Treatment FAQ

what are the reimbursement rayes for blue cross of idaho for inpatient substance abuse treatment

by Mr. Floy Kilback DVM Published 3 years ago Updated 2 years ago

BCBS pays about 60% of the costs of your medical care once your deductible is met. Silver plans have higher premiums, but out-of-pocket costs are less than with a bronze plan. BCBS pays about 70% of your medical care after your deductible is met.

Full Answer

Does Blue Cross Blue Shield cover substance abuse treatment?

Click Here for a confidential benefits check or call (866) 578-7471 to speak to a addiction specialist. Blue Cross Blue Shield has been providing millions of people with insurance coverage for over 80 years. This company is committed to high quality medical care and this also includes mental health and substance abuse coverage.

Does BCBS pay for inpatient rehab?

Inpatient rehab centers. This will only be approved by BCBS if there is medical evidence that the patient requires this type of treatment because they would otherwise be unable to maintain their sobriety. Not every BCBS policy covers all four of the above forms of treatment, or all three of the above psychological assistance.

What is Behavioral Health Management at Blue Cross?

Blue Cross of Idaho’s Behavioral Health Management program helps our members manage their overall health through medical management functions. These include: Requiring some mental health and substance abuse services to have prior authorization.

Does my insurance cover substance abuse rehab?

The coverage varies from plan to plan and type of rehab treatment such as inpatient, outpatient, short-term or long-term rehab. It’s therefore important that you learn more about your specific plan and what types of substance abuse rehab programs it covers. Chances are you, you’ll have to pay some out-of-pocket expenses.

Does Blue Cross of Idaho cover behavioral health?

The Blue Cross of Idaho Behavioral Health Management Program provides members with: Expert customer service. Appropriate handling of behavioral health cases. Prior authorization for inpatient, residential and many intensive and extensive outpatient services.

Is Blue Cross of Idaho the same as Blue Cross Blue Shield?

Blue Cross of Idaho is an independent licensee of the Blue Cross and Blue Shield Association. For more information, visit bcidaho.com.

Which of the following is a barrier to a patient's understanding of the need to seek treatment for substance use?

Stigma and confidentiality concerns. Stigma is a barrier to recovery and affects whether individuals with SUD seek treatment and social support services. Fear of legal penalties for drug use may impact whether individuals are willing to openly discuss their SUD and seek treatment.

Does Blue Cross of Idaho cover physical therapy?

Blue Cross of Idaho manages outpatient therapy services for physical therapy (PT), occupational therapy (OT) and speech therapy (ST).

Is Blue Cross of Idaho a good insurance?

The Better Business Bureau awards Blue Cross of Idaho an A+ rating.

Is Blue Cross of Idaho part of Anthem?

Anthem reported an 8% profit boost in the second quarter of 2019, citing growth in the insurer's membership in government plans and fully insured plans for the increase.

What are significant barriers to recovery?

External factors that could threaten your recovery include high-risk events or situations such as conflicts with others, social or peer pressure, or being in environments where alcohol or drugs are used. Our emotions can also present barriers. Stress, anxiety, and boredom are just a few examples.

Which option will provide the best outcome when saying no to harmful substances?

Which option will provide the best outcome when saying no to harmful substances? Leave the location. You just studied 10 terms!

What are examples of barriers to treatment?

What Are Common Barriers to Treatment ProgressFear.Unclear communication between a therapist and client.Severe symptoms.Substance use.Distractions.

Does Blue Cross of Idaho cover weight loss surgery?

Blue Cross of Idaho does cover weight loss surgery, but your specific policy must include it in order for you get it covered.

Does Blue Cross of Idaho cover ambulance?

Emergency ambulance transportation is covered under your ambulance benefit and does not count towards this transportation benefit. Need a ride to see your doctor or to pick up a prescription at the pharmacy? Your True Blue Special Needs Plan (HMO D-SNP) comes with a transportation services benefit.

Does Blue Cross Idaho cover Covid testing?

BCBS companies will cover, with no cost share to the member, the appropriate medically necessary diagnostic testing for COVID-19, where it is not covered as part of the Public Health Service response.

What is residential treatment?

Residential-treatment is 24-hour a day care outside of a hospital. This is usually licensed at a residential intermediate level or an intermediate care facility. 24-hour levels of care are the most intensive levels of care for treatment of mental illness and/or substance abuse disorders.

How many hours a week is an IOP?

An IOP is a planned, structured, service provision of at least two hours per day and three days per week (totaling at least nine hours per week) addressing a mental or substance-related disorder.

What is behavioral health management?

Behavioral Health Management focuses on improving the quality of life for people suffering from Mental Health or Substance Abuse issues (MHSA) and is a key aspect of a person’s overall health and wellbeing.

What is the phone number for a psychiatric exam?

If you believe you are in need of these services please contact Customer Service at 800-627-1188 or 208-331-7347.

Can mental health providers identify patients?

Research indicates providers don't always identify patients in need of mental-health services when the providers rely only on clinical impressions. Screening tools should not be used to make a diagnosis about behavioral, mental, or health problems.

What is the Blue Cross of Idaho?

Blue Cross of Idaho is a health insurance company that provides coverage for Idaho residents. In fact, it’s the Gem State’s largest health provider, insuring more than 550,000 members across the region.

How does BCI insurance work?

BCI insurance works similarly to other plans. Subscribers enroll in a plan and elect their coverage. They pay a yearly or monthly premium. When they need medical attention, they attend an in-network treatment program and BCI covers some (or all) of the cost.

What to do if a doctor doesn't refer you to a specific treatment center?

If a doctor doesn’t refer you to a specific treatment center, it’s up to you and your healthcare provider to choose one. You can browse through the Blue Cross of Idaho provider catalog, or call customer service to get a recommendation.

Does insurance always entitle you to free treatment?

Insurance doesn’t always entitle the subscriber to free treatment. In many cases, the subscriber is required to pay a certain percentage of the bill. This percentage is known as “ coinsurance ".

How long does it take to get a substance use evaluation?

Substance use evaluation within 48 hours including a drug screen if this is a direct admission.

How long is a psychiatric residential center?

A psychiatric residential center is a seven day a week, 24 hour a day supervised and monitored mental health facility. Prior to the time of admission, a licensed behavior health professional should initiate a face-to-face assessment with the child and family.

What is a 24 hour nursing service?

Provide 24 hour, seven days a week nursing services; have an interdisciplinary staff consisting of social workers, nurses, counselors and behavior health specialists clinically trained to assess and treat the patient's condition with specialized training in behavior management techniques.

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