Teen Treatment Covered by Healthcare Insurance Pennsylvania PA

Adolescent Treatment Programs in Pennsylvania Accepting Insurance

Finding an adolescent mental or behavioral treatment provider in Pennsylvania that accepts healthcare insurance is not an easy task. Depending on the particular adolescent treatment program and the specific benefits covered by an insurance plan, the treatment program may be able to work with your insurance provider, but without a consultation it is never a guarantee.

If you've found a treatment program in Pennsylvania you like, its worth your time and energy to find out if they accept your insurance plan. Your insurance just might pay for some or all of the treatment costs your child will incur. But, you won't know until you ask. 

We recommend that you contact your insurance company, either online or over the phone, and ask about the coverage and benefits offered under your plan. Or, consider choosing a treatment facility in Pennsylvania and ask them to contact your insurer for you, as they might be able to get you answers faster.

Mental & Behavioral Health Coverage in Pennsylvania

Before the Affordable Care Act of 2018, many insurance companies did not provide comprehensive mental health care as a core benefit.  However, because of Obamacare and subsequent healthcare laws (mental health parity laws), all insurers must provide the same level of care for mental health issues as they do for any other type of coverage. Meaning, health insurance companies must provide the same level of coverage for mental health as they do physical health. 

The mental health parity laws states that insurers are required to cover mental and behavioral health issues (including substance-use disorders) in the same way they cover physical health issues. The parity law applies to employer health plans, coverages bought through the marketplace (Affordable Care Act), CHIP, and most Medicaid-funded programs.

Obamacare mandates that insurance companies offer at least the bare minimum coverage for substance abuse, addiction, and mental health issues (Unfortunately, these mandates only apply to the insurance coverage bought through the marketplace, and therefore not all folks are guaranteed a decent level of mental health coverage).

Private health insurance plans in Pennsylvania are not required to cover mental health or behavioral health treatment, but most do anyway. They offer coverage for addiction and substance abuse treatment because they might want to sell their plan on the government "marketplace," and many folks looking to buy private health insurance want mental and behavioral health covered.

Most insurance policies consider "drug rehab coverage" and/or "addiction treatment services" as universal covered benefits. Meaning, treatment is provided to everyone diagnosed with an addiction regardless of the type of addiction, age or gender of the addict, or what caused the addiction in the first place. If mental health and addiction treatment is covered by your insurer's plan, then you get that benefit no matter what kind of substance abuse or drug rehab service is needed.

Know The Details of Your Insurance Plan - Mental & Behavioral Health Benefits in Pennsylvania

Before attempting to admit or enroll your troubled teen into a mental or behavioral health treatment program in Pennsylvania be sure to find out if the program works with your insurance company. As a matter of fact, before you start looking for treatment for your child, know everything there is about your coverage as it pertains to mental health, behavioral health, and substance abuse treatment. Go so far as to know coverage, benefits, provider restrictions, the cost of co-payments, and everything you are required to pay because your insurance company in Pennsylvania does not cover.

Even though "residential treatment" may not be covered by your insurance, you might be able to use your IOP and/or PHP insurance benefits to help pay for a large portion of the cost of a residential treatment center in Pennsylvania. The best RTC's work with insurance companies as "out-of-network providers," which allows for some therapeutic services to be paid by the insurance company.  For example, many insurance plans cover a wide array of mental health treatment provided by Residential Treatment Centers in Pennsylvania, such as Intensive Outpatient treatment, Intensive Inpatient treatment, Partial Hospitalization treatment, as well as Individual and Group Therapy.

In addition, treatment programs in Pennsylvania providing diagnostic assessments by licensed mental health practitioners are able to submit the bills to insurance companies on behalf of their client. Since diagnostic services are covered by most insurance plans, parents of teens receiving treatment in Pennsylvania-based residential treatment centers can get assessments, tests, and diagnostic services paid for, thus lowering the overall cost of treatment. 

Pennsylvania State Resources for Parents of At-risk Youth

As one of the premier residential treatment centers for a variety of therapeutic intervention strategies (CBT, DBT, behavioral therapy) and life skills development and experiential education in the nation, Turning Winds prescribes to the convictions of these leading resources of volunteers and professional counselors.

The Pennsylvania Community Support Program (PCSP) helps to provide consumers, family members and professionals a forum to help shape the continued transformation of the mental health services in Pennsylvania into a recovery-oriented system. The CSP in the state of PA. has developed into four regional committees which support the development of local committees and coalitions, all committees are comprised of mental health consumers, family members and professionals. Both the regional and local CSP committees provide a community-based avenue for CSP principles, education, information-sharing and for the collective input on major successes and concerns regarding community mental health services. Concerns and recommendations are then shared with the OMHSAS Adult Advisory Committee.

The Pennsylvania Positive Practice Resource Team is a joint initiative between the Office of Mental Health and Substance Abuse Services (OMHSAS) and the Office of Developmental Programs (ODP) to serve those individuals with a developmental disability who are demonstrating at-risk behavioral challenges and who the support team determines may be needing enhanced levels of support not known or available to PA citizens and residents.

For more information and additional Pennsylvania Mental Health Resources, click here.

Turning Winds is the optimal choice for parents in Pennsylvania who are wanting a leading academic institute to give guidance for their struggling child undergoing drug abuse/addiction (including marijuana), kleptomania, or anxiety. Since it can be difficult to work with highly resistant teenagers, most programs rely heavily upon level systems, punishments, and other disciplinary tactics in order to manage a teenager’s behavior. Here at Turning Winds, we recognize that the situation of one struggling child may not apply to all of our young students.

Our counselors are dedicated to not only providing help to our young students in need, but also the whole family; with the care and commitment required for full transformation. It is our desire to assist, guide, and coach parents from Pennsylvania, with a at-risk child, through a very difficult time. Turning Winds is here to serve! There is hope... and you are not alone. The vision of Turning Winds is to bring forth peace while recovering emotional health for struggling adolescents from Pennsylvania.

In short, the counselors at Turning Winds are skilled at counseling at-risk teenagers from Pennsylvania with lasting transformation. As a leading academic institute, we offer a variety of therapeutic intervention strategies (CBT, DBT, behavioral therapy), outdoor recreation and adventure therapy, and life skills development and experiential education; leading our young students to a healthy, balanced life. If you feel you may benefit from our academic institute, we encourage you to contact our consultants as the first step to creating lasting change in your struggling child’s life. We give help to vulnerable adolescents from Pennsylvania. Call us at (800) 845-1380 to speak with one of our knowledgeable consultants today!

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