UnitedHealthcare Post Traumatic Stress Disorder (PTSD) Therapy and Treatment Coverage

Understanding Post Traumatic Stress Disorder (PTSD)

Post Traumatic Stress Disorder is a mental health condition that occurs after experiencing a traumatic event. Historically, this has been referred to as “shell shock” and “combat fatigue” for Veterans who served in World War I and World War II. An event is considered traumatic if you experience or witness a traumatic event that is life-threatening, emotionally, or physically harmful. 

Specific events that can classify as traumatic events include serious accidents, natural disasters, rape and sexual assaults, and intimate partner violence. It is worth noting that not everyone who experiences the same trauma will develop PTSD, and those who do will likely have individual differences in symptoms and the way that they affect your day-to-day life.  Individuals who experience traumatic events commonly report feeling fearful or helpless, which causes psychological distress. Though PTSD can have a significant impact on your level of functioning, there is hope. Comprehensive treatment can introduce you to mindfulness practices, coping strategies for PTSD, and PTSD medications that can help you manage your mental health symptoms. 

Is PTSD a Curable Condition?

Mental health conditions are not often referred to as curable, including PTSD. Post traumatic stress disorder can be managed effectively with the use of comprehensive care, and may even go into remission. Many individuals find that with the right treatment, they can lead happy and fulfilling lives. 

Treatment for PTSD often involves a combination of therapies such as cognitive-behavioral therapy (CBT), exposure therapy, and eye movement desensitization and reprocessing (EMDR). These therapies can help you process your traumatic memories, typically leading to a reduction of symptoms. Medications, such as antidepressants, can be used to help manage anxiety and depression that may arise with PTSD. If you would like to learn more about what PTSD therapies would be impactful for you and your symptoms, we encourage you to contact the Harmony Health Group today! 

Who is the Health Insurance Provider UnitedHealthcare (UHC)?

UnitedHealthcare, also known as UHC, is a popular health insurance provider in the U.S. that was founded in 1977. UHC offers an assortment of health insurance products and services for individuals, employers, and Medicare and Medicaid recipients. The UnitedHealth Group has a large network of healthcare providers, allowing their members to access premier healthcare services. 

UHC is known for providing comprehensive treatment options for members that allow you to prioritize your overall health and wellness. Examples of healthcare concerns commonly included in UHC coverage include preventive care, chronic disease management, and mental health services. UHC’s commitment to innovation and quality care has made it a trusted choice for many individuals and families seeking reliable health insurance coverage.

Does United Healthcare Cover Post Traumatic Stress Disorder Therapy and Counseling?

UnitedHealthcare generally provides coverage for comprehensive care that includes therapy and counseling for PTSD. Though coverage is dependent on the details of your plan, coverage typically includes various forms of evidence-based psychotherapy which can help you process and learn to manage your trauma.

UnitedHealthcare’s coverage for PTSD therapy and counseling can also vary on your individual needs. Therapy and counseling can occur with licensed therapists, psychologists, and other credentialed mental health professionals. You can review the details of your UHC plan to learn more about the scope of your coverage as it relates to behavioral health treatment programs.  

Does UHC Cover the Cost of Psychiatrist Visits for PTSD?

Yes! UnitedHealthcare members can often utilize health insurance coverage towards the costs associated with working with a psychiatrist. Psychiatrists can play a vital role in your treatment by conducting PTSD screening and assessments and prescribing PTSD medications. They will actively monitor your symptoms to make adjustments to your medication regimen as needed.

UnitedHealthcare’s coverage for psychiatrist visits typically includes initial assessments, follow-up appointments, and medication management services. Verifying your insurance can provide you with information on the details of your prescription drug coverage, such as the use of name-brand medications and copayments.   

Does UHC Cover the Cost of Medication for Post Traumatic Stress Disorder?

UnitedHealthcare typically provides coverage for the cost of medications used to treat post-traumatic stress disorder. Your coverage can include antidepressants, antianxiety medications, and other drugs prescribed to manage symptoms that are having a negative impact on your day-to-day life.

There may be specific limitations or exclusions associated with your UHC prescription drug plan. This can include formulary lists, which detail covered medications, applicable copayments, and prior authorizations. If you have specific questions about the scope of your coverage for PTSD medications, we encourage you to contact the Harmony Drug and Alcohol Addiction Recovery Group, or UnitedHealthcare directly for more information. 

What are Common Medications Covered By UnitedHealthcare for PTSD Treatment?

Research has indicated that there are  4 common medication options used to treat PTSD. This includes three different SSRIs and one SNRI medication. These medications can be impactful for individuals who are experiencing a specific set of symptoms and are often combined with 

Supportive counseling and holistic approaches to PTSD.

Commonly used SSRI, or Sertraline is a Serotonin Reuptake Inhibitor medication, including:

• Sertraline or Zoloft can be prescribed to reduce anxiety symptoms, improve your mood, and reduce intrusive thoughts or flashbacks by changing the level of serotonin in the brain.
• Paroxetine, also known as Paxil, is commonly used to decrease anxiety, flashbacks, and intrusive thoughts for those living with PTSD.  
• Fluoxetine, or Prozac, is an SSRI that can be used to reduce anxiety, lift your mood, and decrease the number of flashbacks and other intrusive thoughts you experience.

Serotonin- Norepinephrine Reuptake Inhibitors (SNRI) that may be used to treat PTSD include

• Venlafaxine, or Effexor, is used to provide relief from symptoms including anxiety, depression, and hyperarousal. This medication works by adjusting the levels of serotonin within your brain. 

Post Traumatic Stress Disorder Programs Covered by UnitedHealthcare

There isn’t a blanketed approach to treating PTSD because of the individual differences that we commonly see. Because of this, treatment programs are designed to incorporate varying intensities and duration to provide appropriate treatment options for those experiencing diverse symptoms. Examples of treatment programs often covered by UHC include: