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Understanding Insurance Coverage
UPMC Health Plan Services
UPMC Health Plan offers comprehensive resources for individuals and families impacted by alcohol and drug misuse through various services. These include outpatient treatment, detox programs, intensive services, and medication-assisted treatment (MAT) for substance use disorders [1].
Members of UPMC for You, particularly those located in Pennsylvania during the time of service, have the option to engage in virtual visits with providers employed by UPMC for their behavioral health needs. For members situated outside of Pennsylvania, services are provided by a network of contracted professionals through Online Care Network II P.C. [2].
UPMC Health Plan connects UPMC for You members to a network of qualified therapists and doctors, ensuring comprehensive management of their behavioral health requirements. Access to care is facilitated through UPMC Western Psychiatric Hospital or primary care and family practice providers [2].
The plan further emphasizes its dedication to addressing substance use disorders by providing a range of necessary services, including outpatient treatment, intensive options, and MAT through its Addiction Medicine Services (AMS).
Additionally, UPMC Health Plan supports individuals on their recovery journey with behavioral health assistance and digital tools tailored to facilitate access to treatment and ongoing care for patients confronting behavioral health challenges [1]. Understanding these services helps pave the way for individuals seeking vital information regarding insurance in addiction treatment and available treatment options.
Behavioral Health Support for UPMC for You Members
UPMC for You offers various behavioral health support options to assist its members in addressing mental health and substance use challenges. This section highlights the virtual therapy sessions and counseling services provided by UPMC Health Plan.
Virtual Therapy Sessions
Members of UPMC for You can access virtual therapy sessions through UPMC AnywhereCare. These sessions allow individuals to connect with therapists and psychiatrists from the comfort of their homes. The virtual visits cover various issues, including depression, anxiety, and stress management. Medication evaluations and ongoing medication management are also available as part of these services.
It is important to note that while these virtual visits can offer substantial support, providers through UPMC AnywhereCare are unable to prescribe controlled substances or provide treatment for substance use disorders.
Service TypeAvailable ThroughCoverage DetailsVirtual TherapyUPMC AnywhereCareSupports depression, anxiety, stress managementMedication ManagementUPMC AnywhereCareOngoing evaluations and management
Counseling Services
UPMC Health Plan provides a range of counseling services aimed at aiding recovery from behavioral health issues. The resources available include outpatient treatment, intensive services, and medication-assisted treatment (MAT) through the Addiction Medicine Services (AMS).
UPMC Health Plan also connects individuals to an array of national, state, and local resources for substance abuse support. These include valuable links to organizations such as the PA Department of Drug and Alcohol Programs, Smokefree.gov, and the Substance Abuse and Mental Health Services Administration (SAMHSA) [1].
Counseling ServicesFeaturesOutpatient TreatmentServices tailored to individual needsIntensive ServicesComprehensive support for severe casesMedication-Assisted TreatmentCombines counseling and medication strategies
The behavioral health support offered by UPMC for You, including virtual therapy and counseling services, is designed to ensure that members have the necessary tools to navigate their recovery journey. For additional information about addiction treatment and services, UPMC members can explore more resources on the UPMC Health Plan website.
Addiction Treatment Resources
Access to quality addiction treatment resources is essential for those struggling with substance use disorders. UPMC for You provides comprehensive coverage for both outpatient and inpatient options, ensuring that individuals receive the support they need.
Outpatient Treatment Options
UPMC Health Plan offers a variety of outpatient treatment resources aimed at helping individuals and families affected by substance misuse. These services include outpatient treatment, detox programs, intensive services, and medication-assisted treatment (MAT).
The outpatient options typically include:
Service TypeDescriptionOutpatient TreatmentRegular counseling sessions without overnight stays.Detox ProgramsSupervised withdrawal management and substance detoxification.Intensive ServicesMore frequent meetings and therapy sessions for those in need of extra support.Medication-Assisted Treatment (MAT)Use of medications to help reduce cravings and withdrawal symptoms while participating in therapy.
For more details on the outpatient treatment options available, individuals can refer to the UPMC Health Plan's resource page.
Inpatient Services Available
For those requiring a more structured treatment environment, UPMC McKeesport offers inpatient substance use disorder treatment services. This option provides a supportive and controlled setting where individuals can focus solely on their recovery while receiving comprehensive care.
Inpatient services typically feature:
Service TypeDescription24/7 Medical SupervisionContinuous support from healthcare professionals.Structured Treatment ProgramsDaily schedules that include therapy, group sessions, and educational workshops.Focus on DetoxificationSupervised detox with medications to manage withdrawal symptoms.Aftercare PlanningDevelopment of an ongoing care plan to support recovery post-treatment.
Additionally, UPMC Health Plan offers a detailed overview of the inpatient services available through their Addiction Medicine Services.
UPMC for You's substance use insurance coverage is designed to provide individuals with the necessary resources and support, whether one opts for outpatient or inpatient treatment options.
Accessing Professional Help
Individuals seeking assistance for substance use disorders have multiple avenues for support through UPMC for You. The program offers both telephonic support and online counseling options to ensure members can easily access the help they need.
Telephonic Support
UPMC for You members can benefit from telephonic support provided by licensed behavioral health clinicians. This service involves one-on-one conversations where individuals can discuss their challenges and receive professional advice. To access this support, members can contact UPMC Health Plan Behavioral Health Services at 1-888-777-8754. This service connects members with trained professionals who can guide them on their recovery journey.
Additionally, for broader issues related to behavioral health, individuals can reach out to the Health Care Concierge team by calling 1-800-286-4242. This team provides resources for various conditions, including stress, anxiety, depression, and substance use disorders.
Online Counseling Programs
In addition to telephonic support, UPMC for You members can access online counseling programs. These programs provide convenient and flexible options for individuals who prefer not to attend in-person sessions or who need support outside of traditional office hours. Online counseling allows members to receive guidance from licensed professionals through secure video conferencing or messaging platforms.
The UPMC Health Plan offers a range of resources for addiction treatment, including outpatient treatment and intensive services through their Addiction Medicine Services (AMS) program. Members interested in exploring these options or any assistance from national, state, and local resources for substance abuse can find valuable information by visiting the UPMC Health Plan substance misuse and addiction support page.
For those looking for details on alternative insurance options, such as Aetna Medicare coverage for addiction treatment, or information on other insurers, consider exploring various substance use coverage details.
Stress Management Programs
UPMC for You provides multiple stress management programs aimed at supporting individuals dealing with addiction and related challenges. These programs include text messaging support and virtual health coaching.
Text Messaging Support
Members can enroll in a stress management text messaging program by texting the keyword PEACE to 478-762. This service provides 24/7 access to tips and resources for managing stress. The program offers practical techniques like breathing exercises, muscle relaxation, and mindfulness strategies to help individuals cope with everyday stressors [2].
FeatureDescriptionEnrollment MethodText PEACE to 478-762Availability24/7Resources ProvidedStress management tips, breathing exercises, muscle relaxation, mindfulness techniques
Virtual Health Coaching
UPMC Health Plan also offers virtual stress health coaching through telephonic and virtual sessions. These sessions are designed to assist members in coping with stress and improving their mental health. Coaches provide personalized guidance and support to help individuals navigate their stressors effectively [2].
Coaching TypeFormatFocusVirtual CoachingOnline sessionsCoping with stress, mental health improvementTelephonic CoachingPhone sessionsPersonalized support
These stress management resources under the UPMC for You substance use insurance coverage can be an essential part of one’s recovery journey. For more information on substance use insurance coverage, explore our articles on does aetna medicare cover addiction treatment? and capital blue cross coverage for substance use.
Additional Resources
Access to additional resources is vital for individuals seeking support in their substance use journey. UPMC for You provides various options for behavioral health coaching and access to national and local support services.
Behavioral Health Coaching
UPMC Health Plan offers behavioral health coaching for UPMC for You members. The program consists of a team of licensed behavioral health clinicians who provide telephonic or virtual one-on-one support. This service is designed to help members navigate their mental health challenges, including coping with stress and improving overall well-being. Members can access this support by contacting UPMC Health Plan Behavioral Health Services at 1-888-777-8754 or through email at [email protected] for routine issues [2].
Additionally, UPMC Health Plan provides stress health coaching through virtual and telephonic sessions. These sessions focus on coping strategies to manage stress effectively and promote better mental health.
National and Local Support Services
UPMC Health Plan also connects members with a variety of national, state, and local resources for those seeking help with substance abuse. These resources include links to organizations such as:
These resources serve as a foundation for individuals looking for support and treatment options in their quest for recovery [1].
Individuals are encouraged to explore these services as part of their comprehensive treatment plan, and it's essential to remain informed about the various insurance in addiction treatment options available for their specific needs, including those provided by organizations such as Aetna, Cigna, and others.
References
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