HealthSmart Florida Mental Health Therapy Treatment

HealthSmart’s mental health benefits may encompass inpatient care, outpatient therapy, counseling, medication management, wellness initiatives, and other programs and services. The coverage specifics can differ based on the policy and its terms, among other factors. We encourage you to reach out to one of our helpful patient advocates at The Sylvia Brafman Mental Health Center at 877-958-9212 for additional information.

HealthSmart Coverage for Partial Hospitalization Programs

A Partial Hospitalization Program (PHP) is a structured and intensive treatment method that provides therapy and support during the daytime, allowing individuals to return to their homes or stable environments in the evenings. PHPs offer a higher level of care than outpatient treatment but are less restrictive than inpatient hospitalization. Typically, HealthSmart offers coverage for PHPs.

HealthSmart Coverage for Intensive Outpatient Program

Intensive Outpatient Programs (IOPs) are structured treatment programs tailored to offer comprehensive therapy and support for individuals facing mental health challenges. These programs provide a more intensive level of care compared to standard outpatient services, allowing participants to live at home and maintain their daily routines. HealthSmart typically offers coverage for these treatment programs.

HealthSmart Coverage for Outpatient Program

Outpatient programs provide therapeutic services, including counseling and mental health support, for individuals dealing with mental health disorders. Unlike inpatient or residential programs, outpatient care allows individuals to receive treatment while continuing to live at home and maintain their daily routines. HealthSmart typically offers coverage for various outpatient programs and services.

HealthSmart Coverage for EMDR Therapy

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a specialized psychotherapy approach aimed at helping individuals process and recover from traumatic or distressing experiences. Initially developed for post-traumatic stress disorder (PTSD) treatment, EMDR has since demonstrated its effectiveness in addressing various mental health disorders, including anxiety and depression.

EMDR therapy aims to reprocess traumatic memories that can become stuck in the brain, causing emotional and psychological distress. The eight-phase process includes bilateral stimulation, such as moving fingers back and forth or using auditory tones, to help the brain integrate these memories more effectively. HealthSmart typically provides coverage for EMDR therapy. However, reviewing your policy documents for more accurate information is essential.

Treatment for Bipolar Disorder and Cyclothymia

Bipolar Disorder is a mental health condition characterized by intense mood swings, including manic highs and depressive lows. Cyclothymia represents a less severe form of bipolar disorder, involving milder mood fluctuations but persistently cycling between periods of elevated mood (hypomania) and mild depression. Both conditions significantly impact an individual’s daily life and require proper management and treatment.

HealthSmart typically provides coverage to address these mood disorders. This coverage often includes a range of treatments, such as medication and therapy sessions, to effectively manage symptoms and enhance overall mental and emotional well-being. Specific coverage details may vary depending on your policy, so it’s recommended to review your policy documents or contact 877-958-9212 for further information.

Treatment for Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health condition characterized by pervasive instability in mood, self-perception, and interpersonal relationships. Those with BPD often experience intense emotional fluctuations, encounter difficulties regulating emotions, and may engage in impulsive and self-destructive behaviors. HealthSmart generally offers coverage for BPD treatment, which may include a range of psychotherapy techniques and medications.

Treatment is designed to help individuals address the challenges associated with BPD and improve their overall psychological health. Coverage details vary, so carefully review your policy documents or call 877-958-9212 for precise information regarding BPD treatment coverage.

Treatment for Anxiety Disorder

Anxiety is a prevalent mental health condition characterized by excessive worry, fear, and nervousness. It can manifest in various forms, such as generalized anxiety disorder, social anxiety disorder, or specific phobias. It can bring about physical symptoms like a rapid heart rate, sweating, and restlessness. Although anxiety can significantly impact daily life, it is manageable through therapies, medications, and lifestyle adjustments.

HealthSmart typically offers coverage for anxiety treatment. This coverage often includes cognitive-behavioral therapy (CBT), counseling, and medication options to assist individuals in addressing their symptoms and improving their overall wellness and mental health. The specifics of coverage may vary, so it is advisable to examine your policy documents or call 877-958-9212 for comprehensive information regarding anxiety treatment coverage.

Treatment for Depression

Depression is a mental health condition characterized by persistent sadness, hopelessness, and a loss of interest in previously enjoyed activities. It can also manifest with physical symptoms such as fatigue and changes in appetite or sleep patterns. Depression can disrupt daily life, often necessitating treatment, which may involve therapy, medication, or lifestyle adjustments to improve overall well-being and mental health.

HealthSmart typically provides coverage for the treatment of depression. This coverage commonly includes various therapeutic options, such as counseling, psychotherapy, and medication, to assist individuals in effectively managing their depression symptoms. Coverage details may vary, so it is advisable to carefully review your policy documents or call 877-958-9212 for additional information.

Treatment for Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) can emerge following exposure to or direct experience of a traumatic event. Symptoms often encompass flashbacks, nightmares, and avoidance behaviors related to reminders of the traumatic incident. PTSD can exert a profound impact on daily life and functioning. Treatment typically involves therapy and, in some cases, medication aimed at effectively managing and recovering from trauma’s repercussions.

HealthSmart typically offers coverage for the treatment of PTSD, which may encompass a range of therapeutic approaches, including psychotherapy and medication. These treatments are intended to empower individuals with effective stress management coping strategies and facilitate healthy cognitive functioning. The coverage details can vary depending on your particular policy. Therefore, we recommend thoroughly reviewing your policy documents or calling 877-958-9212 for detailed information.

How To Check My HealthSmart Coverage Levels

If you need to check your coverage levels with HealthSmart, call 877-958-9212. Our patient advocates are always available to assist with any queries. We’ll go through your policy with you and provide you with a complete understanding of the treatment and program options available. All information you share or discuss with us will be kept confidential.

How Many Times Will HealthSmart Pay for Rehab?

HealthSmart only covers medically necessary addiction recovery services. Coverage limits depend on the specific plan; some may have a set number of treatments, while others offer unlimited coverage. A recommendation from your primary care doctor is usually required. Some plans only cover specific treatment types, as well. Call 877-958-9212 for the most up-to-date, accurate information.

Exploring the Sunshine State and its Southern Cities

In the vibrant tapestry of South Florida, Miami stands as a cultural melting pot known for sultry beaches, pulsating nightlife, and the iconic Art Deco architecture. Miami offers upscale dining experiences that cater to every palate. From Little Havana’s rhythmic salsa beats to the Wynwood Walls’ graffiti art, the city is an invitation to a rich cultural mosaic.

Just a short drive north, Hollywood beckons with a quieter allure. Here, tranquility reigns, providing a respite from the bustling city life. Hollywood’s pristine beaches stretch for miles, offering a serene escape for sun-seekers and surfers alike. For those yearning to explore, Fort Lauderdale’s intricate waterways, Pompano Beach’s aquatic adventures, and the opulent retreat of Boca Raton await, each adding a unique chapter to South Florida’s captivating story.

Florida and Mental Health Statistics

In the Sunshine State, sobering statistics cast a shadow over its residents’ well-being. In 2022, a staggering 63.5% of the state’s 1,823,000 adults with any form of mental illness found themselves in a disheartening predicament: they didn’t receive the treatment needed. This treatment gap reveals a concerning chasm in the availability and accessibility of mental health resources.

The plight extends to the younger generation as well. Over 400,000 children and youth in Florida face emotional, behavioral, and developmental challenges. Unfortunately, only roughly half of them have the opportunity to access the crucial services designed to help them navigate these complexities. Florida’s low per capita funding for mental health services is a pressing issue that needs urgent attention. Improved access to care and destigmatization of mental health issues are necessary.

• A substantial 63.5% of Florida’s 1,823,000 adults who experienced any mental illness (AMI) did not receive treatment in 2022.¹
• Data from The Health Council of South Florida’s Miami Matters website show that in 2019, 16% of Miami-Dade’s Medicare beneficiaries received treatment for depression.²
• Over 400,000 children and youth in Florida face emotional, behavioral, and developmental challenges, but only about half receive necessary services.³
• In 2022, Florida had one of the lowest rates of mental illness in the entire country.⁴
• There are about 490 mental health treatment facilities operating in the state of Florida.⁵
• Florida ranks last among the states in terms of per capita support for mental health services.
• About 7.99% of adults residing in Florida struggle with substance use or alcohol-related issues.
• Florida has one of the lowest mental health care access rates and one of the highest incarceration rates.
• A total of 14.7% of Florida’s adult population disclosed that they had received a diagnosis of a depressive disorder, encompassing conditions such as depression, major depression, minor depression, or dysthymia, from a healthcare professional at some point in their lives.⁶
• In March 2019, on a specific day, 57,335 individuals in Florida underwent treatment for substance use, marking a decrease from the 63,287 individuals in 2015. Among these individuals, 51.0% sought treatment for drug addiction, 13.3% for alcohol addiction, and 35.6% received treatment for both drug and alcohol addiction.⁷

Sources

1. 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.
2. Conduent Healthy Communities Institute. “Depression: Medicare Population.” Miami Matters, 2021, www.miamidadematters.org/indicators/index/view?indicatorId=2058&localeId=414.
3. “Behavioral Health and Related Topics.” Florida Health, 8 Sept. 2023, www.floridahealth.gov/programs-and-services/childrens-health/cms-specialty-programs/title-5-program/Behavioral-Health-Services/index.html.
4. 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.
5. “Mental Health in Florida: The Facts.” Florida Health Behavioral Association, cdn.ymaws.com/www.fadaa.org/resource/resmgr/files/mental_health/MentalHealthInFlorida_Brochu.pdf. Accessed 23 Sept. 2023.
6. United Health Foundation. “Depression in Florida.” America’s Health Rankings. 2022, https://www.americashealthrankings.org/explore/measures/Depression_a/FL?population=Depression_75k.
7. HHS Publication. “Behavioral Health Barometer: Florida, Volume 6: Indicators as Measured Through the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.” Substance Abuse and Mental Health Services Administration, 2020, www.samhsa.gov/data/sites/default/files/reports/rpt32826/Florida-BH-Barometer_Volume6.pdf.