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Substance use disorders can have a significant impact on your life, including your mental health, relationships, and overall sense of wellness. For individuals in New Jersey, the Harmony Healing Center in Cherry Hill offers first-rate mental health and substance abuse treatment counseling.

Our mental health treatment program is a member of the trusted and well-known Harmony Recovery Group family of programs founded by leading behavioral health innovators dedicated to excellence in care.

What Is NYSHIP: New York State Health Insurance Program and Does It Cover Treatment in NJ?

The New York State Health Insurance Program, or NYSHIP, is a health insurance program for state employees and their employers. NYSHIP includes the Empire Plan and various approved HMO plans. NYSHIP covers an estimated 1.2 million state employees, local government officials, retirees, and their families.

Currently, the Empire Plan is in-network with over 190,000 providers nationwide, which can include treatment providers in New Jersey. Eligible candidates for NYSHIP coverage must work a minimum of 3 months in a state or government job, work a minimum of 20 hours per week, and cannot already have NYSHIP coverage.

What Is the New York State Health Insurance Program (NYSHIP) Empire Plan in New Jersey?

Individuals who reside outside New York and want to join NYSHIP can utilize the Empire Plan. NYSHIP HMOs do not currently offer many services outside of New York. If you find yourself moving into an area of the country eligible for NYSHIP HMO, you can change from the Empire Plan to an HMO.

If you have concerns or questions about your coverage through NYSHIP or the Empire Plan, we encourage you to call (888) 409-5356 today to speak with a Harmony Healing Center representative.

Contemplative young man during addiction rehab therapy

What Is New York State Health Insurance Program (NYSHIP) Coverage for Addiction Treatment and Rehab in New Jersey?

The Empire Plan provides members with comprehensive coverage options, including mental health and addiction treatment services. This coverage includes both inpatient and outpatient treatment services where applicable. Members may be eligible for additional supportive services, including case management and discharge planning.

Beginning in January 2023, Empire Plan enrollees and covered dependents no longer had a copayment when they received qualifying opioid use disorder treatment from a network provider. This includes individuals who received medication-assisted treatment, including the use of methadone, buprenorphine, or Suboxone. This change does not apply to prescriptions obtained in a retail pharmacy.

Does the New York State Health Insurance Program (NYSHIP) Empire Plan Cover Rehab and Addiction Treatment in New Jersey?

NYSHIP may provide you with rehab coverage for addiction treatment in New Jersey If you receive NYSHIP coverage and live outside of New York, you likely have the Empire Plan, which provides coverage for various substance abuse treatment options, including detoxification and rehabilitation services.

The Harmony Healing Center provides mental health services, including addiction treatment programming, for individuals who have NYSHIP rehab coverage in New Jersey. Our Cherry Hill treatment center can provide counseling services, including dual-diagnosis treatment. If you are ready to take the next step in your recovery, we encourage you to call Harmony Healing Treatment at (888) 409-5356

New Jersey Drug Rehab and Addiction Programs Covered by the New York State Health Insurance Program (NYSHIP) 

Addiction is a personalized mental health concern that affects everyone differently. The unique combination of symptoms and experiences you have will directly impact the mental health treatment that you need. If you wonder, “Does NYSHIP cover rehab in New Jersey?,” we encourage you to continue reading about NYSHIP coverage options.

New York State Health Insurance Program (NYSHIP) Empire Plan for Medically Assisted Detoxification in NJ

Medically assisted detoxification typically occurs in an inpatient care facility, where you can be monitored around the clock as your body adjusts to the natural changes that occur when you stop using drugs and alcohol. Medical supervision is strongly advised because there are health complications and concerns that can arise during this time, including seizures, coma, and death.

NYSHIP rehab coverage in New Jersey typically includes medically assisted detoxification. It is advised that you verify your insurance before your admission. In-network providers will obtain the proper authorization so that you can focus on your recovery.

Young Asian woman leaning forward with folded hands beneath her chin listening to a detox therapist

New York State Health Insurance Program (NYSHIP) Empire Plan for Residential Inpatient Treatment in NJ

Inpatient rehab programs, also referred to as residential inpatient programs, provide you with an intensive and comprehensive treatment that can include medication-assisted therapy, support groups, and relapse prevention education. The length of time for rehab programs is dependent on the severity of your symptoms and the presence of other mental health concerns.

NYSHIP drug rehab coverage covers the full cost of inpatient treatment programs that are in-network. For out-of-network providers, members are typically responsible for 10% of the total cost of treatment until your coinsurance maximum is met.

New York State Health Insurance Program (NYSHIP) Empire Plan for Partial Hospitalization Programs in NJ

A partial hospitalization program (PHP) is an intensive form of outpatient care where you receive Six to eight hours of treatment per day, five days each week. This is the highest level of care you can receive for mental health and addiction treatment. PHP programs can include therapy, support groups, and day trips to local attractions.

NYSHIP Empire Plan does offer coverage for PHP programs after a pre-certification is obtained from a program administrator. This coverage applies to both mental health and substance abuse therapy programs.

Senior couple listening to an intensive outpatient therapist

New York State Health Insurance Program (NYSHIP) Empire Plan for Intensive Outpatient Program in NJ

Intensive outpatient programs (IOP) are a step down from a PHP that still offers intensive programs. With IOP, you can expect to be in treatment for approximately four hours, three to five days each week. This program can include group therapy, individual therapy, dual-diagnosis treatment, and medication-assisted therapy when applicable.

IOP is a form of outpatient care, meaning NYSHIP typically provides coverage. This may be considered an office visit in your plan, meaning you may be responsible for copayments for therapy.

New York State Health Insurance Program (NYSHIP) Empire Plan for Outpatient Program in NJ

Outpatient treatment for alcoholism and drug addiction can provide you with a unique opportunity to customize your treatment. This can include holistic approaches that address the concerns and challenges that have resulted from your drug and alcohol use, including aftercare programming. Common treatment approaches include cognitive-behavioral therapy (CBT) and motivational interviewing (MI).

Behavioral health coverage provided by NYSHIP can include outpatient treatment options, including rehabilitation services and related assessments. Your healthcare plan may require mental health services preauthorization, so we encourage you to verify your insurance or call the Harmony Healing Center at (888) 409-5356.

Does New York State Health Insurance Program (NYSHIP) Cover Mental Health Treatment and Therapy in New Jersey (NJ)?

NYSHIP may provide mental health benefits in New Jersey. There can be mental health coverage limitations specified in your healthcare plan, which can influence your copayments, deductibles, and coinsurance. The Harmony Healing Center is an NYSHIP alcohol rehab that provides mental health treatment options, including dual-diagnosis treatment. Call today to learn more about our admission process.

Does New York State Health Insurance Program (NYSHIP) Cover New Jersey (NJ) Eye Movement Desensitization and Reprocessing (EMDR) Therapy?

Psychiatric care coverage provided by NYSHIP often includes evidence-based treatment approaches used to treat mental health concerns. This can include EMDR, which is a common treatment intervention for individuals who are living with post-traumatic stress disorder (PTSD), anxiety disorders, and panic attacks.

Does New York State Health Insurance Program (NYSHIP) Cover Dual Diagnosis Treatment in NJ?

NYSHIP mental health insurance plans typically cover dual diagnosis treatment in New Jersey. Research has shown that the best form of treatment for individuals living with an addiction and an additional mental health concern is to provide therapy for both concerns concurrently.

Individuals living with co-occurring disorders can typically access care in both inpatient and outpatient treatment programs. Dual-diagnosis treatment is often a comprehensive approach that utilizes various interventions such as individual therapy, group therapy, support groups, medication-assisted treatment, and specialized treatment programming.

Please complete the confidential information. Someone from our team will follow up with you to check your NYSHIP insurance.

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New Jersey Rehab Centers That Take New York State Health Insurance Program (NYSHIP) Empire Plan

The Harmony Healing Center in Cherry Hill is a NYSHIP drug rehab that offers a continuum of care for individuals who are living with substance use disorders and mental health concerns. Our program provides personalized care that supports your recovery so that you can make the necessary changes for a healthier lifestyle.

Harmony Health Center – Cherry Hill, New Jersey
401 Kings Highway South
Building #1 Tara Corporate Park
Cherry Hill, NJ 08034

How Much Does Rehab Cost in New Jersey with New York State Health Insurance Program (NYSHIP) Insurance?

If you have wondered how much rehab is with NYSHIP insurance, we want to explain that there are often notable differences in the cost of inpatient and outpatient treatment programs and between the different programs within each level of care. NYSHIP does have an out-of-pocket- limit for their members, which is currently $2,600 for in-network mental health and substance abuse programs.

You will likely have changes in your deductible and coinsurance for out-of-network providers. The Harmony Healing Center can help you navigate and understand your therapy coverage. We invite you to speak with one of our representatives

Young man sitting quietly and listening to his rehab therapist

How To Check My New York State Health Insurance Program NYSHIP Empire Plan Coverage levels in NJ

Finding rehab centers that take NYSHIP is the first step in your mental health treatment journey. The next step is understanding your health insurance coverage and how it applies to your mental health needs. The Harmony Healing Center can help you verify your coverage for psychotherapy.

We encourage you to set aside time to review the documents for your health insurance coverage to understand the details of your plan better. You may also choose to contact NYSHIP directly to learn about your coverage for mental health medications and therapy. An NYSHIP representative can also help you understand your mental health copayments for various treatment options. 

How To Get New York State Health Insurance Program (NYSHIP) To Pay For Rehab Treatment in NJ?

The first step in the admission process is to contact a NYSHIP drug rehab. After speaking with an admission counselor, they can determine which level of care you need based on the symptoms you are experiencing. Your treatment provider will then discuss your financial options for treatment and obtain the necessary prior authorization for you to begin treatment.

You may be required to pay a deductible, co-payment, or coinsurance, which would be based on the details of your NYSHIP rehab coverage.

How Many Times Will New York State Health Insurance Program (NYSHIP) Pay For Addiction Treatment and Rehab in NJ?

There are no limitations associated with the Empire Plan regarding mental health, behavioral health, or substance abuse services. You may, however, need prior authorization before you begin your treatment. Addiction is a chronic and progressive disease that does come with a risk of relapsing. When this happens, engaging in treatment quickly is the ideal situation.

Several factors will impact your sobriety, some you can control, and others you can’t. Addiction treatment programs can provide you with the support and encouragement you need when you find yourself struggling with your mental health.

Drug and Alcohol Addiction Statistics in New Jersey (NJ)

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