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how much does blue cross blue shield rehab coverage cost?

by Tracy Mayer Published 2 years ago Updated 1 year ago
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The Inpatient treatment using Blue Cross Blue Shield starts off with a Standard Option at a $35 per day copay (unlimited amount of days). The Basic Option requires a $175 per day copay (unlimited amount of days), with a total of up to $875 per admission (unlimited days). The plans do vary, and these figures are only an estimation.

Full Answer

What does Blue Cross Blue Shield cover for drug rehab?

Jan 17, 2022 · Blue Cross Blue Shield covers some or all of the cost of rehabilitation for drug and alcohol addiction. It’s one of the largest and most well-known insurance providers in the U.S., and many treatment facilities accept it. Blue Cross Blue Shield owns 3 dozen different insurance companies that are independently owned and operated.

Does Blue Cross Blue Shield insurance cover drug rehab?

Insurance can cover the cost of addiction treatment, here's how to use Blue Cross Blue Shield insurance for substance use disorder treatment. Call Now: (844) 207-7772 Our Program

What is the best Blue Cross Blue Shield health plan?

Oct 02, 2019 · Blue Cross Blue Shield insurance encompasses 36 separate companies and 105 million insured in the US, resulting in one in three Americans having some sort of health coverage through the company. It means that millions of people count on Blue Cross Blue Shield drug rehab coverage every year, including about half of all federal employees.

How to become a provider with Blue Cross Blue Shield?

Aug 04, 2020 · The Inpatient treatment using Blue Cross Blue Shield starts off with a Standard Option at a $35 per day copay (unlimited amount of days). The Basic Option requires a $175 per day copay (unlimited amount of days), with a total of up to $875 per admission (unlimited days). The plans do vary, and these figures are only an estimation.

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What is the Blue Cross Blue Shield?

The Blue Cross Blue Shield (BCBS) Service Benefit Plan , also known as the Federal Employee Program (FEP), provides coverage for more than 5.5 million federal employees, retirees, and their families. 2. BCBS has individual and family plans that include the bronze, silver, gold, and platinum plans (categories are dependent on your state).

What is the lowest cost BCBS?

BCBS has individual and family plans that include the bronze, silver, gold, and platinum plans (categories are dependent on your state). Bronze plans have the lowest cost, and the price of plans goes up from there. 3. Bronze plans cover close to 60% of medical costs and have low monthly payments and high deductibles.

How long does an inpatient stay in the hospital?

Most inpatient programs last anywhere from 15–90 days, depending on the program you’re in and your individual needs. Partial hospitalization (PHP): Partial hospitalization programs give you the opportunity to live at home while attending treatment during the day.

How many hours do you spend at home for BCBS?

You live at home and spend 10–12 hours a week at the treatment facility for therapy and support. Your total out-of-pocket costs for treatment depend on the specific BCBS plan you have. Monthly premiums, copays, deductibles, and other potential costs all vary depending on the plan.

What is detoxing from alcohol?

Detox services: In some cases, you may need assistance when detoxing from drugs and alcohol, which can potentially be uncomfortable, painful, or even life threatening. Medical detox helps you safely withdrawal from drugs and alcohol, as you’ll receive around-the-clock medical supervision.

What is the difference between a bronze and a silver plan?

Bronze plans cover close to 60% of medical costs and have low monthly payments and high deductibles. Silver plans cover close to 70% of medical costs, with a somewhat higher monthly payment and lower deductible. Gold plans cover close to 80% of medical costs and have higher monthly payments and low deductibles.

Is AAC covered by insurance?

Specifics regarding your coverage are based on your policy. As with most medical issues, only a portion of detox or substance abuse treatment are covered by insurance. AAC is in-network with many private insurance companies. We’ll help you verify your insurance coverage for treatment.

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.

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.

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 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.

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 many hours a day does Blue Cross Blue Shield cover?

Generally, this type of policy will require that care to be less than seven days a week or less than eight hours a day for a period of 21 days or more. In-home care covered by Blue Cross Blue Shield policies may include care for a registered nursing or a licensed practical nurse who has supervision by a registered nurse.

When should hospice policies be in place?

It is important to know that most policies need to be in place long before the patient enters into hospice care or needs skilled nursing care. For example, when a senior, or anyone over the age of 60, selects a health insurance policy, he or she should make a conscious decision to plan for this type of care.

What is in home care?

In-home care is a type of care in which a provider comes to a senior’s home to provide one-on-one care. Individuals who have Medicare Part A may have some coverage for this type of care. As a result, those who have a Blue Cross Medicare plan may also gain access to this type of care. The service is provided to those who are homebound only. These individuals must need part-time or periodic skilled nursing care as a result of a physical medical need. Generally, this type of policy will require that care to be less than seven days a week or less than eight hours a day for a period of 21 days or more.

Why is hospice important?

Hospice is necessary when an individual is terminally ill, which means medical care cannot improve his or her condition any longer. Hospice provides round the clock medical care to allow for the administration of pain medications to keep the patient pain-free. This can be costly, though.

Is senior care funded by Medicare?

Senior care is funded, typically, with private patients. In some cases, Medicare and Medicaid can help those who need skilled nursing care. However, there are limits. To access senior care, some individuals may be able to use an existing life insurance policy that has this type of coverage.

Can you use Blue Cross Blue Shield to pay for nursing homes?

Individuals who have a Blue Cross Blue Shield policy in place may be able to use this coverage to pay for nursing homes or skilled nursing locations. The policy is typically used in this case when – and only when – there is a medical need for this type of care. Most of the time, this will indicate that the senior needs to have assistance ...

Is it important to know that your insurance is different?

It is important to know that your coverage may be different. The company offers numerous plans and types of individual insurance policies. Each one offers different coverage. It is up to you to contact your insurer to inquire about coverage for any specific goal you may have.

What is the number to Blue Cross Blue Shield?

We can also answer all your questions regarding addiction, rehab, insurance coverage, or anything else regarding treatment. Our number is 800-492-7848 and we are always open, 24 hours a day.

Does Blue Cross cover outpatient rehab?

The services for outpatient addiction treatment that are covered by the Blue Cross Shield plans are at similar rates to the inpatient rehabilitation programs. Yet the services made available for the different outpatient treatments usually vary greatly. This typically depends on whether you seek treatment from a hospital, a rehab center, or through your doctor’s office.

BlueCross BlueShield Insurance Coverage for Rehab

Blue Cross Blue Shield (BCBS) owns 36 locally-operated health insurance companies nationwide. Collectively, these companies provide healthcare coverage for more than 106 million people, which is equivalent to 1 in 3 people.

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Enrolling in rehab can be daunting, but you don’t have to go into debt or break the bank to do so. Our goal is to help you get the best addiction treatment services that meet all your personal needs, including your budget.

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Nova Recovery Center works with a number of private insurance companies in the United States. We may accept insurance from the following companies:

What Types of Drug Rehab Does Blue Cross Blue Shield Cover?

Depending upon the needs of the individual, treatment that includes detoxification, or detox, services followed by inpatient or residential treatment may be necessary.

How Much of the Cost of Drug Rehab is Covered by Blue Cross Blue Shield?

Different health insurance policies have different parameters in place for the type of services covered, as well as the set amount of money designated to cover those services. Additionally, most health insurance plans also have a policy in place that limits the amount of money allocated to paying for a service to within one calendar year.

How Can I Confirm my Blue Cross Blue Shield Benefits?

If you are interested in drug rehab at Starlite Recovery Center, we can confirm your Blue Cross Blue Shield benefits for you. We can also let you know how much your insurance will cover, the types of services that you can receive using your insurance, and any other details about your insurance that you may have questions about.

What is rehabs.com?

Rehabs.com is a subsidiary of American Addiction Centers (AAC) a leading provider of drug and alcohol addiction treatment nationwide. AAC is in network with many of the top insurance providers in the U.S.

What is the number to call for rehabs?

Call one of our admissions navigators at (888) 341-7785. Helpline Information. ✕. How Our Helpline Works.

What is alcoholism treatment?

“Alcoholism involves an increased tolerance to alcohol — meaning it takes more alcohol in order to feel the same effect.”#N#Inpatient treatment programs offer a safe environment that enables the user to break the addiction and become sober.

How long can you stay on a medicaid plan?

Most programs are either 30, 60 or 90 days in length and can be extended if needed. Some individuals can stay as long as a year for, particularly severe cases. Once again, coverage will be determined by the individual policy and can include either partial or full payments.

How does luxury treatment help?

Luxury treatment options can increase the level of success by encouraging the patient to remain in the program for its full duration. A private room, spa treatments, and gourmet meals within the facility provide an environment where a person wants to be. This helps with the success of the program.

What is alcohol abuse?

Alcohol abuse involves neglecting your important obligations due to drinking, including drinking and driving. Alcohol abuse can include drinking even though it is having a negative impact on work and relationships, legal problems, and drinking as a way to de-stress.

Does Blue Cross Blue Shield cover alcohol rehab?

It is likely that your Blue Cross Blue Shield insurance plan provides at least partial coverage for your alcoholism rehab treatment . The coverage varies from plan to plan, so it’s important that you call your insurance company to learn more about your specific plan and what types of substance abuse services it covers.

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Usage

  • Individuals who have a Blue Cross Blue Shield policy in place may be able to use this coverage to pay for nursing homes or skilled nursing locations. The policy is typically used in this case when and only when there is a medical need for this type of care. Most of the time, this will indicate that the senior needs to have assistance for medical ...
See more on seniorliving.org

Scope

  • These locations must be licensed under the state's laws as a skilled nursing care center. They also should be designed to provide for physical health and wellbeing. Most of the time, these health insurance policies do not cover mental residential care or adult care homes. Again, policies differ in what they provide. Most of the time, Blue Cross Blue Shield insurance policies do not co…
See more on seniorliving.org

Variations

  • There may be exceptions if there is medical care involved. Each individual plan will define the amount and level of care provided in these cases. Though it is not common on all forms of insurance, it may be available on specialized plans.
See more on seniorliving.org

Preparation

  • It is important to know that most policies need to be in place long before the patient enters into hospice care or needs skilled nursing care. For example, when a senior, or anyone over the age of 60, selects a health insurance policy, he or she should make a conscious decision to plan for this type of care. The sooner it is done, the more accessible skilled nursing care and hospice care ca…
See more on seniorliving.org

Summary

  • In-home care is a type of care in which a provider comes to a senior's home to provide one-on-one care. Individuals who have Medicare Part A may have some coverage for this type of care. As a result, those who have a Blue Cross Medicare plan may also gain access to this type of care. The service is provided to those who are homebound only. These individuals must need part-time or …
See more on seniorliving.org

Services

  • In-home care covered by Blue Cross Blue Shield policies may include care for a registered nursing or a licensed practical nurse who has supervision by a registered nurse. It can also be accessible to those who need in-home physical therapy, language and speech therapy, or occupational therapy. Medical supplies provided by a doctor, as well as medical services for emotional or soci…
See more on seniorliving.org

Future

  • It is possible to purchase a Blue Cross Blue Shield plan as a retired senior. This may be done with or without support from Medicare eligibility. Those who are eligible for Medicare may wish to purchase supplemental plans to extend their coverage here.
See more on seniorliving.org

Funding

  • Senior care is funded, typically, with private patients. In some cases, Medicare and Medicaid can help those who need skilled nursing care. However, there are limits. To access senior care, some individuals may be able to use an existing life insurance policy that has this type of coverage. In other cases, seniors may want to tap into retirement funds, investments, or even sell their home …
See more on seniorliving.org

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