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Ambetter Florida Mental Health Therapy Treatment

The Sylvia Brafman Mental Health Center, a beacon of hope and healing, is situated in the heart of Broward County, Florida. Our treatment center specializes in providing comprehensive mental health services that cater to a wide array of psychological health issues. The facility’s expertise spans across treating depression, anxiety disorders, bipolar disorder, schizophrenia, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), attention-deficit/hyperactivity disorder (ADHD), and borderline personality disorder (BPD). Their team of seasoned professionals uses a range of therapies, including eye movement desensitization and reprocessing (EMDR), to help individuals regain their mental well-being.

What sets The Sylvia Brafman Mental Health Center apart is our unique focus on integrated treatment for co-occurring disorders or dual diagnosis. The treatment center excels in addressing psychiatric comorbidity, offering a tailored approach to dual diagnosis recovery. Furthermore, it’s worth noting that the center accepts Ambetter Health insurance for mental health and dual diagnosis treatment. So whether you’re from Miami, Fort Lauderdale, West Palm Beach, Boca Raton, Hollywood, Coral Gables, Key West, Pompano Beach, or anywhere else in Florida, rest assured that The Sylvia Brafman Mental Health Center is committed to supporting your journey to mental health.

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Does Ambetter Health Florida Mental Health Therapy Treatment?

Selecting a health insurance plan through Ambetter is straightforward, thanks to their three plan options: Bronze, Silver, and Gold. Each plan offers extensive coverage, encompassing substance abuse and other mental health services. Continue reading to gain insights into Ambetter’s mental and behavioral health coverage.

Florida and Mental Health Statistics

Florida and Mental Health Statistics

In the Sunshine State, the mental health landscape presents a complex mosaic. With approximately 57,335 patients receiving treatment in drug rehab facilities annually, it’s evident that the need for care is significant. However, there are concerning statistics: in 2021, Florida grappled with a high age-adjusted hospitalization rate of 976.3 per 100,000 people for mental disorders.

Moreover, out of 1,823,000 adults in the state experiencing mental illness in 2022, a staggering 63.5% did not receive treatment. Despite the need, a significant portion of the population faces obstacles, including the nearly 594,000 uninsured in Florida grappling with mental health issues. Despite these challenges, Florida’s overall ranking for rates of mental illness was one of the lowest in the nation as of 2022. Still, this achievement must be viewed in the context of the state’s per capita expenditure on mental health, which is strikingly low at $36.05 compared to the national average of $125.90.

Exploring the Sunshine State and its Southern Cities

Exploring the Sunshine State and its Southern Cities

Southern Florida is a region offering a variety of cities, each with its own unique attractions. Miami, a melting pot of cultures, is well-known for its vibrant nightlife, fine dining, and stunning Art Deco architecture, which attracts sun-loving visitors. Hollywood provides a tranquil escape, while Fort Lauderdale, known as the “Venice of America,” attracts boating enthusiasts with its intricate waterways.

Pompano Beach is a scenic paradise that caters to anglers and water sports enthusiasts, set against a backdrop of breathtaking natural beauty. Finally, Boca Raton is a luxurious retreat with top-tier resorts, championship golf courses, and upscale shopping areas.

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Who is Ambetter Health?

Ambetter is a health insurance company managed by Centene Corporation, a prominent player in the United States-managed healthcare sector. Centene Corporation, a Fortune 500 company, has over three decades of experience in the managed care industry, boasting a diverse and extensive portfolio focused on health solutions.

Counting more than 2 million members across the country, Ambetter provides an extensive array of HMO (Health Maintenance Organization), PPO (Preferred Provider Organization), and EPO (Exclusive Provider Organization) plans, along with a comprehensive range of healthcare services.The plans follow Affordable Care Act (ACA) guidelines, providing essential health benefits as mental health parity laws require. These benefits include the following:

  • Emergency Care
  • Outpatient or Ambulatory Care
  • Preventive Care
  • Wellness and Mental Health Support
  • Maternity & Newborn Care
  • Pediatric Care
  • Mental Health & Substance Abuse Care
  • Laboratory Services
  • Prescription Drugs
  • Therapy Services
  • Hospitalization

More About Ambetter Health

More About Ambetter Health

Since 2023, Ambetter has expanded its plans. For example, the Ambetter Insurance Select Plans offer cost-effective monthly premiums and a provider network of carefully selected healthcare professionals and hospitals. This ensures you have access to in-network providers with a proven track record of providing high-quality healthcare outcomes. Moreover, Ambetter Value Plans provide affordable healthcare options with a list of specific providers and hospitals. For specialist visits, referrals are required.

In addition to the above, Ambetter Virtual Access plans offer comprehensive virtual and teletherapy coverage. Members are assigned a Teladoc or Babylon Primary Care Physician (PCP) who provides unlimited $0 visits. They can also order labs and imaging, write prescriptions, and make referrals for on-site care when necessary.

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What is Ambetter Health Rehab Insurance Coverage?

Ambetter’s rehabilitation coverage encompasses physical and mental health services, including substance abuse treatment. Although the specific mental health resources may differ for each member, your Ambetter policy may include psychiatric care coverage for services such as detoxification, medication-assisted treatment (MAT), inpatient and outpatient care, aftercare, support groups, and health and wellness programs to promote psychological health.

Does Ambetter Health Cover Mental Health Rehab?

Ambetter Health typically covers rehabilitation treatment. The extent of coverage varies depending on several factors, such as the type of treatment required and your specific policy. Understanding your plan and coverage options is crucial to ensure a successful recovery journey. Call 877-958-9212 to learn more about your coverage levels for rehab with your Ambetter Health policy.

Does Ambetter Health Cover Therapy for Mental Health Treatment?

Yes, Ambetter Health typically provides therapy coverage for mental health treatment. Mental health benefits may include therapy sessions, counseling services, hospitalization, and more. Remember, your coverage levels will vary according to many factors. In addition, many insurance providers impose mental health coverage limitations, including only covering medically necessary services and requiring preauthorization for mental health services.

You might wonder, more specifically, “What does Ambetter Health cover for mental health?”  It’s important to familiarize yourself with the specifics of your insurance policy. Call 877-958-9212 to learn more about your mental health insurance coverage today.

Rehabs in Florida That Accept Ambetter Health Insurance

The Sylvia Brafman Mental Health Center in South Florida is a rehabilitation facility where your Ambetter Health insurance coverage may be accepted to offset treatment costs. Our dedicated medical and clinical teams have extensive experience in providing accurate diagnoses and effective treatment strategies while advocating for mental health and supporting you in overcoming mental health challenges.

For further information about our services, the admissions process, or any other inquiries, please don’t hesitate to contact us at 877-958-9212. Our team of compassionate patient advocates is ready to assist you in taking the necessary steps toward your recovery. Alternatively, you can visit us in person at the following address:

  • The Sylvia Brafman Mental Health Center: 7710 NW 71st Ct, Tamarac, FL 33321, United States
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Mental Health Programs Covered by Ambetter Health Insurance

Ambetter Health Insurance’s commitment to mental health advocacy is evident in the wide variety of mental health programs and services covered by its policies. Below, we’ll explore a few of these programs and how they support your mental and emotional well-being, providing the coping strategies and psychotherapy techniques needed to overcome any challenges.

Ambetter Health Coverage for Partial Hospitalization Programs

Ambetter Health Coverage for Partial Hospitalization Programs

Partial Hospitalization Programs (PHP) are structured outpatient mental health treatment programs designed to provide intensive therapy and support for individuals struggling with mental health issues. PHPs are a step-down level of care from inpatient hospitalization and are often recommended for individuals who may not require 24/7 supervision but still need intensive treatment and support.

Ambetter Health typically provides coverage for psychotherapy services delivered in a PHP setting, including individual and group therapy, medication management, psychiatric evaluations, and mental health support.

Ambetter Health Coverage for Intensive Outpatient Programs

Ambetter Health Coverage for Intensive Outpatient Programs

Intensive Outpatient Programs (IOP) are another crucial component of mental health care that Ambetter Health typically covers. An IOP is a structured treatment program that offers more flexibility than inpatient or PHPs. It’s designed to provide intensive therapy and support while allowing you to maintain some level of daily functioning, such as work, school, or family responsibilities.

Ambetter’s coverage of IOPs underscores their commitment to mental health awareness. These programs often involve a combination of individual and group therapy, psychoeducation, and sometimes mental health medications to promote healthy cognitive function. The flexibility of IOPs makes them suitable for those requiring intensive treatment but who do not need to be in a hospital setting.

Ambetter Health Coverage for Outpatient Programs

Ambetter Health Coverage for Outpatient Programs

Outpatient programs are essential to Ambetter Health Insurance’s coverage for mental health services. These programs are designed to provide flexible, ongoing support while allowing you to maintain your daily routine. Outpatient programs usually involve individual and group therapy sessions, medication management, psychotherapy, and counseling services.

These programs are particularly valuable for individuals who have completed more intensive levels of care, such as inpatient or partial hospitalization and are transitioning back to their regular lives.

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What Type of Mental Health Disorders Does Ambetter Health Cover?

Ambetter Health Insurance covers many mental health disorders, from mood and anxiety to more complex psychiatric conditions. It’s crucial to understand that the following list is not all-encompassing, as Ambetter is committed to addressing a broader spectrum of mental health needs.


Treatment for Bipolar Disorder and Cyclothymia

Treatment for Bipolar Disorder and Cyclothymia

Bipolar disorder and cyclothymia are mood disorders that require specialized treatment. These conditions are characterized by extreme mood swings, including periods of depression and mania in the case of bipolar disorder and less severe mood shifts in the case of cyclothymia. Ambetter Health usually provides coverage for managing these conditions, including psychotherapy, mental health medications, and additional services.


Treatment for Borderline Personality Disorder (BPD)

Treatment for Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health condition characterized by unstable relationships, self-image, and emotions. Managing BPD often requires a combination of therapy, medication, and support. As part of its comprehensive mental health services, Ambetter Health typically provides coverage for treating and managing BPD.


Treatment for Anxiety Disorder

Treatment for Anxiety Disorder

Anxiety disorders include various conditions, such as generalized anxiety disorder, social anxiety disorder, and panic disorder, characterized by excessive worry, fear, and heightened stress. Ambetter Health typically provides coverage for anxiety treatment, which may involve therapy sessions, counseling services, and medication (when necessary) to alleviate symptoms and enhance overall well-being.


Treatment for Depression

Treatment for Depression

Depression is a common mental health condition characterized by persistent sadness, hopelessness, and lack of interest in activities. Ambetter Health typically offers comprehensive coverage to prevent, treat, and manage depression. This coverage includes various types of therapy, counseling, and medication to reduce depression symptoms and improve overall emotional well-being.


Treatment for Post-Traumatic Stress Disorder (PTSD)

Treatment for Post-Traumatic Stress Disorder (PTSD)

Experiencing traumatic events can lead to developing Post-Traumatic Stress Disorder (PTSD). Ambetter Health offers comprehensive coverage for PTSD treatment and stress management that typically includes effective therapies such as cognitive-behavioral therapy (CBT) and exposure therapy. Additionally, medications are also available to alleviate symptoms.


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Does Ambetter Health Cover Dual Diagnosis Treatment?

Ambetter Health typically covers dual diagnosis treatment for those dealing with a substance use disorder and a mental health disorder simultaneously. Ambetter recognizes the importance of addressing both aspects of these conditions to provide comprehensive care. Review your Ambetter plan and consult with in-network providers to understand coverage details for dual diagnosis treatment. Call 877-958-9212 today.

How Much Does Rehab Cost with Ambetter Health Insurance?

The average cost of drug rehabilitation is $13,475 per person. However, costs vary significantly and are influenced by several factors, including location, policy, treatment facility, and duration. Call 877-958-9212 for details on rehabilitation costs with your Ambetter Health Insurance policy, including any potential out-of-pocket expenses, such as copayments for therapy.

How To Check My Ambetter Health Insurance Coverage Levels

The easiest and most efficient way to determine your Ambetter Health coverage levels is to call 877-958-9212. Our helpful patient advocates are available to assist you in confirming your insurance details and answer any questions regarding your mental health insurance coverage. In addition, you can schedule your complimentary mental health assessment today.

How Many Times Will Ambetter Health Pay for Rehab?

The coverage provided for rehabilitation services through Ambetter Health will vary based on state regulations, the particulars of your plan, and other influencing factors. The frequency of Ambetter’s coverage for treatment is not set in stone; instead, it is determined by considerations like medical necessity, the type of treatment, and individual requirements.

In most cases, Ambetter Health offers coverage for recovery services when deemed medically necessary by healthcare professionals. For precise information regarding your plan, including any limitations on the number of treatment sessions or the duration of coverage, you can refer to your plan documents or call 877-958-9212.

Mental Health Statistics in Florida

Rehab and Mental Health Statistics in Florida

  • As of 2022, Florida was rated as one of the states with the lowest rates of mental illness in the nation.1
  • Each year, drug rehab facilities in Florida provide services to about 57,335 patients.
  • In 2021, Florida had an age-adjusted hospitalization rate of 976.3 per 100,000 people with mental health disorders.1
  • Out of the 1,823,000 adults in Florida with any mental illness in 2022, 63.5% didn’t receive treatment.2
  • Between 2017 and 2019, the rates of depression in Palm Beach County were slightly lower than the overall state of Florida. Only 12.4% of adults were diagnosed with a depressive disorder compared to 17.7% in Florida.3
  • In 2020, the Florida Department of Health reported 200,907 hospitalizations attributed to mental health disorders across all age groups statewide.4
  • Mental Health America reports that nearly 3 million adults in Florida experience mental illness.5
  • As of 2022, Florida was rated as one of the states with the lowest rates of mental illness in the nation.6
  • Florida’s per capita expenditure on mental health stands at $36.05, significantly lower than the national average of $125.90.7
  • It is estimated that around 594,000 individuals in Florida do not have health insurance and are suffering from mental health issues.8

Sources:

  1. “Hospitalizations From Mental Disorders.” FL Health CHARTS – Florida Department of Health, www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=NonVitalInd.Dataviewer&cid=9877. Accessed 18 Oct. 2023.
  2. Reinert, M, Fritze, D. & Nguyen, T. “The State of Mental Health in America 2022.” Mental Health America, mhanational.org/sites/default/files/2022%20State%20of%20Mental%20Health%20in%20America.pdf. Accessed 23 Sept. 2023.
  3. “Behavioral Risk Factor Surveillance System (BRFSS).” Florida Department of Health, www.floridahealth.gov/statistics-and-data/survey-data/behavioral-risk-factor-surveillance-system/index.html. Accessed 18 Oct. 2023.
  4. “Suicide and Behavioral Health Profile.” Florida Department of Health, www.flhealthcharts.gov/ChartsReports/rdPage.aspx?rdReport=ChartsProfiles.SuicideProfileDashboard. Accessed 18 Oct. 2023.
  5. Ogozalek, Sam. “Florida’s Problems With Mental Health System Flagged Decades Ago.” Tampa Bay Times, 21 Mar. 2023, www.tampabay.com/news/health/2023/03/21/mental-health-florida-reforms-report-flagged-problems-parkland.
  6. Warren, Darice. “The State of Mental Health in America 2022: Adult Prevalence and Access to Care – NextStep Solutions.” NextStep Solutions, 6 Dec. 2021, www.nssbehavioralhealth.com/nss-blog-the-state-of-mental-health-in-america-2022-adult-prevalence-and-access-to-care.
  7. Dadi, Esubalew. “Florida Must Increase Its Support for Mental Health Services.” Florida Policy Institute, 1 June 2017, www.floridapolicy.org/posts/florida-must-increase-its-support-for-mental-health-services.
  8. “The State of Mental Health in America 2017.” Mental Health America, 2016, mhanational.org/sites/default/files/2017%20MH%20in%20America%20Full.pdf

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