bcbs drug and alcohol rehab

Depending on your insurance coverage, BCBS can potentially cover most costs related to drug and alcohol addiction treatment. The coverage could include residential programs, inpatient programs, outpatient programs, and much more.

Each insurance policy has different limits or requirements for what can be paid. If you want to know specifics about how much Blue Cross Blue Shield will cover your rehab stay, we can help. It’s important to know that what is covered will depend on the substance you’re addicted to, how long you’ve been addicted, and if you’ve gotten help previously. 

Here’s an example of some of the nuiances that exist with health insurance policies. Some policies have caps on how many days you can spend in a specific level of care per year. If you haven’t been treated this year, there’s no need to worry, because if we can prove medical necessity, may be able to get an approval. If you’ve already been to treatment this year, we may still be able to help you. 

Making the most out of what coverage that BCBS provides for drug rehab or alcohol rehab is important. Be proactive and give us a call. We can help you learn about our program, and you if fill out the insurance form with your policy information, we can quickly get back to you with an explanation of benefits and give you every detail you need to know about what your policy covers. 

Also, trust that if we can’t help you, we will point you towards a treatment center that can. 

Under the Affordable Care Act, BCBS covers every level of care to assist Americans struggling with drug or alcohol addiction. Refer to the descriptions below to see what kind of treatment you would receive if you need treatment in these categories. 

BCBS accepts most substance abuse treatment program levels of care.

Drug Rehabs that accept BCBS

BCBS drug rehab involves outpatient or inpatient services. Inpatient is the most intensive because it includes more services:

• Round-the-clock medical and clinical care.
• Accommodations.
• An intensive program. 
• Multiple therapies and a schedule to keep you busy and learning. 

Finally speaking, outpatient drug rehab tends to be more cost-effective for most clients. However, some clients with serious addiction problems will need an inpatient program. 

Cornerstone is a drug rehab that accepts BCBS health insurance and we are ready to help you if we can. 

Alcohol Rehabs That Accept BCBS

Cornerstone is an alcohol rehab that accepts BCBS. However, it’s important to note that detox will likely be included in the process. Detox from alcohol must be closely monitored.

The cost of intensive outpatient programs for alcohol abuse all depend on how severe the alcohol use is. The severity of alcohol use will determine the depth of treatment and its overall costs.

Alcohol rehab will help you recognize and reform your triggers into positive habits. You will learn about what alcohol addiction is biologically and emotionally, so you know how it affects your body and mind.

At our program, you will rebuild relationships with yourself, family, friends, and the community to start life on a new track.

Dual Diagnosis or (Co-occurring Disorder) Treatment 

Dual diagnosis or co-occurring disorders are common among those who suffer from substance use disorders. These disorders include PTSD, ADHD, personality disorders, and mood and anxiety disorders. When an individual has a mental health disorder and a substance use disorder, this qualifies as a dual diagnosis. 

For example, people with PTSD are four times more likely to succumb to a substance abuse disorder. Usually, 20% of those with a substance abuse disorder may also experience bipolar tendencies or experience depression.

Treating people with co-occurring disorders means effectively treating the mental health issue so that they do not resort to using drugs or alcohol as a response. Instead, they will learn healthier responses to stress that stem from these mental health problems.

BCBS will cover treatment for substance abuse if it is medically necessary. Federal laws in place require health insurance policies to offer coverage for addiction treatment. Once your deductible or other policy requirements have been fulfilled for that year, the rest of treatment should be covered. 

At Cornerstone, we’ve helped many clients navigate the stresses of figuring out their health insurance policies. Our experienced clinicians have years of experience with proving medical necessity, and we can help you get the treatment that you deserve. 

If you’ve been to rehab before, it’s natural to worry whether or not you’ll still be covered. The good news is that addiction treatment is always covered. 

How We Prove Medical Necessity for Substance Abuse Treatment 

We can demonstrate the medical necessity for substance abuse treatment in a few different ways. One way is by showing that the patient has made a serious effort to stop using drugs or alcohol on their own but has been unsuccessful. Another way is to show that the patient has tried other forms of treatment, such as counseling or 12-step programs, but has not been able to stay sober.

We can also provide BCBS with documentation from the patient’s doctor indicating that they have a substance abuse problem and need treatment to recover. Ultimately, the goal is to show that the patient’s condition will likely deteriorate without treatment, and they will be at risk for serious health problems. We can usually convince insurers to approve your treatment program with this evidence. 

If you’re interested in one of our drug and alcohol treatment programs,  we can help you determine what your policy covers. Filling out our insurance verification form can jumpstart the process. 

Remember that contacting us does not mean you are obligated to seek treatment. But we can help you understand your policy and the type of programs that would be best for you. If we are unable to help you, we will point you in the direction of a treatment center that can. 

Yes , most plans have a deductible which must first be met before benefits are paid out . The amount will vary based on the individual‘s policy.

Don’t let this stop you from seeking treatment though. Let us help you by verifying your insurance and give you the exact details of your policy.

Depending on your policy , you may be required to obtain pre – authorization from BCBS prior to receiving any benefits related to addiction treatment services.

This can help ensure that all treatments are approved prior to being billed by the provider or facility.

Visit our insurance verification page and enter in your details so that we can get more information.