Highmark Coverage
Highmark Insurance Coverage for Rehab at URP Behavioral Health
At our clinic URP Behavioral Health, the focus is the well-being of your mind while providing effective treatment in line with current programs offered per the patient’s circumstances. At Highmark Insurance, it has never been this easy to get the best mental health services.
At the moment, we have a lot of experience in providing individualized treatment programs for many mental disorders, such as anxiety, depressive disorders, and addiction. Some of the Highmark insurance plans include Highmark Community Blue PPO Coverage among others, and you will be accorded the right care you deserve.
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We know that seeking treatment can be overwhelming, but our staff is here to make the process as smooth as possible. We’re available 24/7 to address any questions or concerns you may have.
History Highmark
Highmark Inc. was established in 1996 through the merger between the Blue Cross of western Pennsylvania and Pennsylvania Blue Shield is one of the largest health insurance companies in the United States. The company is called Highmark Blue Cross Blue Shield in western Pennsylvania, and Pennsylvania Blue Shield in the rest of the state. Currently, it caters to 18 million people, provides various insurance solutions, and realizes more than $7.4 billion in annual sales.
The merger led to the formation of a monopoly of insurance service providers with a commanding share in Pennsylvania; however, the antitrust authority questioned the merged firms on competition and quality issues. Highmark diversified its programs offered, covering dental and vision as key areas, and got large-scale arrangements, such as with the U.S. armed forces.
What is Highmark Rehab Insurance Coverage?
Highmark PPO Blue Coverage assists people in regaining or enhancing their health status after an illness, surgical operation, or injury. It allows various kinds of rehabilitation treatments depending on the need. Common forms of Rehabs covered by Highmark that can be financed:
- Physical therapy. Reduces joint stiffness and improves motion flexibility as well as muscle strength.
- Occupational therapy. Concerned with motor tasks, functional independence, totality, self-efficacy, and general knowledge.
- Speech therapy. Supports the enhancement of the ability to speak, understand language, and swallow food.
- Substance abuse. It is focused mainly on the individuals who have a problem with drug or alcohol usage disorder.
- Mental health therapy. Provides a service delivery network for the diagnosis and treatment of mental health disorders.
The degree of coverage depends on the particular Highmark Health Insurance option that you have subscribed to. Such plans might be restricted by the number of sessions allowed or the overall time for which the therapy will be provided. For more information on your particular rehab benefits either look at your policy or contact Highmark to go over details in detail.
Does Highmark Cover Rehab for Mental Health Treatment?
- Individual counseling. A context dedicated to the identification of cognition, affect, and behavior related to addiction.
- Group therapy. Helps people link up with others in the recovery process so that they can establish fellowship and have their experiences appreciated.
- Family therapy. Strengthens the relationship with the members of the family and concentrates on the process of interaction between them.
- Psychiatric care. Covering drug prescription, monitoring, and assessment of other mental health disorders related to substance dependency.
Insurance options may include but differ from one program to the other depending on your insurance provider, your insurance, and individual requirements. Know on hand or refer to your plan documents for further information about a specific service or consult with Highmark for any limitation or exclusion.
Mental Health Programs Covered by Highmark Insurance
Therapy services related to a variety of mental health conditions are referred to by Highmark Blue Cross Blue Shield. It’s based on you having a diagnosable condition, such as Highmark Therapy Coverage can track your progress during therapy. Highmark covers therapy for many diagnosable mental health issues, including:
- Depression. An illness characterized by depression with sadness, hopelessness, and loss of interest in activities on most days for most days for more than two weeks. Treatment typically involves therapy, including cognitive behavioral therapy; and medication management (brand name can include antidepressants).
- Anxiety. That also includes anything from generalized anxiety disorder, to panic attacks, to social anxiety. Excessive worry, fear, or nervousness are part of the anxiety disorders. CTB and medications that help treat symptoms of anxiety are covered under Highmark.
- Alcohol and drug abuse. Detox programs, therapy (individual, group, and family), and medication-assisted treatment are available for substance use disorders (including alcohol and drug abuse). These services assist people to become physically and emotionally healthy again from addiction.
- Grief and loss. Sadness, depression, and emotional distress are caused by grief as a result of losing a loved one or other major change in life. Grief counseling is covered, according to Highmark mental health, if filed within one year of the death, and involves providing emotional healing and support to enable individuals to cope with their loss.
- Eating disorders. Unhealthy relationships with food are some disorders like anorexia, bulimia, and binge eating disorder. Treatment usually involves a combination of psychotherapy, nutritional counseling, and sometimes medications aimed at all or some psychological and physiological aspects of eating disorders.
- Obsessive-Compulsive Disorder. OCD is a mental disorder that includes repetitive behaviors and recognized, repeated thoughts (obsessions) that are unwelcome and distressing to a person. Exposure and response prevention therapy, cognitive behavioral therapy, and medication to help with symptoms and maintain quality of life are all covered by Highmark.
What Mental Health Disorders Does Highmark Cover?
- Cognitive Behavioral Therapy. CBT is an extremely effective treatment for depression, anxiety, and PTSD. It is focused on identifying and changing emotional distress by changing negative thought patterns or behavior.
- Dialectical Behavioural Therapy. DBT is especially useful for people who have extremely emotional responses and is often used to treat borderline personality disorder, self-harm behavior, and very severe mood swings. Combining cognitive behavior and mindfulness practices, this course assists people in dealing with their emotions and also cultivating healthier relationships with one another.
- Eye Movement Desensitization and Reprocessing. EMDR is used to treat trauma and PTSD by helping people process and incorporate unpleasant memories. It works well to address the chronic emotional and psychological effects of traumatic experiences.
- Acceptance and Commitment Therapy. ACT is a kind of therapy that encourages us to see our thoughts and feelings, instead of pushing them away. That said, it is especially effective for anxiety, depression, and other chronic pain conditions.
- Exposure and Response Prevention Therapy. OCD is usually treated with this type of therapy. Exposure to anxiety-provoking situations and helping the person resist these compulsive behaviors constitute it.
- Internal Family Systems. IFS is an approach to treating the different parts of self which enables the understanding and healing of the same parts. Trauma, eating disorders, and mood disorders are common uses of this.
- It is the use of feedback from the physiologic system (e.g. heart rate, muscle tension) to provide feedback that individuals can then use to control mental health. For anxiety, stress, and chronic pain, it is usually used.
How Much Does Highmark Cover For Mental Health Treatment?
Your mental health treatment costs will be determined by your specific Highmark Blue Cross Blue Shield plan, however, whether the therapist is in-network or out-of-network:
- In-network therapists. You’ll typically pay a copay between $20 and $100 per session. But if your therapist is in a lower-tier network, the copay may be higher.
- Out-of-network therapists. If your plan does not cover out-of-network services, you will be paying the full session fee, which can be $180-$250 per session.
- Limited coverage plans. Third, you'll find some of the Highmark plans don't cover mental health services, like therapy, or they have limited coverage options.
Highmark urges you to check plan details to get the most accurate information on your coverage or contact us directly for more information.
