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what does blue cross blue shield cover for post tbi out patient rehab

by Prof. Kaleigh Lockman DDS Published 2 years ago Updated 1 year ago
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Blue Cross Blue Shield often covers drug rehab services such as: Detoxification. During detox, you rid your body of drugs and alcohol and work on stabilizing your physical and mental health.

Full Answer

Does Blue Cross Blue Shield cover drug and alcohol rehab?

Mar 10, 2022 · Blue Cross Blue Shield (BCBS) health insurance does cover rehab for drug and alcohol addiction. 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 …

What is Blue Cross Blue Shield health insurance?

The short answer is yes, Blue Cross Blue Shield does cover rehab treatment for substance abuse. The type of treatment however does depend on the coverage levels of your insurance policy. You can check your plan’s specific healthcare benefits and coverage by going online here .

Does Blue Cross Blue Shield insurance cover Suboxone?

Oct 02, 2019 · Pharmaceutical use is covered under Blue Cross Blue Shield alcohol rehab policies. However, they can limit the medications they cover and refuse coverage under certain circumstances. The most commonly covered rehabilitation drugs are Suboxone , Zubsolv, and Buprenorphine/Naloxone.

Does BCBS cover outpatient rehab?

Outpatient Rehabilitation Therapy. Primary care providers (PCPs) and designated specialists with an open referral from the PCP can refer a member for short-term rehabilitation therapies, including: In most instances, the benefit for Massachusetts managed care group members is 60 visits per member per calendar year.

What types of rehabilitation and treatment does a TBI patient undergo?

If you have had a TBI, rehabilitation (or rehab) will be an important part of your recovery. Rehab can take many forms depending on your needs, and might include physical, occupational, and speech therapy, as well as psychiatric care and social support.

What are two locations for rehabilitation post TBI?

There are several options, including home-based rehabilitation, hospital outpatient rehabilitation, inpatient rehabilitation centers, comprehensive day programs at rehabilitation centers, supportive living programs, independent living centers, club-house programs, school based programs for children, and others.May 17, 2013

How long is rehab for TBI?

At six months, about 60% of TBI patients can walk again. After one year, speech and cognitive abilities will have significantly improved. In fact, 64% of TBI patients make a good cognitive recovery after 12 months, according to the Journal of the International Neuropsychological Recovery.May 28, 2020

Does Medicare cover traumatic brain injury?

There are procedures to follow when applying for benefits, appealing a decision and trying to move a claim forward faster when someone has suffered catastrophic TBI. Medicare provides federal health benefits for those on SSD for 24 months or longer.

What is the best treatment for traumatic brain injury?

For all TBI grades, treatments may include:Counseling for emotional support. ... Surgery to treat bleeding in the brain (intracranial hemorrhage) or reduce pressure from brain swelling.Rehabilitation, including physical, occupational and speech therapy.Rest. ... Return to typical activities.Mar 11, 2021

What should I do after TBI?

Traumatic Brain Injury: Recovery Tips for AdultsGet plenty of sleep at night, and rest during the day.Avoid activities that are physically demanding (e.g., heavy houscleaning, weightlifting/working-out) or require a lot of concentration (e.g., balancing your checkbook).More items...

What happens after traumatic brain injury?

Mild traumatic brain injury may affect your brain cells temporarily. More-serious traumatic brain injury can result in bruising, torn tissues, bleeding and other physical damage to the brain. These injuries can result in long-term complications or death.Feb 4, 2021

How do you get an acquired brain injury?

SummaryAcquired brain injury refers to any type of brain damage that happens after birth.Causes of ABI include disease, blows to the head, alcohol and drug use, or oxygen deprivation.Coping with the consequences of acquired brain injury can be difficult for everyone, including family members.

When Phineas Gage sustained his injury What did he lose his ability to do?

This suggests that the accident impacted both his ability to process emotions and his ability to make decisions. How long did Phineas Gage live after the accident? Phineas Gage lived almost 12 years after the rod pierced his skull.Feb 24, 2022

How much does Blue Cross Blue Shield pay for rehab?

If you have a Bronze, Silver, Gold, or Platinum plan, you will pay 60%, 70%, 80%, or 90% of the costs, respectively.

What is the number to call for Blue Cross Blue Shield?

Blue Cross Blue Shield partners with American Addiction Centers (AAC) at several AAC facilities. To learn more, call AAC at 1-888-287-0471. Who Answers? or use our online insurance checker to determine if your plan provides coverage at one of our facilities.

What is the deductible for BCBS?

The plans that offer more coverage are usually more expensive. Federal employees have BCBS health plans, usually with a deductible of $350 per individual and $700 per family. 2 Addiction treatment coverage is the same as other medical issues. 2 Blue Cross Blue Shield also offers products for Medicare and Medicaid that cover more than 7 million ...

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

Bronze plans typically cover 60% of the overall costs of treatment. Silver plans pay 70%, and Gold plans usually cover 80% of treatment. Some states also offer Platinum coverage, which pays for 90% of covered costs of services. The plans that offer more coverage are usually more expensive.

Does Blue Cross Blue Shield cover inpatient treatment?

Blue Cross Blue Shield offers numerous plans with various levels of benefits and coverage. If you are going to receive inpatient treatment, your addiction treatment coverage will typically cover costs beyond those met by your deductible (the amount you pay out-of-pocket before coverage starts). You typically also have a co-pay, which is ...

Does BCBS cover drug rehab?

While the coverage may vary from one state to another, you are likely to find a substantial portion of your alcohol and drug rehab costs will be covered.

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 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.

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).

What does a dedicated treatment provider do?

Dedicated treatment providers can show you the best treatment options available that fit your budget and needs. They can also show you how much coverage you may receive from your insurance provider, as well as additional private costs that may incur.

Is Blue Cross Blue Shield the largest health insurance?

BlueCross BlueShield is actually a number of separate providers, but collectively they are one of the largest health insurance providers in the country. While many Blue Cross Blue Shield policies provide a range of benefits to cover addiction treatment, options and programs vary depending on the state you reside in and your individual plan.

How many companies does Blue Cross Blue Shield have?

However, it is important to understand that Blue Cross Blue Shield insurance is provided through 36 independently operated companies that are located throughout the United States, as well as by licensees that are authorized to provide BCBS coverage outside the U.S.

Does Blue Cross Blue Shield cover drug rehab?

If you have Blue Cross Blue Shield (BCBS) insurance, your benefits may include coverage for drug rehabilitation and/or other forms of drug treatment. Many BCBS policies include coverage for various types of drug rehab, including certain types of inpatient and outpatient care.

Does BCBS cover drug rehab?

Each BCBS policy will have certain limitations on coverage for drug rehab and other treatment-related services. These limitations may involve the amount of money that the policy will provide for drug rehab, as well as the amount of time that the person may remain in drug rehab and still have his or her treatment paid for by Blue Cross ...

How much does Blue Cross Blue Shield inpatient treatment cost?

Inpatient treatment with Blue Cross Blue Shield begins with the Standard Option at a copay of $35 per day for an unlimited amount of days.

What is the phone number for BCBS?

Call to be connected with a treatment specialist. 100% Free and Confidential. (844) 616-3400. With PPO (Preferred Provider Organizations) plans through BCBS, individuals may have a little more selection. BCBS PPO plans provide a network of treatment providers as well, but the selection may be greater.

What is the most common outpatient treatment for addiction?

Some of the most common outpatient treatments for addiction include partial hospitalization programs, intensive outpatient treatment programs, and medication-assisted treatment .

What is the best insurance for drug and alcohol treatment?

Blue Cross Blue Shield is one of the largest insurance providers in the US and one of the best insurance companies to have when it comes to minimizing out-of-pocket expenses for drug and alcohol treatment. Knowing what is covered under your BCBS insurance plan can help you determine if your addiction treatment expenses will be covered.

Does Blue Cross Blue Shield cover outpatient treatment?

Outpatient treatment for addiction is covered by Blue Cross Blue Shield plans at a similar rate as inpatient rehab programs. Services available for outpatient treatment can vary greatly, though, depending on whether a person seeks treatment at a doctor’s office, rehab center, or hospital.

Does BCBS have a higher deductible?

Those with BCBS Bronze plans (generally lower monthly premium and higher deductible) may have to pay larger copays for certain services. Those with Blue Cross Blue Shield Gold plans (generally higher monthly premium and lower deductible) may pay less for certain services and have lesser copays.

Does Blue Cross Blue Shield cover alcohol rehab?

However, the amount of coverage and services covered will vary by plan.

What is the Blue Cross and Blue Shield program?

Blue Cross and Blue Shield (BCBS) companies have developed a national designation program, Blue Distinction Center for Substance Use Treatment and Recovery, which recognizes nationally accredited treatment facilities that are improving outcomes with evidence-based , patient-focused care .

What are the resources for substance abuse?

The following is a list of additional national resources that are available for individuals and/or family and friends of individuals seeking help with substance use and related disorders: 1 Substance Abuse and Mental Health Services Administration (SAMSHA) Treatment Locator SAMHSA provides treatment referral and information service for individuals and families facing mental health problems and/or substance use disorders. 2 Narcotics Anonymous Narcotics Anonymous helps those trying to overcome any type of drug or alcohol dependence using their twelve-step program. 3 Nar-Anon Nar-Anon provides support and resources (meetings) for friends and family of people living with substance use disorder/addiction. 4 Alcoholics Anonymous Alcoholics Anonymous provides support through their twelve-step program to help individuals overcome a drinking problem. 5 Al-Anon Al-Anon provides information and resources (meetings) for friends and family of an alcoholic to help them recover from the effects of their drinking problem. 6 Smoking Cessation Smokefree.gov from the National Cancer Institute helps you or someone you care about quit smoking. 7 Suicide Prevention Suicide Prevention Lifeline is a 24/7 service that provides free and confidential emotional support to people in suicidal crisis or emotional distress.

What is the substance use resource center?

The Substance Use Resource Center is available to support all individuals with substance use disorder needs, however, there may also be additional support services offered at the state level. Use our interactive map below to find other local substance use disorder resources available in your state.

What is MAT treatment?

Medication Assisted Treatment (MAT) – Involves the use of FDA-approved medications, in combination with counseling and behavioral therapies, to provide a "whole-patient" approach to the treatment of substance use disorders. Click here for more information about medications used to treat Opioid Use Disorder.

What is a SAMHSA family brochure?

SAMHSA has created a Family Brochure for family members of people living with substance use disorders. It answers questions about substance use disorders, their symptoms, different types of treatment, and recovery. The brochure also addresses concerns of children of parents living with substance use disorders.

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