NYSHIP (New York State Health Insurance Plan) Behavioral Health Treatment Coverage in Palm Desert, California

California Behavioral Health is one of many behavioral health treatment centers in Palm Desert, California, part of the New York State Health Insurance Plan (NYSHIP). Our rehabilitation center specializes in substance abuse addiction recovery. We also provide dual diagnosis treatment if you’re dealing with co-occurring mental health disorders. Our NYSHIP behavioral health services will help you achieve sobriety.

CA Behavioral Health Accepts NYSHIP

Our NYSHIP behavioral health residential treatment centers can provide same-day assessment, confirm your insurance coverage benefits, and provide immediate admissions. On this page, you will learn how NYSHIP integrated behavioral health services will assist you in every step, from detoxification and therapy to relapse prevention and aftercare planning.

California Behavioral Health
37066 Bankside Dr., Cathedral City, CA 92234

Understanding NYSHIP as a Private Behavioral Health Insurance Provider

NYSHIP insurance logo for drug and alcohol residential rehab

The New York State Health Insurance Program (NYSHIP) is a comprehensive public health insurance program administered by the New York State Department of Civil Service. It is mainly for active New York State government employees, dependents, and retirees. First established in 1957, it has become one of the most extensive public employer health insurance programs in the United States.

NYSHIP offers various health insurance plans under its main program, The Empire Plan, and other Health Maintenance Organization (HMO) options. Some benefits include behavioral health and substance abuse services, prescription drug coverage, medical and hospital coverage, dental and vision plans, and Medicare coordination. Several NYSHIP behavioral health treatment centers, including CA Behavioral, are in Palm Desert.

What Does NYSHIP Stand for in Behavioral Healthcare?

NYSHIP stands for New York State Health Insurance Program. It offers all-inclusive health insurance coverage, including behavioral healthcare, to local and state government employees, dependents, and retirees. In terms of behavioral health, NYSHIP functions much like other insurance plans, managing the risk and financial liability associated with substance abuse and mental health care.

Unlike private insurance companies, NYSHIP doesn’t usually use underwriting to set member rates. The Empire Plan is an indemnity-type insurance plan, which means you can see any specialist or doctor without needing a referral. NYSHIP does allow endorsement, meaning you can modify or add to your current policy to add dependents, update personal information, or expand or restrict behavioral health coverage. Still, it does not include an umbrella policy to offer additional coverage beyond standard health insurance. NYSHIP also utilizes insurance adjusters to review how claims are processed regarding billing and coverage. NYSHIP can also pursue subrogation from the accountable third party.

If you’re dealing with a high-cost claim, reinsurance helps NYSHIP cover it. For specific out-of-pocket costs like premiums, copayments, or meeting a particular deductible, the expenses will vary based on your policy as determined by an actuary. To save money on your claims as the insured, seeking treatment only from in-network providers is crucial. Some services may require prior authorization before treatment can begin, or your behavioral health issues may put you at peril for a potential loss. Additionally, there may be exclusions where coverage is not provided, such as for experimental treatments or luxury rehabilitation facilities.

More of NYSHIPs Brands, Product Offerings, and Services

The New York State Health Insurance Program (NYSHIP) offers a variety of health coverage options for eligible employees, retirees, and their families. Below is a summary of its leading brands, product offerings, and services:

Brands and Health Plans

  • The Empire Plan
    • New York State and local government employees have access to an inclusive health insurance plan that includes medical, hospital, and mental health services.
  • HMO Options
    • NYSHIP provides several Health Maintenance Organization (HMO) plans tailored to specific regions. These plans offer in-network care with reduced out-of-pocket expenses.

Product Offerings

  • Medical and Hospital Coverage
    • This includes regular doctor visits, inpatient and outpatient hospital care, and preemptive services.
  • Prescription Drug Plans
    • Grants access to a network of pharmacies covering generic and brand-name medications.
  • Dental and Vision Plans
    • Additional coverage options for routine dental services and eye examinations.
  • Mental Health and Substance Abuse Services
    • Provides confidential support for mental health and Substance Use Disorders (SUDs).

Key Services

  • Telehealth Services
    • Offers remote access to healthcare professionals for non-emergency health concerns.
  • Wellness Programs
    • Includes preventive health initiatives, fitness programs, and support for smoking cessation.
  • Employee Assistance Program (EAP)
    • Provides counseling and support for personal and work-related issues.
  • Claims and Benefits Assistance
    • Offers help with navigating claims, billing, and understanding plan benefits.

Behavioral Health Information and Statistics in Riverside County and Beyond

The demand for behavioral health treatment services has consistently risen in Riverside County, reflecting a broader trend across California. In 2022, around 1,482,612 individuals in neighboring Los Angeles County sought addiction recovery services, indicating a growing need for behavioral health care.

The number of people requiring treatment for substance abuse is further exacerbated by alarming statistics from the Centers for Disease Control and Prevention (CDC), which reported an overdose death rate of 3.7 per 100,000 residents in Sacramento County as of December 2022. This situation underscores the persistent challenges in tackling addiction and ensuring access to effective treatment options throughout the state. These figures highlight the urgent need for enhanced resources and better access to behavioral health services, particularly in Riverside County and similar communities facing these challenges.

What Is a Behavioral Health Rehab Center?

Group therapy at an NYSHIP residential inpatient facility

A behavioral health rehab center is a facility that can help you if you’re struggling with substance abuse, such as drug addiction or alcoholism, mental health disorders, or co-occurring disorders. These treatment centers provide a highly structured care setting, creating an environment free from distractions that foster the development of coping skills and improve your physical and mental health.

The services that are typically offered within these recovery centers include family counseling, support groups, motivational interviewing, crisis intervention, life-skills training, substance abuse treatment, medication management, and behavioral therapies, such as cognitive behavioral therapy (CBT). They have a holistic approach to tackling addiction and mental health disorders.

Behavioral health rehab centers offer various rehabilitation programs to meet your needs, including residential inpatient care, outpatient care treatment services, partial hospitalization programs (PHPs), and intensive outpatient programs (IOPs). At California Behavioral, we offer NYSHIP behavioral health inpatient treatment if you’re battling with substance abuse, mental health disorders, or comorbid conditions.

California Behavioral Health

An addiction is lonely, scary, and difficult. A recovery partner can help you take back control of your life and find the path to sobriety. Call or message us now to start your recovery journey today.

37066 Bankside Drive, Cathedral City, CA 92234

Admissions Inquiry Form

Fill out our online form to find out about our treatment programs, check your insurance or to request a callback.

    Some Health Insurance Providers We Accept

    Does NYSHIP Cover Integrated Behavioral Healthcare?

    The New York State Health Insurance Program (NYSHIP) does provide coverage for integrated behavioral healthcare, including substance abuse and mental health services, through its Empire Plan. Your coverage will incorporate residential inpatient care and outpatient care treatment services. You are advised to select in-network rehabilitation facilities to minimize out-of-pocket expenses.

    Before you begin any form of behavioral healthcare, it is critical that you fully understand the extent of your coverage, including the potential out-of-pocket costs. If you would like assistance confirming your insurance coverage benefits, contact us at CA Behavioral Health. 

    Does NYSHIP Cover Behavioral Addiction Treatment in California?

    The New York State Health Insurance Program (NYSHIP) typically covers behavioral addiction treatment in California through The Empire Plan’s Mental Health and Substance Use (MHSU) Program. However, prior authorization is required. Before your addiction recovery treatment begins, it’s crucial to verify your coverage details with your health plan and the rehabilitation facility.

    Several treatment centers accept coverage for NYSHIP behavioral health services, including addiction recovery from substance abuse. Covered services usually include drug and alcoholism detoxification, behavioral health therapies like cognitive behavioral therapy (CBT), support groups, relapse prevention, and aftercare support. Contact us at California Behavioral to learn more about our NYSHIP behavioral health services for addiction.

    What Is NYSHIP Health Insurance Coverage for Behavioral Health Treatment Programs?

    The New York State Health Insurance Program (NYSHIP) covers behavioral health treatment programs, encompassing addiction recovery, mental health care, and dual diagnosis treatment for co-occurring disorders. Your coverage will vary based on your specific plan under NYSHIP, such as The Empire Plan or NYSHIP HMOs.

    Under the Empire Plan, you will be covered for inpatient and outpatient mental health care services, substance abuse treatment, and crisis intervention services. You may need prior authorization for some of these services. Choosing rehabilitation centers that are in-network is also essential to decrease out-of-pocket costs. The coverage for NYSHIP HMOs will depend on your provider. If you have questions concerning your coverage, contact us at California Behavioral Health to learn more about our NYSHIP behavioral health services.

    California Behavioral Health Treatment Program in Palm Desert That Takes NYSHIP Health Insurance Plans

    Numerous behavioral health treatment programs in Palm Desert accept NYSHIP insurance plans, including those provided by California Behavioral. Our experienced team is here to help you quickly verify your insurance and explore payment plans if you are without insurance. This ensures you receive the necessary care. Contact us at (888) 355-1676 to start your recovery.

    Our rehabilitation center in Cathedral City is committed to addressing addiction, mental health conditions, and co-occurring disorders. We take a holistic approach to inpatient care, which includes medical detoxification and behavioral health methods such as therapy, cognitive behavioral therapy (CBT), motivational interviewing, and support groups. Furthermore, we place a strong emphasis on relapse prevention and the creation of aftercare plans.

    • 37066 Bankside Drive, Cathedral City, CA 92234
    California Behavioral Health
    37066 Bankside Dr, Cathedral City, CA 92234, United States

    Can I Travel Out of State for Behavioral Health Treatment Programs with NYSHIP Insurance Coverage?

    You can access out-of-state behavioral health treatment programs if enrolled in the New York State Health Insurance Program (NYSHIP). The Empire Plan provides nationwide coverage for substance abuse and mental health services, allowing you to have the care you need even when you are not in New York State.

    Medical services will be covered at little to no cost if you utilize network providers. However, if you pick a provider that does not participate in the network, you will face higher out-of-pocket expenses, such as copayments, deductibles, and coinsurance. If you have any questions about your coverage, please contact us at CA Behavioral.

    Does NYSHIP Health Insurance Cover Inpatient Behavioral Health Treatment Programs in California?

    The New York State Health Insurance Program (NYSHIP) often covers California’s inpatient behavioral health treatment programs through The Empire Plan’s Mental Health and Substance Use (MHSU) Program. To receive the highest benefits, you must utilize network providers and obtain prior authorization before starting your treatment.

    Our NYSHIP behavioral health inpatient treatment provides a holistic approach to addiction and mental health care. If you’d like more information about our behavioral health rehab, contact us to speak to one of our admission counselors.

    California Behavioral Health Programs Covered by NYSHIP in Palm Desert

    There are several covered NYSHIP behavioral health services and programs in Palm Desert, including those available at California Behavioral Health. While this is not an exhaustive list, some covered options include inpatient care programs, partial hospitalization programs (PHPs), and intensive outpatient programs (IOPs). For more information about our recovery options, please contact us at CA Behavioral Health.

    NYSHIP Coverage for Inpatient Programs

    Inpatient rehabilitation provides a supportive and safe environment that is crucial for healing. These programs are characterized by a structured daily schedule that helps you establish stability and focus on your recovery goals. Medical professionals monitor you closely 24/7 to ensure safety during the detoxification process. You’ll receive a personalized treatment plan tailored to your unique needs, emphasizing cultivating skills for long-term recovery.

    When considering inpatient rehabilitation, it’s essential to understand the financial aspects involved. NYSHIP often covers inpatient care programs; however, selecting an in-network facility is advisable to minimize out-of-pocket expenses. Prior authorization may be required, so checking with your insurance provider is crucial. While coverage is typically extensive, potential costs and exclusions might affect the duration of treatment or limit access to experimental therapies. Being informed about these factors can help you navigate the recovery process more effectively and ensure that you receive the support you need.

    NYSHIP Coverage for PHPs

    Partial hospitalization programs (PHPs) are more adaptable forms of outpatient care than inpatient care options. You will benefit from significant support while enjoying the comfort of returning home to your bed each night.

    PHP programs offer medical and psychiatric care, all-inclusive treatment options, structured daily or weekly schedules, and the development of coping skills and prevention strategies, all bolstered by community involvement. NYSHIP typically approves PHPs if a healthcare provider deems the treatment medically necessary. It’s also essential to confirm that the rehabilitation facility accepts NYSHIP insurance.

    Residential area in New York City

    NYSHIP Coverage for IOPs

    Intensive outpatient programs (IOPs) are an excellent option if you do not require the constant supervision of inpatient care but need more support than what standard outpatient services provide. These programs to assist with behavioral healthcare, such as substance abuse and mental health disorders, are not only affordable and accessible but also suitable if you’re shifting from residential treatment.

    With IOPs, you can continue to manage your daily responsibilities while participating in a variety of therapeutic interventions. You will gain skills to cope with your triggers, cravings, and stress, build support networks, access medication-assisted treatment (MAT) if needed, and develop a customized aftercare plan. NYSHIP may cover IOPs if the treatment is considered medically necessary and the facility is in its network of providers. Be aware that prior authorization might be required, and there could still be out-of-pocket costs.

    What Is the Average Cost of Behavioral Health Treatment in SoCal With NYSHIP Insurance Coverage?

    The average costs associated with behavioral health treatment in Southern California with NYSHIP insurance coverage will depend on the treatment you need, the rehabilitation center you select, and your policy. Inpatient care can cost between $15,000 to $60,000, but with NYSHIP, those numbers will be significantly reduced. Outpatient care session copayment often ranges from $0 to $75 per session.

    As an NYSHIP member, your out-of-pocket expenses will be drastically reduced if you pick in-network providers. Furthermore, as of July 1, 2023, NYSHIP has set the maximum out-of-pocket limits for covered in-network services at $4,000 for yourself and $8,000 for family plans each year. We realize that insurance plans can be frustrating and overwhelming. Contact us at CA Behavioral if you need help confirming your coverage benefits.

    What Is the Average Cost of Behavioral Health Treatment Near Los Angeles Without NYSHIP Support?

    The cost of behavioral health treatment near Los Angeles without the support of health insurance will depend on the type of care and the services provided. Inpatient care treatment can range from $15,000 to $60,000 for a 30-day program. Outpatient treatment services usually cost between $100 and $300 per session.

    If you do not have insurance coverage, we offer payment plans to make our behavioral healthcare more accessible. Contact us at CA Behavioral Health, and one of our admissions counselors can explain the total costs of your care.

    How to Check NYSHIP Insurance Coverage at California Behavioral Health

    New York City skyline showing the Empire State Building

    Please follow these steps to verify your coverage for NYSHIP behavioral health services at California Behavioral Health. First, you must authenticate provider participation. You can confirm your benefits by contacting one of our admissions counselors at (888) 355-1676. Moreover, obtaining prior authorization is crucial, as certain services, such as inpatient care and intensive outpatient programs (IOPs), may require it.

    Once your coverage is verified, understand what costs will be covered and any out-of-pocket expenses you may incur. We know that navigating your insurance policy can be challenging. Allow us to clarify your coverage benefits and address any questions you might have about our NYSHIP integrated behavioral health services in Palm Desert, California.

    How to Get NYSHIP to Pay for Behavioral Health Treatment in California

    Confirming your coverage is the first step in getting the New York State Health Insurance Program (NYSHIP) to pay for your behavioral health treatment in California. You can do this by calling the number on the back of your insurance card or accessing your policy details online.

    You must verify that out-of-state behavioral health treatment is covered within your health plan. It’s also essential to check about prior authorization requirements. Then, you must find an in-network provider. If you select an out-of-network provider, you may have higher out-of-pocket expenses. Some plans will reimburse a percentage of those costs, so you must save all your receipts and submit claims for reimbursement to NYSHIP. Your health plan may involve copayments, deductibles, or cost-sharing. It’s essential to know your total expenses before starting treatment. Once you’ve submitted all your documentation, keep copies for your records. Rehabilitation centers like CA Behavioral Health can help you navigate the approval process. Remember, you have the legal right to appeal if your coverage is denied. Additionally, if you have completed your behavioral health treatment, you can request a claim settlement to reimburse any expenses you’ve already incurred.

    How Many Times Will NYSHIP in SoCal Pay for Behavioral Health Treatment in Palm Desert?

    The New York State Health Insurance Program (NYSHIP) does not limit the number of times it will pay for behavioral health treatment in Palm Desert if it is deemed medically necessary. However, some guidelines dictate the types and frequency of services available.

    Navigating NYSHIP insurance procedures and protocols can often feel daunting and stressful. Let us at California Behavioral help you verify your coverage, its frequency, and whether you are eligible for immediate admission. We help you concentrate on your behavioral health recovery

    Behavioral Health Treatment Statistics and Information in Southern California

    • In 2022, approximately 1,482,612 individuals in Los Angeles County required behavioral health addiction recovery.
    • The CDC shared that the overdose death rate in Sacramento County was 3.7 per 100,000 residents in December 2022.
    • The Public Health Department of Los Angeles County shared in April 2024 that annually in Los Angeles County, there are 139,179 substance abuse-related hospitalizations, including behavioral health addiction treatment.
    • Between 2017 and 2019, the number of facilities in California providing residential care for behavioral health treatment grew by 68%, and the number of facilities providing hospital inpatient care more than doubled.
    • About 2.7 million Californians met the criteria for substance use disorder in 2022, but only 10% received any treatment.74% of adults participating in a behavioral health treatment program started their alcohol or drug use before the age of seventeen.
    • The Kaiser Family Foundation (KFF), a nonprofit organization headquartered in San Francisco, California, shared that among adults who required mental health and addiction dual diagnosis treatment, the uninsured, underinsured, and communities of color faced many barriers when trying to access care. In 2022, out of all adults in California exhibiting symptoms, 28.5% said that they needed treatment but did not get it.
    • The National Alliance on Mental Illness in California shared that 9.5 million United States adults experienced substance use and mental health disorders in 2019.

    Exploring Palm Desert, California, and its Favorite Attractions

    Palm Desert, in the heart of the Coachella Valley in Southern California, is encircled by mountain ranges and a beautiful desert environment. Many vibrant cities encircle Palm Desert, each offering its distinct appeal. To the west, Palm Springs shines with its mid-century modern architecture, luxurious resorts, and bustling arts scene.

    Rancho Mirage, celebrated for its upscale golf courses and exquisite dining, is a top choice for leisure and sophistication. To the east, Indio hosts the renowned Coachella Valley Music and Arts Festival, attracting music enthusiasts from all over the globe. Desert Hot Springs, known for its natural mineral waters, provides refreshing spa experiences, while Cathedral City features a burgeoning cultural scene and attractions suitable for families. Collectively, these cities form a rich and dynamic region that harmoniously combines luxury, entertainment, and natural beauty, making the Coachella Valley an essential destination to explore.

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