Cigna Coverage for Attention Deficit Hyperactivity Disorder (ADHD) Treatment

Attention Deficit Hyperactivity Disorder (ADHD), Signs, and Symptoms; Explained

Attention deficit hyperactivity disorder, or ADHD, is known to manifest differently but generally involves a combination of symptoms affecting attention, impulsivity, and hyperactivity. The signs and symptoms of ADHD can affect various areas of your life and can affect children as young as 4 years old. 

Those living with ADHD have experienced symptoms for at least 6 months, and have noticed symptoms present in more than one setting. At least one-third of children who are diagnosed with ADHD continue to experience symptoms as adults. Here are some common signs:

• Inattention:
  • Difficulty sustaining attention: Individuals with ADHD may struggle to maintain focus on tasks or activities, especially those that are repetitive or less engaging.
  • Easily distracted: They often find it challenging to ignore external stimuli, which may cause frequent distractions.
  • Forgetfulness: Forgetfulness in daily activities, which can include forgetting appointments, losing things, or failing to complete tasks due to distraction.
  • Disorganization: Difficulty organizing tasks and activities, which can look like messy workspaces, missed deadlines, or poor time management.
  • Avoidance of tasks: Often avoids or procrastinates on tasks requiring sustained mental effort, such as homework or paperwork.
    

• Hyperactivity:
  • Fidgeting or restlessness: Often seen as an inability to sit still, tapping hands or feet, or squirming in the seat.
  • Excessive talking: Talks excessively, often blurting out answers before questions have been completed.
  • Difficulty engaging in quiet activities: Avoids or dislikes tasks that require sustained mental effort or concentration.
  • Always on the go: Acts as if “driven by a motor,” constantly moving or running about, unable to remain seated when expected.
    

• Impulsivity:
  • Impulsive decision-making: Makes hasty decisions without considering the consequences, leading to frequent accidents or mistakes.
  • Interrupting others: Often interrupts or intrudes on others’ conversations or activities, unable to wait their turn.
  • Difficulty waiting: Has difficulty waiting for their turn in situations where waiting is necessary, such as in lines or group settings.

These symptoms can vary in severity and may present differently depending on the person and their age. A comprehensive evaluation by a healthcare professional is crucial for an accurate diagnosis and appropriate management of ADHD.

Learn about Cigna Insurance; Quick Overview

Cigna insurance provides a broad range of coverage options for healthcare services, including mental health and substance abuse treatments. Cigna is widely accepted by healthcare providers across the United States, offering various plans that cater to individual needs and budgets. Cigna’s network includes many facilities and professionals, providing comprehensive coverage for policyholders.

Cigna is known for its commitment to providing access to necessary mental health services, ensuring that policyholders have access to the treatments they need through their network of providers and facilities. Cigna’s coverage often includes behavioral health services, making mental health and substance abuse treatments more accessible for those who are experiencing a range of mental health concerns. Cigna also offers prescription drug coverage, which often provides coverage for medications used to treat mental health and substance use disorders.

Is ADHD Testing Covered by Insurance?

Yes, Cigna coverage typically includes ADHD testing with its behavioral health services benefits. Diagnostic assessments and evaluations performed by licensed healthcare professionals, including psychologists or psychiatrists, are generally included in your coverage. Coverage specifics can vary based on the policy and related details, so it’s important to review your policy documents for exact coverage information.

ADHD screening and testing involve comprehensive assessments to evaluate symptoms and determine an accurate diagnosis. These assessments may include interviews, behavioral observations, and standardized testing tools to assess cognitive functions, attention span, and behavioral patterns. The results of these assessments can be used to formulate an accurate diagnosis and help develop a personalized treatment plan, that caters to your individual needs. 

Does Cigna Cover the Cost of ADHD Treatment?

Cigna Insurance often covers some, if not more, of the cost of ADHD treatment as a component of its behavioral health benefits. Treatment for ADHD may include various interventions including therapy, supportive counseling, medication management, and other supportive services. Your coverage does depend on the details of your plan and may include deductibles, copayments, premiums, and any applicable coinsurance.

Treatment for ADHD is typically tailored to individual needs and may involve a combination of interventions to address symptoms causing psychological distress. Cigna’s network of providers typically includes professionals who specialize in ADHD treatment by offering personalized treatment options that can support you in the long term. If you have specific questions about what does Cigna cover for ADHD therapy, we encourage you to dial (866)461-4474 and speak with an Admission Counsleor today!

Does Cigna Support Coverage for ADHD Therapy and Counseling?

Yes! Cigna insurance generally includes coverage for ADHD therapy and counseling services as part of its behavioral health benefits. Therapy and counseling are often essential components of ADHD treatment, and can help you develop coping strategies for ADHD and explore behavioral changes that can help promote overall emotional wellness.  

Therapy options may include cognitive-behavioral therapy (CBT), behavioral therapy, family therapy, or specialized interventions addressing the unique needs of those living with ADHD. Coverage specifics can vary based on the policy and plan details, so it’s recommended to verify your coverage with Cigna or review your policy documents for details on your therapy and counseling benefits.

Does Cigna Cover Psychiatrist Visits for ADHD Treatment?

Cigna policies typically include coverage for psychiatrist visits used for ADHD. For many, psychiatrists play a crucial role in treatment by providing medication management for those using ADHD medications, diagnostic assessments and screeners, and ongoing monitoring of your symptoms throughout your treatment experience. 

Psychiatrist visits may include evaluations to adjust medication regimens, discuss treatment options, and provide supportive care to individuals with ADHD. Coverage specifics, such as your out-of-pocket expenses, may apply depending on the details of your policy outlined by Cigna.

Does Cigna Cover the Cost of Medication for ADHD?

ADHD medications typically fall within the scope of Cigna’s prescription drug benefits. This allows policyholders to receive commonly used to treat ADHD, including stimulants or non-stimulants. Medications are often used in conjunction with behavioral health treatments including counseling, therapy, and holistic approaches for ADHD.

Your coverage may have limitations or exclusions about medications they cover. As an example, you may have limited coverage options on name-brand medications, and more coverage available for generic medications. If you would like to learn more about the details associated with your insurance plan, we encourage you to complete our online verification form or dial (866)461-4474 today to speak with an Admission Counselor. 

Medications used to Support ADHD Treatment Covered By Cigna Insurance

Cigna typically covers medication-assisted treatment options used to treat ADHD, which can help you manage your symptoms more effectively. These medications fall into several categories, including stimulants, non-stimulants, and occasionally, antidepressants. It’s important to note that the following examples are not an exhaustive list, and coverage may vary based on individual policies and plans:

Cigna Covers the Following ADHD Treatment Programs

If you find yourself wondering what does Cigna cover for ADHD treatment, you’re in the right place! Cigna coverage often includes a variety of treatment programs designed to address the different symptoms and severities associated with ADHD. Examples of programming options that may fall within the scope of your insurance include: