Blue Cross Blue Shield alcohol rehab coverage can include counseling, behavior modification treatment, inpatient and outpatient care. Coverage for these programs varies between plans.
Full Answer
Does Blue Cross Blue Shield cover drug and alcohol rehab?
Some Blue Cross Blue Shield companies have contracted with providers across the country. Many government employees have insurance under its Federal Employee Program ®, which covers inpatient professional visits and can include detox. Some insurance plans cover Blue Cross Blue Shield alcohol rehab or drug rehab.
Does Blue Cross Blue Shield cover drug rehab in Rhode Island?
If you have a Blue Cross Blue Shield insurance plan, the following AAC facilities accept Blue Cross Blue Shield for drug and alcohol addiction rehab. AdCare Rhode Island: With various facilities located in Rhode Island, AdCare provides innovative, quality, and cost-efficient addiction treatment.
What is Blue Cross Blue Shield health insurance?
Blue Cross Blue Shield is a group of companies that provides health insurance coverage throughout the United States of America and to over 100 million people. The Blue Cross Blue Shield network is extremely wide, covering more than 9 out of every 10 doctors and hospitals in the country.
Do Suboxone doctors take Blue Cross Blue Shield insurance?
There are plenty suboxone doctors that take Blue Cross Blue Shield insurance, but coverage levels may vary by location, whether the doctor or clinic is in-network with BCBS, and much more. Without insurance, generic Suboxone tends to range between $60 and $200 in cost.
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Is addiction considered a pre existing condition?
Under the ACA, addiction is no longer considered a pre-existing condition for insurance purposes.
What are the 5 stages of rehab?
Stages of RehabilitationPhase 1 - Control Pain and Swelling.Phase 2 - Improve Range of Motion and/or Flexibility.Phase 3 - Improve Strength & Begin Proprioception/Balance Training.Phase 4 - Proprioception/Balance Training & Sport-Specific Training.Phase 5 - Gradual Return to Full Activity.
What is Samhsa program?
The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services (HHS) that leads public health efforts to advance the behavioral health of the nation.
How does Samhsa define addiction?
Addiction is defined as a chronic, relapsing disorder characterized by compulsive drug seeking, continued use despite harmful consequences, and long-lasting changes in the brain.
What does rehabilitation consist of?
Rehabilitation is defined as “a set of interventions designed to optimize functioning and reduce disability in individuals with health conditions in interaction with their environment”.
What is the final stage of recovery?
Stage 4: Advanced Recovery After approximately five years of abstinence, you will reach the fourth and final stage of your rehab: advanced recovery. It is that this point that you take all the tools and skills that you have learned during your rehab counseling and put them to use living a satisfying, fulfilling life.
In which stage of alcoholism does the drinker face serious health problems?
Lastly the final stage, known as the end-stage of alcohol abuse, is the point where the alcoholic is experiencing very serious health and mental issues.
What are the two types of treatment for drug addiction?
Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition) Types of Treatment ProgramsLong-Term Residential Treatment. Long-term residential treatment provides care 24 hours a day, generally in non-hospital settings. ... Short-Term Residential Treatment. ... Outpatient Treatment Programs.
What does SAMHSA help with?
SAMHSA's mission is to reduce the impact of substance abuse and mental illness on America's communities.
What is a good treatment plan for substance abuse?
Planning Long-Term Care Attending regular 12-step meetings or support groups. Continuing therapy sessions with a counselor. Taking prescription medications, including medication-assisted treatment for opioid and alcohol use disorders.
What four symptoms must you meet to be diagnosed with a substance use disorder?
Criteria for Substance Use DisordersTaking the substance in larger amounts or for longer than you're meant to.Wanting to cut down or stop using the substance but not managing to.Spending a lot of time getting, using, or recovering from use of the substance.Cravings and urges to use the substance.More items...•
What are the three elements of a substance abuse program?
Goals and Effectiveness of TreatmentReducing substance abuse or achieving a substance-free life.Maximizing multiple aspects of life functioning.Preventing or reducing the frequency and severity of relapse.
What is the Blue Cross Blue Shield?
The Blue Cross Blue Shield (BCBS) Service Benefit Plan , also known as the Federal Employee Program (FEP), provides coverage for more than 5.5 million federal employees, retirees, and their families. 2. BCBS has individual and family plans that include the bronze, silver, gold, and platinum plans (categories are dependent on your state).
What is detoxing from alcohol?
Detox services: In some cases, you may need assistance when detoxing from drugs and alcohol, which can potentially be uncomfortable, painful, or even life threatening. Medical detox helps you safely withdrawal from drugs and alcohol, as you’ll receive around-the-clock medical supervision.
How many hours do you spend at home for BCBS?
You live at home and spend 10–12 hours a week at the treatment facility for therapy and support. Your total out-of-pocket costs for treatment depend on the specific BCBS plan you have. Monthly premiums, copays, deductibles, and other potential costs all vary depending on the plan.
What is the lowest cost BCBS?
BCBS has individual and family plans that include the bronze, silver, gold, and platinum plans (categories are dependent on your state). Bronze plans have the lowest cost, and the price of plans goes up from there. 3. Bronze plans cover close to 60% of medical costs and have low monthly payments and high deductibles.
Is AAC covered by insurance?
Specifics regarding your coverage are based on your policy. As with most medical issues, only a portion of detox or substance abuse treatment are covered by insurance. AAC is in-network with many private insurance companies. We’ll help you verify your insurance coverage for treatment.
Does Blue Cross Blue Shield cover mental health?
Almost all of Blue Cross Blue Shield plans include coverage for mental health conditions, but the amount of coverage for treatment depends on your policy. The Mental Health Parity and Addiction Equity Act requires that health insurance companies and group health plans to provide equal coverage for mental health services, ...
Does BCBS cover rehab?
BCBS may cover some, if not all, of your rehab costs, depending on the policy you have. In some cases, your policy may not cover all the expenses related to treatment at drug and alcohol rehab facilities and treatment centers.
What is Blue Cross Blue Shield?
Blue Cross Blue Shield is comprised of 36 locally operated and independently owned companies that create plans specific to your state, local community, and individual healthcare needs. 1 Plans vary according to state. The most common plans are Gold, Silver, and Bronze. Gold plans have the highest monthly costs and Bronze plans have the lowest. Factors that affect the rating include out-of-pocket costs (Bronze-40%, Silver-30%, and Gold-20%), whether it’s a preferred provider organization or health maintenance organization, and what types of services are covered under the plan. Some states have a Platinum plan, which has the highest monthly cost with the lowest out-of-pocket costs for services (90%).
What is the pre certification for inpatient hospital?
Pre-certification is required for inpatient hospital services. Visit the standard FEP plan to learn more. With the basic plan, you must use in-network providers for services to be covered. 6 Pre-certification is also required for inpatient mental health and substance abuse services, and you can expect to pay a co-pay.
Does Blue Cross Blue Shield cover Puerto Rico?
Blue Cross Blue Shield covers more than 107 million people across the country, including Puerto Rico, and can tailor a plan to your specific needs. 1.
Is behavioral health covered by Medicare?
If you are on Medicaid or Medicare, your behavioral health and addiction services may be covered as well. Medicare is a federally funded health insurance plan for people 65 and older or for younger people who have specific terminal illnesses. 2 Medicare is comprised of 2 parts: part A and B. Private insurance companies, like Blue Cross Blue Shield, offer supplemental Medicare plans to help reduce the cost of healthcare for people who qualify for Medicare. 2
What is BCBS insurance?
BCBS is a large and well known insurance provider that is accepted at many addiction treatment facilities, including American Addiction Centers. Coverage varies from state to state and plan to plan, and it is best to contact BCBS directly with any questions about your coverage.
Which state has BCBS?
For example, employees in the state of Idaho may have a BC of Idaho plan 8, whereas Tennessee residents will have a BCBS of Tennessee plan. 9 These state-specific plans still utilize the nationwide BCBS network of providers, so patients are not limited to receiving care exclusively in their home state.
How much does Suboxone cost without insurance?
Without insurance, generic Suboxone tends to range between $60 and $200 in cost.
Does medical detox cover alcohol?
Most plans cover treatment for medical detox, if determined to be necessary. This would most likely be the case for those suffering from benzodiazepine addiction, alcohol addiction, and opiate addiction. Detoxing from these substances can be dangerous and should always be monitored by medical professionals.
Is outpatient treatment good for addiction?
However, outpatient treatment programs are also often best fit for those who are not suffering any medical issues due to their drug use or withdrawal, who feel comfortable in their living environment, and who may have responsibilities to tend to (like child care) while receiving addiction treatment.
Is Blue Cross Blue Shield a large insurance?
However, the Blue Cross Blue Shield network is quite large, meaning that those who have this particular insurance will have little trouble finding a center for treatment.
Does Blue Cross Blue Shield offer platinum?
Some states will not offer the platinum category. Blue Cross and Blue Shield recommends the bronze-level plan for those who do not go to the doctor often, as it will have a low monthly payment and a high deductible. Blue Cross Blue Shield Tiers. In summary, the tiered plans of Blue Cross Blue Shield are as follows: 2.
What does a dedicated treatment provider do?
Dedicated treatment providers can show you the best treatment options available that fit your budget and needs. They can also show you how much coverage you may receive from your insurance provider, as well as additional private costs that may incur.
Is Blue Cross Blue Shield the largest health insurance?
BlueCross BlueShield is actually a number of separate providers, but collectively they are one of the largest health insurance providers in the country. While many Blue Cross Blue Shield policies provide a range of benefits to cover addiction treatment, options and programs vary depending on the state you reside in and your individual plan.
What are the different tiers of Blue Cross Blue Shield?
Blue Cross Blue Shield insurance plans are generally divided into four tiers of coverage (Bronze, Silver, Gold and Platinum). The tier of coverage you have dictates how much of your treatment will be covered.
Does Blue Cross Blue Shield cover alcohol rehab?
Insurance coverage for alcohol and drug rehab has expanded considerably in recent years, with substance abuse and mental health being designated as “essential health benefits”, and Blue Cross Blue Shield has been at the for efront of this coverage expansion. While each client’s tier of coverage differs according to their individual care plans, Blue Cross Blue Shield offers many independent plans that provide differing levels of addiction care for alcohol and other drugs. Recovery Unplugged routinely works with Blue Cross Blue Shield to make the treatment process more accessible and affordable. The process of seeing if you or your loved one are covered by your Blue Cross Blue Shield plan starts with contacting one of our admissions representatives for a full insurance verification. Our staff will be able to quickly help you determine your scope of coverage so you can start your treatment now. Call us at (855) 754-7793 to learn more.
Does Blue Cross Blue Shield Cover Alcohol Treatment?
If Blue Cross Blue Shield is your insurance provider, your policy likely covers some or all of the costs for different types of alcohol treatment, including: 3
Blue Cross Blue Shield Tiers and Coverage Plans
Blue Cross Blue Shield offers 3 or 4 tiers of individual and family plans so you can choose a plan that offers what you need based on your budget and how often you access healthcare. Bronze, silver, gold, and platinum plans give you an idea about your monthly payments and out-of-pocket costs, such as deductibles and co-pays.
Where Is Blue Cross Blue Shield Accepted?
Thanks to Blue Cross Blue Shield’s widespread presence across the country, members can get coverage for alcohol rehab in all 50 states. A large number of doctors and healthcare facilities (including alcohol rehab facilities) throughout the United States accept BCBS.
Does BCBS Cover Out-of-Network Care?
An in-network treatment facility is one with an agreement with Blue Cross Blue Shield to offer care for members at a lower rate than other providers. When you choose an in-network facility, it typically means lower out-of-pocket expenses for you.
Does BCBS Cover Co-Occurring Mental Health Conditions?
The Mental Health Parity and Addiction Equity Act is a law enacted to ensure that everyone who wants access to addiction and mental health treatment can get the care they need. All healthcare insurance providers, including Blue Cross Blue Shield, must cover these services to some degree. 6
How to Check What Blue Cross Blue Shield Covers
Insurance coverage for drug and alcohol addiction treatment varies plan by plan, so it’s important to check with BCBS to determine what your specific policy will cover and how much you will be personally responsible for paying out-of-pocket.
Verifying Your Blue Cross Blue Shield Coverage
Once you’ve found an alcohol treatment facility that meets your needs, it’s time to verify your insurance. Call the number on the back of your insurance card to determine what is required before you enter treatment (pre-authorization forms, for example), or call the rehab facility directly.
What is BCBS insurance?
Blue Cross Blue Shield is a private insurance company that offers detox & rehab coverage for members across the United States and Puerto Rico. Blue Cross Blue Shield offers several plans to help ensure you receive the benefits specific to your healthcare needs. It is important to note that plans vary ...
How to find out if your BCBS plan covers rehab?
To determine whether or not your BCBS plan offers coverage for rehab services you can call the number on the back of your insurance card and speak to a BCBS insurance representative. You can also obtain information by going to the login page.
What is a PPO in healthcare?
A PPO allows you to receive services from any healthcare professional, whether or not they are in the provider network. 7 (blue box) You do not need a referral.
Does BCBS cover detox?
8 It can be dangerous and often involves medication use under the supervision of medical professionals. Your BCBS coverage may cover detox services ...
Does Blue Cross Blue Shield cover rehab?
Blue Cross Blue Shield (BCBS) insurance does offer coverage for detox, rehab, and other forms of substance use treatments. Blue Cross Blue Shield addiction treatment coverage varies from state to state, so it is important to verify your coverage before receiving addiction treatment. American Addiction Centers is in-network with Blue Cross Blue ...
Is AAC in network with Blue Cross Blue Shield?
AAC is in-network with most insurance providers, including Blue Cross Blue Shield. You can call our rehab hotline for information on how American Addiction Centers can help you and your loved ones recover from alcohol or substance use.
Does Blue Cross Blue Shield cover rehab?
Blue Cross Blue Shield insurance policies will provide a range of benefits that cover addiction treatment. The amount of coverage for different rehab services will depend on the state you reside in, as well as your individual plan.
Is addiction treated overnight?
Still, with the proper assistance from treatment specialists at recovery centers, you could receive support to start working on sobriety and taking back your life. Whether or not your insurance provider covers inpatient or outpatient programs is vital to know, you’ll want to know which treatment option is best for you beforehand.
Does mental health insurance cover substance abuse?
It is required by The Mental Health Parity and Addiction Equity Act that group healthcare plans and health insurance companies must provide equal coverage for mental health services, including substance abuse treatment, similar to as they do with medical coverage.
What is the Blue Cross and Blue Shield program?
Blue Cross and Blue Shield (BCBS) companies have developed a national designation program, Blue Distinction Center for Substance Use Treatment and Recovery, which recognizes nationally accredited treatment facilities that are improving outcomes with evidence-based , patient-focused care .
What are the resources for substance abuse?
The following is a list of additional national resources that are available for individuals and/or family and friends of individuals seeking help with substance use and related disorders: 1 Substance Abuse and Mental Health Services Administration (SAMSHA) Treatment Locator SAMHSA provides treatment referral and information service for individuals and families facing mental health problems and/or substance use disorders. 2 Narcotics Anonymous Narcotics Anonymous helps those trying to overcome any type of drug or alcohol dependence using their twelve-step program. 3 Nar-Anon Nar-Anon provides support and resources (meetings) for friends and family of people living with substance use disorder/addiction. 4 Alcoholics Anonymous Alcoholics Anonymous provides support through their twelve-step program to help individuals overcome a drinking problem. 5 Al-Anon Al-Anon provides information and resources (meetings) for friends and family of an alcoholic to help them recover from the effects of their drinking problem. 6 Smoking Cessation Smokefree.gov from the National Cancer Institute helps you or someone you care about quit smoking. 7 Suicide Prevention Suicide Prevention Lifeline is a 24/7 service that provides free and confidential emotional support to people in suicidal crisis or emotional distress.
What is a SAMHSA family brochure?
SAMHSA has created a Family Brochure for family members of people living with substance use disorders. It answers questions about substance use disorders, their symptoms, different types of treatment, and recovery. The brochure also addresses concerns of children of parents living with substance use disorders.
What is the substance use resource center?
The Substance Use Resource Center is available to support all individuals with substance use disorder needs, however, there may also be additional support services offered at the state level. Use our interactive map below to find other local substance use disorder resources available in your state.
What is MAT treatment?
Medication Assisted Treatment (MAT) – Involves the use of FDA-approved medications, in combination with counseling and behavioral therapies, to provide a "whole-patient" approach to the treatment of substance use disorders. Click here for more information about medications used to treat Opioid Use Disorder.
