Carelon Mental Health Therapy Treatment in Florida

Carelon mental health insurance coverage includes mental health resources, services, and programs for overall psychological health and emotional well-being. The specific details of your benefits may vary, so call 877-958-9212 for up-to-date, detailed information on our programs and services at The Sylvia Brafman Mental Health Center.

Carelon Health Coverage for Partial Hospitalization Programs

A Partial Hospitalization Program (PHP) is a short-term, intensive treatment plan for individuals with mental health disorders. Unlike inpatient care, PHP allows patients to attend counseling and therapy sessions during the day and return home in the evenings. While Carelon typically covers PHP, the extent of coverage depends on various factors and policy details. Review your policy for specific information.

Carelon Health Coverage for Intensive Outpatient Program

An Intensive Outpatient Program (IOP) presents a structured, part-time treatment approach for those dealing with mental health or substance abuse challenges. This entails therapy, counseling, and support without necessitating overnight stays. Typically, IOPs entail frequent counseling sessions, often occurring three or more times weekly, enabling individuals to receive comprehensive treatment while still managing their daily obligations.

Carelon Health offers comprehensive mental health coverage, typically including intensive outpatient programs and associated services.

Carelon Health Coverage for Outpatient Program

Outpatient programs allow individuals with milder mental health issues to access wellness and mental health support during daytime hours at a clinic or facility. Patients can participate in therapy sessions and then have the flexibility to return home, enabling them to continue their daily routines and obligations. Carelon’s coverage typically encompasses outpatient programs.

Treatment for Bipolar Disorder and Cyclothymia

Bipolar disorder is a mental health condition characterized by pronounced mood swings, fluctuating between intense manic highs and extreme depressive lows. Cyclothymia is a milder variant of bipolar disorder with less dramatic mood fluctuations. Both mood disorders substantially impact emotions, energy levels, and daily cognitive functioning, underscoring the need for medical and therapeutic interventions to attain stability and effective management.

Carelon Health typically extends coverage for these conditions. However, the specific details of your coverage may vary depending on the particulars of your insurance policy and additional factors.

Treatment for Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health disorder marked by enduring emotional instability, issues related to self-identity, and interpersonal relationship challenges. Individuals with BPD frequently encounter drastic shifts in mood, impulsive actions, varying self-esteem, and difficulties sustaining connections, all of which profoundly impact emotional health, relationships, and overall wellness.

Carelon generally provides coverage for diagnosing and treating BPD, encompassing an array of psychotherapy techniques, medication management, and other therapeutic interventions.

Treatment for Anxiety Disorder

Anxiety is a prevalent mental health condition characterized by intense apprehension, fear, and unease regarding future events or situations. It is often accompanied by physical symptoms such as restlessness, a rapid heart rate, sweating, and muscle tension. This disorder can significantly disrupt daily life, impacting one’s work, relationships, and overall sense of well-being.

Treatment for anxiety typically employs evidence-based approaches like cognitive-behavioral therapy (CBT), medication management, and various strategies to reduce symptoms, foster coping strategies, and improve overall mental and emotional well-being. Carelon usually provides coverage for anxiety treatment.

Treatment for Depression

Depression is a common mental health condition known for enduring sadness, despair, and a loss of interest in previously enjoyable activities. Depression symptoms include disturbances in eating and sleeping patterns, decreased energy levels, and challenges in maintaining focus, all of which affect daily routines and interpersonal relationships. Left unaddressed, depression can even lead to thoughts of self-harm.

Carelon Health typically extends coverage for assessing and treating depression, encompassing preventive services, therapy sessions, medication management, and other strategies to alleviate symptoms and foster emotional well-being.

Treatment for Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) can develop following exposure to or observation of a traumatic incident. Indicators might involve recurring intrusive memories, distressing nightmares, elevated anxiety, and emotional detachment. Individuals with PTSD may also demonstrate heightened vigilance and avoidance of situations linked to the trauma, resulting in substantial disruptions to their everyday existence and overall well-being.

Usually, Carelon offers coverage for the treatment of PTSD, encompassing therapeutic methods, medication, and various interventions tailored to facilitate effective stress management and the development of coping strategies.

How To Check My Carelon Health Insurance Coverage Levels

At The Sylvia Brafman Mental Health Center, we recognize that navigating the complexities of health insurance can be daunting. That’s why we are dedicated to assisting in verifying your insurance details. Our team is fully committed to safeguarding your rights and ensuring you receive the highest quality of care.

Our patient advocates are prepared to guide you through every step of this process. When you call 877-958-9212, you can rest assured that any information you share with us will be held in the strictest confidence. Allow us to manage the verification of your rehab insurance, freeing you to concentrate on your path to recovery.

How Many Times Will Carelon Health Pay for Rehab?

The extent to which Carelon Health will provide coverage for rehab expenses relies on various factors, including the particulars of your plan and healthcare experts’ determination of medical necessity. It is crucial to consider factors such as the nature of the substance abuse or mental health condition under treatment and the duration of the treatment when making informed decisions.

Insurance plans typically cover rehab treatment costs if healthcare professionals deem it medically necessary and suitable. However, there may exist limitations regarding the number of days or sessions covered within a specified timeframe in accordance with medical guidelines and industry standards. For additional information, call 877-958-9212.

Exploring the Sunshine State and its Southern Cities

Southern Florida boasts many charming cities, each with a unique allure. For example, Miami is a vibrant cultural epicenter celebrated for its lively nightlife, an abundance of top-tier dining establishments, and the iconic Art Deco architecture that adds an artistic flair to its skyline. Latin influence and an inviting atmosphere tempt visitors to soak up the sun.

Hollywood offers a serene and laid-back atmosphere, while Fort Lauderdale, often affectionately dubbed the “Venice of America,” stands as a beloved haven for boating enthusiasts. Pompano Beach beckons as an ideal sanctuary for those passionate about fishing and water sports, providing the perfect backdrop for embarking on thrilling aquatic adventures. Meanwhile, Boca Raton has earned its reputation for opulent resorts, world-class championship golf courses, and upscale shopping districts.

Rehab and Mental Health Statistics in Florida

In 2023, over one-third of Florida adults reported struggling with anxiety and depression. The state responded with a $2.5 billion allocation towards mental health and substance abuse programs, including a Medicaid rate increase. However, Florida ranks 49th in mental healthcare accessibility, and young individuals face increasing mental health emergencies.

More comprehensive intervention strategies are needed to ensure access to care and support for those affected by mental health issues. Alarming data from a recent study highlights a concerning trend among Florida’s youth, where an increasing number of children and teenagers seek treatment for mental health at hospital emergency rooms. As the state grapples with these challenges, it remains crucial to consider the multifaceted factors contributing to mental illness.

• Only 36% of adults with mental health conditions in Florida receive treatment, despite it affecting nearly 2.9 million people, according to the National Alliance on Mental Illness (NAMI).¹
• From February 1st through February 13th, 2023, 32.3% of Florida’s adult population reported experiencing symptoms of anxiety and/or depressive disorders.²
• Florida’s new budget was enacted on July 1st, allocating $2.5 billion for mental health and substance abuse programs. The majority of these funds will be directed towards a Medicaid rate increase for behavioral health, which is the first time it has happened in 20 years. This increase will benefit more than 5 million Medicaid recipients, significantly improving access to quality mental health care and addiction treatment.³
• Florida has one full-time physician serving about 1,500 Medicaid enrollees, a ratio that ranks among the lowest in the nation.⁴
• Florida’s mental healthcare accessibility ranks 49th among the states.^{5 6}
• According to a recent study published in the journal Pediatrics, there has been a rise in the number of children and teenagers seeking emergency treatment for mental health issues in hospital emergency rooms. At Johns Hopkins All Children’s Hospital in St. Petersburg, Florida, the number of young people seeking treatment for suicidal thoughts doubled between 2019 and 2021.⁷
• According to the Florida Department of Health, mental illness can arise from multiple factors, and no single cause exists. These factors include:⁸
  • Early adverse childhood experiences (ACEs) such as trauma, a history of abuse, and witnessing violence
  • Biological factors (i.e., genes or chemical imbalances in the brain)
  • Alcohol or drug use
  • Having few friends
  • Feelings of isolation or loneliness
• According to the Substance Abuse and Mental Health Services Administration’s statistics, almost 17.5% (1 in 5) of Floridian adults had a mental illness pre-pandemic, while more than 7% had a substance use disorder.⁹
• During 2020, Jackson Behavioral Health Hospital in Miami saw up to 55 patients daily with severe mental health emergencies, resulting in hospitalization for almost half.¹⁰
• 1 in 3 people screened in Florida were diagnosed with depression in 2018.¹¹

Sources

1. Bolden, Louis. “Less Than Half of People in Florida With Mental Illness Don’t Get Treatment.” WKMG, 24 Feb. 2023, www.clickorlando.com/news/local/2023/02/24/less-than-half-of-people-in-florida-with-mental-illness-dont-get-treatment.
2. “Mental Health and Substance Use State Fact Sheets | KFF.” KFF, 20 Mar. 2023, www.kff.org/statedata/mental-health-and-substance-use-state-fact-sheets/florida.
3. Zizo, Christie. “Florida Budget OKs Largest Mental Health Funding yet, but More to Do, Experts Say.” WKMG, 3 July 2023, www.clickorlando.com/news/local/2023/07/03/florida-budget-oks-largest-mental-health-funding-yet-but-more-to-do-experts-say.
4. Shrader, Cho-Hee, et al. “Sociodemographic Correlates of Affordable Community Behavioral Health Treatment Facility Availability in Florida: A Cross-Sectional Study.” Journal of Behavioral Health Services & Research, vol. 50, no. 3, Springer Science+Business Media, Jan. 2023, pp. 348–64. https://doi.org/10.1007/s11414-022-09828-x.
5. Zizo, Christie. “Florida Is 49th in US for Access to Mental Health Care. The New Budget Could Change That.” WKMG, 19 Dec. 2022, www.clickorlando.com/news/politics/2022/05/26/florida-is-49th-in-us-for-access-to-mental-health-care-the-new-budget-could-change-that.
6. “Access to Care Data 2022.” Mental Health America, mhanational.org/issues/2022/mental-health-america-access-care-data.
7. Colombini, Stephanie. “A Study Finds More Kids Are Struggling With Suicidal Thoughts, and Florida Hospitals Are Seeing It Firsthand.” WFSU News, 7 Dec. 2022, news.wfsu.org/state-news/2022-12-07/a-study-finds-more-kids-are-struggling-with-suicidal-thoughts-and-florida-hospitals-are-seeing-it-firsthand.
8. “Polk County Community Health Assessment.” Florida Department of Health in Polk County, May 2020, polk.floridahealth.gov/programs-and-services/community-health-planning-and-statistics/_documents/Polk_CHA2020.pdf.
9. Moore, Kimberly C. “Mental Health in Florida: System ‘A Sad State’ With Devastating Consequences, Report Says.” The Ledger, 1 Mar. 2022, eu.theledger.com/story/news/regional/2021/11/03/florida-mental-health-care-system-crisis-urgent-problems-report-shows/5717045001.
10. Sarkissian, Arek. “Florida Mental Health Emergencies on the Rise Amid Pandemic.” POLITICO Pro, 19 Nov. 2020, subscriber.politicopro.com/article/2020/11/19/florida-mental-health-emergencies-on-the-rise-amid-pandemic-9424761.
11. “The State of Mental Health in America.” Mental Health America, mhanational.org/issues/state-mental-health-america?eType=EmailBlastContent&eId=071fe8fa-9a08-419f-989b-f062af601066&sl_tc=2022_State_Of_MH_In_America&sl_gr=grp_2022_state_of_mh_in_america_report.