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Florida Blue (BCBS of Florida) Attention Deficit Hyperactivity Disorder (ADHD) Therapy and Treatment

“What does BCBS cover for ADHD?” We answer that question and more on this page, highlighting the spectrum of attention-deficit/hyperactivity disorder therapy, treatment options, resources, and coverage details. Learn how the tailored mental health support that Florida Blue Cross Blue Shield (BCBS) and The Sylvia Brafman Mental Health Center provide will aid your or your loved one’s route to recovery.

What are Some Signs of Attention-Deficit Hyperactivity Disorder?

ADHD, or Attention-Deficit Hyperactivity Disorder, is a neurodevelopmental condition often observed in childhood and can endure into adolescence and adulthood. The estimated number of children (3–17) ever diagnosed with ADHD is 6 million (9.8%), using data from 2016-2019.1 There are three main subtypes of ADHD: primarily inattentive, primarily hyperactive-impulsive, and a combined presentation that involves both sets of symptoms.

Inattentive Subtype

Inattentive Subtype

  • Struggle to sustain attention
  • Struggle to follow through on tasks and organize activities
  • Frequently make careless mistakes
  • Appear distracted and forgetful in daily tasks

Hyperactive-impulsive Subtype

Hyperactive-impulsive Subtype

  • Excessive fidgeting
  • Restlessness
  • Impulsive decision-making
  • Difficulty waiting for one’s turn

Other common signs of ADHD include a persistent pattern of inattention, hyperactivity, and impulsivity that interfere with daily functioning or development. Symptoms can present differently in adults than children. Children with ADHD may struggle academically, experience challenges in social relationships, and face difficulties in maintaining focus on tasks. At the same time, adults may encounter issues with time management, organization, and impulse control.2

Although these indicators offer a broad perspective, obtaining an accurate diagnosis and suitable intervention requires a thorough ADHD screening and mental health assessment conducted by a qualified healthcare professional. Feel free to contact us at 877-958-9212 to arrange your complimentary assessment today.

Florida and ADHD Statistics

Florida and ADHD Statistics

In 2011, 8.5% of children in Florida were reported to have current ADHD by their parents, ranking the state 31st in terms of ADHD prevalence among all U.S. states. This percentage increased to 8.9% from 2016 to 2019. A Florida State University psychologist secured a $9 million grant to expand ‘gamified’ treatments for pediatric ADHD to enhance available interventions.

From 2000 to 2021, there was a threefold increase in calls to U.S. poison control centers related to cases of children improperly taking ADHD medication outside of hospital settings. American studies in 2021 revealed varying rates of ADHD diagnoses among different ethnic groups, with boys being diagnosed at a higher rate (13%) compared to girls (6%). Globally, as of 2020, over 366 million adults are estimated to have ADHD.

>What are Some Signs of Attention-Deficit Hyperactivity Disorder?

Who is Florida Blue?

The Blue Cross Blue Shield Association (BCBSA) is a consortium of independent health insurance companies dedicated to assisting individuals nationwide. Among these, Florida Blue, established in 1945, has emerged as a prominent health insurance provider operating under the Blue Cross Blue Shield (BCBS) umbrella. It delivers comprehensive coverage to residents of The Sunshine State.

Florida Blue stands out for its commitment to enhancing community health and well-being, playing a pivotal role in shaping the state’s healthcare landscape. As the country’s largest provider of individual marketplace plans, the health insurance entity underscores its dedication to advancing accessible and comprehensive healthcare solutions.3

Some BCBS Brands, Products, and Services

Some BCBS Brands, Products, and Services

The BCBS network extends healthcare options to millions of Americans, featuring various brands, products, and services tailored to specific regions. These offerings encompass a wide array of health insurance plans and services, such as individual and group plans, Medicare options, and innovative wellness and mental health solutions.

In Florida, residents benefit from Florida Blue, a BCBS subsidiary that provides health insurance plans, including PPO (preferred provider organization) and HMO (health maintenance organization), along with services like health savings accounts (HSAs) and preventive care benefits. The BlueCard Program ensures access to healthcare providers nationwide, extending beyond the Florida Blue service area.4

The BlueOptions initiative offers diverse health coverage options with varying levels and networks, including in and out-of-network coverage.5 BlueSelect, meanwhile, constitutes a healthcare network featuring selected providers and cost-effective options. For low-income individuals and families, BlueCare serves as a Medicaid-managed care plan. With a BlueCare HMO plan, you get convenience and affordability combined, with a focus on preventive care and early diagnosis, ensuring predictable costs through preset copayments.

BlueMedicare encompasses Medicare Advantage plans, Medicare Supplement (Medigap) plans, and prescription drug coverage. The Better You Strides rewards program incentivizes insured individuals to enhance their holistic well-being, addressing physical and emotional well-being. Through this program, members can personalize their health journey to align with their needs, objectives, and interests.6

Finally, the MyBlue Health program assists individuals in managing health, chronic conditions, and healthcare expenses, including insurance premiums.

>Who is Florida Blue?

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 Florida Blue Mental Health Rehab Insurance?

Florida Blue is committed to the holistic well-being of its members and offers thorough health coverage options for mental health rehabilitation. This coverage encompasses a range of services, including supportive counseling and therapy sessions, aimed at addressing various conditions like attention-deficit/hyperactivity disorder (ADHD) and facilitating the path to recovery and emotional well-being.

Individuals with Florida Blue’s mental health insurance coverage can access a healthcare network that includes qualified mental health professionals and rehabs in Florida that accept Blue Cross Blue Shield. This guarantees access to vital care tailored to help you or a loved one navigate and overcome mental health challenges within a supportive environment conducive to recovery.7

Does Blue Cross Blue Shield Cover ADHD Treatment in Florida?

Florida Blue typically includes ADHD treatment as part of its mental health rehab insurance coverage. As a subsidiary of BCBS, Florida Blue offers health insurance plans that often cover various mental health services, including the diagnosis and treatment of Attention-Deficit/Hyperactivity Disorder (ADHD).

It’s important to review your specific plan details, contact Florida Blue member services, or call 877-958-9212 for precise information on ADHD treatment coverage and associated costs. Coverage details can vary significantly from plan to plan.

Does Blue Cross Blue Shield Cover Therapy, Counseling, and ADHD Testing in Florida?

Yes, if you have Florida Blue Cross Blue Shield (BCBS) coverage, it usually covers therapy, counseling, and ADHD testing. Florida Blue offers health insurance plans that often include mental health services like therapy and counseling, as well as testing for Attention-Deficit/Hyperactivity Disorder (ADHD).

To get the specifics on your coverage, it’s a good idea to check your plan details or call 877-958-9212. We can provide the most accurate information about what’s covered and any potential costs associated with these services, such as copayments and deductibles.

Does BCBS Florida Cover Psychiatrist Visits for Attention-Deficit/Hyperactivity Disorder?

Yes, if you have Florida Blue coverage, it typically includes visits to a psychiatrist for Attention-Deficit/Hyperactivity Disorder (ADHD). So, if you’re seeking a diagnosis or treatment for ADHD for yourself or a loved one, your insurance plan with Florida Blue often includes coverage for these psychiatric visits.

For a clear understanding of your coverage and any potential out-of-pocket costs, it’s best to check your specific plan details or reach out to one of our helpful patient advocates today at 877-958-9212. We can provide the most accurate information tailored to your situation.

Does BCBS Florida Cover ADHD Medications?

If you’re covered by Blue Cross Blue Shield (BCBS) in Florida, it usually includes coverage for ADHD medications. Florida Blue, being part of the BCBS healthcare network, typically covers a variety of prescription medications, and this often extends to those prescribed for Attention-Deficit/Hyperactivity Disorder (ADHD).

Of course, there may be limitations or exclusions on generic versus name-brand medications. To get the details specific to your plan, it’s advisable to review your plan details or call 877-958-9212. We can provide precise information about which ADHD medications are covered and any potential costs involved.

Attention-Deficit Hyperactivity Disorder Programs Covered by Blue Cross Blue Shield Insurance

Blue Cross Blue Shield often covers various programs and services for Attention-Deficit Hyperactivity Disorder (ADHD). These programs may include diagnostic assessments, therapy sessions, counseling, medication coverage, and other forms of treatment aimed at addressing the unique needs of individuals with ADHD. Whether it’s through in-network providers or specialized programs, BCBS strives to provide comprehensive support.

In the following sections, we’ll delve into specific aspects of BCBS coverage for ADHD, exploring details related to therapy, counseling, medication coverage, and any additional support programs that contribute to the holistic approaches to ADHD. Understanding the scope of coverage is crucial for individuals seeking effective, well-rounded care for ADHD under their Blue Cross Blue Shield Insurance plan.

Partial Hospitalization Program for ADHD Treatment

Partial Hospitalization Program for ADHD Treatment

A partial hospitalization program (PHP) for ADHD treatment is an intensive, structured day program that provides comprehensive mental health services without requiring overnight stays. It’s designed for those who may benefit from more intensive care than traditional outpatient services. In a PHP, individuals typically participate in various therapeutic activities, including counseling, group therapy, educational sessions, and medication management.

Blue Cross Blue Shield (BCBS) insurance policies often cover PHPs for ADHD treatment. If you are considering a partial hospitalization program for ADHD treatment, review your specific BCBS plan details or call 877-958-9212 to understand the extent of coverage and any associated costs. We can also provide detailed information on the rehab admissions process.

Intensive Outpatient Program for ADHD Treatment

Intensive Outpatient Program for ADHD Treatment

An intensive outpatient program (IOP) for ADHD treatment is a structured therapeutic program providing a higher level of care than standard outpatient services but doesn’t require the same level of time commitment as inpatient treatment. Individuals participating in an IOP typically attend sessions several times a week, engaging in various therapeutic activities like individual counseling, group therapy, and psychoeducation.

Blue Cross Blue Shield (BCBS) insurance policies typically cover IOPs for ADHD treatment, recognizing the importance of providing a range of mental health services to meet the diverse needs of its members. To determine the specifics of coverage, call 877-958-9212.

Outpatient Program for ADHD Treatment

Outpatient Program for ADHD Treatment

An outpatient program for ADHD treatment is a flexible form of care where you attend regularly scheduled therapy sessions, including individual and group therapy, education, and medication management. BCBS typically covers outpatient programs so you can access the necessary support while living at home. For a comprehensive understanding of the coverage details, review your policy or call 877-958-9212 for information.

>Attention-Deficit Hyperactivity Disorder Programs Covered by Blue Cross Blue Shield Insurance

ADHD Treatment Center in Florida That Takes Blue Cross Blue Shield Insurance

The Sylvia Brafman Mental Health Center specializes in mental health treatment, including attention-deficit/hyperactivity disorder (ADHD) treatment. We bring expertise to address the distinctive challenges associated with this condition. Our thorough evaluations and continuous assessments ensure proper diagnoses, enabling our experienced medical and clinical teams to deliver effective evidence-based treatments tailored to your or your loved one’s unique needs.

Moreover, we may be able to accommodate your Florida Blue Insurance plan, enhancing the accessibility of our services when seeking assistance in managing and recovering from ADHD. For further details about our specialized ADHD treatment programs and options, call 877-958-9212 or visit our physical location, as detailed below.

>ADHD Treatment Center in Florida That Takes Blue Cross Blue Shield Insurance

Types of ADHD Covered by Florida Blue Insurance

Florida Blue typically covers Attention-Deficit/Hyperactivity Disorder (ADHD), including its subtypes. It’s crucial to note that the specific coverage for each type may vary. While these examples provide insight into the comprehensive nature of Florida Blue’s coverage, they are only a partial list. For coverage details for a particular type of ADHD or related services, call 877-958-9212 for personalized information.

ADHD Predominantly Inattentive Presentation

ADHD Predominantly Inattentive Presentation

ADHD predominantly inattentive presentation revolves around difficulty sustaining attention and staying focused on tasks. Individuals with this presentation may struggle with organization and follow-through and appear forgetful in their daily activities. It’s not about being hyperactive; instead, it’s more centered on issues related to attentiveness and concentration.8

Florida Blue Cross Blue Shield (BCBS) typically covers this subtype. So, if you or a loved one is dealing with these challenges, diagnostic assessments, therapy sessions, any prescribed medications, and more may be included under your particular plan. To get specific details about your coverage, it’s always a good idea to review your policy. Alternatively, you can contact one of our patient advocates for personalized information on what’s covered and any potential costs.

ADHD Predominantly Hyperactive-Impulsive Presentation:

ADHD Predominantly Hyperactive-Impulsive Presentation:

Heightened activity levels, restlessness, impulsivity, and difficulties with patience and turn-taking 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
The encouraging news is that if you or someone you know is contending with these challenges, BCBS will likely offer coverage for various services, including diagnostic assessments, therapy sessions, and any necessary medications. To obtain specific details about your coverage, it’s advisable to review your policy or call The Sylvia Brafman Mental Health Center at 877-958-9212.

ADHD Combined Presentation:

ADHD Combined Presentation:

ADHD combined presentation involves a blend of both inattentive and hyperactive-impulsive symptoms within the spectrum of Attention-Deficit/Hyperactivity Disorder (ADHD). Individuals with this form of ADHD contend with difficulties in maintaining attention and organizing tasks and may experience restlessness, impulsive decision-making, and heightened activity levels.

BCBS typically includes coverage for this ADHD subtype. If you or someone you care about is navigating these or any of the above challenges, you can contact our hotline for personalized information and immediate answers to your questions.

ADHD with Co-occurring Conditions:

ADHD with Co-occurring Conditions:

ADHD with co-occurring conditions refers to attention-deficit/hyperactivity disorder occurring simultaneously with other mental health or medical conditions. Over two-thirds of individuals with ADHD have at least one other coexisting condition, such as anxiety, depression, learning disorders, or medical issues. Managing ADHD in conjunction with these co-occurring conditions can present additional complexities, requiring a comprehensive approach.10

The positive note is that if you or someone you know is dealing with the layered aspects of ADHD along with other conditions, BCBS is likely to provide coverage for a range of services, including diagnostic assessments, therapy sessions, medications, and other necessary treatments tailored to address both ADHD and its co-occurring counterparts simultaneously. To obtain specific details about your coverage, it’s recommended to review your policy or reach out to us at 877-958-9212 for personalized information.

>Types of ADHD Covered by Florida Blue Insurance

How Much Does ADHD Treatment Cost Without BCBS Insurance?

Expenses associated with ADHD treatment can vary significantly when not covered by Florida Blue. Factors such as the type of treatment chosen, therapy session frequency, and prescribed medications all contribute to the overall costs. Out-of-pocket expenses may include regular doctor visits, prescription medications, and therapy fees.

For example, doctor’s visits can vary greatly, ranging from a few hundred dollars to over $2,700, depending on the provider and the needed neuropsychological testing. In addition, without insurance or discounts, the monthly cost of medication can range from $8 to $288. For instance, commonly prescribed generic stimulants may cost approximately $187.97 for a one-month supply.11

Keep in mind that the provided are estimates only. To maximize the benefits of your Florida Blue Cross Blue Shield plan, it’s crucial to identify in-network providers and understand your policy specifics. For an accurate assessment of ADHD treatment expenses and to address the question, “How much does BCBS cover for therapy?” call 877-958-9212.

How To Check My Florida Blue Health Insurance Coverage Levels

Reach out to us at 877-958-9212 for a thorough evaluation of your Florida Blue health insurance coverage. Our committed team at The Sylvia Brafman Mental Health Center is prepared to speak with your health insurance provider to clarify the details of your coverage.

Afterward, we will lead you through the specifics of your policy, offering thorough insights into available treatment options, program choices, and any associated out-of-pocket expenses. This ensures you are well-equipped to make informed decisions regarding your mental health treatment.

  • In a randomized controlled trial evaluating Cognitive-Behavioral Therapy (CBT) for adults with ADHD, with and without medication, both groups demonstrated substantial improvements in symptoms and functioning. Interestingly, the inclusion of medication did not significantly enhance outcomes beyond the use of CBT and a placebo.12
  • As of 2011, 8.8% of children in the United States and 8.5% of children in Florida were reported to have current ADHD by their parents. This ranked Florida as the 31st highest among all U.S. states in terms of ADHD prevalence.13
  • From 2016-2019, that number rose to 8.9% in Florida.14
  • A Florida State University psychologist has been granted $9 million to broaden the scope of ‘gamified’ treatments for pediatric ADHD.15
  • From 2000 to 2021, there was a threefold surge in calls to U.S. poison control centers nationwide related to instances of children improperly taking ADHD medication outside of hospital settings, as revealed by a study conducted by the American Academy of Pediatrics.16
  • In 2021, American studies indicated that out of every 100 white children diagnosed with ADHD, there were 83 Black and 77 Hispanic children diagnosed, while the number of Asian children with the diagnosis was only 48,17 while studies conducted in Asian countries revealed an ADHD prevalence rate of approximately 6%.18
  • Boys are diagnosed with ADHD at a higher rate of 13% compared to girls, who have a diagnosis rate of 6%.19
  • Approximately 77% of children diagnosed with ADHD in the United States undergo treatment, while the remaining 23% do not receive treatment.
  • As per a 2016 national survey of parents, 60% of children with ADHD were reported to have at least one additional mental, emotional, or behavioral disorder.20
  • Roughly 35% to 78% of individuals diagnosed with ADHD in childhood continue to experience symptoms into adulthood.21
  • Having ADHD during childhood is linked to a heightened risk of premature death before the age of 46.22
  • As of 2020, over 366 million adults globally have ADHD.23

Sources

  1. Bitsko, Rebecca H., et al. “Mental Health Surveillance Among Children — United States, 2013–2019.” MMWR Supplements, vol. 71, no. 2, Feb. 2022, pp. 1–42. https://doi.org/10.15585/mmwr.su7102a1.
  2. “Symptoms.” National Health Service UK, 13 Mar. 2023, www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder-adhd/symptoms.
  3. “Our Story | History and Information | Florida Blue.” Florida Blue, www.floridablue.com/about-us/our-story. Accessed 5 Dec. 2023.
  4. “The BlueCard Program.” Florida Blue | Blue Cross Blue Shield, www.floridablue.com/sites/floridablue.com/files/BlueCard+Program+Brochure.pdf. Accessed 12 Sept. 2023.
  5. Blue Cross Blue Shield Association. “BlueOptions: Enrollment Guide for Group Employees.” Blue Cross Blue Shield Florida, www.bcbsfl.com/DocumentLibrary/SalesCommunications/content/Enrollment%20Guide%20for%20Group%20Employees%20-%20BlueOptions%20-%20National%20Rx%20(English).pdf. Accessed 11 Sept. 2023.
  6. “Better You Strides | Rewards Program | Florida Blue.” Florida Blue, www.floridablue.com/individualsandfamilies/better-you-strides-rewards-program. Accessed 11 Sept. 2023.
  7. Blue Cross and Blue Shield of Florida, Inc. “There Is No Health Without Mental Health.” Florida Blue, www.floridablue.com/answers/your-mental-health-matters/there-is-no-health-without-mental-health. Accessed 11 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. 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.
  13. “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.
  14. 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.
  15. 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.
  16. DeCoster, Mikaela M., et al. “Pediatric ADHD Medication Errors Reported to United States Poison Centers, 2000 to 2021.” Pediatrics, vol. 152, no. 4, Sept. 2023, https://doi.org/10.1542/peds.2023-061942.
  17. Shi, Yu, et al. “Racial Disparities in Diagnosis of Attention-Deficit/Hyperactivity Disorder in a US National Birth Cohort.” JAMA Network Open, vol. 4, no. 3, Mar. 2021, p. e210321. https://doi.org/10.1001/jamanetworkopen.2021.0321.
  18. Cho, Soo Churl, et al. “Full Syndrome and Subthreshold Attention-deficit/Hyperactivity Disorder in a Korean Community Sample: Comorbidity and Temperament Findings.” European Child & Adolescent Psychiatry, vol. 18, no. 7, Feb. 2009, pp. 447–57. https://doi.org/10.1007/s00787-009-0755-7.
  19. Bitsko, Rebecca H., et al. “Mental Health Surveillance Among Children — United States, 2013–2019.” MMWR Supplements, vol. 71, no. 2, Feb. 2022, pp. 1–42. https://doi.org/10.15585/mmwr.su7102a1.
  20. Danielson, Melissa L., Rebecca H. Bitsko, et al. “Prevalence of Parent-Reported ADHD Diagnosis and Associated Treatment Among U.S. Children and Adolescents, 2016.” Journal of Clinical Child and Adolescent Psychology, vol. 47, no. 2, Jan. 2018, pp. 199–212. https://doi.org/10.1080/15374416.2017.1417860.
  21. Schein, Jeff, et al. “Economic Burden of Attention-deficit/Hyperactivity Disorder Among Adults in the United States: A Societal Perspective.” Journal of Managed Care & Specialty Pharmacy, vol. 28, no. 2, Feb. 2022, pp. 168–79. https://doi.org/10.18553/jmcp.2021.21290.
  22. Schiavone, Nella, et al. “Mortality in Individuals With Childhood ADHD or Subthreshold Symptoms – a Prospective Perinatal Risk Cohort Study Over 40 Years.” BMC Psychiatry, vol. 22, no. 1, May 2022, https://doi.org/10.1186/s12888-022-03967-3.
  23. Song, Peige, et al. “The Prevalence of Adult Attention-deficit Hyperactivity Disorder: A Global Systematic Review and Meta-analysis.” Journal of Global Health, vol. 11, Feb. 2021, https://doi.org/10.7189/jogh.11.04009.
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