July 14, 2022

Your Ultimate Guide For Drug Rehab Insurance Coverage

In this guide, we go over everything related to drug rehab and insurance. Know what your insurance covers and what to expect.

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Susana Spiegel

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Last Update on September 27, 2024

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RECOVERY WRITER & ADVOCATE

Susana is a dedicated mental health writer and advocate with over 8 years of experience in the field. She is passionate about sharing accurate and helpful information about mental health, addiction, and recovery. Susana holds a Bachelor’s degree in Christian Studies from Grand Canyon University and has over 7 years of professional experience working in the addiction recovery field. Her commitment to promoting mental health awareness and providing support to those in need is at the core of her work.

Some studies estimate that 90% of those who need substance abuse treatment do not receive it because of how expensive it can be.1

This is where understanding the question “Does insurance cover drug rehab?” comes into play.

Health insurance can literally be a lifesaver when it comes to alleviating financial burdens by making it possible to get care without going broke in the process.

Does Health Insurance Cover Drug Rehab?

Health insurance does cover drug rehab as part of the benefits mandated by the Affordable Care Act.

However, the extent of coverage can vary widely depending on the terms set by your insurer and the specific policy.

The fine print of your insurance plan often includes details such as exclusions, what types of treatment are covered or restrictions on the length of stay.

Understanding your rehab insurance coverage will help you avoid unexpected costs and ensure you receive the right treatment.2

What is Drug Rehab?

Drug rehab programs offer a variety of therapeutic approaches to help overcome substance abuse; typically, treatment starts by going through a medically supervised detox.

This is where the body clears itself of the drugs , causing you to experience withdrawal symptoms, but what happens after detox? Does insurance cover drug rehab?

Since addiction goes beyond just treating physical dependency but the psychological parts as well.

Continuing treatment through an inpatient or outpatient program would be the next best step, but how are you going to afford it?

Although insurance companies often cover both inpatient programs and outpatient programs, knowing what types of treatments drug rehab insurance covers could make all the difference.

By not having to worry about the financial burdens, you can focus on what really matters, get to the root of the problem and focus on changing behaviors that contributed to your addiction to start with.

Does Health Insurance Cover Alcohol Rehab?

Health insurance does cover alcohol rehab as part of the benefits mandated by the Affordable Care Act.

However, the extent of coverage can vary depending on the terms set by your insurer and your specific policy.

The fine print often includes important details like exclusions, the types of treatment covered, or restrictions on the length of stay.

Understanding your alcohol rehab insurance coverage will help you avoid unexpected costs and ensure you receive the right treatment.

What is Alcohol Rehab?

Alcohol rehab is a structured treatment program designed to help you overcome alcohol dependence and addiction.

It typically begins with detox, where the body eliminates alcohol under medical supervision, often addressing withdrawal symptoms.

After you would continue onto inpatient or outpatient rehab. So that you can get the support you need to help tackle the psychological aspects of addiction.

Is There a Difference Between Drug and Alcohol Rehab?

Drug and alcohol rehabs follow similar structures, focusing on detox, therapy, and ongoing support.

However, treatments may be tailored based on the specific substance, as withdrawal symptoms and therapeutic approaches can differ.

For example, detox protocols might vary between drug and alcohol rehab. Both types of programs also address co-occurring mental health disorders, which often accompany addiction.

By treating both the addiction and underlying mental health issues, these rehabs provide a holistic approach to recovery.

Is Using an In-Network Provider Better?

Yes. In-network providers typically have negotiated rates with insurance companies, which can lead to lower out-of-pocket costs for you.
Yes, most insurance plans cover treatment for co-occurring disorders, which include both mental health and substance abuse treatment.

Cornerstone Healing Center accepts a wide range of insurance plans. For a complete list, please visit our insurance page.

Types of Addiction Rehabs Covered by Insurance

When it comes to addiction rehab, insurance typically covers several types of treatment programs.

Each option varies based on the level of care and individual needs.

Below are some of the common types of rehab insurance companies cover.

Inpatient rehab

Inpatient rehab is when you stay at a facility for a longer period so that you can receive round-the-clock care.

This option is ideal for those struggling with severe addiction or co-occurring mental health disorders, as it offers a structured and supportive environment.

Insurance often covers inpatient rehab, especially for individuals needing intensive care and monitoring during their recovery.

Outpatient rehab

Outpatient rehab offers flexibility by allowing you to continue your daily life while attending scheduled treatment sessions.

This option works best for those who can manage their recovery without the need for 24-hour supervision.

Insurance typically covers outpatient rehab, making it a good option for individuals seeking treatment while maintaining responsibilities at home or work.

Partial Hospitalization Rehab (PHP)

Partial hospitalization rehab is a blend of inpatient and outpatient care, providing intensive therapy during the day while allowing you to return home in the evenings.

This hybrid approach is ideal for people who need structured care but who still have a stable home environment.

One-on-One Therapy Sessions

Individual therapy sessions are an important part of maintaining recovery, especially after completing a formal rehab program.

These sessions are often covered by insurance and allow you to work closely with a therapist to address ongoing challenges and prevent relapse.

Equine Therapy and Other Alternative Approaches

Alternative treatments, like equine therapy, can be an effective part of addiction recovery for some people as well.

While these therapies can provide valuable emotional and psychological benefits, insurance coverage for them varies.

Some plans may cover alternative treatments, but others might require you to pay out-of-pocket.

Always Start With Verify Coverage

Always verify your rehab coverage with both your insurance provider and the rehab facility to ensure you fully understand your benefits and any out-of-pocket expenses.

How Much Does Drug Rehab Cost Without Insurance?

The cost without drug rehab insurance coverage can be significant, ranging anywhere from a few thousand to tens of thousands of dollars, depending on the level of care.

For people without coverage, it’s important to explore options directly with rehab facilities, like Cornerstone Healing Center, to discuss payment plans or cash-pay options.

Many centers offer sliding scale fees or other financial assistance to make treatment more accessible.

How Do I Find Out What Exactly My Policy Covers?

Start by reviewing your policy documents and reaching out to your insurance provider to ask specific questions.

You can also reach out to our team at Cornerstone Healing Center for guidance and help with verifying coverage.

Here are a few key questions to ask your insurance provider:

  • What is my copay for inpatient and outpatient services?
  • Are detox and alternative treatments, like equine therapy, covered?
  • Is there a limit on therapy sessions?
  • Do I need pre-authorization for treatment?

 

By asking these questions, you’ll have a better understanding of what your insurance covers and what to expect in terms of out-of-pocket costs.

Cornerstone Healing Center and Rehab Coverage

At Cornerstone Healing Center, we accept a variety of insurance plans to make your path to recovery as accessible as possible.

Our team has years of experience helping clients navigate their insurance policies, ensuring you get as much from your benefits as possible.

Visit our insurance page to see the full list of providers we work with, and reach out if you need help understanding your coverage.

Key Takeaways

Take the Next Step in Understanding Your Rehab Coverage

Navigating the world of insurance and rehab coverage can feel overwhelming, but understanding your options is an important step toward recovery.

Whether you need inpatient care, outpatient services, or alternative therapies, knowing what your policy covers will help you make informed decisions about your treatment.

Don’t hesitate to reach out to your insurance provider or our team here at Cornerstone Healing Center for help verifying your coverage and exploring all available options.

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