NYSHIP Coverage
NYSHIP Insurance Coverage for Rehab at URP Behavioral Health
We manifest this understanding by caring for both the physical and the mental health of the individuals who come to us with a mental health disorder. If you’re a member of the New York State Health Insurance Program (NYSHIP), you win: this insurance program includes coverage for a wide array of mental health treatments, including therapy and rehabilitation.
With NYSHIP mental health providers, you’ll have access to a full mental health treatment program covering depression, anxiety, PTSD, and more. Perhaps you need outpatient therapy, inpatient services, or specialized rehabilitation programs, but whatever the extent of your mental health issue, NYSHIP covers a diversity of mental health services that will help you manage a more balanced, healthier life with our clinic URP Behavioral Health.
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History NYSHIP
In 1957 New York State Health Insurance Program (NYSHIP) was formed to cover New York State employees, retirees, and their family’s health care needs. It has grown into one of the nation’s most prominent public employer health insurance programs in the years since. NYSHIP is managed by New York’s State Department of Civil Service and the division of Employee Benefits provides a variety of health plans including the famous NYSHIP Empire Plan.
The NYSHIP Empire Plan mental health serves over 1.2 million enrollees today, making it one of the largest, and most well-known, public health insurance programs in the country. NYSHIP has partnerships with over 800 different local government employers to provide extensive coverage of healthcare to its members. The beneficiaries will be able to access these care leaders’ healthcare providers, such as Anthem Blue Cross, UnitedHealthcare, and Carelon Behavioral Health to ensure access to quality healthcare service in a wide network.
What Is NYSHIP Insurance Coverage?
The New York State Health Insurance Program (NYSHIP) is a comprehensive health insurance plan that provides coverage for New York State employees, retirees, and their dependents. It covers a wide array of medical services, ensuring that members have access to essential healthcare, including rehabilitation programs for those struggling with mental health and substance abuse issues.
NYSHIP’s Rehab coverage includes both inpatient and outpatient services, offering flexibility and support for individuals seeking treatment for mental health conditions and substance abuse. These services can include:
- Inpatient and outpatient services. Coverage for hospital stays, surgeries, and outpatient procedures, which may be necessary for rehab treatments and recovery.
- Mental health and substance abuse treatment. NYSHIP provides comprehensive coverage for mental health services and substance abuse treatment, including access to rehabilitation programs, counseling, and therapy sessions.
- Prescription drugs. The plan also includes coverage for prescription medications, both generic and brand name, which may be part of a rehab or recovery treatment plan.
NYSHIP is available to New York State employees, retirees, and their dependents, including spouses, domestic partners, and children. This makes it a valuable option for those in need of rehabilitation services, providing them with the care and support necessary for recovery.
Does NYSHIP Cover Rehab for Mental Health Treatment?
However, Comprehensive medical insurance (NYSHIP) includes comprehensive coverage for mental health including, inpatient and outpatient rehabilitation. These programs are created to help people cope with mental health disorders by preparing them with unique treatment plans to satisfy each individual’s unique needs. The coverage extends to a variety of therapeutic interventions, such as:
- Therapy and counseling. Mental health conditions are addressed by sessions with licensed therapists or counselors.
- Psychiatric care. Services offered by psychiatrists to keep people with symptoms under management – most often through medication or other forms of treatment.
- Residential and outpatient rehab. Round-the-clock care, or part-time depending on the level of care needed.
As mental health issues affect 51.5 million adults in the U.S. in 2019 and mental health coverage is so important for employees, retirees, and their dependents, NYSHIP therapy coverage is an important resource. It makes sure that people who experience mental health issues can be given the support and rehabilitation they need to mend and improve their lives.
Mental Health Programs Covered by NYSHIP Insurance
Mental health is one of the extensive services provided by NYSHIP for its members, which means that employees, retirees, and their dependents have much-needed help for a range of mental health issues. NYSHIP supports mental health at every stage of treatment, whether it’s anxiety, depression, or something more complex. The program ensures that mental health care is feasible and accessible, thereby ensuring members can improve their mental health, and quality of life. Some of the key mental health benefits provided by NYSHIP include:
- Therapy and counseling. Payment for therapy sessions with licensed mental health professionals (counselors, therapists, and social workers), to help them manage, and where appropriate treat, psychosocial conditions.
- Inpatient and outpatient treatment. Both inpatient and outpatient mental health services so members can determine which level of care best meets their needs.
- Medication management. Psychiatric medication coverage so that members receive the medication needed to control their psychiatric symptomatology.
- Access to mental health specialists. A variety of mental health specialists including psychiatrists, psychologists, and social workers are available to the NYSHIP member through access to these providers.
- Crisis hotlines and emergency mental health care. Access to emergency care and crisis hotlines 24/7 to get the support that you usually wouldn’t have immediately when amid a mental health crisis.
- Substance abuse treatment. Coverage for substance abuse treatment and rehabilitation and mental health and behavioral health challenges at the same time.
These critical benefits of NYSHIP health insurance mean that members can receive the resources and support they need to respond to mental health needs in the short term or long term. The program has comprehensive services that are available always to provide continuous emotional and psychological well-being at all stages of recovery. NYSHIP members can be sure they will locate appropriate therapy, medication, or care to assist in improving their mental health.
What Mental Health Disorders Does NYSHIP Cover?
- Anxiety disorders. This includes generalized anxiety disorder, panic disorder, social anxiety disorder, and separation anxiety disorder. Fear, worry, and nervousness that last for 6 months or more are typical of people with an anxiety disorder and can interfere with daily activity.
- Depression is a mood disorder — a mood disorder that is associated with a depressed mood for most of the day, every day, for at least two weeks. Treatments to manage symptoms and overall well-being are covered by NYSHIP.
- Bipolar disorders. Bipolar I disorder, bipolar II disorder, and cyclothymic disorder are included. Mood swings characterize bipolar disorders; major swings include highs (mania or hypomania) to lows (depression).
- Post-Traumatic Stress Disorder (PTSD). It means PTSD Mental Health Condition that occurs after experiencing or witnessing a traumatic event. It includes flashbacks, nightmares, and overly sensitive emotions.
- Schizophrenia is a mental health disorder that seriously impairs a person’s thinking, feeling, mood, ability to relate to others, and function throughout life. Hallucinations, delusions, and disorganized thinking are some of the clinical signs it can cause.
- Attention Deficit Hyperactivity Disorder (ADHD). It’s a neurodevelopmental disorder that causes difficulty paying attention, controlling impulses, and hyperactivity. This can create problems in the pursuits of an academic and a social one.
- Eating disorders. They include anorexia nervosa, bulimia nervosa, and binge eating disorder. People who have an eating disorder have unhealthy eating habits which will badly affect their health.
How Much Does NYSHIP Cover For Mental Health Treatment?
Typical mental health and psychiatric treatment costs that can pile up quickly without insurance include the type of treatment, location, duration, and services provided. Outpatient therapy sessions can cost on average from $100 to $200 per session and more intensive treatment programs such as inpatient rehabilitation cost between $6,000 per month and up for the most basic program [5].
