Blue Cross Blue Shield Rehab Coverage

Blue Cross Blue Shield Support & Purpose Healing Center: Your Journey to Healing

Behavioral Health Factors That Lead to Substance Use Disorder

Blue Cross Blue Shield covers treatment for addiction treatment services, including behavioral health industry specialists. Behavioral health looks at your lifestyle to determine what has caused a substance use disorder. These can include several factors – here are just a few:

• A person’s reactions when dealing with stress
• Someone’s unawareness of the physical signs of stress or trauma
• A life crisis
• Coping mechanisms to deal with daily challenges
• Physical health choices (exercise, dietary, tobacco use, etc.)

Understanding this gives a behavioral health specialist a better picture of some of the root causes of substance use disorders.

Here’s an example:

Tammy had a really stressful life, working full-time while finishing her degree. She often went home exhausted. She drank a glass of wine every night to help her relax. Eventually, one glass of wine became two. Then, it became a whole bottle. Tammy did not have a healthy behavior to cope with the stress of her too-busy lifestyle.

Tammy used her Blue Cross Blue Shield in-network benefits to connect with a local therapist. With the counselor’s guidance, she was able to stop the alcohol abuse after she mastered some deep breathing techniques. These helped her be more mindful of her stress signals and gave her a way to alleviate it. That behavior allowed her to get sober and finish her degree with flying colors.

Blue Cross Blue Shield and Mental Health Conditions

Blue Cross Blue Shield also covers the mental health factors that lead to drug and alcohol conditions. Mental health encompasses one’s emotional and psychological health. Underlying mental illnesses, sometimes undiagnosed, can be a key player behind substance abuse.

Mental Health Disorders That May Cause Drug or Alcohol Addiction

Several mental illnesses can lead to drug and alcohol addiction. When diagnosed in conjunction with addiction, they are called co-occurring disorders. Some of these include the following:

• Depression
• Anxiety
• Panic disorder
• Post-traumatic stress disorder

Other mental health conditions may also lead to substance abuse – those listed are just a few. Correct diagnosis of a mental illness along with substance use can make way for long-lasting sobriety.

Here’s an example:

Jay always felt anxious around people; he’d always felt that way. People usually dismissed him as quiet. But he bottled up the intense pain he held inside. To fit in better with his co-workers, he started taking uppers. He started to take speed and soon felt more confident – and better focused at his job. But the effects of the drugs were short-lived, and he knew that these street drugs were becoming a problem.

He used his company’s Blue Cross Blue Shield in-network program to get help. He learned that he suffered from anxiety. A counselor taught him some coping techniques for the anxiety and his doctor gave him a legal prescription to manage the diagnosis. Once that aligned, he stopped taking illicit drugs.

Blue Cross Blue Shield Health Insurance Covers Addiction Treatment

The passage of the Affordable Care Act in 2010 meant that big-name insurance providers had to meet basic patient rights. It removed two of the previous roadblocks to getting into an addiction treatment program. Specifically, it deemed mental and behavioral health as important as physical well-being and it eliminated pre-existing conditions from policy language.

First, the Affordable Care Act listed mental health and substance abuse treatment as a right, not an enhancement. Before then, some insurance coverage for rehab programs included this care while others deemed it non-essential. Under the ACA, substance abuse treatment is essential. It equalized things, forcing mental health parity.

Second, it stopped health insurance companies from calling substance use treatment a “pre-existing condition,” thereby refusing to cover treatment for millions who needed help. Under the ACA it doesn’t matter if someone has a particular ailment, as the law does not allow health insurance companies to exclude these conditions.

You deserve to get well without worrying about medical costs.

Your Blue Cross Blue Shield Insurance Plan & Drug and Alcohol Treatment

Now that you know you’re covered, you might wonder how to use your Blue Cross Blue Shield benefits at drug and alcohol treatment facilities. Blue Cross Blue Shield has many plan variations, but here are some options that are very effective for drug and alcohol addiction treatment:

Your Insurance Plan Covers Medical Detox

As a top insurance company, Blue Cross Blue Shield recognizes the value and safety inherent in a medical detox.

Fear of detoxing holds many people back from getting clean and sober. But it doesn’t have to be as hard as you think. A specially trained detox team monitors your wellness and helps you work through the process. When you are under professional medical care during this first step to a sober life, you may receive medication to minimize withdrawal symptoms.

It’s also worth mentioning that detoxification at home is very dangerous, another reason why Blue Cross Blue Shield covers medically supervised detox. Professional withdrawal management keeps you much safer than an at-home detox – it’s simply not worth the risk.

Without a knowledgeable healthcare professional to monitor your symptoms and alleviate them, you are at an increased risk of severe outcomes. In the worst cases, such as opioid abuse or alcohol addiction, improper detox can even mean death from the side effects of withdrawing from the chemicals.

Your Insurance Provider Covers Medication-assisted Treatment

Blue Cross usually also covers medication-assisted treatment (MAT) during drug and alcohol rehab. MAT means that a qualified treatment provider may prescribe FDA-approved medications to help remove you from your drug of choice.

• Opioid Use Disorder and MAT: If you use opioids, your care team may give you methadone to help ease the step-down from illicit opioids. Methadone replaces illegal drugs; treatment usually means gradually reduced dosages.
• Alcohol Use Disorder: Long-term alcohol addiction may require the use of an approved prescription drug, such as naltrexone. This medicine will keep you safe as you recover.

MAT may continue for several weeks after the initial detox. Your treatment provider will decrease dosages at the appropriate time, with great care for your wellness.

Inpatient Rehab or Residential Treatment and Blue Cross Blue Shield

Residential treatment, or inpatient treatment, is the most intensive drug and alcohol rehab treatment. Clients with the longest or most severe addictions to drugs and alcohol find this 24/7/365, highly supervised setting the most helpful.

Clients will receive individual and group therapy and/or behavioral counseling in a kind and therapeutic environment. Purpose Healing Center will custom-fit each client’s program to meet their therapy needs while staying compliant with the insurance carrier.

Outpatient Treatment Facility Services + Blue Cross Blue Shield Rehab Coverage

Similarly to inpatient rehab facilities, outpatient treatment gives clients the skills they need to reach sobriety. These include counseling and many therapies, each individually suited to fit the person’s needs.

This setting allows many to use their Blue Cross Blue Shield health insurance coverage to receive care in the daytime but go home to meet the needs of their families overnight.

Our Admissions Team Can Help You Get Addiction Treatment

Now you know that Blue Cross Blue Shield does, indeed, cover addiction treatment center costs. But now you might wonder about the particulars of your insurance plan.

The language of the insurance carrier can be very vague or confusing to most. However, our dedicated team can help you understand the details of your Blue Cross Blue Shield insurance plan.

Our admissions navigators will help you confirm the details of your insurance coverage. The best way to learn and get accurate information is to call a customer service representative on our team.

With your permission, we can:

• Confirm if we are in-network providers or out-of-network (which does not mean you can’t get help!)
• Advise you if you should expect any out-of-pocket costs
• Determine the expected care level and length of drug and alcohol rehab services

Blue Cross Blue Shield insurance coverage varies; it is dependent on the specifics of any given policy. For instance, those with a Blue Cross Blue Shield federal employee program may have some distinct differences in out-of-pocket costs from other group health programs.

Find Your Path to Sobriety with Purpose Healing

What to Have Ready When Calling Us to Coordinate Health Services

You can entrust us to coordinate your substance abuse treatment with your Blue Cross Blue Shield plan.

Rest assured that we keep your personal health information strictly confidential. We will not discuss your mental health services or rehab treatment with anyone besides Blue Cross Blue Shield and our internal medical care team.

Here is the personal health information to have handy when you call us:

• Your first and last name, as it appears on your Blue Cross Blue Shield card.
• Your date of birth (which verifies your identity, preventing mismatches of your name).
• A working phone number.
• Your current email address.
• The name of your insurance provider. This can be Blue Cross Blue Shield or any other insurance plan.
• Do you have a co-insurance plan, such as additional benefits through a spouse? Please also have that insurance company information ready. Secondary insurance can help defray out-of-pocket costs.
• Your Blue Cross Blue Shield member identification number
• Whether you are a Blue Cross Blue Shield policyholder or a dependent
• Share any additional information you think is relevant. This might include mental health services received or past stays in rehab centers. Any small detail that involves treatment can help us coordinate the best care for you.

Our goal is to help you get work with our rehab center while also keeping any out-of-pocket expenses to a minimum. We want to help remove the barrier of medical costs from the equation so you can heal.

Get Proven Programs for Recovery Using BCBS at Purpose

You might have Blue Cross Blue Shield or another insurance company. Whoever your insurer may be, don’t let the cost of care deter you from getting help. Our team will be delighted to call Blue Cross Blue Shield to help you leverage your benefits.

Fortunately, your Blue Cross Blue Shield benefits can open many doors, making the cost of rehab treatment more manageable. Blue Cross Blue Shield will cover treatment for your needs, including mental health, behavioral health, counseling, and therapies.

Today is your chance at a better tomorrow, free of illicit substance abuse. Connect with Purpose Healing Center today; you or your loved one can start treatment right away and begin building a brighter future, right now!

Up To 100% of Rehab Costs Covered By BCBS