For qualified plan holders, we accept Blue Cross Blue Shield insurance for alcohol, drug and substance abuse rehab, detoxification and therapeutic services. The standards for substance abuse treatment service coverage vary from state to state at Blue Cross Blue Shield (BCBS).

There are a number of companies that are part of the Blue Cross Blue Shield organization, and they may have differences within their policies as well. It’s important to look at the specifics of your health insurance contract and speak to the organization through which you purchased the policy to determine what exactly is covered in terms of substance abuse treatment services and in what amounts.

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Options in substance abuse treatment

Because drug abuse and addiction are both mental health and physical health issues, there are a number of different providers who may be appropriate choices for those seeking substance abuse treatment, according to Blue Cross Blue Shield.

  • Psychiatrists may offer personal, one-on-one psychotherapeutic treatment sessions and/or prescribe medication for addiction recovery.
  • Licensed clinical social workers may facilitate substance abuse treatment group sessions or provide personal or family therapy sessions.
  • Psychologists may provide individual, group, or family therapy and may also offer neuropsychological testing.

Additionally, BCBS provides coverage of mental health treatment services for substance abuse that is offered at outpatient mental health facilities, residential treatment centers, and those that require partial hospitalization.

For intensive substance abuse treatment, BCBS provides coverage for:

  • Outpatient treatment services: Assessment and treatment can be provided on an outpatient basis to patients striving to overcome addiction. Additionally, significant others of people who are living with an active drug abuse or addiction problem – or in recovery – can also seek outpatient care to help them deal with related issues.
  • Intensive outpatient treatment services: A more rigorous treatment schedule can be offered to patients who need more than one-off treatment services to address substance abuse and addiction issues. Those who are at a high risk of relapse will benefit from utilizing this more intensive and comprehensive treatment option if they do not qualify for coverage for residential care.
  • Inpatient detox: If assistance for the treatment of withdrawal symptoms related to chronic drug use is needed, then inpatient detox may be an appropriate choice if the withdrawal symptoms would interfere with the patient’s ability to get effective care at an outpatient option.
  • Inpatient drug rehab: This option is only approved if it can be demonstrated that the patient is unable to maintain abstinence at an outpatient treatment program.

The options listed above are not covered by all BCBS policies. Copays may apply if using in-network providers, and deductibles may apply if using out-of-network providers.

What to expect

No matter who your health insurance provider is, you should be able to get the answers you need to connect with the most effective treatment possible. Your requests should always be met with respect, and your medical information should be kept confidential at all costs. Sensitivity to your needs in such a difficult time should be respected, and you should be allowed to take part in choosing the most effective treatment options that make you feel the most confident in your ability to recover.

If Blue Cross Blue Shield holds your health insurance policy, you can contact them with your questions and learn what substance abuse treatment services are covered by your contract. If you have questions about how to pay for treatment here at The Recovery Village, contact us today.

Call for a free assessment.  352.771.2700

We accept most major health plans. Please call for verification of benefits coverage or check with your health insurance carrier for final determination regarding specific covered services. All products, logos, and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement.

Blue Cross Blue Shield was last modified: November 14th, 2016 by The Recovery Village