Maritain Health Coverage
Maritain Insurance Coverage for Rehab at URP Behavioral Health
At Maritain Health, we understand that your health comes first and that is why we offer the best comprehensive and accessible healthcare services with our explicit focus on catering to different needs. One of the reasons why we highly recommend a visit to our clinic URP Behavioral Health is our extensive acceptance of Maritain Health insurance. This coverage intends to provide you with quality care while keeping out-of-pocket expenses to the minimum to ease your mind throughout your treatment.
The availability of insurance coverage may differ from your plan so it is very important to check your plan benefits and confirm details before engaging in treatment. If you have any questions about your policy, or how it will help you take maximum advantage of the benefits that come with Maritain Health coverage, our dedicated team is available to help you.
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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 Maritain Health
North American Health Plans, the beginning of Maritain Health’s journey, started over forty years ago. In 2006, Maritain Health came into being with the transformation and rebrand to Maritain Health, and what we know today as the TPA. This shift put us in a better situation to meet our plans for being excellent and much better attentive to our customers’ needs.
In 2011 our growth increased significantly when we became a subsidiary of Aetna®, one of the largest and most recognizable health insurance providers in the United States. This partnership allowed us to better serve our consumers and to reach a new much wider audience. As part of the CVS Health® family, Maritain Health grew its presence in the healthcare industry even further in 2018, reaffirming our leadership role while continuing our ability to deliver for our members.
Currently, GHC is staffed by Primary Care and Specialists, physicians numbering over 80, and supported by Nurse Practitioners, Registered and Practical Nurses, and other certified healthcare professionals. This has become a good model of care delivery where the needs of the community ranging from basic health check-ups, specialized services, and even diagnostic functions can be met under the same umbrella. However, GHC directly manages the largest community-based diagnostic imaging clinics in the region which are on a single EMR network.
What is Maritain Health Rehab Insurance Coverage?
Most addiction treatment services are covered by Maritain Insurance, depending on the details of your plan the level of coverage may vary. Before you start treatment, most treatment centers will run an insurance benefits check to make sure which services and treatments are covered under your policy and hence know how much to expect to spend out of pocket:
- Assessments and evaluations. Evaluate all aspects of the addiction in order to assess how much your or your loved one’s life has been affected and develop an effective treatment program.
- To guarantee the appropriate care for their condition, patients need medical examinations.
- Detox for drugs and alcohol. Services to cover detoxification services that aid individuals through withdrawal symptoms while they start to recover.
- Addiction treatment medication may be needed while and after detoxification, stabilization, or ongoing management.
- Therapeutic services are described as individual, group, or family services providing psychological aspects of addiction and helping in the recovery of people with substance abuse.
- Inpatient and residential treatment programs. Inpatient or residential rehab programs provide intensive care and support for the most severe cases of addiction and will be covered [1].
Does Maritain Health Cover Rehab for Mental Health Treatment?
- Residential treatment. Inpatient or residential treatment programs may be covered too where people get 24/7 care in a good, structured framework to deal with extreme psychological wellness and/ or addiction issues.
- Partial Hospitalization (PHP). This program gives you a higher level of care than with outpatient services, and you do not need to be in a residential setting. Daily therapy and support are the norm and the structure of treatment is often a set approach for people who require more intensive care than is provided through standard outpatient services.
- Intensive Outpatient Program (IOP). Treatment at IOP is flexible, combining structured therapy with support so individuals can live at home. This one is meant for those whose care is not full but requires penetration treatment sessions several times a day.
- Outpatient Program (OP). This is relatively lower intensive care for people who can get counseling and therapy on a regular schedule without incorporating residential or inpatient care. It’s best for people with milder conditions or those who are no longer in more intense treatment programs.
Mental Health Programs Covered by Maritain Health Insurance
Maritain Coverage pays for many types of therapy programs as long as the therapy employed is evidence-based and clinically effective for your specific mental health condition. Often, therapists use a combination of different techniques to address your needs, creating an integrative or eclectic approach to therapy:
- Acceptance and Commitment Therapy (ACT). ACT is a type of psychotherapy that invites people to fight against both their thoughts and feelings. This enables clients to focus on values-driven activity to improve their mental well-being.
- Cognitive Behavioral Therapy (CBT). One of the most commonly used therapies for the treatment of anxiety, depression, and other conditions like that, is CBT. Helping individuals notice and change negative thought patterns and behaviors, works.
- Dialectical Behavioral Therapy (DBT). When DBT is applied to someone with emotional regulation issues, it works especially well for someone with borderline personality disorder. It functions as a strategy to accept and tolerate distress while making changes in any damaging behaviors.
- Eye Movement Desensitization and Reprocessing (EMDR). It is a therapy developed just for helping one process traumatic memories. It’s often used in treating PTSD, particularly to help clients make sense of negative memories by reducing the emotional charge.
- Mindfulness practices. Mindfulness-based therapies emphasize that individuals should remain aware and present of their emotions, thoughts, and sensations, and change the structure of the given sentence. It’s also often used to reduce stress and promote emotional regulation.
- Child-Parent Psychotherapy. This therapy is geared towards families, who work through trauma, attachment issues, and other emotional roadblocks that can interfere with a family’s ability to function.
What Mental Health Disorders Does Maritain Health Cover?
- Major Depressive Disorder (MDD) and other mental depressions including Persistent Depressive Disorder (dysthymia). It may be called when you feel sad and hopeless and lose interest in nearly all activities most of the time, for more than two weeks.
- Forms of anxiety disorder covered include generalized anxiety disorder (GAD), social anxiety disorder, and panic disorder. An individual with anxiety disorder has excessive fear and worry.
- Post-Traumatic Stress Disorder (PTSD). It can take days, weeks, or even months, but after a traumatic event, a person may develop PTSD. They include symptoms such as flashbacks, nightmares, emotional numbness, and hyperarousal and are covered under Maritain Mental Health plans.
- Alcohol abuse. Alcohol use disorder (AUD) treatment includes therapy and programs to help alcohol-dependent individuals recover and address alcohol dependency.
- Grief and loss. Treatment for people affected with severe suffering or loss of life is covered by Maritain Health.People can work with therapy to cope with the emotional aftereffects of losing a loved one or a major event in their life.
- Eating disorders. Conditions that it includes are anorexia nervosa, bulimia nervosa, and binge eating disorder. However, treatment tackles both psychological and physical aspects of these conditions and helps people pick trails out of their condition.
- Obsessive-Compulsive Disorder (OCD). An obsession is an involuntary thought that simply won’t go away andcompulsion is an attempt to eliminate the thought by repeating a behavior. Treatment approaches included in Maritain Health coverage include Cognitive Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP).
How Much Does Maritain Health Cover For Mental Health Treatment?
With Maritain Health, treatment costs will vary based on your plan, as well as the type of provider you select. On average, each therapy session of Family Therapy will cost you between $50 and $150 out of pocket. The amount you pay, however, depends on such factors as whether your therapist is in-network or out of network, and the specific benefits of your Maritain plan.
For the in-network provider, Maritain Health usually covers a large part of the therapy session. Copays are in the ballpark of $30 per session and coinsurance generally means whatever percentage of the session fee you’re responsible for. If your therapist charges a higher session fee, so too will the amount you pay out of pocket.
The costs can be even higher if you go to an out-of-network provider. For these cases, you can be asked to pay up to 60 percent (which varies from $120 to $250 or more per session) of your current session fee.
