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NYSHIP Empire Plan Coverage for Psychiatrist Visits

The Sylvia Brafman Mental Health Center is dedicated to adult mental healthcare. Our expertise lies in addressing various mental health conditions and providing extensive services and accommodations for patients traveling from out of state. If you’re insured under the Empire Plan NYSHIP provides, your policy may be accepted at our behavioral health center, granting you access to personalized, high-quality care.

New York State Health Insurance Program (NYSHIP) Empire Plan History and Information

NYSHIP health insurance was established in 1957. It provides coverage to New York State employees, retirees, and their families. The program offers various health plans, including the prominent NYSHIP Empire Plan, managed by the New York State Department of Civil Service and supported by the Employee Benefits Division.

NY SHIP insurance expanded its coverage in 1958 to include local governments and school districts, reaching a broader range of beneficiaries. NYSHIP Empire has emerged as a prominent nationwide public employer health insurance program serving over 1.2 million individuals. Collaborations with over 800 local government employers guarantee extensive healthcare coverage through esteemed providers such as Anthem Blue Cross, UnitedHealthcare, and Carelon Behavioral Health.

Brands, Products, and Services from NYSHIP

Brands, Products, and Services from NYSHIP

NYSHIP offers a diverse array of healthcare brands, products, and services tailored to meet the varied healthcare needs of its members. These offerings underscore the NY State Health Insurance Program’s dedication to delivering top-notch, accessible healthcare solutions. Here’s an overview of some of the NYSHIP brands, products, and services:

  • The flagship of NYSHIP insurance, the Empire NYSHIP Plan, provides comprehensive health insurance coverage for state and local government employees, retirees, and their families. It grants access to an extensive network of NYSHIP Empire Plan providers and services.
  • NYSHIP Health Maintenance Organizations (HMOs) offer managed care plans focusing on preventive care and service coordination through a network of participating providers and healthcare professionals.
  • NYSHIP Substance Use Disorder and Mental Health Services feature dedicated NYSHIP mental health providers, services, and resources to assist members in addressing issues such as addiction, depression, anxiety, and other mental illnesses.
  • NYSHIP Prescription Drug Coverage ensures access to essential medications through various pharmacy networks, offering options for mail-order prescriptions and cost-saving initiatives.
  • NYSHIP Retiree Benefits and support extend to retired members, ensuring ongoing access to healthcare services and coverage options.
  • NYSHIP Dental and Vision Coverage options supplement essential healthcare benefits, providing comprehensive care for members’ oral and visual health needs.

Do NYSHIP Empire Insurance Plans Offer Coverage for Mental Health Treatment?

Do NYSHIP Empire Insurance Plans Offer Coverage for Mental Health Treatment?

Does NYSHIP cover therapy and other services related to mental health treatment? Fortunately, the answer is yes. Services may include modalities like Cognitive-Behavioral Therapy (CBT), psychopharmacology, counseling, psychiatric evaluations, and more. The extent of coverage for mental health treatment with your particular plan will vary. Contact us to verify your mental health insurance coverage details.

>New York State Health Insurance Program (NYSHIP) Empire Plan History and Information

Does NYSHIP Cover Psychiatrist Visits?

Under the New York State Health Insurance Program (NYSHIP), appointments with psychiatrists are frequently covered. The level of coverage may vary depending on the specific NYSHIP plan. However, these plans generally offer assistance for mental health services, including psychiatry, psychotherapy, and medication management.

Examining the details of your Empire NYSHIP insurance can offer comprehensive information regarding coverage, including copayments, deductibles, and limitations. We’re available to assist you in verifying the necessary information and answering the common question: “How much is a psychiatrist visit with NYSHIP?” Call 877-958-9212 today.

Does NYSHIP Cover the Cost of Psychiatric Medication Out of State?

The NYSHIP Empire Plan typically provides coverage for psychiatric medications out of state. However, the coverage specifics vary depending on your policy and other factors. It’s recommended that you review your insurance policy documents to understand coverage levels, copayments, and any limitations. You can contact us for assistance in clarifying your NYS Empire plan and policy details.

Mental Health Treatment Programs Covered by the New York State Health Insurance Program Empire Plan

NYSHIP Empire Plan mental health treatment programs render comprehensive healthcare coverage to public employees and their dependents. Below, we’ll briefly explore some treatment programs typically included in your NY SHIP coverage. For additional information regarding The Sylvia Brafman Mental Health Center’s outpatient programs in South Florida, call 877-958-9212.

NYSHIP Coverage for Mental Health Partial Hospitalization Programs (PHP)

NYSHIP Coverage for Mental Health Partial Hospitalization Programs (PHP)

A Partial Hospitalization Program (PHP) provides intensive, often short-term, mental healthcare to individuals struggling with a broad array of psychiatric disorders, including, but not limited to, depression, anxiety, substance use disorder (SUD), and schizophrenia. PHPs involve structured day treatment, allowing participants to return home in the evenings.

NYSHIP demonstrates its commitment to comprehensive mental healthcare by typically including coverage for this often vital middle ground between inpatient hospitalization and outpatient care. Nevertheless, coverage specifics will differ. To confirm your mental health insurance coverage and delve into the extent of PHP coverage within your plan, call 877-958-9212. Our patient advocates stand ready to aid you in comprehending and optimizing your mental health benefits.

NYSHIP Coverage for Mental Health Intensive Outpatient Programs (IOP)

NYSHIP Coverage for Mental Health Intensive Outpatient Programs (IOP)

An Intensive Outpatient Program (IOP) offers structured, intensive therapy tailored to individual needs for the most comprehensive care. These programs typically integrate a blend of individual and group therapy sessions, psychoeducation, and skill-building exercises designed to foster coping mechanisms for distressing symptoms and enhance overall mental and emotional well-being.

Participants in an IOP attend sessions during the day and return home in the evenings, enabling them to maintain engagement with their daily responsibilities while receiving intensive therapeutic support. You can usually expect coverage for these programs if you’re covered under the New York State Health Insurance Program (NYSHIP). However, specifics vary depending on your individual NYSHIP Empire plan and other factors. To confirm your coverage details and explore your options, call 877-958-9212. We’re dedicated to assisting you in accessing the support necessary to manage your condition(s) and enhance your overall mental health.

NYSHIP Coverage for Mental Health Outpatient Programs (OP)

NYSHIP Coverage for Mental Health Outpatient Programs (OP)

Outpatient programs provide adaptable, scheduled therapy sessions and assistance for individuals confronting a range of mental illnesses. These programs usually entail consistent therapy sessions conducted by licensed mental health professionals. By opting for outpatient programs, individuals can undergo treatment while upholding their daily routines and responsibilities.

While coverage details vary based on your specific NYSHIP Empire plan, outpatient care is typically accessible for program participants. Contact us to learn more about your coverage options. We’re here to help you access the necessary care.

NYSHIP Coverage for Mental Health Residential Inpatient Treatment Programs

NYSHIP Coverage for Mental Health Residential Inpatient Treatment Programs

Residential treatment delivers intensive, round-the-clock psychiatric care for severe psychological distress. Through structured therapy, medical supervision, and assistance from a multidisciplinary team of professionals, one can gain the coping skills to manage symptoms effectively. Generally, NYSHIP encompasses these programs within its mental health benefits, illustrating its dedication to holistic care.

Coverage particulars depend on the plan and other factors, yet seeking residential treatment for severe anxiety is frequently feasible under your NYSHIP Empire Plan.

>Mental Health Treatment Programs Covered by the New York State Health Insurance Program Empire Plan

Mental Health Treatment Facility with On-Staff Psychiatrist That Accepts Plans from NYSHIP

If you’re looking for rehabs in Florida that accept NYSHIP Empire plans, The Sylvia Brafman Mental Health Center has an on-site psychiatrist dedicated to client well-being. Our team prides itself on delivering accurate diagnoses, effective treatment, and support. Call 877-958-9212 today to learn more about our services, programs, and admissions. You’re also encouraged to visit us in person:

Why Should NYSHIP Policyholders Seek Psychiatric Care in South Florida?

Why Should NYSHIP Policyholders Seek Psychiatric Care in South Florida?

Considering South Florida for psychiatric care while utilizing your NYSHIP Empire Plan can provide a refreshing and supportive journey, fostering healing and personal development. For NY SHIP policyholders seeking mental health treatment, South Florida offers an enticing choice for several compelling reasons, including, but not limited to, the following:

  • Climate: South Florida’s temperate climate creates a tranquil environment conducive to stress reduction and holistic well-being enhancement.
  • Escape from Local Stressors: By distancing yourself from familiar stressors and triggers, you can take a hiatus from daily pressures, allowing for a revitalizing break and a renewed outlook on recovery.
  • Community Support: The region boasts a lively community of Northeastern transplants, fostering camaraderie and empathy for those transitioning from the Northeast. According to a cross-site study conducted by the New York Association of Psychiatric Rehabilitation Services (NYAPRS), outpatient treatment visits incorporating peer support for anxiety and other conditions led to an average reduction in symptoms of nearly 30%. Individuals receiving peer support services exhibited decreased hospitalizations and increased engagement with their treatment providers.
  • Diverse Wellness Opportunities: South Florida offers various wellness activities, including beach therapy, outdoor adventures, and holistic approaches to enrich treatment experiences and promote overall well-being.

>Mental Health Treatment Facility with On-Staff Psychiatrist That Accepts Plans from NYSHIP

What Types of Psychiatric Disorders are Covered by NYSHIP?

NYSHIP extends support and treatment for various psychiatric disorders, although it’s important to note that the following are examples rather than a complete list. Among the covered disorders is depression, characterized by relentless sadness or loss of interest. This condition is often treated with antidepressants such as Selective Serotonin Reuptake Inhibitors (SSRIs) or Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs).

Anxiety disorders, including Generalized Anxiety Disorder (GAD), panic disorder, and social anxiety disorder, are also included, with medications like benzodiazepines or SSRIs commonly prescribed.

ADHD (Attention-Deficit/Hyperactivity Disorder), marked by difficulties in attention, hyperactivity, and impulsivity, is another covered condition. Treatment often involves stimulant medications such as methylphenidate or amphetamines. Schizophrenia, a severe mental disorder marked by hallucinations, delusions, and disorganized thinking, is covered as well, typically treated with antipsychotic medications like risperidone or olanzapine. Additionally, NYSHIP extends coverage to bipolar disorder, which involves episodes of mania and depression, commonly treated with mood stabilizers such as lithium or anticonvulsants.

Through NYSHIP, individuals dealing with these mental illnesses can access the necessary medications and treatment options to manage their conditions effectively, fostering improved mental health and overall well-being.

>What Types of Psychiatric Disorders are Covered by NYSHIP?

At The Sylvia Brafman Mental Health Treatment Center in Fort Lauderdale, Florida, our team of dedicated professionals is ready help you achieve a healthier lifestyle. We offer IOP and a variety of other treatment programs, each uniquely designed to meet your personal needs. So don’t wait, reach out to us today! Either give us a call or fill up the form below to request a callback.

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How Much Will Mental Health Psychiatric Treatment Programs Cost Without NYSHIP Insurance?

Without NYSHIP insurance, the cost of mental health psychiatric treatment programs can vary significantly according to factors such as the type of program, its location, duration, and the specific services offered. On average, outpatient therapy sessions can range from $100 to $200 per session, while The price for the most economical inpatient rehabilitation program is $6,000 per month.

Medication costs may also add to the overall expenses, with some psychiatric medications being quite expensive without insurance coverage. Additionally, factors such as the need to obtain a diagnosis, psychiatric evaluations, specialized care, therapy modalities, and additional services can further influence the total cost of treatment. For cost estimates tailored to your specific treatment needs, schedule a free assessment with Sylvia Brafman Mental Health Center.

How To Check My NYSHIP Health Insurance Coverage for Mental Health Psychiatric Programs

To efficiently confirm your NYSHIP health insurance coverage, call 877-958-9212. Our patient advocates can assist in verifying your mental health insurance coverage details. Contacting this number ensures access to accurate, up-to-date information, empowering you to make informed decisions regarding psychiatric care. Seeking clarification or assistance is essential for maximizing your benefits and achieving a successful recovery.

Stats on Mental Health and Psychiatric Medicine Usage in New York

Stats on Mental Health and Psychiatric Medicine Usage in New York

  • Mental health challenges among New Yorkers have fluctuated throughout the pandemic. February 2021 saw the highest prevalence, with 2% reporting anxiety and/or depression, while the most recent uptick, at 37.2%, occurred in September 2022.
  • Each year, more than 20% of New Yorkers display symptoms of a mental disorder.
  • In 2010, the New York State Office of Mental Health launched an initiative to advocate for the evidence-based utilization of clozapine. Between 2009 and 2013, without the presence of a heavily financed pharmaceutical marketing effort, the percentage of new clozapine trials compared to all new outpatient antipsychotic trials rose by 40% among adult New York Medicaid recipients diagnosed with schizophrenia.
  • In New York, adults aged 45-64, with lower household income, unmarried status, and unemployment or inability to work, were more prone to experiencing Serious Mental Illness (SMI) compared to those aged 65 and older, with higher income, married, and employed or self-employed.
  • During the 2021-2022 period, federal data indicated that 1% of adult New Yorkers, equating to approximately 3.2 million individuals, experienced a mental illness.
  • Between April 2014 and December 2023, there was a 10.5% reduction in statewide inpatient psychiatric capacity. Most of this decline occurred in inpatient hospitals outside of New York City. In these areas, 20 counties with a collective population of nearly 900,000 had no available inpatient beds.
  • According to SAMHSA data, approximately 1% of New Yorkers (18+) experienced a mental illness during the 2021-2022 period. This corresponds to over 3.2 million individuals in New York.
  • The total yearly expenditure for incarcerating individuals with serious mental illness in state prisons in New York surpasses $500 million.


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