Millions of people in the United States struggle with drug and alcohol addiction. Drug and alcohol addiction can impact your health, relationships, and overall well-being. Comprehensive treatment and continuing support can help you overcome the complex roots of substance abuse and move forward.
While the effects of addiction can be devastating, many people do not get the treatment they need to recover. The cost of treatment and concerns about how to pay for rehab can prevent people from seeking life-saving treatment.
Fortunately, health insurance plans are likely to cover some or all of the costs related to addiction recovery. This article will explore drug and alcohol treatment coverage under Blue Cross Blue Shield and Magellan Health in Texas.
What you will learn:
- How to attend drug rehab with BCBS
- What levels of care BCBS covers
- How to determine the right level of care for your needs
- How to verify the details of your BCBS plan
- Where to find BCBS drug rehab coverage
If you or someone you love struggles with addiction, you are not alone. Contact the Alamo Behavioral Health specialists to learn about our comprehensive rehab and recovery programs. Reach out with questions or to schedule an intake appointment.
Does BCBS/Magellan Health Cover Drug and Alcohol Rehab in Texas?
The 2010 Affordable Care Act (ACA) prohibits insurance companies from denying coverage for substance use disorder (SUD) and mental health treatment. If you have insurance coverage with Blue Cross Blue Shield (BCBS), it will likely cover the cost of treatment centers and programs.
Blue Cross Blue Shield is one of the largest companies providing health care coverage. There are a wide range of BCBS insurance plans. Magellan Health provides all BCBS plans varying levels of insurance coverage for different addiction treatment programs.
It is essential to verify the details of your specific plan. Coverage can vary depending on the type of plan you have and where you live. Before starting treatment, you must verify your health coverage and find the types of treatment programs that are in-network for BCBS.
Generally, BCBS/Magellan Health provides coverage for a wide range of services related to addiction and mental health treatment in Texas. This may include inpatient treatment, outpatient rehab programs, assessments, detox programs, medication, and more.
What Levels of Care Does BCBS Cover?
Magellan Health’s BCBS plans may provide coverage for different providers, programs, and services. Typically, Blue Cross Blue Shield insurance plans offer coverage for:
- Assessments and screenings
- Medications
- Medical care
- Mental health treatment
- Medication-assisted treatment (MAT)
- Medical detox programs
- Inpatient/residential treatment
- Intensive outpatient programs (IOP)
- Partial hospitalization programs (PHP)
Your treatment team will work with your insurance provider to ensure you get the highest level of coverage possible. Understanding what services your plan covers can reduce unexpected out-of-pocket expenses.
Which Level of Care Do I Need?
Each person has unique needs and goals during addiction recovery. There are many types of treatment facilities and levels of care to meet each person’s unique needs.
Before starting an addiction treatment program, a medical or addiction specialist will assess your needs. You will undergo a substance abuse evaluation to determine which level of care is right for you.
A substance abuse evaluation may include:
- A physical examination
- Lab testing
- Questions about your past and current substance use
- A complete medical and mental health history
- A family history of substance abuse and treatment
The treatment center staff may also verify your insurance details during the assessment. This will ensure that the center has the most accurate insurance information and that you understand what your plan covers.
Many people begin their recovery journey in an intensive level of care, such as an inpatient treatment program. Intensive treatment can help people detox safely and have the continuous support they need to avoid relapse.
How to Find an In-Network Rehab Center in Texas
Finding an in-network treatment facility is essential to ensuring the highest level of coverage for your treatment. You can find details about in-network providers and programs in several ways, including:
- Contacting an insurance representative by calling the number on the back of your insurance card
- Getting recommendations from your medical providers or addiction specialists
- Contact local treatment centers to determine if they are in-network for BCBS/Magellan Health
- Search for information on the Blue Cross Blue Shield website
Contact the insurance specialists at Alamo Behavioral Health for assistance verifying your insurance details or determining coverage. Our high-quality, comprehensive treatment programs are in-network for BCBS/Magellan Health.
Find a BCBS Addiction Rehab Center in Texas
If you or someone you love lives with drug or alcohol addiction, you are not alone. Addiction can be devastating, but treatment can help you regain control.
Contact the Alamo Behavioral Health specialists to explore your treatment options or schedule an intake assessment. Our specialists are happy to verify your insurance details and navigate the insurance process so that you can focus on the most essential thing: your recovery.
