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Horizon Blue Cross Blue Shield of New Jersey Mental Health Therapy Treatment

Located in the heart of Broward County, Florida, The Sylvia Brafman Mental Health Center is a leading provider of mental health and dual diagnosis treatment services. Our center is renowned for its clinical excellence in treating a wide range of mental disorders, including depression, anxiety disorders, bipolar disorder, schizophrenia, obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), borderline personality disorder (BPD), eating disorders, and substance use disorder. Our expert team of mental health professionals offers a comprehensive range of mental health services, from psychological counseling to behavioral therapy, all designed to support your journey to mental wellness.

We understand that the cost of treatment can often be a barrier to seeking help. That’s why we’re proud to accept Horizon Blue Cross Blue Shield of New Jersey insurance for our programs, making mental health treatment more accessible for those who need it most. Whether you’re considering our partial hospitalization program, intensive outpatient program, or another form of mental health therapy, we encourage you to reach out to us. Call us or fill out our form today to check your insurance coverage levels. Don’t let financial concerns stand in the way of your mental wellness. Take the first step towards healing by contacting The Sylvia Brafman Mental Health Center today.

Check Your BCBS Insurance Coverage

Fill out our online form now and find out what rehab treatment you are covered for under your Horizon BCBS of New Jersey health insurance plan.

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New Jersey and Mental Health Statistics

New Jersey and Mental Health Statistics

February 2021 found anxiety and depression symptoms impacting 42.2% of New Jersey adults, while almost 40,000 lived in communities without mental health support. Homelessness intersected with mental health, as one in three of the state’s 9,662 homeless people struggled with serious mental illness. Even the state’s youth were not immune, with 72,000 affected by depression.

Beyond these immediate concerns, New Jersey was home to a substantial 1,112,000 adults living with various mental health conditions. Substance abuse treatment providers reported a heavy workload in 2021, with 87,745 admissions and 86,626 discharges. The rise in drug overdose deaths from 2011 to 2021, reaching 32.4 per 100,000, is deeply troubling, while from 2017 to 2019, 9.8% of young adults in the state had serious thoughts of suicide, highlighting the urgent need for mental health resources.

Exploring The Garden State and its Famous Cities

Exploring The Garden State and its Famous Cities

Within the borders of New Jersey, an array of cities possess a distinct allure and historical narrative. Newark, the largest city, boasts a thriving cultural scene, renowned educational institutions, and the bustling Newark Liberty International Airport. Across the river, Jersey City stands tall with stunning views of the Manhattan skyline, a burgeoning arts and dining scene, and a cultural tapestry.

Further north, Paterson, the “Silk City,” holds a legacy in industrial history, notably celebrated through the Great Falls National Historical Park. Meanwhile, Elizabeth blends history with modernity, serving as a vital transportation and commerce hub. Trenton, the state capital, is steeped in American history, housing iconic landmarks such as the New Jersey State House and the Old Barracks Museum. Southward, Camden, though facing challenges, is undergoing rejuvenation with waterfront redevelopment and a growing focus on education and healthcare institutions. These cities together form a dynamic portrait of New Jersey’s urban diversity, showcasing its rich culture, history, and potential for growth.

Who is Horizon Blue Cross Blue Shield of New Jersey?

Blue Cross Blue Shield Association (BCBS) is a network of independent health insurance providers that offers a wide range of healthcare products across specific regions of the U.S. These products include individual, group, Medicaid, and Medicare plans, and you can choose from PPO (Preferred Provider Organization) and HMO (Health Maintenance Organization) options to customize your plan according to your needs.

Horizon Blue Cross Blue Shield of New Jersey has provided quality health insurance products and services to families and businesses in New Jersey since 1932. The company is the state’s oldest and largest health insurer. It’s a not-for-profit organization that pays taxes and provides a wide range of medical, dental, vision, and prescription insurance products and services. Committed to improving its members’ psychological health and well-being, the company collaborates with a healthcare network of professionals and facilities to provide access to quality care.

Some BCBS Brands, Products and Services

Some BCBS Brands, Products and Services

Under the BCBS umbrella, millions of Americans can access a wide range of health coverage options, brands, products, and services. These entities provide comprehensive health insurance products, such as individual and group plans, and innovative wellness and mental health solutions. The following are some BCBS brands, products, and services available in New Jersey.

  • Horizon Blue Cross Blue Shield of New Jersey is one of the largest and most prominent BCBS brands in New Jersey. They offer various insurance plans, such as individual/family, Medicare Advantage, and Medicaid.
  • Omnia Health Plans give members the flexibility to use any hospital in the Horizon healthcare network, along with any participating physician, healthcare professional, or ancillary provider in the Horizon Managed Care Network.
  • The BlueCard Program provides Horizon BCBS of New Jersey members access to medical services and care from providers in other states and benefits from their home plan’s coverage.
  • Dental and Vision Plans from Horizon BCBS of New Jersey often provide dental and vision insurance options as add-ons or standalone policies.
  • Medicare Plans include Medicare Advantage and Medicare Supplement plans to meet the needs of senior citizens and those eligible for Medicare.
  • Wellness Programs help members maintain a healthy lifestyle, including fitness incentives and preventive care benefits.
  • Telehealth Services allow members to access medical and mental health consultations remotely.
  • Prescription Drug Coverage provides access to a network of pharmacies and mail-order prescription services.
  • Behavioral Health Services provide coverage for mental health and substance abuse treatment services, including therapy, counseling, and rehabilitation programs.

>Who is Horizon Blue Cross Blue Shield of New Jersey?

What is Horizon Blue Cross Blue Shield Rehab Insurance Coverage?

Blue Cross Blue Shield has got you covered if you’re looking for rehab insurance coverage for mental health disorders or other conditions. Your BCBS insurance plan may cover various services, including assessments, inpatient and outpatient treatment, medication-assisted treatment (MAT), and more.

The specific services covered under your plan may vary depending on your location and whether you use in-network providers. Additionally, details such as copayments, deductibles, and limitations on the number of therapy sessions or the duration of inpatient treatment may also vary.

Review your plan’s policy documents carefully to better understand your coverage. If you have additional questions or concerns, call 877-958-9212 to learn more about the rehabilitation admissions process, potential out-of-network coverage, and other essential details.

Does Horizon Blue Cross Blue Shield Insurance of New Jersey Cover Rehab?

Empire BCBS provides rehabilitation coverage that depends on your insurance policy’s benefits and individual requirements. The coverage may include services such as residential and outpatient treatment. It’s important to note that some policies may require prior authorization and other requirements. We highly recommend you review your policy in detail or call 877-958-9212 for more information.

Common Mental Health Programs Covered by Horizon Blue Cross Blue Shield of New Jersey

Mental Health Programs Covered by Horizon Blue Cross Blue Shield of NJ

Mental health care is crucial to overall well-being, and the Blue Cross Blue Shield Association recognizes this. Blue Cross Blue Shield (BCBS) coverage includes mental health programs and services for those facing challenges. BCBS is committed to ensuring access to mental health resources for optimal cognitive function and emotional well-being, including preventive care benefits and medication management.

BCBS Coverage for Partial Hospitalization Programs

Partial Hospitalization Programs (PHPs) represent a form of intensive mental health treatment catering to individuals needing extensive therapy while not necessitating round-the-clock inpatient care. Patients engage in structured treatment and counseling during the day and return home in the evenings, allowing them to maintain their daily routines.

Most BCBS health insurance plans typically incorporate PHP coverage into their mental health benefits. This financial assistance aids individuals seeking short-term, concentrated mental health treatment without complete inpatient care. Nonetheless, coverage specifics can differ based on the policy, individual circumstances, and other variables. As such, it is imperative to thoroughly review your plan for precise details.

BCBS Coverage for Intensive Outpatient Program

Intensive Outpatient Programs (IOPs) serve as a structured treatment option for those grappling with mental health or substance use disorders. IOPs offer therapy, counseling, and mental health support multiple times weekly while patients reside at home. Blue Cross Blue Shield typically includes coverage for IOP services as part of its comprehensive mental health coverage.

BCBS Coverage for Outpatient Program

Outpatient programs provide patients with medical services, therapy, or counseling without needing an overnight stay at a medical facility. Patients can adhere to their daily routines and return home following each session. Blue Cross Blue Shield generally encompasses outpatient programs, which include medical visits, therapy sessions, and other mental health services.

What Type of Mental Health Disorders Does Horizon BCBS of New Jersey Cover?

Those seeking wellness and mental health care often wonder, “What does BCBS cover for mental health?” Horizon Blue Cross Blue Shield of New Jersey typically covers a wide range of mental health disorders, including the examples below. However, remember that coverage details can vary from policy to policy.

Common Mental Health Disorders Covered by Horizon BCBS of New Jersey

Treatment for Bipolar Disorder and Cyclothymia

Bipolar disorder, a mental health condition marked by extreme mood swings from manic highs to depressive lows, and its milder counterpart, cyclothymia, with less severe mood fluctuations, can significantly affect emotions, energy levels, and daily functioning. Medical and therapeutic intervention is often necessary to achieve stability and manage these mood disorders.

BCBS generally provides coverage for these psychiatric conditions, ensuring individuals can access treatment and support. However, the specific coverage details may vary, so reviewing your policy for a comprehensive understanding of what is included is crucial. 

Treatment for Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health condition characterized by unstable emotions, skewed self-image, and dysfunctional relationships. Those with BPD often contend with mood swings, impulsivity, low self-esteem, and difficulty maintaining relationships, which can significantly impact daily life and overall well-being. With appropriate therapy and treatment, individuals can learn to effectively manage their symptoms and lead fulfilling lives.

Blue Cross Blue Shield Insurance typically covers the diagnosis and treatment of BPD, encompassing psychotherapy techniques, medication management, and other interventions near you to enhance overall well-being.

Treatment for Anxiety Disorder

Anxiety disorder is a common mental health issue characterized by excessive worry, fear, and apprehension about future events or situations. Physical symptoms like restlessness, rapid heartbeat, sweating, and muscle tension often accompany anxiety, impacting daily life, work, relationships, and overall well-being.

If you’re covered by Blue Cross Blue Shield Insurance, you may have access to anxiety treatment. This coverage can encompass cognitive-behavioral therapy (CBT), medication management, and other evidence-based interventions to equip individuals with coping strategies to reduce symptoms and enhance overall quality of life.

Treatment for Depression

Depression is a prevalent mental illness marked by persistent sadness, hopelessness, and a loss of interest or pleasure in once-enjoyable activities. Depression symptoms often include changes in appetite, sleep disturbances, low energy levels, and difficulty concentrating, disrupting daily functioning and straining relationships. Untreated depression can even lead to suicidal thoughts.

Typically, Blue Cross Blue Shield covers depression treatment, which may involve preventive care benefits, therapy sessions, prescription medications, and other evidence-based treatments designed to alleviate depression symptoms and aid individuals in regaining their mental and emotional well-being.

Treatment for Post-Traumatic Stress Disorder (PTSD)

PTSD is a mental health condition that may develop after experiencing or witnessing a traumatic event. It manifests with symptoms such as intrusive flashbacks, nightmares, severe anxiety, and emotional numbness, significantly affecting one’s daily life and overall well-being. Individuals with PTSD may also exhibit hypervigilance and avoid triggering situations.

BCBS typically provides coverage for PTSD treatment, encompassing therapy sessions, medication, and other evidence-based therapeutic interventions for stress management. This coverage underscores BCBS’s dedication to mental health advocacy.

Rehabs in New Jersey That Accept Blue Cross Blue Shield Insurance

The Sylvia Brafman Mental Health Center is a renowned treatment center specializing in mental health and substance abuse. Our center was founded by leading experts in behavioral health and is located in South Florida. However, we often accept patients from out of state, including those with Blue Cross Blue Shield health insurance. Many of our patients also choose to travel in to Florida from out-of-State.

To learn more about the services we offer, call 877-958-9212 or visit us at our physical location listed below:

  • The Sylvia Brafman Mental Health Center: 7710 NW 71st Ct, Tamarac, FL 33321, United States
>Rehabs in New Jersey That Accept Blue Cross Blue Shield Insurance

Does Horizon BCBS of New Jersey Cover Dual Diagnosis Treatment?

Horizon BCBS typically covers dual diagnosis treatment in New Jersey. This approach addresses both substance use and co-occurring mental health disorders at the same time. However, the details and coverage may vary based on several factors. To get more information about your BCBS mental health insurance coverage for dual diagnosis treatment, call 877-958-9212.

Does Horizon BCBS Cover Out-of-State Rehab?

Some BCBS plans provide coverage for rehab out-of-state, but there may be limitations and restrictions. Even if your BCBS policy covers out-of-state rehab, you may still have to share some costs, such as copayments, deductibles, or coinsurance. Furthermore, each plan may have different types and durations of rehab that are covered.

How Much Does Horizon BCBS Cover for Therapy and Rehab?

The cost of rehabilitation with BCBS insurance can vary depending on your insurance plan, location, and the type and duration of treatment needed. Although BCBS benefits generally cover some of the cost of rehabilitation, you may still have to pay copayments, deductibles, and other out-of-pocket expenses.

On average, outpatient therapy can cost anywhere from $1,400 to $10,000 for a 30-day period, depending on individual circumstances. It’s essential to understand that estimations regarding the cost of mental health rehabilitation can vary due to several factors. Our team is available to assist you in accessing the necessary care. Call 877-958-9212 today.

How To Check My BCBS Health Insurance Coverage Levels

How To Check My Horizon BCBS Health Insurance Coverage Levels

To check your BCBS health insurance coverage levels, call 877-958-9212. Our team of patient advocates is ready to assist you by contacting BCBS member services for coverage verification. After that, we will guide you through your policy and explain the treatment and program options available to you. All information shared and exchanged will be kept confidential.

How Many Times Will Horizon BCBS Pay for Rehab in New Jersey?

How Many Times Will Horizon BCBS Pay for Rehab in New Jersey?

BCBS may cover multiple rounds of rehabilitation, but it depends on various factors, such as your policy, the type of treatment required, and medical necessity. BCBS provides a range of plans with varying health coverage options. Therefore, it is essential to review your plan’s specifics to understand the benefits and limitations associated with rehab in New Jersey.

Rehab and Mental Health Statistics in New Jersey

Rehab and Mental Health Statistics in New Jersey

  • In February 2021, 42.2% of New Jersey’s adult population indicated experiencing anxiety or depression symptoms.1
  • There are 248,000 adults in New Jersey with a serious mental illness.
  • 39,712 New Jersey residents live in a community without enough mental health professionals.
  • There are 9,662 homeless people in New Jersey, and 1 in 3 have a serious mental illness.
  • 72,000 New Jersey children (12–17) have depression.
  • There are 1,112,000 adults in New Jersey with a mental health condition.
  • In 2021, substance abuse treatment providers reported 87,745 admissions and 86,626 discharges to the New Jersey Department of Human Services, Division of Mental Health and Addiction Services.2
  • From 2011 to 2021, drug overdose death rates in New Jersey increased from 11.3 to 32.4 per 100,000.3
  • In May 2022, 21.7% of New Jersey adults with anxiety or depression symptoms didn’t receive therapy in the past four weeks despite needing it.
  • 1% of adults in New Jersey with any mental illness in the past year had private insurance before the pandemic.
  • Between 2017 and 2019, 9.8% of young adults in New Jersey had serious thoughts of suicide in the past year, which is similar to the national average.4

Sources

  1. “Mental Health in New Jersey.” National Alliance on Mental Illness (NAMI), Feb. 2021, www.nami.org/NAMI/media/NAMI-Media/StateFactSheets/NewJerseyStateFactSheet.pdf.
  2. New Jersey Drug and Alcohol Abuse Treatment Substance Abuse Overview 2021 Statewide Department of Human Services Division of Mental Health and Addiction Services. “Substance Abuse Overview 2021 Statewide.” NewJersey.gov, July 2022, www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2021/statewide.pdf.
  3. “Mental Health in New Jersey.” KFF, 20 Mar. 2023, www.kff.org/statedata/mental-health-and-substance-use-state-fact-sheets/new-jersey.
  4. “Behavioral Health Barometer: New Jersey, Volume 6.” Substance Abuse and Mental Health Services Administration (SAMHSA), 2020, www.samhsa.gov/data/sites/default/files/reports/rpt32847/NewJersey-BH-Barometer_Volume6.pdf.

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