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Florida Attention-Deficit Hyperactivity Disorder (ADHD) Therapy and Treatment with Aetna Insurance

“What does Aetna cover for ADHD?” We address that inquiry and more on this page, shedding light on the range of therapy options, treatment choices, resources, and coverage specifics for attention-deficit/hyperactivity disorder (ADHD). Discover how the customized mental health assistance offered by Aetna and The Sylvia Brafman Mental Health Center can support your or your loved one’s journey toward recovery.

What are Some Symptoms of Attention-Deficit Hyperactivity Disorder (ADHD)?

Attention-Deficit Hyperactivity Disorder (ADHD) is a condition that affects brain development, commonly observed in childhood. It can persist into adolescence and adulthood. According to data from 2016-2019, approximately 6 million children aged 3-17 have been diagnosed with ADHD. ADHD manifests in three primary types: predominantly inattentive, predominantly hyperactive-impulsive, and a combined presentation that encompasses both sets of symptoms.

Inattentive Subtype

Inattentive Subtype

  • Difficult maintaining focus
  • Struggles to follow through on tasks/organize activities
  • Regularly makes careless mistakes
  • Appears distracted and forgetful in day-to-day tasks

Hyperactive-impulsive Subtype

Hyperactive-impulsive Subtype

  • Excessively fidgets
  • Restless
  • Makes impulsive decisions
  • Struggles to wait one’s turn

ADHD is defined by an enduring pattern of inattention, hyperactivity, and impulsivity that may disrupt daily functioning or growth. The symptoms can manifest differently in adults than in children. Children with ADHD may encounter academic challenges, difficulties in social relationships, and struggles to maintain focus. In contrast, adults may grapple with problems related to time management, organization, and impulse control.<sup1

While general indicators may provide some insight, a proper diagnosis and appropriate treatment for ADHD can only be determined by a comprehensive ADHD screening and mental health evaluation conducted by a qualified healthcare professional. Call 877-958-9212 to schedule a complimentary assessment today.

>What are Some Symptoms of Attention-Deficit Hyperactivity Disorder (ADHD)?

Florida and Attention-Deficit Hyperactivity Disorder News and Statistics

In 2011, Florida ranked 31st in ADHD prevalence, with 8.8% of US children and 8.5% of Florida children diagnosed. This slightly increased to 8.9% from 2016 to 2019. In 2011, 6.1% of US children and 6.0% of Florida children used ADHD medications. A groundbreaking study by Florida International University found ADHD medications alone have a limited impact on academic outcomes.

Furthermore, the University of South Florida’s Marvin Andujar is developing a brain-computer interface for ADHD treatment. National ADHD prevalence is estimated at 3.5%, and a recent study links early social isolation to increased adult ADHD diagnoses and loneliness.

Who is Aetna?

Aetna was established in 1853 to provide life insurance services. With time, the company expanded to offer a broad range of health insurance products and services, including medical, dental, pharmacy, disability, behavioral health, and other health-related insurance products. Aetna is one of the largest health insurance providers in the United States, operating in all 50 states.

In 2018, the leading retail pharmacy and healthcare provider acquired Aetna.2 As a subsidiary of CVS Health, Aetna is headquartered in Hartford, Connecticut, with a healthcare network of 1.2 million professionals, including 690,000 primary care doctors and specialists. This merger aimed to bring pharmacy services, retail clinics, and health insurance together.

Aetna has shifted its emphasis towards leveraging technology to enhance healthcare delivery. The company has rolled out various digital health solutions, including mobile applications and online portals, enabling clients to proactively manage their health and access treatment options with greater efficiency3

Some Aetna Brands, Products, and Services

Some Aetna Brands, Products, and Services

Aetna provides a wide range of brands, products, and services that cater to the varying needs of individuals and organizations. These offerings demonstrate Aetna’s dedication to providing comprehensive, easily accessible health coverage options and solutions. Here are some of the key offerings that Aetna provides:

  • Aetna Health Plans include PPO (Preferred Provider Organization), HMO (Health Maintenance Organization), managed care plans, and high-deductible health plans for individuals, employers, and government entities. These health coverage options include preventive care benefits and medical, dental, and vision care coverage.
  • Digital Health Solutions, such as mobile apps and online portals, allow users to easily manage their health through convenient healthcare resources.4
  • Medicare and Medicaid Coverage offer government-funded healthcare to eligible individuals.
  • Behavioral Health Services provide comprehensive, accessible support, encompassing mental health resources, supportive counseling, and therapy to address the diverse needs of individuals seeking mental and emotional well-being.5
  • Pharmacy Benefits Management offers a wide range of prescription drug coverage, ensuring members can access cost-effective medications through an extensive network of pharmacies.6
  • Wellness programs promote holistic health by offering diverse initiatives and resources, encouraging the insured to adopt and maintain healthy lifestyles through fitness, nutrition, stress management, and preventive care.
  • Employee Assistance Programs (EAPs) provide confidential, accessible support services, including counseling and resources, to help employees and their families navigate personal and work-related challenges for enhanced well-being.
  • Global Benefits delivers comprehensive international healthcare solutions, ensuring expatriates, globally mobile employees, and their families receive seamless access to quality medical care and support tailored to their unique needs.7
>Who is Aetna?

At The Sylvia Brafman Mental Health Treatment Center in Fort Lauderdale, Florida, our team of dedicated professionals is ready to guide you. We offer IOP and a variety of treatments programs, each uniquely designed to meet your needs. So don’t wait, reach out to us today! Either give us a call or fill up the form below to request a callback.

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What is Aetna Mental Health Rehab Insurance?

Aetna mental health rehab insurance represents a specialized facet within Aetna’s broader mental health insurance coverage, explicitly dedicated to addressing mental and behavioral health needs through rehabilitation services. This specialized insurance offering is designed to provide comprehensive coverage for individuals seeking mental health treatment and rehabilitation for substance use disorder (SUD).

Coverage may include services such as therapy, counseling, and medication management, ensuring a holistic approach to mental health care. By extending essential resources for individuals on their journey to mental health recovery, Aetna strives to foster a supportive environment that empowers individuals to achieve and maintain optimal mental well-being.

Does Aetna Cover ADHD Treatment in Florida?

Aetna typically incorporates attention-deficit hyperactivity disorder (ADHD) treatment within its mental health rehab insurance coverage. Aetna’s coverage for ADHD treatment in Florida frequently encompasses diverse mental health services, including ADHD screenings and diagnostics. To obtain accurate information on ADHD treatment coverage and associated costs, call 877-958-9212.

It’s essential to be aware that coverage details may vary significantly from one Aetna plan to another. At The Sylvia Brafman Mental Health Center, we can provide precise information regarding coverage levels, the rehab admissions process, and more for your peace of mind and convenience. Our patient advocates are awaiting your call today.

Does Aetna Cover Therapy, Counseling, and ADHD Testing in Florida?

Aetna incorporates therapy, counseling, and ADHD testing into its comprehensive health coverage options in Florida. Optimize your mental health treatment benefits by choosing from a roster of in-network providers, including ADHD rehabs in Florida that accept Aetna. You can trust Aetna’s commitment to helping you access the essential care for your mental and emotional well-being.

For accurate and up-to-date information regarding your coverage for therapy, counseling, and ADHD screenings, please review your plan details or contact The Sylvia Brafman Mental Health Center at 877-958-9212. We can offer information on covered services, potential out-of-pocket costs, copayments, deductibles, limitations, and exclusions.

>Does Aetna Cover Therapy, Counseling, and ADHD Testing in Florida?

Does Aetna Cover Psychiatrist Visits for ADHD in Florida?

As a vital element of its comprehensive behavioral health coverage, Aetna in Florida includes provisions for psychiatric services, ensuring individuals with attention-deficit hyperactivity disorder (ADHD) can readily access essential care. To obtain a precise understanding of this coverage personalized to your specific circumstances, connect with one of our supportive patient advocates at 877-958-9212.

Does Aetna Cover ADHD Medications?

Aetna typically provides coverage for prescription medications. However, the specific coverage details can vary based on your individual policy. It is recommended to thoroughly review your plan documents, including the drug formulary or prescription drug list, to understand the particulars of coverage for ADHD medications. Specific restrictions or exclusions may apply, particularly regarding generic versus brand-name medications.

For personalized information about your plan and treatment needs, contacting Aetna member services or calling 877-958-9212 is advisable. Our team can offer accurate details regarding the coverage of ADHD medications and any potential out-of-pocket costs.

Attention-Deficit Hyperactivity Disorder Programs Covered by Aetna Health Insurance

Aetna provides support for various programs and services for attention-deficit hyperactivity disorder (ADHD). These programs may include ADHD screenings, therapy sessions, supportive counseling, medication coverage, and other evidence-based therapeutic interventions aimed at addressing the unique needs of individuals with ADHD.

Here, we will explore specific aspects of Aetna’s coverage for ADHD, delving into details regarding various services and additional support programs that enhance holistic approaches to ADHD. It is crucial to comprehend the breadth of coverage to ensure comprehensive, effective care for ADHD under your Aetna Insurance plan.

Partial Hospitalization Program for ADHD Treatment

Partial Hospitalization Program (PHP) for ADHD Treatment

Partial Hospitalization Programs (PHP) for attention-deficit hyperactivity disorder (ADHD) treatment is a structured day program providing intensive mental health services without the need for overnight stays. It caters to those requiring more concentrated care than traditional outpatient services and involves various therapeutic activities, such as counseling, peer support for ADHD, educational sessions, and medication management.

Aetna insurance policies frequently cover PHPs for ADHD treatment. If you are contemplating enrollment in a PHP for ADHD, carefully review your specific Aetna plan details or call 877-958-9212 to understand the extent of coverage and associated costs. We can offer detailed insights into the rehabilitation admissions process and answer your questions.

Intensive Outpatient Program for ADHD Treatment

Intensive Outpatient Program (IOP) for ADHD Treatment

Aetna usually covers Intensive Outpatient Programs (IOP) for ADHD treatment, acknowledging the significance of offering a higher level of care without inpatient care’s time commitment. An IOP is a structured therapeutic program that individuals attend several times a week, participating in diverse therapeutic activities such as individual counseling, group therapy, and psychoeducation. For detailed information on coverage specifics, call 877-958-9212.

Outpatient Program for ADHD Treatment

Outpatient Program (OP) for ADHD Treatment

Outpatient treatment programs (OP) for ADHD treatment offers a flexible therapeutic option without the need for overnight stays. This program involves scheduled sessions where participants engage in various therapeutic activities, including counseling, group therapy, and educational sessions. It provides tailored ADHD treatment while accommodating individuals’ daily routines.

Aetna typically provides coverage for outpatient programs for ADHD treatment, emphasizing accessibility and comprehensive mental health support. This coverage ensures that individuals seeking outpatient care for ADHD can benefit from a variety of therapeutic interventions without the necessity of inpatient commitments. To obtain precise details on coverage, you’re encouraged to contact Aetna or call 877-958-9212.

>Attention-Deficit Hyperactivity Disorder Programs Covered by Aetna Health Insurance

ADHD Treatment Center in Florida That Takes Aetna Insurance

We recognize the challenges of dealing with ADHD at The Sylvia Brafman Mental Health Center, and we’re dedicated to empowering our patients with a range of services, including comprehensive psychotherapy, medication options, and support groups. If you or a loved one is facing symptoms of ADHD, please call 877-958-9212.

You can rest assured that we accept insurance. Our devoted team is prepared to offer the support you require. Don’t delay any longer—contact us today to discover more about our specialized treatment programs for ADHD, or visit our South Florida-based treatment center at the address below:

>ADHD Treatment Center in Florida That Takes Aetna Insurance

Types of Attention-Deficit Hyperactivity Disorder Covered by Aetna Insurance

Aetna generally provides coverage for ADHD, encompassing its various subtypes. It’s essential to emphasize that the coverage specifics for each subtype may differ, and the list below is only a partial one. For detailed information on coverage for a specific type of ADHD or related services, don’t hesitate to call 877-958-9212 for personalized assistance.

Attention-Deficit Hyperactivity Disorder Predominantly Inattentive Presentation

Attention-Deficit Hyperactivity Disorder Predominantly Inattentive Presentation

The predominantly inattentive presentation of ADHD is marked by challenges in sustaining attention and staying focused on tasks. Those with this presentation may encounter difficulties in organization, struggle with follow-through, and appear forgetful in their daily activities. Unlike the hyperactive aspect, this subtype primarily revolves around issues related to attentiveness and concentration.8

Aetna usually covers this particular subtype. If you or someone you know is facing these difficulties, your plan may include diagnostic assessments, therapy sessions, prescribed medications, and more. To obtain detailed information about your coverage, it is recommended that you review your policy or contact one of our patient advocates at 877-958-9212.

Attention-Deficit Hyperactivity Disorder Predominantly Hyperactive-Impulsive Presentation

Attention-Deficit Hyperactivity Disorder Predominantly Hyperactive-Impulsive Presentation

Heightened activity levels, restlessness, impulsivity, and difficulties with patience characterize ADHD predominantly hyperactive-impulsive presentation. Those with this presentation often exhibit fidgeting, struggle to remain seated, and problems engaging in quiet activities. Impulsive actions are also prevalent. This presentation emphasizes hyperactivity and impulsivity over issues related to attentiveness.9

If you or someone you know is facing these challenges, Aetna will likely cover various services, including diagnostic assessments, therapy sessions, and necessary medications. To get specific details about your coverage, it’s a good idea to review your policy or reach out to The Sylvia Brafman Mental Health Center at 877-958-9212.

Attention-Deficit Hyperactivity Disorder Combined Presentation

Attention-Deficit Hyperactivity Disorder Combined Presentation

ADHD combined presentation encompasses a mix of both inattentive and hyperactive-impulsive symptoms within the spectrum of attention-deficit hyperactivity disorder (ADHD). Individuals with this ADHD subtype face challenges in sustaining attention and organizing tasks and may encounter restlessness, impulsive decision-making, and increased activity levels.

Aetna usually provides coverage for this specific ADHD subtype. If you or someone you’re concerned about is dealing with these challenges or other issues, contact our hotline for immediate, personalized support and information.

Attention-Deficit Hyperactivity Disorder with Co-occurring Conditions

Attention-Deficit Hyperactivity Disorder with Co-occurring Conditions

ADHD with co-occurring conditions refers to the disorder occurring simultaneously with other mental health or medical conditions. Approximately 38% of adults with ADHD experience the presence of a co-occurring mood disorder. Managing ADHD, along with other conditions, can be complex, requiring an intensive, comprehensive approach.10

The encouraging aspect is that if you or someone you’re acquainted with is managing the multifaceted elements of ADHD alongside other conditions, Aetna is likely to offer coverage for various services. This coverage includes diagnostic assessments, therapy sessions, medications, and other necessary treatments specifically designed to address both ADHD and its co-occurring conditions simultaneously. For precise details about your coverage, review your policy or contact us at 877-958-9212.

>Types of Attention-Deficit Hyperactivity Disorder Covered by Aetna Insurance

How Much Does ADHD Treatment Cost Without Aetna Health Insurance?

Costs related to ADHD treatment can fluctuate significantly in the absence of Aetna coverage. Variables like the chosen treatment type, frequency of therapy sessions, and prescribed medications all play a role in determining overall expenses. Out-of-pocket costs may encompass regular doctor visits, prescription medications, and therapy fees.

For example, the cost of doctor’s visits can significantly differ, ranging from a few hundred dollars to over $2,700, depending on the provider and required neuropsychological testing. Moreover, monthly medication expenses can vary from $8 to $288 without insurance or discounts. For instance, commonly prescribed generic stimulants might incur an approximate cost of $187.97 for a one-month supply.11

Please note that the figures provided are only approximations. To optimize the benefits of your Aetna plan, it’s essential to identify in-network providers and familiarize yourself with your policy details. For a precise evaluation of ADHD treatment costs, call 877-958-9212.

How To Check My Aetna Health Insurance Coverage Levels for Treatment in Florida

Call 877-958-9212 for a comprehensive assessment of your Aetna coverage. At The Sylvia Brafman Mental Health Center, our dedicated team is ready to engage with your health insurance provider to discern the particulars of your coverage. Following this, we’ll guide you through the details, providing in-depth insights into available treatment options, program choices, and associated out-of-pocket expenses.

This process ensures that you are well informed and empowered to make thoughtful decisions regarding your mental health treatment. Our goal is to assist you in navigating your insurance coverage seamlessly, fostering a supportive environment for your recovery journey.

Attention-Deficit Hyperactivity Disorder Related News and Statistics

Attention-Deficit Hyperactivity Disorder Related News and Statistics

  • In 2011, parents reported that 8.8% of children in the United States and 8.5% of children in Florida were currently diagnosed with ADHD. This positioned Florida as the 31st highest state in the United States in terms of ADHD prevalence.12
    • From 2016-2019, that number slightly increased to 8.9%.13
  • A psychologist from Florida State University has secured a $9 million grant to expand the reach of ‘gamified’ treatments for pediatric ADHD.14
  • In 2011, 6.1% of children in the United States and 6.0% of children in Florida were using medication to manage ADHD.15
  • In the first study of its kind, investigators at the Center for Children and Families at Florida International University discovered that ADHD medications alone have no discernible effect on the academic learning outcomes of children with ADHD in the classroom.16
  • In a randomized controlled trial assessing the effectiveness of cognitive-behavioral therapy (CBT) for adults with ADHD, with and without medication, both groups exhibited significant improvements in symptoms and functioning. Notably, the addition of medication did not yield significantly better outcomes compared to the use of CBT and a placebo alone.17
  • Leveraging the synergy of concentration and art, computer scientist Marvin Andujar from the University of South Florida is creating an innovative brain-computer interface (BCI) prototype. The objective is to enable study participants to utilize their brains in unprecedented ways, with the ultimate aim of introducing a groundbreaking treatment option for individuals diagnosed with attention-deficit/hyperactivity disorder by directly accessing their brain activity.18
  • According to findings from a substantial, population-based cohort study, the national prevalence of ADHD was estimated to be 3.5%.19
  • A recent study reveals that young children who undergo social isolation are vulnerable to receiving an ADHD diagnosis and may encounter feelings of loneliness in adulthood.20

Sources

Sources

  1. “Symptoms.” National Health Service UK, 13 Mar. 2023, www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder-adhd/symptoms.
  2. “CVS Health Completes Acquisition of Aetna, Marking Start of Transforming Consumer Health Experience.” CBS Health, 28 Nov. 2018, www.cvshealth.com/news/company-news/cvs-health-completes-acquisition-of-aetna-marking-start-of.html.
  3. “About Us and Company Information | Aetna.” Aetna, www.aetna.com/about-us.html. Accessed 13 Dec. 2023.
  4. “Tools and Tech – Aetna.” Aetna, www.aetna.com/individuals-families/health-insurance-through-work/health-insurance-information/tools-and-tech.html. Accessed 13 Dec. 2023.
  5. “Mental Health and Well-being Resources.” Aetna, www.aetna.com/individuals-families/mental-emotional-health.html. Accessed 13 Dec. 2023.
  6. “Prescription Drug Insurance Plans and Coverage From Aetna | Pharmacy Benefit Plans for Individuals & Families.” Aetna, www.aetna.com/individuals-families/pharmacy.html. Accessed 13 Dec. 2023.
  7. “Global Health Insurance.” Aetna International, www.aetnainternational.com/en/individuals/global-medical-insurance.html. Accessed 13 Dec. 2023.
  8. ADDitude Editors. “What Is Inattentive ADHD? ADD Symptoms, Causes, Treatment.” ADDitude, 6 Nov. 2023, www.additudemag.com/slideshows/symptoms-of-inattentive-adhd.
  9. Williams, Penny. “What Are the 3 Types of ADHD?” ADDitude, 25 Aug. 2023, www.additudemag.com/3-types-of-adhd.
  10. “Coexisting Conditions – CHADD.” CHADD, 3 Dec. 2018, chadd.org/about-adhd/coexisting-conditions.
  11. Levine, Hallie. “The Costs of Childhood ADHD.” WebMD, 7 Apr. 2021, www.webmd.com/add-adhd/childhood-adhd/costs-childhood-adhd.
  12. “State Profile: Florida: The National Survey of Children’s Health.” Centers for Disease Control and Prevention (CDC), www.cdc.gov/ncbddd/adhd/stateprofiles/stateprofile_florida.pdf. Accessed 11 Dec. 2023.
  13. Danielson, Melissa L., et al. “State-Level Estimates of the Prevalence of Parent-Reported ADHD Diagnosis and Treatment Among U.S. Children and Adolescents, 2016 to 2019.” Journal of Attention Disorders, vol. 26, no. 13, May 2022, pp. 1685–97. https://doi.org/10.1177/10870547221099961.
  14. Harris, McKenzie. “FSU Psychologist Awarded $9M to Expand ‘gamified’ Treatments for Pediatric ADHD – Florida State University News.” Florida State University News, 30 Aug. 2022, news.fsu.edu/news/health-medicine/2022/08/30/fsu-psychologist-awarded-9m-to-expand-gamified-treatments-for-pediatric-adhd.
  15. Maternal and Child Health Bureau. “State Profile: Florida: Parent-Reported Diagnosis of ADHD by a Health Care Provider and Medication Treatment Among Children 4-17 Years: National Survey of Children’s Health* – 2003 to 2011.” Centers for Disease Control and Prevention (CDC), www.cdc.gov/ncbddd/adhd/stateprofiles/stateprofile_florida.pdf. Accessed 18 Dec. 2023.
  16. Castro, Rosanna. “Medication Alone Doesn’t Help Kids With ADHD Learn.” FIU News, 26 May 2022, news.fiu.edu/2022/long-thought-to-be-the-key-to-academic-success,-medication-doesnt-help-kids-with-adhd-learn,-study-finds.
  17. Weiss, Margaret, et al. “A Randomized Controlled Trial of CBT Therapy for Adults With ADHD With and Without Medication.” BMC Psychiatry, vol. 12, no. 1, Apr. 2012, https://doi.org/10.1186/1471-244x-12-30.
  18. Roa, Sandra C. “New Brain-painting Method Developed at USF Being Tested for ADHD Treatment.” University of South Florida, 20 May 2022, www.usf.edu/news/2022/new-brain-painting-method-developed-at-usf-being-tested-for-adhd-treatment.aspx.
  19. Pond, Emily. “Updated Estimates of ADHD Prevalence, Comorbidity.” Psychiatry Advisor, 5 July 2022, www.psychiatryadvisor.com/home/topics/adhd/prevalence-estimates-for-adhd-and-comorbid-medical-conditions.
  20. Neuroscience News. “Social Isolation in Childhood Is Associated With ADHD Symptoms and Loneliness in Young Adulthood.” Neuroscience News, 21 May 2022, neurosciencenews.com/social-isolation-adhd-childhood-20625.

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