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Medica Coverage for Mental Health Therapy Treatment in Florida

The Sylvia Brafman Mental Health Center, a premier mental health facility in Broward County, Florida, accepts Medica health insurance for therapy and rehab treatments. Recognized as a beacon of hope and recovery, our center is dedicated to providing expert, evidence-based mental health treatments. Whether you are coping with depression, anxiety disorders, bipolar disorder, schizophrenia, OCD, PTSD, BPD, eating disorders, or SUD, our experienced team is here to support your journey towards wellness.

Our approach to mental health therapy is comprehensive and individualized, ensuring each person receives the care best suited to their needs. We offer a range of programs including our Partial Hospitalization Program, Intensive Outpatient Program, and Outpatient Program, all designed to provide holistic, effective care. If you’re covered by Medica Healthcare Plans insurance and are seeking help for any of these conditions, we encourage you to reach out to us directly or fill out our online form to verify your coverage levels. Let us guide you on your path to recovery and help you reclaim your life.

Check Your Medica Health Insurance Coverage

Fill out our online form now and find out what rehab treatment you are covered for under your Medica Healthcare insurance plan.

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Who is Medica Health Plans?

Medica Insurance was founded in 1975 under the name Physicians Health Plan by a group of physicians from Minneapolis who established a non-profit Health Maintenance Organization (HMO). In 1991, after merging with another health insurer, the organization adopted the name Medica.

Medica primarily provides the following:

  • Medica individual and family plans
  • Medica Medicare plans
  • Medica Medicaid plans
  • Medica group health plans

They provide coverage mainly to individuals, families, and employers in the Midwest region of the United States. However, many of their product offerings include HMOs and PPOs that travel with customers anywhere in the country. They are known for their commitment to promoting health and well-being in their communities, emphasizing customer-centric healthcare solutions.

>Who is Medica Health Plans?

What is Medica Rehab Insurance Coverage?

Rehab insurance coverage typically includes services for treating substance use and mental health disorders. Medica health plans usually include coverage for various rehabilitation services, including outpatient therapy, counseling, and prescription drug coverage. Reviewing your plan will give you a better idea of the rehab insurance coverage details. You can also call 877-958-9212.

Do Medica Healthcare Plans Cover Rehab Treatment?

The short answer is yes, Medica Healthcare does offer coverage for various types of rehabilitation treatment. Working with Medica customer services can help you better understand your insurance policy and maximize your Medica benefits. The coverage provided by your policy and the benefits you receive depend on many factors, including your particular policy, the rehabilitation program, and its duration.

Under the Affordable Care Act (ACA), essential health benefits must include mental and behavioral health treatment coverage. This includes counseling, therapy, outpatient mental and behavioral health care, rehabilitation, and substance abuse treatment.

Does Medica Cover Therapy for Mental Health Treatment?

Yes, Medica plans typically include mental health therapy treatment coverage as part of their health insurance offerings. However, the specific coverage details, such as the types of therapy covered, copayments, deductibles, and limitations, can vary depending on your particular Medica health insurance plan and the state where you reside.

The Mental Health Parity and Addiction Equity Act (MHPAEA) is a federal law requiring group health plans to provide mental health and substance use disorder benefits equal to or on par with medical/surgical benefits. This means that mental health services, including therapy and counseling, should be covered under these plans to the same extent as other medical services.

If you’re still wondering, “What does Medica cover for mental health?” after reviewing your plan summary, you can call 877-958-9212 to get the most accurate and up-to-date information regarding your specific mental health therapy coverage. Additionally, you can reach out to Medica customer service for further assistance.

Mental Health Programs Covered by Medica Insurance

Mental Health Programs Covered by Medica Insurance

In addition to Medica wellness programs that include mental health resources via Medica’s Live and Work Well and mood and memory apps, Medica wellness initiatives include coverage for various mental health programs. To support its member’s psychological health and emotional well-being, the Medica healthcare network includes licensed mental health professionals, such as psychologists, psychiatrists, clinical social workers, and counselors.

Medica Health Coverage for Partial Hospitalization Programs

A Partial Hospitalization Program (PHP) is a structured treatment program that provides intensive, short-term care for individuals with mental health disorders. Unlike inpatient care, PHP does not require patients to stay in the hospital 24/7. Instead, patients participate in counseling and therapy sessions during the day and return home in the evenings to maintain their daily routines.

Medica usually covers PHP, but it’s essential to review your policy to understand the specific coverage details, which may vary according to many factors.

Medica Health Coverage for Intensive Outpatient Program

An Intensive Outpatient Program (IOP) is a well-structured treatment option for individuals with mental health or substance use disorders. It includes multiple therapy, counseling, and support sessions every week, enabling patients to receive treatment while living at home. Medica Insurance provides comprehensive mental health coverage, which typically covers intensive outpatient programs and services.

Medica Health Coverage for Outpatient Program

Outpatient programs provide wellness and mental health support. Patients will attend therapy sessions and appointments at a mental health facility or clinic during the day and return home afterward, allowing them to maintain their daily routines and responsibilities. This approach suits those with less severe mental health challenges who don’t require 24/7 care. Medica coverage generally includes outpatient programs.

If you want to learn more about the Sylvia Brafman mental health treatment programs, please contact us for further information.


What Type of Mental Health Disorders Does Medica Cover?

Medica health plans typically provide comprehensive coverage for a wide range of mental health disorders, recognizing the importance of mental well-being in overall healthcare. Below, we briefly detail some of the psychiatric conditions Medica typically covers services for. However, note that the below is not a complete list.

Common Mental Health Disorders Covered by Medica Healthcare

Treatment for Bipolar Disorder and Cyclothymia

Bipolar disorder disturbs a person’s mood, causing dramatic swings between manic highs and depressive lows. In contrast, Cyclothymia represents a milder form of bipolar disorder with less pronounced mood shifts. Both conditions significantly affect emotions, energy levels, and daily cognitive functioning, requiring medical and therapeutic interventions for stability and effective management.

Medica Insurance typically includes coverage for these mood disorders, ensuring access to treatment and mental health support. However, it’s essential to remember that coverage specifics may differ depending on the policy you hold.

Treatment for Borderline Personality Disorder (BPD)

Borderline Personality Disorder (BPD) is a mental health condition characterized by persistent emotional instability, self-identity, and interpersonal relationships. Individuals with BPD often experience intense mood swings, impulsiveness, shifting self-esteem, and difficulty maintaining stable connections, adversely affecting their mental well-being, relationships, and overall life satisfaction.

However, it is feasible to address and manage these symptoms effectively with appropriate therapy and treatment. Medica generally offers coverage for diagnosing and treating BPD, including a range of psychotherapy techniques, medication management, and other therapeutic interventions.

Treatment for Anxiety Disorder

Anxiety is a common mental health condition characterized by excessive worry, fear, and uneasiness about future events or situations. Individuals with anxiety often experience physical symptoms like restlessness, a rapid heartbeat, sweating, and muscle tension. Anxiety can significantly affect daily functioning, including work, relationships, and overall quality of life.

Anxiety treatment may involve evidence-based approaches like cognitive-behavioral therapy (CBT), medication management, and other methods to reduce symptoms and improve overall well-being. Medica Insurance typically provides coverage for these services.

Treatment for Depression

Depression is a widespread mental health disorder characterized by persistent emotions of sadness, hopelessness, and diminished interest in previously enjoyed activities. Symptoms of depression often include eating and sleeping disruptions, reduced energy levels, and difficulties with concentration, all of which can adversely affect daily routines and relationships and, if left unaddressed, potentially lead to self-harm ideation.

Medica typically offers coverage for the treatment of depression, which may include preventive care services, therapy sessions, medication management, and other evidence-based approaches aimed at alleviating depression symptoms and promoting mental and emotional well-being.

Treatment for Post-Traumatic Stress Disorder (PTSD)

Post-Traumatic Stress Disorder (PTSD) can develop following exposure to or witnessing a distressing event. Symptoms encompass intrusive flashbacks, unsettling nightmares, increased anxiety, and emotional detachment. Individuals with PTSD may also display heightened vigilance and avoidance of situations that trigger trauma memories. This condition can significantly affect daily life and overall well-being.

Medica usually offers coverage for the treatment of PTSD, including therapeutic interventions, medication options, and other evidence-based methods aimed at fostering effective stress management and coping strategies.


Mental Health Rehab Center in Florida That Take Medica Healthcare Plans

The Sylvia Brafman Mental Health Center is devoted to providing comprehensive services with a distinct focus on promoting mental health awareness in South Florida. Our team of experienced medical and clinical professionals is dedicated to delivering precise diagnoses and effective treatments to our patients. Over the years, we have helped numerous individuals overcome their mental health challenges.

Our mental health center may accept Medica Insurance policies. To learn more about our offerings and your benefits for rehabs in Florida that accept Medica health plans, call 877-958-9212 now to speak to one of our supportive patient advocates. Alternatively, you are welcome to visit our physical location at the address below:

  • The Sylvia Brafman Mental Health Center: 7710 NW 71st Ct, Tamarac, FL 33321, United States
>Mental Health Rehab Center in Florida That Take Medica Healthcare Plans

Does Medica Health Cover Dual Diagnosis Treatment?

Yes, Medica coverage typically includes treatment for dual diagnosis, which involves treating substance use disorders and co-occurring mental health disorders simultaneously. This type of treatment is crucial for individuals with both substance abuse and underlying mental health problems. It addresses both aspects of their health at the same time, providing a comprehensive approach to recovery.

Coverage for dual diagnosis treatment can vary depending on the specific Medica Insurance policy you have, as well as state regulations. It may include services such as:

  • Inpatient or outpatient substance abuse treatment can involve detoxification, counseling, and therapy
  • Mental health services include coverage for mental health assessments, therapy, and psychiatric care to address co-occurring mental health disorders
  • Medication management is coverage for medications that may be prescribed to manage mental health and substance abuse issues
  • Counseling and therapy coverage for individual, group, and family therapy sessions
  • Case management assists in coordinating care between mental health and substance abuse Medica providers

How Much Does Rehab Cost with Medica Insurance?

The cost of each therapy session can vary based on factors such as your location, employer, and specific insurance policy. Gathering information about your insurance provider is essential.

For example, the average cost of psychotherapy sessions without insurance is between $100 and $200 per hour, while outpatient rehabs average about $1,705 monthly.

When choosing a therapist within the Medica healthcare providers network, in-network therapists are typically a more cost-effective option than out-of-network ones. Additionally, Medica out-of-pocket costs may also include deductibles, copayments, and more. Carefully review your policy documents or call 877-958-9212 to understand your health coverage and steps for treatment.

How To Check My Medica Health Insurance Coverage Levels

How To Check My Halcyon Behavioral Health Insurance Coverage Levels

To gain a comprehensive understanding of your mental health insurance coverage, please contact us at 877-958-9212. Our dedicated patient advocates are available to assist you. We will initiate contact with Medica member services to confirm the details of your coverage. Subsequently, we will conduct a thorough policy review with you, explaining the available treatment and program options transparently.

Be assured that any information you share with us is kept strictly confidential.Top of FormBottom of Form


How Many Times Will Medica Pay for Rehab?

How Many Times Will Medica Pay for Rehab?

The number of times that Medica will pay for rehabilitation will depend on several factors, including your specific policy, the type of rehabilitation needed, and the medical necessity. Medica Insurance typically provides coverage for rehab services when deemed medically necessary. The coverage for every kind of rehab and its services may have varying criteria and limitations.

Some plans may have a set number of covered rehab sessions, while others may provide coverage as long as it is medically necessary. It’s also important to know that some rehab services may require preauthorization or prior approval before being covered. Finally, it’s crucial to keep in mind that even with coverage, you may still be responsible for out-of-pocket costs, such as Medica deductibles and copayments.

It’s essential to review your policy and speak with your healthcare provider to understand the coverage and associated costs fully.


Exploring the Sunshine State and its Southern Cities

Exploring the Sunshine State and its Southern Cities

South Florida boasts an array of cities, each exuding distinctive charm. Miami, a cultural metropolis, is renowned for its electrifying nightlife, various world-class restaurants, and iconic Art Deco architecture, which adds an artistic flair to the cityscape. Infused with a vibrant Latin influence, Miami’s coastline invites visitors to bask in the sun and savor the lively atmosphere.

Conversely, Hollywood embraces a more tranquil ambiance, featuring a beachfront that stretches as far as the eye can see. In stark contrast, Fort Lauderdale, often affectionately referred to as the “Venice of America,” beckons boating enthusiasts to explore its intricate canal system, which has earned the city a devoted following among yachting connoisseurs.

Pompano Beach caters to the passions of fishing enthusiasts and water sports aficionados, offering an ideal setting to reel in adventure and aquatic thrills. Meanwhile, Boca Raton’s reputation precedes it with opulent resorts, world-class championship golf courses, and upscale shopping districts, providing an exclusive haven for those pursuing a refined South Florida lifestyle.


Rehab and Mental Health Statistics in Florida

Rehab and Mental Health Statistics in Florida

Florida’s commitment to mental health and substance abuse treatment saw a significant boost in 2021, with the state allocating $137.6 million for these critical services. Despite this investment, distressing statistics reveal challenges. A concerning 9.1% of Florida students reported attempting suicide in the past year, with a notable gender disparity.

Delving deeper into the mental health landscape, a survey of high school students in Florida unveiled the staggering burden of adverse childhood experiences (ACEs). Shockingly, 21.4% of students reported experiencing four or more ACEs, indicating a high level of trauma. Despite the evident need for mental health support, a mere 36% of Floridian adults with mental health conditions receive treatment, an alarming statistic given that nearly 2.9 million individuals in the state are affected.

  • Florida’s 2021 budget for mental health and substance abuse treatment increased to $137.6 million, resulting in a per-person spending increase from $36 to $64.1
  • 1% of Florida students reported attempting suicide in the past year, with females being twice as likely as males (12.9% vs. 5.1%).2
  • Florida students’ lifetime alcohol use is 31.0%, and past-30-day use is 11.8% across all seven surveyed grades.
  • A survey of high school students in Florida revealed that 21.4% had four or more adverse childhood experiences (ACEs), which is considered a high level of trauma.
    • 39.4% of students reported their parents had separated or divorced
    • 32.9% reported mental illness in the household
    • 31.2% reported emotional neglect
    • 6.6% reported sexual abuse
    • 6.7% reported physical neglect
    • 8.5% reported physical abuse in the household
  • Only 36% of Floridian adults with mental health conditions receive treatment, despite it affecting nearly 2.9 million people in the state, according to the National Alliance on Mental Illness (NAMI).3
  • The Substance Abuse and Mental Health Program, which falls under the Department of Children and Families, supports individuals with low income or those who do not have insurance coverage. However, a legislative report from the State Commission on Mental Health and Substance Abuse has revealed a waitlist of more than 1,300 people seeking these services monthly.
  • Florida’s accessibility to mental healthcare ranks 49th in the United States.4 5
  • In Florida, 33% of people (1 in 3) screened were diagnosed with depression in 2018.6
  • Florida has one full-time physician for every 1,500 Medicaid enrollees, which is one of the lowest ratios in the nation.7

Source

  1. “Governor Ron DeSantis Signs the Florida Leads Budget.” FL Governor, 2 June 2021, www.flgov.com/2021/06/02/governor-ron-desantis-signs-the-florida-leads-budget.
  2. “2022 Florida Youth Substance Abuse Survey.” Florida Department of Children and Families, 2022, www.myflfamilies.com/sites/default/files/2022-12/2022%20Statewide%20FYSAS%20Report%20Per%20Section%20C2-2.3.pdf.
  3. 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.
  4. 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.
  5. “Access to Care Data 2022.” Mental Health America, mhanational.org/issues/2022/mental-health-america-access-care-data.
  6. “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.
  7. 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.

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