BCBS INSURANCE INFORMATION FOR DRUG REHAB

drug rehab insuranceLearn how you can initiate your recovery from addiction with Gratitude Lodge. We offer treatment programs for alcoholism (alcohol use disorder), drug addiction (substance use disorder), and mental health disorders. Most PPO insurance providers will cover at least part of the costs of addiction treatment, including drug rehab BCBS with insurance coverage and drug rehab with Aetna insurance.

Access these evidence-based interventions at our three Gratitude Lodge locations in Newport Beach, San Diego, and Long Beach:

  • Experienced and dedicated staff
  • Affordable luxury rehab
  • Pet-friendly and inclusive environment
  • Medically supervised drug or alcohol detoxification
  • 30-day inpatient programs
  • 90-day outpatient programs
  • IOPs (intensive outpatient programs)
  • 12-step immersion program
  • Treatment covered by most PPO insurance, including BCBS (Blue Cross Blue Shield)
  • Long Beach, San Diego, and Newport Beach

This guide will help you to establish whether or not you have the best health insurance for drug rehab. You can also learn how to connect with drug rehab centers that accept insurance for addiction treatment.

DOES HEALTH INSURANCE COVER DRUG REHAB?

Among the most common questions asked by those exploring recovery from addiction are: 

  1. What is the best insurance for drug rehab”.
  2. Does insurance cover rehab.”

Luckily, most health insurance providers will cover at least part of the costs of treatment for alcoholism and drug addiction. Addiction, clinically described as substance use disorder, is a chronic, relapsing, and incurable brain disorder. Accordingly, addiction should be treatmed similarly to mental or physical health conditions like cancer, heart disease, and PTSD (post-traumatic stress disorder).

That said, many variables will influence the extent and type of coverage that a health insurance plan will provide if you require treatment for alcoholism or drug addiction. You must also find a drug rehab that takes insurance. 

If you need rehab services that are not covered by your insurance plan, you might consider private pay or a personal loan to ensure that you connect with the inpatient or outpatient treatment you need.

Does BCBS West/Prime insurance cover drug rehab and alcohol rehab, then?

DOES BCBS INSURANCE PAY FOR DRUG REHAB AND ALCOHOL REHAB?

At Gratitude Lodge, we feel that nobody should be prevented from accessing treatment for drug or alcohol addiction treatment. To widen accessibility, we will gladly work with most major insurance plans so you can cover the costs of the treatment you need.

Does BCBS health insurance cover drug rehab, then?

DOES BCBS INSURANCE COVER REHAB FOR ALCOHOL?

BCBS health insurance will cover at least part of the costs of alcoholism rehab. If you have alcohol use disorder, you will be eligible for BCBS coverage at many treatment centers, including Gratitude Lodge. Rehab coverage with BCBS will depend upon the specifics of your health insurance plan. 

Whether you require inpatient rehab or intensive outpatient treatment for alcohol addiction, connect with Gratitude Lodge today and discuss your BCBS coverage. Call (888) 861-1658.

DOES BCBS WEST/PRIME INSURANCE COVER REHAB FOR DRUGS?

For those who require treatment for substance use disorder (the clinical descriptor for drug addiction), most BCBS plans will provide coverage for the following:

  • Detoxification
  • Inpatient rehab
  • IOP (intensive outpatient program)

BCBS health insurance plans will only provide coverage for detox if admittance to a clinical detox center is considered an essential component of your recovery. 

Some BCBS plans let you engage with treatment from out-of-network carriers. The cost of treatment will always be greater than if you use an in-network provider like Gratitude Lodge.

To discover more about inpatient and outpatient rehab at Gratitude Lodge, call the friendly team at (888) 861-1658.

USING INSURANCE FOR REHAB UNDER THE AFFORDABLE CARE ACT

In 2010, the ACA (Affordable Care Act) passed with the following three primary goals:

  1. Increase access to affordable health insurance.
  2. Expand the existing Medicaid program.
  3. Promote new methods of delivering clinical care, further decreasing the overall cost of healthcare.

By 2014, all new individual and group insurance plans were obliged to provide coverage for ten key health benefits. Both addiction treatment services and mental health treatment services are deemed essential health benefits.

Beyond this, the ACA also obliges insurers to offer health plan coverage similar to the coverage provided for surgical care or general medical care. 

You may find your health insurance policy will cover the cost of outpatient treatment, inpatient treatment, and other treatment services associated with addiction. The extent of coverage will vary from plan to plan and from policy to policy. 

Resultantly, it can be tough to navigate the scope of coverage and any exclusions on your health plan. Additionally, you will need to determine whether the treatment centers on your shortlist will accept insurance as payment for addiction treatment.

Speak with your insurance provider and the rehabs on your shortlist to discuss specifics of coverage.

HOW TO DETERMINE IF YOUR INSURANCE WILL COVER REHAB

First, check your health insurance plan. Call the insurer and ask about the types of addiction treatment your policy will cover. This will help you to compare rehabs and treatment programs more efficiently. 

Private health insurance plans that offer the most solid coverage for addiction treatment typically cost more. These insurance companies will usually provide at least partial coverage for the cost of addiction treatment:

  • BCBS (Blue Cross Blue Shield)
  • Humana
  • Cigna
  • United Healthcare
  • Aetna

WHAT REHAB SERVICES ARE COVERED BY HEALTH INSURANCE?

Although health insurance providers are obliged to cover treatment costs for alcoholism and drug addiction, benefits will vary from from provider to provider and from state to state. Check your benefits closely before engaging with treatment.

The majority of health insurance plans provide the following coverage:

  • Outpatient treatment
  • Intervention services
  • Screenings
  • Medical detox
  • Medically managed inpatient treatment
  • Behavioral interventions (counseling and psychotherapy)
  • Treatment for dual diagnosis (addictions with co-occurring mental health disorders)

Beyond these basics, some health plans will also offer coverage for the following therapies:

  • IOPs (intensive outpatient programs)
  • PHPs (partial hospitalization programs)
  • MAT (medication-assisted treatment)
  • Inpatient hospitalization (short-term)
  • Preventative counseling
  • Follow-up counseling
  • Care management
  • Peer support services
  • Risk reduction interventions

WHAT REHAB SERVICES ARE NOT COVERED BY HEALTH INSURANCE?

Not all health insurance plans will cover the costs of residential rehab.

Unless services are deemed medically necessary, health insurance will typically not provide coverage, even if these interventions might be beneficial for your recovery. 

Additionally, these services are not typically covered by health insurance plans:

  • Holistic treatment
  • Recreation programs
  • Food delivery
  • Private treatment services
  • Non-medical amenities
  • Alternative therapies

Although health insurers must provide coverage for first-time addiction treatment, the cost of treatment for relapses might not be covered. If you relapse in your recovery, contact your care manager, and ask them to advocate so that you get the treatment you require for sustained recovery.

HOW TO FINANCE REHAB WITHOUT HEALTH INSURANCE

Even if you do not have private health insurance, there are other options to connect you with the treatment you need.

Some states offer free rehab or state-funded rehab programs for those with no funding or health insurance in place.

You may also consider the following options:

  • Savings
  • Financial support from loved ones
  • Loans
  • Payment plans
  • Scholarships

DOES MY INSURANCE COVER REHAB? VERIFY TODAY!

First, check that your health insurance plan covers the costs of addiction treatment.

Next, consult your treatment provider to establish the extent of your treatment needs. Expect an initial assessment to determine the severity and scope of your addiction, as well as physical tests. This allows the treatment team to recommend the treatment you need for ongoing recovery.

Verify that the rehab you are attending accepts health insurance as payment and check that your insurance provider will pay the costs of this treatment.

You will then work directly with the treatment center. Most rehabs employ specialists to help guide you through the process.

ADDICTION TREATMENT WITH BCBS INSURANCE AT GRATITUDE LODGE

Go here to determine insurance coverage eligibility.

Call Gratitude Lodge at (888) 861-1658 for immediate assistance.