Treatment FAQ

what is inpatient treatment blue cross blue shielf

by Whitney Mayer Published 3 years ago Updated 2 years ago

Full Answer

What does Blue Cross Blue Shield cover for outpatient treatment?

Standard outpatient treatment is the least intensive outpatient program and consists of therapy once or twice a week. Most Blue Cross Blue Shield plans cover these various forms of outpatient treatment. Plans may also cover counseling, psychiatric care, and different types of therapy. The exact amount of coverage offered will depend on the plan.

Is rehabcenter affiliated with BlueCross BlueShield?

* Disclaimer: Rehabcenter.net is not affiliated with or endorsed by BlueCross BlueShield. Details about BlueCross BlueShield’s coverage are intended for informational purposes only.

Does Blue Cross Blue Shield outpatient use cookies?

Outpatient | Blue Cross Blue Shield We use cookies on this website to give you the best experience and measure website usage. By continuing to use this website, you consent to these cookies. For more information, view our privacy policy. Inpatient VS.

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.

What means inpatient treatment?

Inpatient is commonly used as an adjective to describe treatment that requires a patient to be admitted to a hospital or other care facility for at least one night. Inpatient is used in contrast with the term outpatient, which describes treatment that does not require a patient to stay overnight.

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.

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.

What is the biggest barrier 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.

How many people are covered by Blue Cross Blue Shield?

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. Millions of federal government workers receive their health insurance through Blue Cross Blue Shield, and there are a variety of perks and benefits associated with Blue Cross Blue Shield coverage that could be useful to the individual struggling with mental health or addiction.

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.

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 .

How long does inpatient care last?

Inpatient Care – Involves 24/7 treatment in a hospital or clinic where the individual is admitted and may stay for multiple days or multiple weeks.

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 interim care?

Interim Care – Involves delivery of daily medication and emergency counseling from a facility in situations where an individual is unable to get directly admitted to a facility due to lack of availability/waitlist.

What is sober living home?

Sober Living Home – Involves an individual living temporarily in a home/facility as a means of transitioning from intensive treatment to being ready to live independently.

Can you share your medication?

Don’t share your medications or use someone else’s.

What is the treatment for drug addiction?

Psychological counseling. Drug and alcohol treatment revolves around examining the underlying factors and causes of the addictive behaviors. Using a mix of individual sessions with a psychotherapist and group counseling with peers, clinicians can guide the individual toward new revelations about disordered behaviors and teach them new, productive thoughts and responses to triggers.

What is a treatment specialist?

The Treatment Specialist will connect you with a treatment center that accepts a Blue Cross Blue Shield plan . The specialists can help you with the pre-certification process and confirm what services your policy will cover. After a free assessment, this expert team will guide you to quality rehabs that are aligned with your specific treatment needs. Call to speak to a Treatment Specialist today at (866) 644-7911.

What is aftercare in addiction?

Outpatient aftercare is a critical component of a successful recovery from addiction. After the completion of an inpatient or intensive outpatient program it is important to continue counseling and furthering education regarding addiction.

Does Blue Cross Blue Shield cover rehab?

Types of Rehabs that Accept Blue Cross Blue Shield Insurance. The majority of health care plans offered by Blue Cross Blue Shield will offer some level of coverage for addiction and mental health treatment. Some have limits as to the time allotted for services, defining the number of days or weeks of coverage.

What is the Blue Cross and Blue Shield Association?

The Blue Cross and Blue Shield Association is one of the most well-known names in the world of health care. Eating disorders are serious issues that affect millions of people each year, so it’s no surprise that the largest insurance companies offer comprehensive care and support to their customers who suffer from eating disorders.

What to do if your Blue Cross and Blue Shield insurance doesn't cover you?

Although you may pay more in the long-term as interest accrues, these plans are a great way to get the care you need without overdrawing your bank account. Another option is to apply for financial aid and other forms of charitable assistance. Many doctors will take a certain amount of uninsured or underinsured patients per year, so it never hurts to ask.

Where does inpatient treatment take place?

Inpatient treatment generally takes place at a residential facility with programs designed specifically for eating disorder management and care. Major health care providers, like the Blue Cross and Blue Shield Association, typically cover these facilities. To qualify for inpatient treatment of an eating disorder, ...

How many Blue Cross Blue Shield companies are there?

The Blue Cross and Blue Shield Association presides over the 37 independently owned Blue Cross Blue Shield companies around the country. Each company works on a local basis, giving Blue Cross Blue Shield customers the benefits of both a large company and a small business. Your local company understands and can work with ...

Does the anthem cover inpatient treatment?

Finally, you must prove to be capable of benefitting from the experience of inpatient therapy. While Anthem does not provide a set limit for the duration of inpatient treatment it will cover, it does provide periodic case assessments to determine whether the treatment is working.

Is mental health insurance covered by health insurance?

Nearly all major health care providers offer some form of coverage for mental health services. While it was once believed that mental health issues were only psychological problems, doctors and researchers now understand that the health of the mind and the body are interdependent. It is almost impossible to have a healthy body when you exhibit the damaging behavior patterns present in an eating disorder.

Does Blue Cross cover eating disorders?

In some cases, specialty treatment options may be preferable to more traditional forms of eating disorder treatment. If a specialty eating disorder treatment interests you, there is a good chance that your Blue Cross and Blue Shield Association insurance will cover it. Some of the most commonly covered forms of specialty treatment include group therapy sessions, art therapy and chiropractic services. Most insurance companies understand that mental health is a holistic matter, and engaging the body and mind in therapeutic activities goes a long way toward aiding recovery and changing your habits.

What is Blue Cross Blue Shield inpatient treatment?

Inpatient Treatment. Inpatient programs are the most intensive form of addiction treatment. 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.

What are the tiers of Blue Cross Blue Shield?

While the available tiers will vary from state to state, common tiers include bronze, silver, gold, and platinum. The copays and deductibles required with each plan will depend on the tier.

What is inpatient rehab?

Inpatient programs consist of a number of different types of treatment. These may include medication-assisted treatment (MAT ), a variety of therapies, detoxification, and individual and group counseling. Not every inpatient rehab center accepts Blue Cross Blue Shield.

What is outpatient treatment?

Outpatient treatment programs are typically the first form of treatment suggested for individuals struggling with drug and alcohol addiction. Outpatient programs are less intensive than other treatment options such as inpatient treatment. There are a few different types of outpatient treatment for addiction.

Does Blue Cross Blue Shield cover alcohol rehab?

Using your Blue Cross Blue Shield insurance to help pay for a drug or alcohol rehab program can ease the financial stress of treatment. Understanding your plan is important before entering a treatment program and can prevent unwanted costs.

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 much does a BCBS treatment center cost?

This act was created to expand mental health and substance abuse coverage for people across the country. As a result, many BCBS companies may provide you with affordable coverage, and that is reflected in the pricing. For example, an unlimited stay at an approved inpatient treatment center may cost $250 out of pocket. For an out-of-network treatment center, you might pay $350 plus a set fee based on your plan allowance.

What is the treatment for drug addiction?

Treatment for alcoholism and drug addiction is typically comprised of detox, therapy, and aftercare planning. Types of facilities include traditional, holistic, luxury, teen-specific, gender-specific, and dual diagnosis. These are usually broken into inpatient and outpatient centers. Other factors to consider in a rehab include the setting, treatment philosophy, and amenities.

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.

What is the difference between a bronze and a silver plan?

Bronze plans cover close to 60% of medical costs and have low monthly payments and high deductibles. Silver plans cover close to 70% of medical costs, with a somewhat higher monthly payment and lower deductible. Gold plans cover close to 80% of medical costs and have higher monthly payments and low deductibles.

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.

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 BCBS insurance?

BCBS insurance consists of 35 independent and locally operated companies across all 50 states, the District of Columbia, and Puerto Rico. 2 (top of page) In the U.S., 1 in 3 Americans are covered by an individual or family BCBS insurance plan. 2 (top of page) BCBS also offers employer-sponsored insurance plans and insurance plans specifically designed for federal employees. 1 (top of page) Over 5 million federal employees, retired federal employees, and their families are covered under the federal BCBS plan. 2 (top of page) BCBS also provides international insurance plans for people who live, work, or travel outside of the U.S. 2 (top of page)

What is the Blue Distinction Center?

BCBS has recently introduced the Blue Distinction Center for Substance Use Treatment and Recovery. 5 This new program allows you or a loved one to access nationally accredited and evidence-based drug rehabs in one database. 5

How long does inpatient rehab last?

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. You will receive 24-7 care from medical professionals, as well as attend individual and group counseling. This type of treatment is best for those who don’t have the support needed at home, or those who need constant supervision.

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.

How many tiers does Blue Cross Blue Shield have?

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. They break down as follows: 4

What is an in-network treatment facility?

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.

How long does rehab last?

Most rehab stays last anywhere from a month to a year, depending on your needs and the program/facility you are enrolled in.

What is interim care after alcohol detox?

Interim care: After alcohol detox, you may need interim care, which ensures you receive care until space opens up at an inpatient treatment center. This typically involves counseling and daily medication, if needed.

What is detox service?

Detox services: When some people stop drinking alcohol, they experience physiological and psychological symptoms of withdrawal. Detox services can help you withdraw from alcohol safely. Medical supervision is provided around the clock to ensure your comfort and safety.

Does BCBS cover rehab?

BCBS does cover rehab costs for some out-of-network facilities in special circumstances. For example, you may be a veteran in need of care at a veteran-specific facility, or you might live in a rural area with no local treatment facilities in-network. In these cases, it typically requires a pre-authorization from your healthcare provider before insurance coverage kicks in.

Is alcohol rehab covered by BCBS?

1 If BCBS is your insurance provider, some or all of your alcohol rehab and detox exp enses will be covered, depending on the plan you have.

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