RehabFAQs

what inpatient rehab does horizon bc/bs of nj cover

by Lillian Jast Published 2 years ago Updated 1 year ago

Horizon Blue Cross Blue Shield (BCBSNJ) are helping residents of New Jersey by covering the costs of drug or alcohol rehab. With close to eight million members enjoying the benefits of these health insurance policies, Horizon is one of the most trusted names in the health care industry.

Full Answer

Is Horizon Blue Cross Blue Shield of New Jersey owned by Blue Cross?

Mar 10, 2022 · Blue Cross Blue Shield in New Jersey is also known as Horizon Blue Cross Blue Shield of New Jersey. Generally, Blue Cross Blue Shield may be able to cover at least some of the cost of detox, inpatient or outpatient rehab, or more long-term residential treatment programs. From April 2020 to April 2021, there were 2,841 reported drug overdose deaths in New Jersey. …

How do I connect with a Horizon BCBSNJ member services representative?

Sep 14, 2021 · Horizon Blue Cross Blue Shield Coverage for Inpatient Rehab Centers in New Jersey. Addiction is a serious disease that is extremely difficult to overcome. One of the biggest components and fears of those who are ready to seek treatment is whether they can afford it. If you have an insurance plan, such as Horizon BCBS, you may be able to receive treatment for …

How do I close the Horizon BCBSNJ modal?

Mar 03, 2022 · Yes, as mandated by the Affordable Care Act (ACA), Horizon BCBSNJ will cover some, if not all, mental health and dual diagnosis treatment. 6 Studies show that almost 50% of individuals living with substance use disorder also have other mental health disorders, such as anxiety, depression, and/or post-traumatic stress disorder (PTSD).

What is form 8314 for Horizon BCBSNJ?

Does Horizon Blue Cross Blue Shield of New Jersey cover methadone treatment? It is one of the drugs on its list of approved medications. The exact cost will vary by one’s plan, and quantities may be limited. Paying for Rehab. Addiction rehab, especially when it involves detoxification, hospitalization, and inpatient care, can be expensive.

Horizon Blue Cross Blue Shield Coverage for Inpatient Rehab Centers in New Jersey

Addiction is a serious disease that is extremely difficult to overcome. One of the biggest components and fears of those who are ready to seek treatment is whether they can afford it.

What is Horizon BCBS NJ?

Horizon BCBS NJ is a part of the larger nationwide Blue Cross Blue Shield insurance network. Horizon BCBS NJ has been providing health insurance products and services to families and businesses throughout the state of New Jersey since 1932.

How Much Does Horizon BCBS Cover (Addiction Treatment) in NJ?

How much of your addiction treatment Horizon BCBS covers will depend on the plan you select and the treatment center you attend. Although the breadth of coverage will vary, as will your recommended course of treatment, many plans will cover the following common treatment methods: 3

How Long Does Horizon BCBS Insurance Cover Inpatient Alcohol and Drug Rehab Program in New Jersey?

Because every health plan is different, there is not a standard length of coverage for inpatient alcohol and drug rehab. Moreover, every person’s path to recovery looks different, depending upon their own personality, as well as whether they’re struggling with addiction, a mental health disorder, or a co-occurring disorder.

Horizon BCBS In-Network vs. Out-of-Network Inpatient Drug Rehab Centers of NJ

Knowing the difference between in-network and out-of-network inpatient drug rehab centers could help you save buckets of money. Typically, in-network providers—those that are part of your insurer’s network of approved providers and facilities—are covered at a higher percentage under your health plan.

How to Find Horizon BCBS-covered Inpatient Drug Treatment Centers in NJ?

Your Horizon BCBS NJ plan likely provides coverage for inpatient drug treatment centers and other types of treatment facilities in New Jersey. To find one near you, try calling the number on the back of your insurance card and logging on to your insurance account online at Horizon BCBS NJ’s website.

What Is Horizon Blue Cross Blue Shield of New Jersey?

Horizon Blue Cross Blue Shield of New Jersey was founded in 1932 and is the state’s largest and oldest health insurance corporation. 4 Horizon BCBSNJ is a not-for-profit organization and an independent licensee of the Blue Cross and Blue Shield Association (BCBSA), a federation of 35 independent, locally run health insurance companies.

Does Horizon Blue Cross Blue Shield of New Jersey Cover Rehab Treatment?

Yes. As a Horizon BCBSNJ member, your insurance plan will provide at least partial coverage for rehab and other addiction treatment. The Affordable Care Act (ACA) lists treatment for substance use disorders as an essential health benefit and mandates coverage for most substance use disorders treatments.

Types of Addiction Treatment That Horizon Blue Cross Blue Shield of New Jersey May Cover

There are several types of addiction treatment for different substances like alcohol, illicit drugs, and prescription drugs. The addiction treatment you receive will depend on your unique situation.

Does Horizon Blue Cross Blue Shield of New Jersey Cover Mental Health & Dual Diagnosis Treatment?

Yes, as mandated by the Affordable Care Act (ACA), Horizon BCBSNJ will cover some, if not all, mental health and dual diagnosis treatment. 6

How to Check Your Horizon Blue Cross Blue Shield of New Jersey Coverage for Rehab

Finding a treatment facility can feel overwhelming but knowing what your Horizon BCBSNJ insurance will cover before you enter treatment can give you peace of mind. The good news is, checking your coverage for rehab is easy.

Which Rehab Centers Take Horizon Blue Cross Blue Shield of New Jersey?

Horizon BCBSNJ members have access to a large network of healthcare providers in New Jersey and beyond, including those who offer treatment for substance use disorder. American Addiction Centers has several rehab facilities in the United States that accept Horizon BCBSNJ insurance, including:

Does NJ Family Care cover lab tests?

These include both lab tests and psychological assessments. NJ FamilyCare, Medicare Part A and B, as well as comprehensive Individual plans cover the doctor visits and other healthcare services related to substance use evaluation.

Does BCBSJ cover mental health?

Some patients may experience dual diagnosis, otherwise known as co-occurring mental illnesses aside from substance use disorder. For this reason, many may wonder if BCBSNJ covers mental health services. As discussed, behavioral health services may also be availed as a part of the outpatient and inpatient coverage related or not related to the substance abuse disorder.

Behavioral Health Services with BCBS NJ

Horizon Blue Cross Blue Shield has collaborated with Magellan Health Services, the nation’s leading behavioral health disease management company, to provide behavioral health and substance abuse treatment services. Members have access to high quality, clinically appropriate, affordable behavioral health care, tailored to their individual needs.

On Going Support For You and Your Family

Horizon Blue Cross Blue Shield of New Jersey and Magellan Health Services work together to provide their members with ongoing support. As a member, you and your family have access to a special online support community called OneRecovery that’s private and available at no cost.

Horizon NJ Health Rehab Coverage

Horizon NJ Health covers more than 500,000 adults and children in the NJ FamilyCare and Medicaid programs and is New Jersey’s largest managed healthcare company.

Does Horizon NJ Health Pay for Drug Rehab?

The two primary healthcare plans from Horizon NJ Health that cover substance abuse rehab include Horizon NJ TotalCare (HMO SNP) as well as Managed Long-Term Services & Supports (MLTSS). Other members of Horizon NJ Health are covered under what is known as fee-for-service (FFS).

Medically Supervised Detoxification and Enhanced Detox

Detoxification is a crucial aspect of any addiction treatment process and should be managed by a qualified and experienced medical professional who can assist in the event of a serious medical emergency and alleviate withdrawal symptoms. The medical detox process takes place as inpatient and can last between three to seven days.

Is There Horizon NJ Health Mental Health Insurance?

Yes. Horizon NJ Health mental health coverage includes both inpatient and outpatient. Conditions treated include those commonly associated with co-occurring disorders such as depression and anxiety.

Authorization Form - Spending-Savings Accounts - Flexible Spending Account - Direct Deposit

This form authorizes Horizon BCBSNJ to make a bank account deposit for a Flexible Spending Account (FSA). ID: 8314

Authorization Form - VeriPoint Application Verification

This form authorizes Horizon BCBSNJ to collect information supplied by a provider on their application. ID: 1090

Clinical Information Cover Sheet – Authorization Request

Use this cover sheet when uploading clinical/medical record information through Horizon BCBSNJ’s online utilization management tool to support an Authorization request. ID: 32039

Clinical Information Cover Sheet – Medical Necessity Determination Request

Use this cover sheet when uploading clinical/medical record information through Horizon BCBSNJ’s online utilization management tool to support a Medical Necessity Determination request. ID: 32038

NJ State Police Annual Medical History

Please use this form for NJ State Police Annual Medical History. ID: sp117

Orthodontic Referral Authorization

Dental providers use this form as a referral for specialty service authorizations. ID: 8083

Periodontal Specialty Referral Authorization

Dental providers use this form as a referral for specialty periodontal authorizations. ID: 1649

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.

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 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 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 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.

Does Blue Cross Blue Shield cover mental health?

Almost all of Blue Cross Blue Shield plans include coverage for mental health conditions, but the amount of coverage for treatment depends on your policy. The Mental Health Parity and Addiction Equity Act requires that health insurance companies and group health plans to provide equal coverage for mental health services, ...

Does BCBS cover rehab?

BCBS may cover some, if not all, of your rehab costs, depending on the policy you have. In some cases, your policy may not cover all the expenses related to treatment at drug and alcohol rehab facilities and treatment centers.

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