Using Health Insurance Coverage for a PHP at Icarus Nevada

You already know how hard it can be to quit drinking and drugs.

Living with an addiction or an untreated mental health condition can significantly impact your quality of life. You can suffer from worsening physical health, struggle with making and maintaining relationships, and have a hard time supporting yourself throughout adulthood.

Once your substance use turns to abuse or you have mental health concerns, it’s time to get help. Fortunately, if you have insurance, you can attend a rehab that offers treatment programs like partial hospitalization to help you get your life back on track.

Whether for yourself, or a loved one, the structure of a PHP day program can help.

But how much does partial hospitalization cost with insurance, or without? It depends, but in many cases our PHP is in-network

At Icarus Behavioral Health Nevada, we work to make cost-effective addiction and mental health treatment accessible. We accept a wide range of insurances, including Nevada Medicaid, and coordinate with your insurance provider to maximize your coverage so you can get the care you need.

If you’re looking for a flexible, cost-effective type of treatment, read on to learn how Icarus Nevada’s partial hospitalization programs can work for you.

What Is A Partial Hospitalization Program?

A partial hospitalization program (PHP) is an intensive type of rehab treatment program that involves frequent, long-lasting sessions at a treatment center during the day before returning home at night. It’s a way to provide you with comprehensive care if you can’t attend an inpatient rehab 24/7 but still need a safe and nurturing environment where you can focus on recovery daily.

PHPs are often four to five days per week and anywhere from four to eight hours each day, depending on your schedule and the level of care you need.

Partial Hospitalization Versus Other Treatment Program Types

Partial hospitalization is one of the more intensive treatment programs available for mental health and addiction disorders. It’s often not the first type of treatment you’d think of when it comes to rehab, but PHP offers a convenient balance between other options that may work for you.

Partial hospitalization is similar to inpatient programs where you live at the treatment center for a period of time and attend treatments on a schedule created by your care team, but you’ll return home at night instead of sleeping on-site. You’ll also have access to many of the same treatments and maintain a similar schedule, but you’ll have more control over when you receive treatment.

Partial hospitalization programs are more intensive than outpatient programs that allow you to attend for less time or on your own schedule. Intensive outpatient programs covered by insurance are the most similar to PHP treatment, but you’ll often spend fewer days at the treatment center and attend fewer treatments. It’s also far more intensive than outpatient programs, where you may only see a therapist weekly, a psychiatrist monthly, or attend group therapy on your own schedule.

Get Effective Detox and Rehab Options – Call Now!

Who Is A PHP For?

A PHP is primarily for people who have other obligations or responsibilities that prevent them from attending an inpatient treatment program. You may have a job that you can’t leave or family obligations that you need to work around, making the improved flexibility that a partial hospitalization program offers more convenient.

Alternatively, you might choose PHP over inpatient programs if you’re not dealing with a condition that’s immediately dangerous to your health or your home environment is controlled enough to minimize triggers.

It’s also best for you if you’re attending a local rehab facility. A partial hospitalization program requires you to return home at night, so you’d need to find somewhere to stay if you attend an out-of-state rehab that’s too far of a commute from your home, which makes it more expensive to seek care.

What Is Partial Hospitalization Used to Treat?

A partial hospitalization program is effective for addressing a wide range of conditions, including mild, moderate, and severe addictions or mental illnesses.

Mental Health Conditions

At Icarus Nevada, our partial hospitalization program works well for mental health treatment because it provides you with a safe place to talk about your feelings and your conditions while learning coping skills. You can then put these skills into practice immediately when you return home, which helps you find what works best for overcoming your mental health symptoms.

PHPs can be used to treat:

  • Anxiety disorders
  • Depression
  • Bipolar disorder
  • Post-traumatic stress disorder
  • Obsessive-compulsive disorder

It’s best for less serious mental health conditions that don’t require constant supervision but can benefit from intensive treatment to achieve results quickly that improve your quality of life.

Effective Substance Abuse Treatment

PHP treatment is often used for moderate addictions and as part of a step-down program after inpatient substance abuse treatment that helps you transition to less intensive care as you adjust to sobriety.

It’s not immediately suited for serious addictions that require a medical detox because you won’t receive around-the-clock care, but it can follow a detox if you’re unable to commit to an inpatient program and you’ve stabilized from withdrawals.

You can attend a partial hospitalization program for addictions to:

  • Marijuana
  • Alcohol
  • Cocaine
  • Kratom
  • Ketamine
  • Heroin

Once you’ve cleared dangerous substances from your body, partial hospitalization is a viable program for most addictions. However, the right choice depends on factors like your ability to avoid relapsing at home and your insurance coverage.

A confidential call to our Admissions team can provide guidance about what will be most effective.

How Much Does Partial Hospitalization Cost With Insurance? Get the Specific Considerations

Without health insurance, addiction and mental health treatment costs can up quickly. Luckily, most government programs and private insurance plans include coverage for behavioral and mental health conditions, like addiction and mental illness, through the Affordable Care Act (ACA). However, the level of coverage you’ll receive and the amount you should expect to pay will depend on your insurance plan.

At Icarus Nevada, we accept most forms of Nevada Medicaid, as well as being in-network with many major private health providers.

What Factors Influence The Cost of PHP Treatment?

Your partial hospitalization program cost will primarily depend on your insurance and the treatment center you choose. Unsurprisingly, the cost of the rehab you choose will play a role, but your final out-of-pocket costs are usually more dependent on the type of insurance plan you have.

If you have a health maintenance organization (HMO) plan, you’ll pay less for treatment at any rehab that’s within their network. Your options will depend on the insurance provider’s network size, and the cost will vary based on your level of coverage. A rehab that’s in your HMO’s network is often the lowest cost you’ll find.

If you have a preferred provider organization (PPO) plan, you’ll also pay less for treatment from in-network providers, but you’ll also have coverage for out-of-network rehabs as well. In both cases, your treatment costs will likely be higher than an in-network provider with an HMO, but you’re able to more easily choose the right rehab for you with a PPO plan.

How to Get An Estimate for Care

Estimating your partial hospitalization program cost on your own is difficult. It will depend on the type of treatment program you’ll participate in, the cost of the rehab you choose, how long your program is, and the amount of coverage your insurance provides.

The easiest way to get an accurate estimate is to contact our Admissions team at Icarus directly so we can verify your insurance and give you an estimate for different types of care so you know what to expect.

Verify Your Insurance Coverage for Free – Call Now!

4 Proven Benefits of Partial Hospitalization Programs

Partial hospitalization programs aren’t the most common or well-known form of rehab, but they can be highly effective in helping you overcome an addiction or cope with mental health conditions.

Here’s why a PHP treatment program may be right for you.

1) Intensive Treatment

A partial hospitalization program is the most intensive form of outpatient rehab you can receive. The number of treatments, the amount of time spent, and the strictness of the schedule you have to maintain are similar to inpatient programs, which can help you progress more quickly than intensive outpatient or outpatient programs.

2) Minimal Distractions

PHPs provide you with a controlled environment where you can focus on your mental health and recovery, express your feelings freely, and not have to worry about triggers. You’re able to work through your problems and learn valuable skills that you can practice at home, minimizing the distractions and interruptions that less intensive programs may come with.

3) Flexible Scheduling

The biggest benefit of a partial hospitalization program over inpatient treatment is the added freedom you have when you don’t have to live at the facility. You can attend school, work a job, or take care of your children when required and schedule your treatment around your responsibilities instead of having to drop everything to live at a rehab center while receiving treatment.

4) Lower Costs

Even with insurance coverage, cost can still be a concern when it comes to rehab. Fortunately, your partial hospitalization program cost is usually much cheaper than inpatient care because you don’t have to pay for housing, 24/7 monitoring, and every meal.  If you don’t need constant monitoring, it can be a great way to lower costs.

What To Expect From A Partial Hospitalization Program

Partial hospitalization programs can include a wide variety of mental health services depending on the treatment center you choose and the reason you’re there. However, they’re usually the same treatments and activities as other outpatient and inpatient programs.

Individual Therapy

One-on-one therapy is one of the most common mental health services you’ll find in any rehab program, including partial hospitalization. You’ll work with a therapist to identify problematic thoughts or actions, learn how to cope with feelings and urges, and work towards recovery goals as part of your addiction or mental health treatment.

There are many different types of therapy that you may participate in, but cognitive behavioral therapy (CBT) is one of the most popular types used in partial hospitalization programs. In CBT, you’ll work on changing the way you react to thoughts and replacing negative thoughts with healthy thoughts. You may identify problems in your thinking or issues that you experience, develop a plan for addressing them, and work through those steps to change the way you think gradually.

Group Therapy

Dealing with an addiction or mental illness can be isolating and lonely. Group therapy helps create a community of people who are going through similar experiences, showing you that you’re not alone. It’ll help you see new perspectives, build relationships with others who are on a similar path, and share your thoughts and feelings aloud in a supportive environment.

Alternative Therapies and Activities

In addition to helping you cope with mental health conditions and substance abuse, partial hospitalization programs also aim to help you improve your life by experiencing new things and learning new skills.

You might participate in music, art, or writing therapy to help you get in touch with your emotions or complete teamwork or communication exercises to help you get more comfortable with other people when your condition has interfered with your social skills.

Medication Management

Medication management plays a critical role in treating mental health conditions, including those related to substance abuse disorders.

Abusing drugs can cause the chemicals in your brain to become unbalanced, which may cause depression or anxiety symptoms during recovery. You could also be experiencing agitation, restlessness, mood swings, and other harmful symptoms of withdrawal during recovery that make it harder to resist relapsing.

Alternatively, you could require medication management to address your mental health condition and its symptoms, which can contribute to a wide range of other feelings.

Medications like antidepressants, anti-anxiety medications, mood stabilizers, and drugs like Suboxone for opioid withdrawal can all help you stay comfortable during rehab and address the symptoms of your condition so you have a clearer mind for recovery.

Up To 100% of Rehab Costs Covered By Insurance – Call Now!

Get In-Network Partial Hospitalization Treatment at Icarus Nevada

If you need help with an addiction or mental health disorder, a partial hospitalization program at Icarus may be the right treatment program for you.

At Icarus Nevada, we offer all types of treatment programs with custom-tailored treatment plans built around your specific needs. We can help you overcome an addiction, cope with mental illness, or address both through our comprehensive dual-diagnosis programs. We also accept a wide variety of health insurance plans to make treatment more cost-effective and accessible.

No matter the type of treatment program you need, Icarus Nevada can help. Get in touch with us today to learn more about our partial hospitalization programs!

References

  1. https://www.hhs.gov/answers/health-insurance-reform/does-the-aca-cover-individuals-with-mental-health-problems/index.html
  2. https://www.ncbi.nlm.nih.gov/books/NBK279297/
  3. https://nida.nih.gov/publications/drugs-brains-behavior-science-addiction/drugs-brain
Edward Pelham