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how much does the average insurance pay for inpatient drug rehab

by Kory Borer Published 2 years ago Updated 1 year ago
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In our experience, private health insurance tends to cover anywhere from $5000 - $15,000 for a 30-day inpatient rehab. Most affordable inpatient rehab programs accept insurance and offer financing options. Here’s a list of what to expect for private-pay and insurance-based inpatient drug and alcohol rehabs at various price points.

Full Answer

How do I choose between inpatient vs. outpatient rehab?

How Much Does Rehab Cost? The costs of a rehab program vary widely by the type of treatment center, and whether you do an inpatient or outpatient program. Some recovery options, such as programs from non-profit health centers, are entirely free while luxury centers for celebrities might cost up to $80,000 a month.

Does Medicaid pay for drug rehab?

Mar 23, 2022 · Though program costs drug and alcohol addiction treatment will be variable, one might expect standard inpatient addiction treatment facilities to cost between $14,000 and $27,000 for a 30-day program, and outpatient treatment can range from free to $500 per session. 2 Detoxification (detox)—the period during which the body rids itself from the influence of …

What is the average cost of drug rehabilitation?

On average, rehab prices range from $5,000 to $10,000 for a three-month outpatient program. The cost of inpatient rehab can be from $12,000 to $60,000 for a 60 to 90 day program. It’s important to remember prices vary from one facility to another.

What to expect from inpatient drug treatment?

Jan 26, 2022 · How Much Does Drug Detox Cost? Detox treatment costs can vary depending on the number of days a person is in it and the level of care. It can also take place in various settings and levels of intensity. 2 Many inpatient and outpatient programs include detox and therefore, the cost of detox may be a part of the program you choose.

Inpatient Drug Rehab Services

People who most need inpatient care have likely developed one or more medical and/or psychological problems as a result of chronic drug abuse. The presence of co-existing disorders inevitably makes the addiction that much harder to treat.

How Can I Afford It?

According to HealthCare.gov, as of 2014, marketplace health insurance carriers are required to classify mental health and substance treatment as essential health benefits. This means, any standard health plan will cover these costs at the same rate as medical and preventative care.

Considerations

When all is said and done, inpatient rehab costs run considerably lower than the cost of “financing” an addiction problem, which can easily run as high as $30,000 year depending on your drug of choice. Also, the damaging effects of chronic drug abuse make for a poor quality of life that only gets worse with time.

How long does an inpatient rehab program last?

Inpatient programs generally last for 30, 60, or 90 days, if not longer depending on a person’s needs. Even standard facilities may offer a variety of treatment approaches and additional services to participants. Although standard rehab facilities may have fewer luxury amenities, many still offer some of the best addiction treatment programs in ...

What can you expect in an addiction treatment program?

Participants in any addiction treatment program can expect certain basic components. Inpatient participants— those who live at the facility during treatment —can expect to undergo an intake, assessment, and evaluation process; have access to qualified counselors; and have round-the-clock supervision from professionals. Outpatient participants can expect access to group therapy, individual therapy, family counseling, or a combination of these options when they are at the facility and live outside the facility when treatment sessions are completed for the day.

How to determine the cost of treatment?

The price of treatment generally depends on the following: 1 Type of facility—for example, inpatient facilities tend to cost more than outpatient treatment programs because they provide meals and lodging in addition to therapeutic interventions and wellness activities. 2 Location of the facility—such as near home or not, or in the mountains or on a beach. 3 Size of the program—whether it’s a large program with more participants or a smaller, more intimate rehab. 4 Treatments provided—which may or may not include detoxification (detox), medication-assisted treatment, various therapy options, and comprehensive aftercare. 5 Length of the program —which can vary from 30-90 days depending on a person’s needs. 6 Amenities offered—such as a swimming pool, an on-site gym, massage therapy, nutrition counseling, and more.

What to do if you don't have insurance?

If you don’t have insurance and have little or no money, you still have options for quality addiction treatment. Some neighborhood health clinics offer free treatment or sliding-scale fees for healthcare to people who don’t have health insurance.

Does insurance cover rehab?

Consultation with a treatment professional prior to choosing a rehab can help you determine if your addiction issues will be adequately addressed with outpatient approaches. Your insurance plan might not cover all of the services the facility offers, but certain treatment types are covered under many insurance plans.

What is luxury rehab?

Luxury rehab facilities focus on providing treatment in a tranquil, serene, highly confidential, and strikingly beautiful setting. These private rehab centers allow people in the public eye to maintain a low profile as they receive professional help for a SUD without giving up the luxuries they’re accustomed to.

Can someone with SUD get help?

Anyone with an SUD can get help regardless of insurance coverage or financial status. If you need help recovering from addiction and want to find an addiction rehab program you can afford, take action to find the right treatment program for both your health needs and your budget.

How much does intensive outpatient treatment cost?

This level of care can cost between $3,000 and $10,000 for 30 days of treatment .

How much does outpatient care cost?

Through a series of appointments, patients learn to be drug-free without living at a facility. Outpatient care often costs about $5,000 for a three-month program. Some facilities may charge up to $10,000 for outpatient treatment.

Why are inpatient and residential treatments generally priced higher than outpatient services?

Inpatient and residential treatments are generally priced higher than outpatient services because patients receive 24/7 care on-site. Generally, the average cost of outpatient care is a fraction of what most inpatient programs cost.

What is private health insurance?

Health insurance plans marketed by the private health insurance industry are an alternative to government-run insurance programs. Often offered through employers, these plans cover health care for more than half of Americans.

How much does it cost to detox?

The estimated average cost of a 30-day detox program ranges from $250 to $800 per day based on information from drug treatment facilities across the United States.

Who is Matt Gonzales?

Matt Gonzales is a writer and researcher for DrugRehab.com. He graduated with a degree in journalism from East Carolina University and began his professional writing career in 2011. Matt covers the latest drug trends and shares inspirational stories of people who have overcome addiction. Certified by the Centers for Disease Control and Prevention in health literacy, Matt leverages his experience in addiction research to provide hope to those struggling with substance use disorders.

What is state funded rehab?

State-Funded Rehab. Federal and state governments provide funding to drug and alcohol rehab facilities to provide treatment to patients who have no other way to pay for it. State-funded rehab centers cover a range of services, including detox, inpatient and outpatient treatment, and support services.

Rehab Costs Vary Depending on the Program

Typically, the cost of rehab varies depending on the program in which you enroll. For example, inpatient treatment costs more than outpatient rehab most of the time. The cost is higher because you live at the rehab facility for the duration of the program. As a result, you have to pay for room and board on top of the treatment cost itself.

How Much Does Drug Rehab Cost With Insurance?

Paying for rehab is more affordable with insurance. In fact, government regulations require insurance companies to cover addiction treatment as they do treatment for any other illness. Because of that, insurers can no longer deny you coverage if you are suffering from a substance use disorder.

How to Pay for Rehab Without Insurance

If you don’t have health insurance, the entire cost of rehab will come out of pocket. The good news is there are ways to afford rehab. Potential clients should investigate state sponsored scholarships, personal loans, and medical loans. In our case, we offer treatment plans to help make paying for rehab more manageable.

How long does an inpatient rehab program last?

Inpatient programs can last anywhere from 30 days to 60 day s to 90 days or longer . 2 A good way to look at the cost of an inpatient/residential rehab program is in terms of the level of care: Basic. Standard. Premium/luxury.

What is outpatient addiction treatment?

Outpatient addiction treatment. allows you to continue living and working at home while undergoing treatment. It tends to cost less than inpatient treatment. This type of program will involve focused but not around-the-clock care and often includes group and individual therapy sessions.

What is residential treatment?

, which is sometimes called residential treatment, is a treatment setting where patients live full-time at the facility while participating in a recovery program. It offers several advantages over other types of programs including continuous medical care, removal of distractions, and regular access to addiction treatment providers. 1

What is detox medication?

Detox is the process of removing all drugs and/or alcohol from the body while managing withdrawal symptoms.

What is detoxing inpatient?

Detox is the process of removing all drugs and/or alcohol from the body while managing withdrawal symptoms. Many inpatient and some outpatient programs include detox as part of treatment. 1,2. Detox in itself is not comprehensive addiction treatment, but is an important first step in the recovery process.

Does insurance pay for rehab?

Some programs cost very little and others cost significantly more. Insurance is commonly used to pay for rehab. The amount an individual’s insurance covers depends on the insurance provider and what the substance abuse facility accepts.

How long does it take to get into an inpatient rehab facility?

You’re admitted to an inpatient rehabilitation facility within 60 days of being discharged from a hospital.

What is part A in rehabilitation?

Inpatient rehabilitation care. Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease, or its symptoms and that meet accepted standards of medicine.

What is the benefit period for Medicare?

benefit period. The way that Original Medicare measures your use of hospital and skilled nursing facility (SNF) services. A benefit period begins the day you're admitted as an inpatient in a hospital or SNF. The benefit period ends when you haven't gotten any inpatient hospital care (or skilled care in a SNF) for 60 days in a row.

Does Medicare cover private duty nursing?

Medicare doesn’t cover: Private duty nursing. A phone or television in your room. Personal items, like toothpaste, socks, or razors (except when a hospital provides them as part of your hospital admission pack). A private room, unless medically necessary.

Does Medicare cover outpatient care?

Medicare Part B (Medical Insurance) Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.

What is the best insurance for substance abuse?

The two most common healthcare plans are HMO and PPO. Substance abuse treatment and recovery may be covered by your insurance provider. Learn more about which plan, HMO or PPO, offers the best coverage: 1 HMO (Health Maintenance Organization) plans allow patients to choose their primary care physician and see that doctor for most of their medical needs. This allows them to form a relationship with a doctor who knows their whole health history. When seeking a specialist or physician outside of the network, a referral is needed by your primary care physician. 1 HMOs have lower or no deductibles and overall coverage is usually a lower cost than PPO. 2 Pros of HMO coverage are for those that are not seeking a specialist and healthcare providers out of their network and paying lower premiums. 2 2 PPO (Preferred Provider Organization) plans allow patients to see healthcare providers in and out of their network without referrals. 3 PPOs can have higher deductibles than those with an HMO plan. 2 One of the pros of PPO coverage is having the option see specialists and other healthcare providers outside of your network without a referral from your primary care physician. 2

How much does it cost to incarcerate an adult?

For example, a PBS report suggests that incarcerating an adult for one year can cost up to $37,000, while providing residential care for addiction costs just $14,600. State-run plans might very well provide robust addiction care for all drugs simply because doing so could keep other costs in line.

What is the one page summary of benefits and therapies?

Under the Affordable Care Act, insurance plans are required to provide a one-page summary of benefits and therapies, along with their fees, per the U.S. Department of Health and Human Services.

How many people didn't have health insurance in 2014?

Now more people than ever before have health insurance. In fact, according to the Kaiser Family Foundation, only 13% of Americans didn’t have health insurance in 2014. Everyone else had the coverage they needed to deal with health problems.

Is health insurance a luxury?

Health insurance was once considered a bit of a luxury. People with tight budgets and low-paying jobs may not have had the extra cash they needed in order to buy expensive health care plans, so they tried to save up enough money to allow them to get care for problems deemed life-threatening. Anything else went unaddressed. Often, that meant addictions went untreated. For people without health insurance, getting medical care for addiction was just too expensive to consider.

Is substance abuse covered by insurance?

Substance abuse treatment and recovery may be covered by your insurance provider. Learn more about which plan, HMO or PPO, offers the best coverage: HMO (Health Maintenance Organization) plans allow patients to choose their primary care physician and see that doctor for most of their medical needs.

Is drug treatment covered by insurance?

Most insurance policies don’t separate drugs into “covered” and “non-covered” categories. If addiction treatments are considered a covered benefit, then care is provided to anyone who has an addiction, regardless of what that addiction is caused by.

Inpatient Drug Rehab Services

  • People who most need inpatient care have likely developed one or more medical and/or psychological problems as a result of chronic drug abuse. The presence of co-existing disordersinevitably makes the addiction that much harder to treat. According to the New York State Office of Alcoholism & Substance Abuse Services, inpatient rehab provides medical care, t…
See more on inpatientdrugrehabcenters.com

How Much Does Inpatient Rehab Cost?

  • Nowadays, medical care can get expensive, especially in cases where multiple services are provided. The same holds true for inpatient rehab costs as this level of treatment places a heavy emphasis on providing needed medical care. Whether you opt for a 28-day, three month or six month program, inpatient rehab costs are going to run higher than other forms of addiction treat…
See more on inpatientdrugrehabcenters.com

How Can I Afford It?

  • Health Insurance Coverage
    According to HealthCare.gov, as of 2014, marketplace health insurance carriers are required to classify mental health and substance treatment as essential health benefits. This means, any standard health plan will cover these costs at the same rate as medical and preventative care. If …
  • Other Payment Options
    Both state and federal governments provide funding to drug treatment programs as a way to help defray health care costs. As a result, many programs can offer payment assistance options for people who can’t afford to pay the full cost upfront. A number of programs will also allow you to …
See more on inpatientdrugrehabcenters.com

Considerations

  • When all is said and done, inpatient rehab costs run considerably lower than the cost of “financing” an addiction problem, which can easily run as high as $30,000 year depending on your drug of choice. Also, the damaging effects of chronic drug abuse make for a poor quality of life that only gets worse with time. If you you need help finding a treatment program, please feel fre…
See more on inpatientdrugrehabcenters.com

Background

  • Each day, millions of Americans walk around with an addiction. According to a 2016 report by the U.S. surgeon general, nearly 21 million people in the United States have a substance use disorder. Yet only 10 percent of these individuals receive substance abuse treatment.
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Causes

  • Why is this? Part of the reason relates to the costs. Between 2011 and 2014, almost 40 percent of Americans with a substance use disorder that required treatment didnt go to rehab because they believed they could not afford it or they did not have health insurance.
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Cost

  • But the cost of treatment pales in comparison to the cost of addiction. And many people do not realize that insurance can significantly reduce the price of rehab. New laws have passed that require insurance companies to cover addiction and mental health treatment. Addiction centers nationwide vary in price for each level of care. People with more severe substance use disorder…
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Prevention

  • Support groups such as Alcoholics Anonymous and Narcotics Anonymous are another option for people in recovery. For more than six decades, these 12-step programs have helped millions of people achieve or maintain sobriety through regular meetings. Some faith-based organizations offer free treatment options as well.
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Health

  • Health insurance plans marketed by the private health insurance industry are an alternative to government-run insurance programs. Often offered through employers, these plans cover health care for more than half of Americans.
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Effects

  • Many people do not want to pay thousands to attend rehab, even when addiction has overtaken their lives. Fortunately, the Affordable Care Act requires companies to offer competitive insurance plans to full-time employees, and it requires states to offer comprehensive health insurance plans to individuals.
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Summary

  • Public health insurance, such as Medicaid and Medicare, also provides health care coverage to millions of Americans who dont have employer-based or private insurance.
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Usage

  • Individuals who pay for drug rehab out of pocket may consider raising money in a variety of ways. They can sell personal items, downsize their living situation, ask for loans from friends and family or ask for cash donations.
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Risks

  • Paying out of pocket isnt realistic for many people. If a patient is enrolling in a residential treatment program, he or she will likely be out of work for at least 30 days. That amount of missed time at work can cause bills to stack up, making copayments and deductibles difficult to afford.
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Services

  • Federal and state governments provide funding to drug and alcohol rehab facilities to provide treatment to patients who have no other way to pay for it. State-funded rehab centers cover a range of services, including detox, inpatient and outpatient treatment, and support services. Services differ based on the states standards for addiction treatment.
See more on drugrehab.com

Benefits

  • The type of services offered depends on the source of the funding. The number of sources is too great to describe all of the possible benefits, according to the Substance Abuse and Mental Health Services Administration. Substance abuse treatment reduces drug and alcohol use and its associated health and social costs. Those who avoid rehab run the risk of losing their jobs, dam…
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Treatment

  • Most treatment programs run between 21 and 90 days, though some can be as long as 180 days. The longer you stay, the more you pay. How long rehab takes is contingent on an individuals goals, the severity of addiction, their response to treatment and their type of insurance plan. Treatment is worth the price. According to the National Institute on Drug Abuse, research has in…
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Amenities

  • Some facilities provide special amenities for their patients, including personal chefs and private rooms. For example, Next Generation Village, located in Sebring, Florida, offers an exercise gym, laundry facilities and sporting activities.
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