Empire BlueCross BlueShield of New York Mental Health Therapy Treatment

Mental Health Programs Covered by Blue Cross Blue Shield Insurance in NY

Mental health care is crucial to overall well-being, and Empire BlueCross BlueShield of New York recognizes this. The coverage provided by BCBS is comprehensive and includes a variety of programs and services that aim to offer mental health support, treatment, and therapy to those facing mental health challenges.

From preventive care benefits to medication management and therapy sessions, BCBS is committed to ensuring its members access all the mental health resources for optimal cognitive function and emotional well-being.

BCBS Coverage for Partial Hospitalization Programs

A Partial Hospitalization Program (PHP) is a type of mental health treatment that provides intensive, structured care for individuals who require extensive therapy but do not need 24-hour inpatient care. Patients attend daytime therapy and counseling sessions and return home in the evenings to maintain their daily routines.

Most BCBS health insurance plans cover PHP as part of their mental health benefits, providing financial support to individuals who require short-term, intensive mental health treatment without total inpatient care. However, coverage specifics may vary depending on the policy, individual circumstances, and other factors. Therefore, it’s essential to review your plan for details.

BCBS Coverage for Intensive Outpatient Program

An Intensive Outpatient Program (IOP) is a structured treatment option for those with mental health or substance use disorders. This program provides therapy, counseling, and support sessions several times a week while patients continue living at home. Blue Cross Blue Shield Insurance typically covers IOP services as part of its comprehensive mental health coverage.

BCBS Coverage for Outpatient Program

Outpatient programs offer patients medical services, therapy, or counseling without requiring an overnight stay at a medical facility. Patients can maintain their daily routines and return home after each session. Blue Cross Blue Shield Insurance usually covers outpatient programs, including medical visits, therapy sessions, and mental health services.

Treatment for Bipolar Disorder and Cyclothymia

Bipolar disorder is a mental health condition that causes extreme mood swings, ranging from manic highs to depressive lows. Cyclothymia is a milder form of bipolar disorder with less severe mood changes. Both mood disorders can significantly impact a person’s emotions, energy levels, and daily life, requiring medical and therapeutic intervention for management and stability.

BCBS generally covers these mental health disorders, ensuring that individuals with these psychiatric conditions can access treatment and support. However, the specifics of coverage may vary, and it’s essential to check the details of your policy to understand what is covered.

Treatment for Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health condition characterized by unstable emotions, self-image, and relationships. Individuals with BPD often experience mood swings, impulsivity, low self-esteem, and difficulty maintaining relationships. BPD can significantly impact a person’s daily life, relationships, and well-being. However, with appropriate therapy and treatment, individuals can learn to manage their symptoms and lead fulfilling lives.

Blue Cross Blue Shield Insurance typically covers the diagnosis and treatment of BPD. This coverage may include psychotherapy techniques, medication management, and other interventions to improve overall well-being.

Treatment for Anxiety Disorder

Anxiety is a prevalent mental health condition that leads to excessive worry, fear, and apprehension about future events or situations. Physical symptoms such as restlessness, rapid heartbeat, sweating, and muscle tension are common among anxious individuals. Anxiety can significantly hinder daily functioning, impacting work, relationships, and overall quality of life.

If you have Blue Cross Blue Shield Insurance, you may be covered for anxiety treatment. This coverage may include psychotherapy, cognitive-behavioral therapy (CBT), medication management, and other evidence-based interventions that can help reduce symptoms and improve overall well-being.

Treatment for Depression

Depression is a prevalent mental illness characterized by persistent sadness, hopelessness, and lack of interest or pleasure in activities that were once enjoyed. Depression symptoms can often include changes in appetite and sleep patterns, low energy levels, and difficulty concentrating, all of which can disrupt daily functioning and impair relationships. If left untreated, depression can even lead to suicidal thoughts.

Blue Cross Blue Shield Insurance usually covers treatment for depression, which may include preventive care benefits, therapy sessions, prescription medications, and other evidence-based treatments aimed at alleviating depression symptoms and helping individuals regain 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’s characterized by symptoms such as intrusive flashbacks, nightmares, severe anxiety, and emotional numbness, which can significantly impair one’s daily life and well-being. Individuals with PTSD may also exhibit hypervigilance and avoid triggering situations.

The good news is that BCBS typically covers PTSD treatment, which includes therapy sessions, medication, and other evidence-based therapeutic interventions to provide individuals with coping strategies for stress management. This coverage highlights BCBS’s commitment to mental health advocacy.

How To Check My BCBS health Insurance Coverage levels

For an assessment of your BCBS health insurance coverage, call 877-958-9212. Our supportive team of patient advocates is ready to assist you by contacting BCBS member services for coverage verification. Following that, we’ll guide you through your policy and offer a comprehensive explanation of the treatment and program choices at your disposal. All the information exchanged is confidential.

How Many Times Will BCBS Pay for Rehab in New York?

BCBS can cover multiple rounds of rehab, but this depends on several factors, such as your policy, the type of treatment needed, and the medical necessity. BCBS offers a range of plans with varying coverage options, so it’s important to review the specifics of your plan to understand the benefits and limits associated with rehab in New York.

Exploring The Empire State and its Famous Cities

New York State is a diverse tapestry of cities. At the heart of it all is New York City, the “Big Apple,” renowned worldwide as an epicenter of art, culture, finance, and fashion. With iconic landmarks like Times Square, Central Park, and the Statue of Liberty, it’s a city that never sleeps and constantly buzzes with energy.

Upstate, Buffalo, known as the “City of Good Neighbors,” is celebrated for its vibrant arts and culture scene. Rochester, the “Flower City,” has earned its reputation for innovation. It’s also known for its annual Lilac Festival. Syracuse, often called the “Salt City” due to its salt mining history, is a hub for higher education and boasts institutions like Syracuse University, while Albany, the state capital, is steeped in history and hosts the New York State Museum.

Rehab and Mental Health Statistics in New York

In early February 2023, almost a third of New York’s adult population grappled with symptoms of anxiety and depressive disorders, a rate just slightly below the 32.3% national average for U.S. adults. Additionally, a significant portion of New York’s adult population, totaling 2,802,000 individuals, experiences mental health conditions, which astonishingly surpasses the population of Buffalo by more than tenfold.

The above underlines the pervasive mental health challenges faced by individuals in the state. In 2021, only 9.9% of children aged 3 to 17 in New York received mental health care within the past year, highlighting potential gaps in addressing the mental well-being of the state’s youth. These challenges are further compounded by issues such as homelessness and barriers to access, making it clear that there is a pressing need for improved mental health services and resources in New York.

• Between February 1 and 13, 2023, 31.4% of New York’s adult population exhibited signs of anxiety and/or depressive disorders, slightly lower than the national average of 32.3% among U.S. adults.¹
• In 2021, opioid overdoses caused 4,946 deaths in New York, accounting for 85% of all drug overdoses in the state.
• In 2021, only 9.9% of New York children (3-17) received mental health care within the last year.
• 2,802,000 New York adults have a mental health condition, more than ten times the population of Buffalo.²
• In New York, 91,271 people are homeless, and 1 in 6 have a serious mental illness.
• 8% of adolescents (12-17) with depression in New York City did not receive treatment in the past year.
• Approximately 36.1% of the 763,000 adults in New York who needed mental health care did not receive it due to cost.
• New Yorkers are over ten times more likely to face out-of-network charges for mental health care than primary care, leading to difficulty accessing care and higher out-of-pocket costs.
• There is a shortage of mental health professionals in some New York communities, affecting 4,102,718 people.
• In New York, 1,723 lives were lost to suicide, and 558,000 adults had thoughts of suicide in the last year.

Sources

1. “Mental Health in New York.” KFF, 20 Mar. 2023, www.kff.org/statedata/mental-health-and-substance-use-state-fact-sheets/new-york.
2. “Mental Health in New York.” National Alliance on Mental Illness (NAMI), Feb. 2021, www.nami.org/NAMI/media/NAMI-Media/StateFactSheets/NewYorkStateFactSheet.pdf.

• • • Blue Cross Blue Shield Mental Health Treatment
    • Blue Cross Blue Shield of Minnesota
    • Empire BlueCross BlueShield of New York
    • Horizon Blue Cross Blue Shield of New Jersey
    • Excellus BCBS of New York
    • Blue Cross Blue Shield in Illinois
    • Florida Blue Anxiety Treatment
    • Florida Blue Bipolar Disorder Therapy and Treatment
    • Florida Blue (BCBS of Florida) Couples Therapy and Treatment
    • Florida Blue Depression Treatment
    • Florida Blue OCD Therapy and Treatment
    • Florida Blue (BCBS of Florida) PTSD Therapy and Treatment
    • Florida Blue TMS treatment