Treatment FAQ

who pays for addiction treatment

by Dr. Millie Rau DDS Published 2 years ago Updated 2 years ago
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Full Answer

How do you pay for addiction treatment?

There are a variety of options that can help cover the cost of treatment, including: State and locally funded addiction treatment programs. Substance Abuse and Mental Health Services Administration (SAMHSA) grants. Medicare and Medicaid. U.S. Department of Veterans Affairs. The Affordable Care Act.

Can you pay for drug rehab?

Teen Challenge is a nonprofit that offers addiction treatment for teens and adults at a nominal cost. The facility’s cost differs from location to location, so check your local program to determine the cost of rehab through Teen Challenge. Ultimately, paying for an addiction treatment program is entirely possible.

How does federal funding for state addiction treatment programs work?

One source of federal funding for state addiction treatment programs is one of the block grants provided through SAMHSA. Specifically, the Substance Abuse Prevention and Treatment Block Grant (SABG) offers drug and alcohol prevention and treatment programs for specific segments of the population.

What health insurance covers addiction treatment?

United Healthcare, Cigna, Blue Cross and Blue Shield and Aetna are the four major health insurance companies that cover millions of individuals across the nation. Read more about these major insurance providers and the addiction treatment services they cover.

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Do you have to pay to be on intervention?

Health professionals agree that one of the biggest barriers preventing drug addicts from receiving treatment is the cost. Stays at in-patient treatment centers like the ones that appear on "Intervention" can range from $12,000 to more than $50,000 per month-long stay -- a cost that can be prohibitive.

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.

How can I get money for rehab?

Financial aid for drug rehab. ... Health insurance and the ACA. ... Government grants for those recovering from addiction. ... State-funded and local treatment programs. ... VA benefits. ... Financial aid directly from treatment centers. ... Faith-based rehab programs. ... National Foundation for Credit Counseling.More items...•

What is responsible for addiction?

Dopamine is widely regarded as the hormone responsible for addiction, primarily due to its role in producing feelings of euphoria.

How much does drug addiction cost the US?

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.

What are the social costs of drug abuse?

The societal costs of substance abuse in disease, premature death, lost productivity, theft and violence, including unwanted and unplanned sex, as well as the cost of interdiction, law enforcement, prosecution, incarceration, and probation are, however, greater than the value of the sales of these addictive substances ...

Can I get a loan to go to rehab?

Many rehab facilities offer financing programs where they essentially loan clients the money to pay for treatment, and clients pay off the loan over time, usually in monthly increments. Other institutions also offer loans, which people can use to finance rehab.

How much does Recovery Centers of America cost?

At a company that promotes itself as the new frontier of addiction treatment and charges an average of $24,000 a month, some patients were not getting basic counseling. They were often unsupervised. The staff has complained repeatedly to management and the state that they weren't able to keep the patients safe.

What does Samhsa stand for?

Substance Abuse and Mental Health Services AdministrationSAMHSA - Substance Abuse and Mental Health Services Administration.

Who is at fault for addiction?

Addicts may blame it on their personality, their doctor, a bad relationship or any number of other setbacks in life. In reality, there's no one thing to blame – anyone can become an addict – so it's important to focus that energy on the path to healing instead.

Is it your fault if you get addicted?

Addiction is not your fault; whether it is to a substance such as alcohol or drugs, or a behaviour such as gambling, online gaming, or sex; addiction is a disease that can drive a person to cheat, steal and manipulate to achieve their “fix” and leaves their families and loved ones devastated by the destruction it ...

What is the most critical factor in addiction?

Factors such as peer pressure, physical and sexual abuse, early exposure to drugs, stress, and parental guidance can greatly affect a person's likelihood of drug use and addiction. Development. Genetic and environmental factors interact with critical developmental stages in a person's life to affect addiction risk.

Which insurance companies cover addiction treatment?

United Healthcare, Cigna, Blue Cross and Blue Shield and Aetna are the four major health insurance companies that cover millions of individuals across the nation. Read more about these major insurance providers and the addiction treatment services they cover.

What insurance is available for alcohol rehab?

Medicare And Medicaid. Federal and state sponsored health benefits are available for rehab costs for specific segments of the population. These insurance programs can provide payment options for alcohol addiction treatment and each program has different requirements for eligibility.

How much does the ACA cover?

Depending on the plan you select, ACA-sponsored policies cover between 60 to 90 percent of the cost of rehab services incurred in a drug treatment center.

How long does it take to get sober in rehab?

With just 30 days at a rehab center, you can get clean and sober, start therapy, join a support group, and learn ways to manage your cravings.

Is rehab a deterrent?

The cost of rehab is often a deterrent for those who need treatment, but it doesn’t need to be.

Can family members help with rehab?

Family members may be able to help you pay for rehab as well. Suggest that they make the payment directly to the facility so there will be no question that the funds are being used as intended. Friends may also be able to help raise money for your rehab costs using Crowdfunding sites like GoFundMe.

Can drug treatment centers find out if you are in their network?

Many drug treatment centers can do this for you if you’re not sure what to ask. They can find out if they are in your provider network and how many days and what services are covered under your specific plan.

What is treatment in rehab?

For most people, “treatment” means a residential rehab facility. In reality, treatment can take place in different forms, settings and for different lengths of time. Finding treatment begins with understanding these options and identifying what’s best for your child’s needs with the help of their doctor. From there, you can begin to explore more low- or no-cost solutions.

What costs will you be responsible for?

Make sure you understand the costs you will be responsible for even when services are covered.

What is required to access covered treatment?

Ask your insurance provider whether any types of treatment services will require prior authorization. For example, your child’s treatment provider may need to obtain approval before prescribing a specific medication or providing a specific treatment.

What if coverage is denied?

In case of a denial, be prepared to file a complaint with your state’s insurance commissioner, appeal the decision, and work with your health care provider on proving medical necessity.

What to do if your insurance says a treatment is not medically necessary?

If your insurance company determines that a treatment is “not medically necessary,” they are required to share the standards used to make that decision. You will likely need to make a formal request for this information. You can coordinate with your child’s doctor to work with the insurance carrier and to demonstrate medical necessity accordingly.

What to do if your treatment plan doesn't align with what is covered?

In the case where your child’s treatment plan doesn’t align with what is covered, talk to your child’s provider about the level of care covered that is most appropriate. Note that a lower level of care may not address all needs, but a higher level of care than needed could mean unnecessary care at a higher cost.

What is a copay?

What is your copay? Copayments are a set amount you must pay when receiving a service, for example, $25 per doctor’s visit.

What Factors Into The Cost Of Addiction Treatment?

There are several factors that affect the cost of rehab. Some of the predominant factors include:

What insurance covers addiction?

Types of insurance that may cover addiction care include: Medicaid. Medicare. State-financed health insurance. Private insurance. Military insurance. Not everyone has insurance, but there are still ways to get the help. One way is to look for a free or low-income center.

Why is rehab important?

Some people may be anxious to take on debt, but it’s important to view addiction rehab as an investment. Over time it pays off. Getting sober gives people the tools to get their life and career on track. Recovered addicts are also able to save more because they aren’t spending on drugs or alcohol.

How much does it cost to detox?

Detox. Outpatient detox ranges from $1,000 to $1,500 in total. Most inpatient rehabs include detox in the cost of a program. The exact cost of detox depends on whether it’s part of an inpatient program and the type of drug addiction being treated.

How does rehab affect the cost of getting sober?

The type of care offered by a rehab affects the total cost of getting sober. Treatment types are also different for some addictions. There are many other factors that affect the cost of rehab, from medical care to amenities. The following estimates are based on costs reported by studies and individual facilities.

How long does it take to get sober in rehab?

With just 30 days at a rehab center, you can get clean and sober, start therapy, join a support group, and learn ways to manage your cravings.

Why are inpatient programs so expensive?

The costs of inpatient programs are higher because the costs of housing and intensive care are higher. The cost of these programs also depends on the length of the program and location. A center in a state with a higher cost of living, like California, can be more expensive. Treatments Offered.

How much does a substance abuse treatment grant cost?

Substance abuse treatment costs an average of $1,583 per person and is associated with a cost offset of $11,487—a greater than 7:1 benefit-cost ratio. 1

How much can you save by taking a substance abuse treatment?

Further, a study in California found that substance abuse treatment for 60 days or more can save more than $8,200 in healthcare and productivity costs. And a study in Washington state found that offering a full addiction treatment benefit led to per-patient savings of $398 per month in Medicaid spending. 1.

How can states help with substance abuse?

Through federal and state financing, states are able to set up and provide free substance abuse help through their own rehab centers. There are various types of rehabilitation options for substance abuse available for those looking for state-funded drug rehab . State centers can provide both inpatient and outpatient treatment, and they can offer follow-up support services or refer people to them.

What insurance covers drug rehab?

Medicare Part A (hospital) and Part B (medical) insurance programs, as well as the Part D prescription plans, can provide coverage for drug and alcohol rehab treatment. These programs cover both inpatient and outpatient programs and medications used in the treatment of substance use disorders (with the exception of methadone).

What is substance abuse luxury?

The level of luxury provided in a substance abuse center setting (e.g., amenities such as spa treatments, horseback riding, private rooms).

What is the VA drug treatment program?

Veterans Administration Drug Abuse Help. The U.S. Department of Veterans Affairs provides coverage for substance abuse treatment for eligible veterans through the VA. According to the VA website, financial help for recovering addicts who served in the armed forces may include: 11. Screening for alcohol or tobacco use.

What is the government agency that provides drug treatment?

The U.S. government agency that offers much of this support is the Substance Abuse and Mental Health Services Administration .

What insurances pay for alcohol rehab?

Medicare and Medicaid. Federal and state sponsored health benefits are available for rehab costs for specific segments of the population. These insurance programs can provide payment options for alcohol addiction treatment and each program has different requirements for eligibility.

What percentage of rehab is covered by ACA?

Depending on the plan you select, ACA-sponsored policies cover between 60 to 90 percent of the cost of rehab services incurred in a drug treatment center. Health Insurance Marketplace Plan Types. Bronze plans. 60 percent expense coverage.

What insurance companies cover millions of people?

They can find out if they are in your provider network and how many days and what services are covered under your specific plan. United Healthcare, Cigna, Blue Cross and Blue Shield and Aetna are the four major health insurance companies that cover millions of individuals across the nation.

Can you get scholarships for addiction treatment?

Some addiction treatment centers may offer scholarships, so it’s a good idea to talk to the admissions office as soon as you decide on a rehab. If not, the treatment facility may offer financing plans that allow you to make payments after discharge.

Is alcohol a part of the ACA?

Drug and alcohol disorders are included in the ten essential health benefits central to the ACA, which means that these policies must treat addiction and mental health disorders with the same level of importance as any other medical condition.

Does private insurance cover substance abuse?

Most private health plans do cover at least a portion of substance abuse treatment, and some cover it entirely. To learn your carrier’s benefit coverage for residential treatment, call them or visit their website to find out what’s covered.

Can family members help with rehab?

Family members may be able to help you pay for rehab as well. Suggest that they make the payment directly to the facility so there will be no question that the funds are being used as intended. Friends may also be able to help raise money for your rehab costs using Crowdfunding sites like GoFundMe.

Paying for addiction treatment

It’s no secret that addiction treatment is expensive. In fact, some addiction treatment programs can cost thousands of dollars over the course of a few weeks. While most outpatient rehabs average $100+ per day, inpatient addiction treatment can cost $700+.

Affordable Care Act and addiction treatment

The Patient Protection and Affordable Care Act, better known by some as ObamaCare, was signed into law in March of 2010. Under this law, insurance companies that offer addiction treatment coverage are required to do so at a rate no higher and a level no lower than those of other types of medical problems.

Financing addiction treatment

So how do you finance addiction treatment? You may have untapped resources of your own that you can use to help finance your addiction treatment. Here are some suggestions.

Help paying for addiction treatment

If you have no insurance and are unable to pay for addiction treatment through any other means, there’s still hope. This is especially true if you are a low-income individual. Government funded programs exist all around the country. To learn more about how you can benefit, call 1-800-662-HELP for a referral.

Addiction treatment payment questions

Navigating the world of addiction treatment can be tricky and frustrating, but we’re here to help. If you still have addiction treatment payment questions, don’t hesitate to leave them in the comments section below. We look forward to answering any questions you may have.

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Paying For Treatment with Insurance

  • Most private health plans do cover at least a portion of substance abuse treatment, and some cover it entirely. To learn your carrier’s benefit coverage for residential treatment, call them or visit their website to find out what’s covered. Many drug treatment centers can do this for you if you’re not sure what to ask. They can find out if they are...
See more on addictioncenter.com

Private Funding and Financing

  • Because the cost of rehab can be quite high depending on the facility and length of stay, it may be necessary to secure private financing for treatment if the individual is uninsured and cannot qualify for federal or state assistance. Some addiction treatment centers may offer scholarships, so it’s a good idea to talk to the admissions office as soon as you decide on a rehab. If not, the tr…
See more on addictioncenter.com

State and Local Government Programs

  • Federally funded, state-run drug and alcohol addiction treatment programs can provide public assistance. Depending on the state, these programs may be a separate agency or they may be included under a larger health or behavioral health department. They can offer both outpatient and inpatient care, as well as aftercare support services. These public programs will have specific re…
See more on addictioncenter.com

Selling Items of Value

  • Due to the importance of getting treatment for a serious substance addiction, it may be necessary to liquidate some non-essential items of value in order to finance the cost of rehab. Items such as sports equipment, digital equipment (cameras, laptops, etc.), collections of art, music equipment, used car or boats, sports memorabilia and jewelry can be sold quickly and easily. All of these ite…
See more on addictioncenter.com

Non-Profit Treatment Centers

  • There are non-profit addiction treatment programs available at little or no cost. The Salvation Army has a program that requires no payment, but the patient must be willing to work a 40-hour week to pay for their room and board. They work in the warehouses sorting donated items, or help with administrative duties in exchange for a six-month treatment program that is free of charge. …
See more on addictioncenter.com

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