Treatment FAQ

what is inpatient treatment blue cross blue shield

by Mrs. Dasia Bergstrom III Published 2 years ago Updated 1 year ago
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Full Answer

Does Blue Cross Blue Shield cover inpatient rehab?

Blue Cross Blue Shield will often provide coverage for inpatient treatment if a medical assessment deems it necessary. Coverage offered for inpatient programs will vary from plan to plan. This form of treatment requires individuals to stay at the rehab facility for several days or weeks.

Does BCBS cover drug and alcohol rehab?

If someone is deemed to require intensive treatment for their substance abuse problem, coverage is available through BCBS for: Outpatient rehab facilities. In outpatient, patients can access both assessment and treatment in order to overcome their addiction.

How do I find mental health services covered by Blue Cross Blue Shield?

This involves accessing the Blue Cross Blue Shield website or its mobile app. Once logged in, policyholders should select Go to My Coverage, and then tap on Medical, select the What’s Covered option, and then click on Find Behavioral Health Care, Mental Health Care and Substance Use Treatment.

Does Blue Cross Blue Shield offer private health insurance?

They offer both private and employer-based insurance programs. Several healthcare providers, hospitals, and rehab facilities work directly with Blue Cross Blue Shield to provide treatment services.

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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 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 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 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 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 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).

How long does an inpatient stay in the hospital?

Most inpatient programs last anywhere from 15–90 days, depending on the program you’re in and your individual needs. Partial hospitalization (PHP): Partial hospitalization programs give you the opportunity to live at home while attending treatment during the day.

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.

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 an IOP treatment?

Intensive outpatient program (IOP) —An IOP is a type of outpatient treatment program that is more structured than a standard outpatient program, but less intensive than an inpatient facility.

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.

What is partial hospitalization?

Partial hospitalization programs (PHP) —PHP services are another type of outpatient treatment for people who require more supervision than a traditional outpatient program offers, but not as much supervision as an inpatient program.

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