Cornerstone
BCBS Substance Abuse Treatment
Learn about BCBS drug and alcohol rehab coverage and get help at our Arizona rehab centers that accept BCBS's plans.
BCBS Drug Treatment Coverage
Taking that first step towards recovery is all about exploring your options, and Blue Cross Blue Shield’s coverage for drug rehab can be the key to unlocking the care you need.
At Cornerstone Healing Center, we gladly accept BCBS insurance, enabling us to offer our comprehensive substance abuse treatment programs to those seeking help.
We are committed to delivering personalized, top-quality care that blends evidence-based practices with holistic therapies. We believe this approach nurtures healing and sets you up for lasting recovery.
Allow us to explain the specifics of BCBS coverage, our programs, and show you how we can work together to help you build a healthier future free from substance abuse!
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View our addiction treatment locations
Addictions we treat at Cornerstone
BCBS COVERED DRUG REHAB PROGRAMS
Our Residential Treatment Programs offer thorough and ongoing assistance for those battling substance abuse. We blend detoxification, counseling, and holistic methods for recovery. Our approach is grounded in evidence-based therapies such as Cognitive-Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), alongside mindfulness, yoga, and nutrition classes. Our objective is to assist individuals in tackling the root causes of their addiction, providing them with the necessary skills for sustained recovery and preventing relapse.
Our Partial Hospitalization Programs (PHP) for substance abuse deliver an all-encompassing and organized path to recovery. Running five days a week for six hours each day, our PHP offers intensive daytime treatment that encompasses therapy, group sessions, and holistic practices, all without the need for overnight accommodation. This method allows individuals to confront and work through their addiction issues while equipping them with the essential tools and support for sustaining long-term sobriety. PHP fosters accountability and motivates participants to implement the strategies they've learned in everyday scenarios.
Our Intensive Outpatient Program (IOP) initiates the treatment process, followed by our standard Outpatient Program, which runs three days a week and offers flexible scheduling to fit personal obligations and duties. These Outpatient Programs include a range of therapeutic interventions, such as one-on-one counseling, group therapy, and skill-building workshops. Our holistic strategy provides a nurturing journey towards recovery and the restoration of lives impacted by addiction.
BCBS Health Insurance
BCBS, short for Blue Cross Blue Shield, is an alliance of independent insurance companies that offer comprehensive healthcare services to individuals and employers. With roots dating back to 1929, BCBS is headquartered in Chicago, Illinois, and is one of the most recognized health insurance brands nationwide.1 It provides various medical, dental, and behavioral health coverage plans. BCBS is committed to improving access to quality care and serves millions of members across the United States, aiming to positively th and well-being.
ABOUT BCBS DRUG TREATMENT COVERAGE
BCBS is committed to its members’ health, providing extensive coverage for substance abuse treatments, including detox, inpatient and outpatient services, therapy, and counseling. The BlueDistinction® Centers for Substance Use Treatment and Recovery are central to this commitment and are recognized for exceptional patient safety and outcomes.2 These centers reflect BCBS’s holistic treatment approach, addressing addiction’s physical, psychological, and social aspects to foster lasting recovery. BCBS’s dedication to quality and evidence-based care ensures members have access to the best options for long-term health.
Alumni Client Family Testimonial
I feel like Cornerstone gave him all the right tools. He knew how to do it. It was something we could have never done. I just could totally see kind of a personality change in him of wanting, and knowing, that he could achieve and do higher things and greater things. That has to be the people (at Cornerstone).”
Nicole A. - Mother of a Cornerstone Alumni
What Addictions Does BCBS Provide Coverage For?
Addictions Covered by BCBS
BCBS policies offer comprehensive coverage for the treatment of substance abuse disorders, including alcohol and drug rehabilitation. Here are some addictions treated at our Arizona facilities, which may be covered under your specific BCBS health insurance plan:
- Alcohol: BCBS insurance covers holistic recovery programs for those battling alcohol addiction.
- Opioids: Comprehensive care and support for overcoming opioid addiction are provided under BCBS policies.
- Fentanyl: BCBS insurance includes treatment for fentanyl addiction, offering specialized care and support.
- Cocaine: Specialized treatment plans aimed at defeating cocaine dependency and achieving long-term sobriety are covered by BCBS.
- Methamphetamine: Treatment addressing the fundamental issues of meth addiction is supported by BCBS insurance for effective recovery.
- Benzodiazepine: BCBS policies cover treatment programs for benzodiazepine withdrawal and rehab.
- Co-Occurring Disorders: BCBS includes coverage for personalized therapy for those with co-occurring addiction and mental health diagnoses.
Programs We Offer
Meet Our Scottsdale Clinical Team
Eboni Fields, MS LPC
Clinical Director of Scottsdale Program
Eboni Fields, MS LPC, is a seasoned Clinical Director who brings over a decade of experience in behavioral health and substance abuse. She is a licensed professional counselor with a Masters in Mental Health Counseling from Grand Canyon University.
Nate Bush, LCSW
Clinical Director of Phoenix Program
Nate began his recovery journey in 2010 and earned a Master’s in Social Work from ASU. He’s been in the Behavioral Health field since 2013. Specializing in CBT, DBT, and grief, Nate is now the Clinical Director of our Phoenix program, underlined by his passion for helping others who struggled with substance abuse issues as he did.
FAQs About BCBS
Get answers to the most commonly asked questions about BCBS rehab coverage.
Will BCBS cover my drug and alcohol rehab stay?
If you have BCBS insurance, you’ll be happy to know that a large part of the cost of drug and alcohol addiction treatment may be covered. This coverage can include different programs, like staying at a residential facility, getting outpatient care, or undergoing therapy treatments.
Every BCBS policy is slightly different regarding what’s covered and what’s not. Sometimes there are limits on how many days of a specific type of care you can get in a year. If this is your first time getting treatment this year, you might be in the clear. If we can show that treatment is medically necessary, there’s a good chance it will be approved and covered. And even if you’ve already had some therapy this year, you might still have options.
It’s so important to get the most out of the benefits BCBS offers for drug and alcohol rehab. That’s where we come in – we can help you understand exactly how much BCBS will pay for your rehab. What’s covered often depends on things like the specific drug you’re struggling with, how long you’ve been addicted, and if you’ve tried to get treatment before.
Feel free to reach out to us to learn about our programs, and if you give us your insurance details through our insurance form, we can quickly break down what your policy covers and get you the treatment you need and deserve.
What types of drug rehab programs will BCBS cover?
BCBS, as a leading insurance provider, often includes a variety of addiction treatment services within its health plans, although coverage specifics can depend on the plan, geographic location, and additional factors.
Typically, BCBS plans may cover the following addiction treatment services:
- Detoxification: This crucial first step involves medically supervised detox to safely manage withdrawal symptoms from substance use disorders.3
- Inpatient Rehabilitation: Offers 24/7 specialized care and support in a residential treatment facility, incorporating both medical and psychological treatments.
- Outpatient Rehabilitation: Allows individuals to receive treatment services while living at home, including counseling, therapy, and medical care.
- Partial Hospitalization Programs (PHP): PHP provides a balance between inpatient and outpatient care, with intensive treatment during the day and the possibility to return home at night.
- Intensive Outpatient Programs (IOP): Offers extensive outpatient services through a comprehensive range of therapy sessions and related activities.
- Medication-Assisted Treatment (MAT): Combines medications, such as Methadone and Buprenorphine, with counseling to address addiction.
- Therapy and Counseling: Incorporates various therapeutic approaches, like Cognitive Behavioral Therapy (CBT) and family therapy, to tackle the psychological aspects of addiction.
- Aftercare Support: Coverage may extend to post-treatment support, including 12-step programs, sober living arrangements, and relapse prevention strategies.
BCBS policyholders should review their specific plans for detailed coverage information, including costs, network requirements, preauthorization needs, and any limitations on treatment.
For personalized guidance, connecting with a BCBS representative or a healthcare provider can clarify the coverage tailored to individual circumstances.
How many times will Blue Cross pay for rehab?
Blue Cross Blue Shield (BCBS) offers coverage for substance abuse treatment when it is considered medically necessary, in line with federal regulations that require health insurance plans to include addiction treatment services. Your treatment costs should be covered once you have met your annual deductible and fulfilled any other policy requirements.
You may be worried about continued coverage if you have previously sought rehab services. However, you can rest assured that addiction treatment coverage is a consistent benefit. It provides ongoing support for your recovery journey.
At Cornerstone, our staff specializes in helping clients navigate the complexities of their health insurance plans. We have a team of skilled clinicians who are proficient in establishing medical necessity, ensuring that you receive the required treatment. If you are interested, you can reach out to us for a free and confidential assessment to verify your insurance benefits today.
How does BCBS approve drug and alcohol rehab ?
When it comes to proving that substance abuse treatment is medically necessary, there are a few different ways to go about it. One way is to show that you’ve really tried to stop using drugs or alcohol on your own, but despite your best efforts, you haven’t been able to kick the habit. Another way is to show that you’ve tried other kinds of treatment, like counseling or attending 12-step meetings, but those haven’t worked either.
BCBS might also ask for a letter from your doctor that says you definitely have a substance abuse problem and that you need professional treatment to get better. The main goal is to make it clear that without the right kind of help, your addiction is only going to get worse, and you could end up with some severe health problems down the road.
How do I find out what my BCBS policy covers?
Figuring out what your BCBS health insurance covers for addiction treatment and other medical services can be super important for getting your needed care.
Here’s what you can do to find out what your BCBS policy covers:
- Check Your Insurance Card: Take a look at your BCBS insurance card. It probably has a phone number for customer service and a website where you can log in to see the details of your policy.
- Go to the BCBS Website: Login to your account on the BCBS website. Most of their sites have tons of info about what your insurance plan covers, including different types of treatments.4
- Give Customer Service a Call: Dial the customer service number on your insurance card. Ensure you have your policy number and any other info they need.
- Ask for a Summary of Benefits: Request a Summary of Benefits and Coverage (SBC). This will give you a rundown of what your plan does and doesn’t cover, including specifics about addiction treatment services.
- Check Your Policy Booklet: If you have a physical or digital copy of your policy booklet, read it. It’ll have detailed information on what’s covered, co-pays, deductibles, and other important details.
- Ask About Specific Treatments: If you’re looking for coverage for specific treatments like detox, inpatient rehab, or outpatient services, just ask about them directly to get straight answers.
- Know About Preauthorization: Some treatments might need preauthorization. Find out if this applies to the services you’re interested in and what the process is.
- Look for In-Network Providers: To maximize your benefits and keep your out-of-pocket costs low, ask about in-network providers for addiction treatment and other healthcare services.
By following these steps, you’ll gain a thorough understanding of what your BCBS policy covers, which will help you navigate your healthcare journey more easily.
Remember, your health should always come first, and being informed about your insurance coverage is a huge part of managing your healthcare effectively.
Will I have to pay a deductible to get into rehab?
Many insurance plans have a deductible that you have to pay before your benefits start covering things. The amount of that deductible can be different depending on the policy you have.5 But don’t let that scare you away from getting the treatment you need! Let us help you out by checking your insurance. We can give you the exact details about what your policy covers so you’ll know what to expect.
Will I need a prior authorization for rehab?
Depending on the details of your particular policy, you may need to get the green light from BCBS before using your benefits to pay for addiction treatment services. This step is to make sure that the treatments you want are approved ahead of time. That way, you’ll know they’re covered before the provider or facility bills you for anything.6
Sources
CLINICALLY REVIEWED
Lionel Estrada, LISAC
CLINICAL DIRECTOR
Lionel, a Licensed Independent Substance Abuse Counselor (LISAC) with over 4 years at Cornerstone, specializes in addiction and mental health. Trained in EMDR therapy, he employs a trauma-informed, empathetic approach to address underlying causes of these issues.
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