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how long does bcbs pay for drug rehab

by Santiago Ebert Published 2 years ago Updated 1 year ago
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What Length of Alcohol Rehab Does Blue Cross Blue Shield Cover? Programs vary in length depending on the need of the patient. Most programs are either 30, 60 or 90 days in length and can be extended if needed.

Full Answer

Does BCBS insurance cover drug rehab?

Nov 10, 2021 · How Long Does Blue Cross Blue Shield Insurance Cover Rehab Program? There is no specified period that BCBS insurance or any insurance will cover drug rehab services. This is because many factors determine coverage, such as the specific plan’s parameters, the drug rehab program chosen, and the person’s treatment needs.

Does BCBS cover substance abuse treatment in Florida?

Mar 29, 2021 · Some 30-day inpatient rehab programs cost about $6,000 per person. The average cost of a 30-day program at a reputable center is more than $20,000. Those who require 60- or 90-day programs can expect overall costs ranging from $12k to $60k.

Does Blue Cross Blue Shield cover drug rehab in Rhode Island?

Can Blue Cross Blue Shield help you pay for drug rehab? The answer is a definitive yes. Due in large part to provisions in the Affordable Care Act (ACA) that was passed in 2009, all insurance companies are now required to provide some form of coverage for addiction treatment services. Depending on the insurance plan you choose, the coverage may ...

Does Blue Cross Blue Shield plan work with addiction centers?

Mar 10, 2022 · How Long Will Insurance Cover Rehab? The length of time that Blue Cross Blue Shield insurance, or any insurance plan, will cover rehab depends on an individual’s specific health care plan and their behavioral health benefits.

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What is the average time spent in rehab?

Many treatment facilities typically offer patients short-term stays between 28 to 30 days. However, certain residential facilities may also offer extended stays for an additional fee, provided the patient is showing positive signs of recovery.Feb 2, 2022

How long does it take to get clean in rehab?

Most addicted individuals need at least three months in treatment to get sober and initiate a plan for continued recovery. Research shows that the best outcomes occur with longer durations of treatment.Nov 4, 2021

What are the 5 stages of rehab?

Don't Forget the RehabPhase 1 - Control Pain and Swelling.Phase 2 - Improve Range of Motion and/or Flexibility.Phase 3 - Improve Strength & Begin Proprioception/Balance Training.Phase 4 - Proprioception/Balance Training & Sport-Specific Training.Phase 5 - Gradual Return to Full Activity.

How many days does it take to detox your body?

Detoxing typically takes three to ten days. However, a more severe addiction can extend detox by several weeks or even months. Therefore, you need to know what to expect during detox before you begin the detox process. Detox involves more than just the initial withdrawal symptoms.

How long does a detox cleanse last?

Detox programs tend to last anywhere from three days to two weeks. Many different factors play into how long each specific detox program lasts. The main factor is which substance(s) was/were being abused. Some substances are able to be removed from the system faster than others.

What are the 3 P's of recovery?

3 “P's” for Recovery: Passion, Power and Purpose.Aug 18, 2016

What are the 3 phases of rehab?

Athletic trainers (ATs) have traditionally conceptualized rehabilitation programs in terms of 3 distinct physiologic phases: acute injury phase, repair phase, and remodeling phase.

What is the acute stage of rehabilitation?

During the acute stage, the therapist should: Focus on the muscles and joints that will be needed to achieve the best possible functional outcome. Adapt the rehabilitation program to the restrictions imposed by the medical and orthopedic treatments that are of paramount concern during this stage.

How to contact BCBS for rehab?

Contact BCBS by calling the number on the back of your insurance card or by visiting the BCBS website. You can also contact the drug rehab center directly. American Addiction Centers (AAC) will verify your BCBS insurance plan drug rehab coverage.

What is the phone number for BCBS?

American Addiction Centers (AAC) will verify your BCBS insurance plan drug rehab coverage. You can visit their website or call 877-640-1943 and speak with an Admissions Navigator.

How to check if a rehab is in network?

To check if a drug rehab center is in-network, contact BCBS directly by calling the number designated for mental health/substance abuse on the back of your insurance card or visit the BCBS website. You can also contact the drug rehab center directly. Many, including AAC, can verify your drug rehab coverage.

What is a deductible on BCBS?

BCBS plans are provided at different levels, each with its own monthly premiums and deductibles. 3 A deductible refers to the amount of money you will pay before your insurance is activated. The following is a breakdown of the different insurance plan levels offered by BCBS: 3. Bronze— These plans typically cover about 60% with high deductibles ...

What is an IOP treatment?

Intensive outpatient program (IOP) —An IOP is a type of outpatient treatment program that is more structured than a standard outpatient program, but less intensive than an inpatient facility.

How to verify Blue Cross Blue Shield?

You can also verify your coverage by contacting the drug rehab center directly. AAC can verify your Blue Cross Blue Shield coverage, too; visit their website or call 877-640-1943.

What is partial hospitalization?

Partial hospitalization programs (PHP) —PHP services are another type of outpatient treatment for people who require more supervision than a traditional outpatient program offers, but not as much supervision as an inpatient program.

How to know if a BCBS policy covers rehab?

How To Know If A BCBS Policy Covers Drug Rehab. Anyone who needs drug rehab and has Blue Cross Blue Shield insurance should verify the coverage they have. To do this, they need to determine who their specific carrier is and what is their policy ID number.

What type of rehab does Blue Cross Blue Shield cover?

Most policies will cover the following types of drug rehab: Outpatient treatment. Residential treatment/ detox. Partial hospitalization. Acute inpatient hospitalization. If someone depends on Blue Cross Blue Shield health insurance for drug rehab, they should check with their company to determine what types of rehab it will cover.

What does FEP Blue Focus mean?

If someone has FEP Blue Focus, anything after 30% of their allowance. While this does mean that the individual will be paying for part of their rehab, having this coverage makes it more affordable at approved Blue Cross Blue Shield drug rehab facilities.

What happens if you have FEP Blue Focus?

If someone has FEP Blue Focus, anything after 30% of their allowance. In other words, while having BCBS coverage can make rehab more affordable, it does not mean it will be free to anyone with their insurance coverage.

How much does FEP Blue Focus cover?

If someone has the basic option, anything past $100 per day. If someone has FEP Blue Focus, anything after 30% of their allowance.

How much does Blue Cross Blue Shield cost out of pocket?

Just some of the costs that will be on those insured through federal programs are as follows: If someone has the standard option, $350 in copay.

What is the code for methadone?

Treatment with methadone is covered by Blue Cross Blue Shield health insurance through the process of reimbursement. It is coded as H0020: Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program).

How much does a rehab program cost?

The average cost of a 30-day program at a reputable center is more than $20,000. Those who require 60- or 90-day programs can expect overall costs ranging from $12k to $60k.

How many organizations are covered by Blue Cross?

The Blue Cross Shield union comprises 36 medical coverage organizations that are autonomously claimed and worked. BCBS gives inclusion to the more significant part of all government representatives who are taking a crack at an organization. They are covered under the Federal Employee Program.

What is medical necessity?

The issue of “medical necessity” is something to keep in mind when trying to understand what Blue Cross Blue Shield insurance covers and what it does not. If a drug or alcohol rehab program is determined to be necessary, physicians and therapists may have to prove it is truly medically necessary to the insurance company.

How many policies does Blue Shield cover?

As an example, consider Blue Shield of California. Insurers cover substance abuse treatment with at least 14 policies. The amount paid for each type of treatment varies depending upon the plan, as well as the duration of the treatment.

What is a mental health union?

The Mental health union necessitates that health care coverage organizations and gathering wellbeing intend to give equivalent inclusion to psychological wellbeing administrations, for example, substance misuse therapy, as they do clinical coverage.

What is the difference between gold and platinum insurance?

Gold plans cover near 80% of clinical expenses and have higher regularly scheduled installments and low deductibles. Platinum plans (which aren’t offered on the whole state) cover near 90% of clinical expenses and have the most elevated regularly scheduled installment with the least deductible.

What is the difference between a bronze and silver plan?

Bronze plans cover near 60% of clinical expenses and have low regularly scheduled installments and high deductibles. Silver plans cover near 70% of clinical expenses, with a relatively higher regularly scheduled installment and lower deductible.

Can Blue Cross Blue Shield help you pay for drug rehab?

The answer is a definitive yes. Due in large part to provisions in the Affordable Care Act (ACA) that was passed in 2009, all insurance companies are now required to provide some form of coverage for addiction treatment services. Depending on the insurance plan you choose, the coverage may vary as far as co-pay requirements are concerned.

About Blue Cross Blue Shield

After asking the question “does BCBS cover drug rehab?”, it might be prudent to know a bit about the company. BCBS has been providing healthcare insurance to Americans for more than 80 years. The company operates in all 50 states as well as on an international level.

How Does BCBS Cover Drug Rehab?

So, how does BCBS cover drug rehab coverage work? When you choose a reputable drug rehab facility like Beaches Recovery, your coverage will be verified based on the prescribed treatment plan. Once you start receiving treatment, the insurance company will make payments directly to the provider on your behalf.

Why Does BCBS Cover Drug Rehab?

So why does BCBS cover drug rehab? Aside from ACA requirements, Blue Cross Blue Shield officials understand the importance of you receiving addiction treatment. With long-term drug and alcohol use, many serious health issues can come to the forefront.

What is BCBS insurance?

BCBS is a large and well known insurance provider that is accepted at many addiction treatment facilities, including American Addiction Centers. Coverage varies from state to state and plan to plan, and it is best to contact BCBS directly with any questions about your coverage.

Which state has BCBS?

For example, employees in the state of Idaho may have a BC of Idaho plan 8, whereas Tennessee residents will have a BCBS of Tennessee plan. 9 These state-specific plans still utilize the nationwide BCBS network of providers, so patients are not limited to receiving care exclusively in their home state.

What is a FEP plan?

Blue Cross Blue Shield offers a Federal Employee Program (FEP) plan for federal workers and retirees in the Federal Employees Health Benefits (FEHB) program. 4 FEP and FEHB plans offer similar benefits as other BCBS plans do with a few exceptions.

How much does Suboxone cost without insurance?

Without insurance, generic Suboxone tends to range between $60 and $200 in cost.

Does medical detox cover alcohol?

Most plans cover treatment for medical detox, if determined to be necessary. This would most likely be the case for those suffering from benzodiazepine addiction, alcohol addiction, and opiate addiction. Detoxing from these substances can be dangerous and should always be monitored by medical professionals.

Is outpatient treatment good for addiction?

However, outpatient treatment programs are also often best fit for those who are not suffering any medical issues due to their drug use or withdrawal, who feel comfortable in their living environment, and who may have responsibilities to tend to (like child care) while receiving addiction treatment.

Is Blue Cross Blue Shield a large insurance?

However, the Blue Cross Blue Shield network is quite large, meaning that those who have this particular insurance will have little trouble finding a center for treatment.

How many federal employees are covered by Blue Cross Blue Shield?

It covers more than five million federal employees and retirees, as well as their families. Get help today. 352.771.2700. Call us toll-free, 24/7 or contact Blue Cross Blue Shield directly.

How many Blue Cross Blue Shield companies are there?

The Blue Cross Blue Shield Association is a state-based nationwide network of 36 independent and locally operated Blue Cross Blue Shield Companies. Individual plan availability and coverage may vary between states, but there are some general things to know about Blue Cross Blue Shield drug rehab and mental health coverage.

What is the Blue Cross of Florida?

Blue Cross and Blue Shield of Florida (Blue Cross Blue Shield or BCBS) is an insurance provider that may offer coverage for substance abuse and mental health treatment. The Recovery Village’s national network of centers offers comprehensive treatment and therapy to help you establish a life built on principles of self-worth and sobriety.

What is the recovery village?

Call Blue Cross Blue Shield or The Recovery Village to determine what is covered under your plan. Blue Cross Blue Shield also offers the Federal Employee Program (FEP), which is part of the Federal Employees Health Benefits Program. It covers more than five million federal employees and retirees, as well as their families.

Does Blue Cross Blue Shield cover drug rehab?

Individual plan availability and coverage may vary between states, but there are some general things to know about Blue Cross Blue Shield drug rehab and mental health coverage.

Does BCBS cover rehab?

While the answer is generally yes, based on considerations like the ones above, every policy varies. Some Blue Cross Blue Shield plans may completely cover the cost of rehab, while others may cover a certain percentage, requiring you to pay the rest out of pocket.

Does the Affordable Care Act cover mental health?

According to the law, along with substance abuse treatment coverage, both inpatient and outpatient, the Affordable Care Act requires coverage including on pre-existing conditions, which includes mental health conditions, as well as substance use disorder .

How does addiction affect the brain?

As a treatable disease, we now know that addiction changes essential brain function and completely rewires the reward and pleasure center of the brain. Professional treatment at a licensed facility like 1 Method Center is one of the best ways to treat addiction and mental health problems, REWIRE the brain, gain personal and family recovery and help prevent relapse.

What is the Federal Employee Program?

Surprisingly, the Federal Employee Program has been a part of the Federal Employees Health Benefits Program (FEHB P) since around 1960. This is also known as the Blue Cross Blue Shield Service Benefit Plan, and this specific policy covers about 5.4 million federal employees, their families, and even retirees. The headquarters are located in Chicago, Illinois, and FEP works with the U.S. Office of Personnel Management to determine the best benefits and premiums for members covered by the Federal Employee Program. This is often based on the services available based on a plan holders area of residence. Because effective drug and alcohol treatment programs may not be located in your area, the insurance plans are structured in such a way to allow you to access high-quality treatment settings like 1 Method Center.

Who is Tabytha Dyne?

Tabytha Dyne is a professional in both the mental health and drug and alcohol recovery field. She has worked extensively in both the public and private sectors and has given many presentations on the subject of alcohol and substance abuse. She has worked for the past 10 years providing direct service education for individuals impacted by SUD and behavioral health issues.

How long does rehab last in a skilled nursing facility?

When you enter a skilled nursing facility, your stay (including any rehab services) will typically be covered in full for the first 20 days of each benefit period (after you meet your Medicare Part A deductible). Days 21 to 100 of your stay will require a coinsurance ...

How long does Medicare cover SNF?

After day 100 of an inpatient SNF stay, you are responsible for all costs. Medicare Part A will also cover 90 days of inpatient hospital rehab with some coinsurance costs after you meet your Part A deductible. Beginning on day 91, you will begin to tap into your “lifetime reserve days.".

How much is Medicare Part A deductible for 2021?

In 2021, the Medicare Part A deductible is $1,484 per benefit period. A benefit period begins the day you are admitted to the hospital. Once you have reached the deductible, Medicare will then cover your stay in full for the first 60 days. You could potentially experience more than one benefit period in a year.

How much is coinsurance for inpatient care in 2021?

If you continue receiving inpatient care after 60 days, you will be responsible for a coinsurance payment of $371 per day (in 2021) until day 90. Beginning on day 91, you will begin to tap into your “lifetime reserve days,” for which a daily coinsurance of $742 is required in 2021. You have a total of 60 lifetime reserve days.

What day do you get your lifetime reserve days?

Beginning on day 91 , you will begin to tap into your “lifetime reserve days.". You may have to undergo some rehab in a hospital after a surgery, injury, stroke or other medical event. The rehab may take place in a designated section of a hospital or in a stand-alone rehabilitation facility. Medicare Part A provides coverage for inpatient care ...

How long do you have to be out of the hospital to get a deductible?

When you have been out of the hospital for 60 days in a row, your benefit period ends and your Part A deductible will reset the next time you are admitted.

Does Medicare cover outpatient treatment?

Medicare Part B may cover outpatient treatment services as part of a partial hospitalization program (PHP), if your doctor certifies that you need at least 20 hours of therapeutic services per week.

What is the anthem for BCBS?

Anthem BCBS provides benefits to more than 66% of federal employees, retirees, and family members who are covered under the Federal Employees Health Benefits Program (FEHBP). 5 Coverage is provided through BCBS’ 36 local member companies to make it easier to access care.

How much does Suboxone cost without insurance?

Without insurance, the generic form of Suboxone may cost up to $200 for a 1-month supply. Suboxone Doctors That Take Anthem. Anthem often covers the cost of Suboxone, a medication commonly used to treat opioid addiction.

What is the difference between the bronze and silver anthem?

Anthem coverage plans basically fall into 3 categories: 2. Bronze: This plan has the lowest monthly premiums, but the highest deductible and co-pays. About 60% of medical costs are paid by Anthem. Silver: This plan has monthly premiums that are higher than bronze, with a lower deductible and co-pays.

What is the national anthem?

Anthem is a well-established provider of healthcare coverage that offers benefits not only in specific states, but access to a nationwide network of BCBS providers. They offer various plans and levels of coverage through employers, Medicaid, Medicare, and for current or retired federal employees.

How many states does the anthem cover?

As an independent licensee of the Blue Cross and Blue Shield (BCBS) Association, Anthem provides coverage in 14 states, although members are also able to take advantage of BCBS providers outside of their home state.

How to check my anthem insurance?

Checking your benefits can be done easily by contacting the company by telephone or through the member login website. While Anthem does offer coverage for addiction treatment, it’s best to confirm what your benefits will cover so that you can focus on your recovery. Anthem Insurance Therapy Coverage.

When did Wellpoint Health Networks merge with Anthem?

In 2004, WellPoint Health Networks Inc. and Anthem, Inc. merged and became WellPoint, Inc. until 2014, when the name was changed to Anthem, Inc. 1 Anthem, Inc. is one of the top health insurance companies in the United States.

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