Aetna Coverage for Mental Health Therapy Treatment in Florida

Mental Health Programs Covered by Aetna Insurance

Aetna recognizes the critical importance of mental health care in overall well-being. As part of their commitment to supporting their members’ psychological health and emotional well-being, Aetna offers a range of mental health programs and services that may be covered under your insurance plan.

These programs are designed to help individuals access the necessary care and mental health resources for managing and improving their cognitive function. From therapy and counseling services to broader mental wellness initiatives, Aetna strives to promote mental health awareness, ensuring its members can access comprehensive mental health care options.

Aetna Coverage for Partial Hospitalization Programs

A partial hospitalization program (PHP) is a structured mental health treatment providing intensive, short-term care for individuals who require intensive therapy and support but don’t need 24-hour inpatient care. Patients attend therapy and counseling sessions during the day and return home in the evenings, allowing them to maintain a connection with their daily lives while receiving intensive mental health treatment.

Aetna health insurance typically covers PHP as part of its mental health benefits, offering financial support for individuals needing intensive, short-term mental health treatment without full inpatient care. Coverage specifics may vary based on the policy and individual circumstances, so reviewing your plan for details is essential.

Aetna Coverage for Intensive Outpatient Program

Intensive Outpatient Programs (IOP) is a structured mental health treatment providing counseling and therapy sessions several times a week while allowing individuals to continue living at home. It’s for individuals who don’t require round-the-clock hospitalization but may need a higher level of care. Aetna typically covers IOPs as part of its mental health coverage, subject to varying factors.

Aetna Coverage for Outpatient Program

An outpatient program is a flexible mental health treatment option consisting of counseling and therapy sessions while living at home. This option allows for greater independence for those with less severe psychiatric conditions. Aetna typically covers outpatient programs as a vital component of their mental health coverage, with details varying based on the specific insurance plan and other factors.

What Type of Mental Health Disorders Does Aetna Cover?

“What does Aetna cover for mental health?” is a common question among individuals seeking comprehensive mental health care. Aetna offers a wide range of coverage for various mental health disorders, recognizing the significance of mental and emotional well-being. They also extend their coverage to include substance use disorders, ensuring members can access the necessary resources and therapies for addiction recovery.

Below, we’ll delve into a few other mental health disorders that Aetna typically covers, shedding light on the support and treatment options available to those needing mental health care. Keep in mind that the following is not a complete list of all of the conditions potentially covered under an Aetna insurance policy.

Treatment for Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) is a mental health condition that usually develops after one experiences or witnesses a traumatic event. Symptoms may include flashbacks, nightmares, severe anxiety, and emotional distress. It can significantly impact daily life and well-being, often requiring therapy and treatment for stress management and learning coping strategies to alleviate its effects.

Aetna health insurance typically provides coverage for the diagnosis and treatment of PTSD as part of its mental health benefits. Coverage details may vary based on the specific insurance plan and other factors, but Aetna acknowledges the importance of addressing PTSD.

Treatment for Bipolar Disorder and Cyclothymia

Bipolar disorder is a mental health condition characterized by extreme mood swings, including manic highs and depressive lows. Cyclothymia, on the other hand, is a milder form of bipolar disorder with less severe mood fluctuations. Both mood disorders can significantly impact a person’s emotions, energy levels, and daily functioning, requiring medical and therapeutic intervention for management and stability.

Aetna typically provides coverage for bipolar disorder and cyclothymia as part of their mental health benefits, ensuring access to treatment and support for individuals dealing with these conditions. Coverage specifics may vary.

Treatment for Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health condition characterized by instability in emotions, self-image, and interpersonal relationships. Aetna typically covers the diagnosis and treatment of BPD as part of its mental health benefits, recognizing the importance of addressing psychiatric conditions. Coverage details may vary depending on several factors, but support is generally available for those seeking treatment and recovery.

Treatment for Anxiety Disorder

Aetna offers coverage for anxiety treatment as part of their mental health benefits. Anxiety disorders are characterized by excessive worry, fear, and physical symptoms like sweating and a racing heart. Coverage details may differ depending on the plan and other factors, so it’s best to review your policy or contact us for help.

Treatment for Depression

Depression is a common mental health disorder. Depression symptoms are characterized by persistent sadness, hopelessness, and a loss of interest or pleasure in daily activities. It can lead to physical symptoms and significant impairment in everyday life. Treatment often involves therapy, medication, or a combination of both to alleviate symptoms and improve overall well-being.

Aetna typically covers treatment for depression as part of its mental health benefits. However, coverage details can vary. To get precise information regarding your policy and available treatment options, it’s essential to carefully review your policy documents or contact The Sylvia Brafman Mental Health Center at 877-958-9212. One of our helpful patient advocates can provide specific information and guidance tailored to your needs.

Treatment for Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) is a mental health condition that usually develops after one experiences or witnesses a traumatic event. Symptoms may include flashbacks, nightmares, severe anxiety, and emotional distress. It can significantly impact daily life and well-being, often requiring therapy and treatment for stress management and learning coping strategies to alleviate its effects.

Aetna health insurance typically provides coverage for the diagnosis and treatment of PTSD as part of its mental health benefits. Coverage details may vary based on the specific insurance plan and other factors, but Aetna acknowledges the importance of addressing PTSD.

Treatment for Bipolar Disorder and Cyclothymia

Bipolar disorder is a mental health condition characterized by extreme mood swings, including manic highs and depressive lows. Cyclothymia, on the other hand, is a milder form of bipolar disorder with less severe mood fluctuations. Both mood disorders can significantly impact a person’s emotions, energy levels, and daily functioning, requiring medical and therapeutic intervention for management and stability.

Aetna typically provides coverage for bipolar disorder and cyclothymia as part of their mental health benefits, ensuring access to treatment and support for individuals dealing with these conditions. Coverage specifics may vary.

Treatment for Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health condition characterized by instability in emotions, self-image, and interpersonal relationships. Aetna typically covers the diagnosis and treatment of BPD as part of its mental health benefits, recognizing the importance of addressing psychiatric conditions. Coverage details may vary depending on several factors, but support is generally available for those seeking treatment and recovery.

Treatment for Anxiety Disorder

Aetna offers coverage for anxiety treatment as part of their mental health benefits. Anxiety disorders are characterized by excessive worry, fear, and physical symptoms like sweating and a racing heart. Coverage details may differ depending on the plan and other factors, so it’s best to review your policy or contact us for help.

Treatment for Depression

Depression is a common mental health disorder. Depression symptoms are characterized by persistent sadness, hopelessness, and a loss of interest or pleasure in daily activities. It can lead to physical symptoms and significant impairment in everyday life. Treatment often involves therapy, medication, or a combination of both to alleviate symptoms and improve overall well-being.

Aetna typically covers treatment for depression as part of its mental health benefits. However, coverage details can vary. To get precise information regarding your policy and available treatment options, it’s essential to carefully review your policy documents or contact The Sylvia Brafman Mental Health Center at 877-958-9212. One of our helpful patient advocates can provide specific information and guidance tailored to your needs.

How Many Times Will Aetna Pay for Rehab?

The number of times Aetna will cover rehabilitation depends on several factors, including the type of program, the specific conditions of your particular policy, and your medical requirements. Aetna generally covers rehab as long as it is medically necessary, meaning treatment is required to address specific psychiatric conditions.

Aetna may require periodic reviews to assess ongoing medical necessity and coverage. There may also be limitations on the duration of the rehab program that Aetna will cover. The specific restrictions will depend on the terms of your policy, the type of rehab program you are attending, and your individual medical needs. Nevertheless, Aetna may cover rehab multiple times.

My Aetna Deductible Is High. Is It Better to Pay Out of Pocket?

Today’s insurance policies have higher deductibles and out-of-pocket expenses than ever before. For some, paying out of pocket for their mental health treatment could be advantageous. This determination must be made on a case-by-case basis and should include the advice of a trusted financial advisor.

If I use my mental health coverage, will my mental health issues be documented forever?

This is an important consideration as many patients are concerned as to whether their medical record of mental health care will be available as part of a background check or somehow made public. It is important to remember that a diagnosed mental illness is a medical concern and, therefore, part of a patient’s confidential medical record, protected by several privacy laws. Your mental health care practitioner, Aetna, as the insurance company, and any other organization affiliated with your mental health care is legally obligated to keep your information private unless you consent to release it. Similarly, from an employment standpoint, it is illegal and punishable for an employer to discriminate against you due to a mental health condition. Further, an employer cannot request your health information before offering you a job.

Exploring the Sunshine State and its Southern Cities

South Florida boasts diverse cities, each with its unique charm. Miami, the vibrant cultural hub of the region, is renowned for its nightlife, world-class dining, and iconic Art Deco architecture. It’s a melting pot of cultures, known for its Latin influence, beautiful beaches, and the annual Art Basel event, drawing art enthusiasts from around the globe.

Hollywood offers a more relaxed atmosphere with its picturesque beachfront and the famous Hollywood Beach Boardwalk. Fort Lauderdale, often called the “Venice of America” due to its intricate canal system, is a boating paradise and a hotspot for yachting enthusiasts. Pompano Beach is loved for its excellent fishing and water sports opportunities, while Boca Raton is synonymous with upscale living, featuring luxurious resorts, golf courses, and high-end shopping, making it a haven for those seeking an exclusive lifestyle in South Florida.

Rehab and Mental Health Statistics in Florida

In Florida, the burden of unmet mental health needs looms large. Almost half of the state’s adults grappling with mental health issues remain untreated due to financial constraints, with a staggering 49.7% without the necessary care. The grim statistics continue to paint a somber picture; in 2020, 3,567 lives succumbed to suicide, while a distressing 610,000 adults contemplated suicide.

The alarming figures ripple through various facets of society, with nearly 40% of adult inmates carrying a history of mental illness and high school students battling depression being over twice as likely to drop out. An overwhelming 64.2% of Floridian adolescents with depression received no care within the past year. At the same time, a significant 6,387,811 residents find themselves without sufficient mental health professionals in their communities. Additionally, Florida grapples with the devastating opioid epidemic, ranking third in the nation for opioid-related overdose deaths in 2019, with 22.1 deaths per 100,000 people.

• 7% of Florida adults who needed mental health care didn’t receive it due to cost.¹
• In 2020, 3,567 lives were lost to suicide, while 610,000 adults had thoughts of suicide in Florida.
• Nearly 40% of adult inmates have a prior history of mental illness.
• High school students with depression are over twice as likely to drop out as their peers. Additionally, 64.2% of Floridians aged 12-17 with depression received no care within the past year.
• 6,387,811 Floridians lack adequate mental health professionals in their community.
• 2,889,000 Floridian adults have a mental health condition, more than six times the population of Miami.
• Seventy percent of young people in Florida’s juvenile justice system have been diagnosed with a mental health condition.
• 3% of adults in Florida reported symptoms of anxiety and/or depressive disorder from February 1 to 13, 2023, the same percentage as adults in the United States.²
• In 2021, Florida had a higher suicide death rate by firearm (7.8 per 100,000) than by other means (6.2 per 100,000). Similarly, in the United States, the suicide death rate by firearm (7.5 per 100,000) was higher than the suicide death rate by other means (6.5 per 100,000).
• In May 2022, 23.6% of Florida adults with anxiety/depression symptoms didn’t receive counseling in the past four weeks, compared to the U.S. average of 28.2%.
• According to the National Institute on Drug Abuse, Florida had the third-highest rate of opioid-related overdose deaths in the United States in 2019, with 22.1 deaths per 100,000 people.³

Sources

1. “Mental Health in Florida.” National Alliance on Mental Illness (NAMI), Feb. 2021, www.nami.org/NAMI/media/NAMI-Media/StateFactSheets/FloridaStateFactSheet.pdf.
2. “Mental Health and Substance Use State Fact Sheets – KFF.” KFF, 20 Mar. 2023, www.kff.org/statedata/mental-health-and-substance-use-state-fact-sheets/florida.
3. “Annual Report Fiscal Year 2020-2021.” Florida Department of Health Division of Medical Quality Assurance Prescription Drug Monitoring Program, 2021, www.floridahealth.gov/statistics-and-data/e-forcse/news-reports/_documents/annual-report-2021.pdf.