohol and may persist as long as the substance is in use. Symptoms may decrease or resolve once the substance is removed, but treatment is still crucial.

Carelon typically covers treatment for substance-induced bipolar and related disorders through its behavioral health network. This can include therapy, support for addiction recovery, and medication management aimed at addressing both the mood disorder and substance use.

Bipolar Disorder Not Otherwise Specified (NOS)

Bipolar disorder NOS is a diagnosis given when bipolar disorder symptoms don’t fit neatly into the categories of bipolar I, bipolar II, or cyclothymic disorder. It includes irregular or atypical mood swings that still cause significant distress or disruption in daily life. Individuals with this diagnosis may experience mood episodes similar to bipolar disorder but don’t meet the full criteria.

Carelon usually covers treatment for bipolar disorder NOS through its behavioral health benefits. This can include access to therapy, psychiatric care, and medication management to stabilize mood and improve overall well-being.

Rapid-Cycling Bipolar Disorder

Rapid-cycling bipolar disorder is characterized by frequent, intense mood shifts, with four or more manic, hypomanic, or depressive episodes occurring within a year. These mood changes happen more quickly than in typical bipolar disorder, which can make it harder to predict and manage. Rapid cycling can be particularly challenging, as the emotional extremes tend to happen in a short time.

Carelon commonly covers treatment for rapid-cycling bipolar disorder through its behavioral health programs. Coverage often extends to psychotherapy, medication management, and other resources tailored to help manage these frequent mood shifts.