Mental Health Treatment in New Jersey

Blue Cross Blue Shield Drug Rehab Coverage

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What Is Blue Cross Blue Shield?

The Blue Cross and Blue Shield Association is a powerhouse in the health insurance industry, boasting ownership of 36 independent and locally operated companies nationwide. 

Collectively known as the Blue System, these companies are commonly referred to as “The Blues” or “BCBS.” Their network is so extensive that over half of all federal employees choose to enroll in their coverage through the Federal Employee Program.

The tiered plans of Blue Cross Blue Shield are as follows:

  • Bronze: This level covers around 60% of medical costs, with a low monthly payment and a high deductible.
  • Silver: This level covers around 70% of medical costs, with a slightly higher monthly payment and lower deductible.
  • Gold: This level covers around 80% of medical costs, with a higher monthly payment and low deductible.
  • Platinum: This level covers around 90 of medical costs, with the highest monthly payment and the lowest deductible.

Does Blue Cross Blue Shield Insurance Cover Rehab?

If you’re seeking help for drug and alcohol addiction, you’ll be glad to know that Blue Cross Blue Shield (BCBS) health insurance covers rehab services. BCBS is a well-established insurance provider that collaborates with various addiction treatment facilities, including American Addiction Centers. 

Remember, coverage details can vary from state to state and plan to plan. To get precise information about your coverage, it’s advisable to contact BCBS directly.

What Does Blue Cross Blue Shield Cover?

  • Want to know what your Blue Cross Blue Shield health insurance plan covers? No problem! Just enter the 3-letter prefix before your identification number on your member card into the Blue Cross Blue Shield Association’s website. 
  • Alternatively, you can easily locate your company on the website’s listing of the 36 member companies by state. Discovering your coverage has never been more convenient!
  • Once you’ve discovered your company, simply log in to explore your coverage. Visit your local company’s website to uncover all the essential details, including your prescription drug benefits and a comprehensive list of healthcare providers in your vicinity. 
  • As a valued member, you’ll also have exclusive access to the cost estimator, enabling you to estimate the expenses for your treatment.
  • Blue Cross Blue Shield insurance offers numerous plans designed specifically for your state of employment. 
  • These state-specific plans still utilize the extensive nationwide BCBS network of providers. 
  • Therefore, patients are not limited to receiving care solely in their home state.

Blue Cross Blue Shield Coverage

In most cases, Blue Cross Blue Shield plans do provide coverage for addiction treatment, partially. However, the specifics of coverage are determined by the policy you hold. If medical detox is deemed necessary, it is typically covered by most plans.

The treatment center and professionals you can choose from depend on your insurance plan. HMO plans have restrictions on which facilities are covered, while PPO plans provide more flexibility, allowing you to choose out-of-network options at a higher expense.

It is important to speak with Blue Cross Blue Shield to fully comprehend your insurance coverage and any potential costs you may have to pay out-of-pocket for detox or addiction treatment.

With Blue Cross Blue Shield’s extensive network, finding a treatment center becomes easier. You can use their website to locate providers in your area. To determine if your insurance covers treatment at an American Addictions Centers facility, simply fill out our quick verification form.

Does Blue Cross Blue Shield Health Insurance Cover Inpatient Rehab?

Generally, Blue Cross Blue Shield health insurance provides coverage for different types of inpatient rehab. Inpatient rehab can vary, with some facilities offering specialized programs for individuals dealing with substance abuse problems and co-occurring disorders. Additionally, certain inpatient residential rehab centers may focus on treating pregnant women or those who have recently given birth, while others may cater specifically to a particular gender.

Does Blue Cross Blue Shield Cover Intensive Outpatient Rehab?

Blue Cross Blue Shield health typically covers outpatient programs for substance abuse treatment. Outpatient treatment has proven to be highly effective in addressing substance use disorders and co-occurring mental illnesses. However, outpatient programs are generally more suitable for individuals who do not have any medical complications related to their substance abuse or withdrawal, feel comfortable in their current living environment, and have other responsibilities to attend to, such as child care, while undergoing addiction treatment.

Some individuals may begin their substance abuse treatment journey in an outpatient program, while others may transition to outpatient treatment from a more intensive level of care, such as residential inpatient treatment or a drug detoxification center.

Does BCBS Cover Therapy?

Blue Cross Blue Shield typically covers individual therapy sessions for people with substance abuse issues and other mental health conditions. BCBS insurance may cover therapy fully or partially depending upon the member’s plan. The member may still be responsible for certain additional costs of therapy, especially if they still owe money towards their deductible or are required to pay a coinsurance.

How Long Will BCBS Insurance Cover Rehab?

The duration of coverage for rehab by Blue Cross Blue Shield insurance, or any insurance plan, varies based on the individual’s specific health care plan and their behavioral health benefits. The length of time spent in drug or alcohol rehabilitation is also determined by the specific addiction treatment program and the recommended level of care. Below, you can discover rehabilitation centers that accept Blue Cross Blue Shield insurance.

How Much Does Blue Cross Blue Shield Cover?

The amount of substance abuse treatment that BCBS covers is contingent upon a member’s particular plan, their desired treatments, and the provider they choose. You can discover more about your BCBS coverage by calling the phone number on the back of your insurance card or calling one of our admissions navigators today.

Unlock Your Path to Recovery with Blue Cross Blue Shield

Blue Cross Blue Shield (BCBS) is your dedicated partner in the journey to recovery, offering an extensive network and inclusive coverage options. Whether it’s addiction treatment, inpatient or outpatient rehab, we are here to support your well-being. However, the extent of coverage depends on your specific plan. 

Reach out to Relevance Recovery today for precise details and embark on your path to a healthier, substance-free life. Your journey to recovery starts here!

We Work with Most Insurance Companies.

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“The treatment experience at Relevance has been extremely helpful in terms of addressing the root causes of my addiction and teaching me different tools in recovery. All of the counselors provide interactive groups and individual meetings to help make recovery exciting. Treatment here has also helped me identify my goals and breaking them down into manageable pieces.”