Treatment FAQ

how much does blue cross blue shield pay for substance abuse treatment

by Dr. Julio Bradtke III Published 3 years ago Updated 2 years ago

Most plans are 80-20 coinsurance, which means BCBS will pay 80 percent, and you will pay the remaining 20 percent. If you’re looking for a drug treatment center in your plan’s network, you can use Blue Cross Blue Shield’s Provider Finder.

Full Answer

Does Blue Cross Blue Shield insurance cover addiction treatment?

All Blue Cross Blue Shield insurance plans include mental health benefits, and most plans cover at least some portion of addiction treatment. 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.

Does Blue Cross Blue Shield have a substance use center?

Substance Use Resource Center | Blue Cross Blue Shield The Substance Use Resource Center is a publicly-available, national resource designed to support people seeking substance use treatment and recovery services. This resource is open to everyone, regardless of their insurance status.

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.

What does BCBS cover for drug rehab?

Depending on your specific plan, BCBS may cover a portion or the entire cost of drug rehab. The levels of rehab care include: 6 Inpatient/residential rehab —You or a loved one live at the facility throughout the duration of treatment, which is typically anywhere from a few weeks to several months in length.

Does insurance cover drug use?

Yes, health insurance plans will generally cover the cost of treatment for substance use disorder (drug and alcohol addiction) and mental health conditions.

How much money is spent on drug treatment?

Federal spending on drug control efforts was nearly $26 billion in 2018 and adjusted for inflation, that's an increase of almost 73% since 2008. For 2021, the federal drug control budget proposal by the White House would have the government spending more than $35 billion, slightly higher than what was spent in 2020.

What is a treatment plan in recovery?

One of the first steps towards recovery is drafting a treatment plan, a document that maps out your problems, goals, and objectives. One of the first steps towards recovery from substance abuse is drafting a treatment plan with your provider.

What is the cost of drug abuse?

The estimated cost of drug abuse in the United States—including illegal drugs, alcohol, and tobacco—is more than $740 billion a year and growing, according to data reported by the National Institute on Drug Abuse (NIDA.

How much does drug enforcement cost?

Spending on Drug Enforcement Has Doubled Since 2009 About $31 billion dollars were channeled into drug control efforts in 2017 compared to 2009 drug enforcement spending of $15.3 billion.

What is a treatment plan for substance abuse?

A substance abuse treatment plan is an individualized, written document that details a client's goals and objectives, the steps need to achieve those, and a timeline for treatment. These plans are mutually agreed upon with the client and the clinician.

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 does a treatment plan include?

A treatment plan will include the patient or client's personal information, the diagnosis (or diagnoses, as is often the case with mental illness), a general outline of the treatment prescribed, and space to measure outcomes as the client progresses through treatment.

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.

How to verify Blue Cross Blue Shield?

You can also verify your coverage by contacting the drug rehab center directly. AAC can verify your Blue Cross Blue Shield coverage, too; visit their website or call 877-640-1943.

How to contact BCBS for rehab?

Contact BCBS by calling the number on the back of your insurance card or by visiting the BCBS website. You can also contact the drug rehab center directly. American Addiction Centers (AAC) will verify your BCBS insurance plan drug rehab coverage.

How to check if a rehab is in network?

To check if a drug rehab center is in-network, contact BCBS directly by calling the number designated for mental health/substance abuse on the back of your insurance card or visit the BCBS website. You can also contact the drug rehab center directly. Many, including AAC, can verify your drug rehab coverage.

What is a deductible on BCBS?

BCBS plans are provided at different levels, each with its own monthly premiums and deductibles. 3 A deductible refers to the amount of money you will pay before your insurance is activated. The following is a breakdown of the different insurance plan levels offered by BCBS: 3. Bronze— These plans typically cover about 60% with high deductibles ...

What is the phone number for BCBS?

American Addiction Centers (AAC) will verify your BCBS insurance plan drug rehab coverage. You can visit their website or call 877-640-1943 and speak with an Admissions Navigator.

How many hours of counseling is required for a syringe?

This type of program usually takes place in a hospital setting and requires approximately 20 hours of treatment per week. It involves both individual and group counseling, and may also provide medication-assisted treatment to address withdrawal symptoms.

Does BCBS offer HMO or PPO?

4. BCBS offers both HMO and PPO plans.

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.

How much does Suboxone cost without insurance?

Without insurance, generic Suboxone tends to range between $60 and $200 in cost.

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.

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 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%).

How much is FEP Blue Focus?

Coverage for an individual is roughly $76 bi-weekly. The FEP Blue Focus Plan is the least expensive option; you can expect to pay around $53 for individual coverage on a bi-weekly basis. 7 However, services and providers must be in-network.

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 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.

What is alcoholism treatment?

“Alcoholism involves an increased tolerance to alcohol — meaning it takes more alcohol in order to feel the same effect.”#N#Inpatient treatment programs offer a safe environment that enables the user to break the addiction and become sober.

What is rehabs.com?

Rehabs.com is a subsidiary of American Addiction Centers (AAC) a leading provider of drug and alcohol addiction treatment nationwide. AAC is in network with many of the top insurance providers in the U.S.

What is the number to call for rehabs?

Call one of our admissions navigators at (888) 341-7785. Helpline Information. ✕. How Our Helpline Works.

How long can you stay on a medicaid plan?

Most programs are either 30, 60 or 90 days in length and can be extended if needed. Some individuals can stay as long as a year for, particularly severe cases. Once again, coverage will be determined by the individual policy and can include either partial or full payments.

How does luxury treatment help?

Luxury treatment options can increase the level of success by encouraging the patient to remain in the program for its full duration. A private room, spa treatments, and gourmet meals within the facility provide an environment where a person wants to be. This helps with the success of the program.

What is alcohol abuse?

Alcohol abuse involves neglecting your important obligations due to drinking, including drinking and driving. Alcohol abuse can include drinking even though it is having a negative impact on work and relationships, legal problems, and drinking as a way to de-stress.

Does Blue Cross Blue Shield cover alcohol rehab?

It is likely that your Blue Cross Blue Shield insurance plan provides at least partial coverage for your alcoholism rehab treatment . The coverage varies from plan to plan, so it’s important that you call your insurance company to learn more about your specific plan and what types of substance abuse services it covers.

How many organizations are covered by Blue Cross?

The Blue Cross Shield union comprises 36 medical coverage organizations that are autonomously claimed and worked. BCBS gives inclusion to the more significant part of all government representatives who are taking a crack at an organization. They are covered under the Federal Employee Program.

How many policies does Blue Shield cover?

As an example, consider Blue Shield of California. Insurers cover substance abuse treatment with at least 14 policies. The amount paid for each type of treatment varies depending upon the plan, as well as the duration of the treatment.

How much does a rehab program cost?

The average cost of a 30-day program at a reputable center is more than $20,000. Those who require 60- or 90-day programs can expect overall costs ranging from $12k to $60k.

What is a mental health union?

The Mental health union necessitates that health care coverage organizations and gathering wellbeing intend to give equivalent inclusion to psychological wellbeing administrations, for example, substance misuse therapy, as they do clinical coverage.

What is the difference between a bronze and silver plan?

Bronze plans cover near 60% of clinical expenses and have low regularly scheduled installments and high deductibles. Silver plans cover near 70% of clinical expenses, with a relatively higher regularly scheduled installment and lower deductible.

Do you need to get pre-confirmation for Blue Cross Blue Shield?

They might be needed to acquire pre-confirmation before looking for private treatment. Once more, the sum you should pay for Blue Cross Blue Shield medication and liquor compulsion recovery treatment can fluctuate unfathomably, so it’s essential to check the subtleties of your one arrangement.

Does Blue Cross Blue Shield cover substance abuse?

Determining what coverage Blue Cross Blue Shield offers can be difficult, when it comes to substance abuse treatment. Each state has different insurance requirements, plus it offers a variety of policies that differ from state to state as well.

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