Seeking help for your drug or alcohol addiction isn’t an easy decision. Like many people seeking treatment, you’re probably worried about the cost and want to know how much of your addiction treatment is covered by your insurance provider.

Thanks to the Affordable Care Act legislation, workplace and marketplace insurance policies have to at least partially cover the cost of mental health treatment, including drug and alcohol addiction treatment services, including Blue Cross and Blue Shield.

Most Blue Cross and Blue Shield plans include at least part of your addiction and mental health care in their coverage. Changing Tides will take care of everything you need regarding your addiction coverage with Blue Cross and Blue Shield, so we can get you on the road to recovery.

    Have Blue Cross & Blue Shield Insurance?

    Call us now at 252-715-3905 or click the “Get Started” button below. Our team will do the necessary research to run a no-cost, confidential approval of your specific policy so you can start treatment today.

    Blue Cross Blue Shield Insurance Coverage for Drug and Alcohol Rehab Levels

    The level of coverage will depend on the type of plan you have. These are some of the common treatment options a BCBS Insurance plan might cover:

    • Medical detox. Coming off certain substances such as alcohol, benzodiazepines and opioids can be uncomfortable and, in some cases, even dangerous. Medical professionals can monitor you during the process and even help minimize some withdrawal symptoms with the aid of medication.
    • Inpatient residential treatment. Residential care in a treatment facility can last between 30 and 90 days. Patients receiving substance abuse treatment in the facility benefit from daily therapies and medical monitoring.
    • Partial hospitalization programs. Day programs offer the opportunity to attend full days at the center, consisting of group and individual therapy sessions for drug addiction, while going home to sleep in the evening.
    • Outpatient services and intensive outpatient program. Outpatient programs are offered as a step-down, usually after receiving inpatient treatment. They allow clients to continue their recovery journey in a less restrictive setting. Clients generally spend about 10 to 12 hours each week at the rehab facility.

    Bronze

    This is the most affordable insurance plan available, but it comes with the highest deductibles. It usually only covers about 60% of the cost of treatment.

    Silver

    This offers mid-range rates with lower deductibles than the bronze plan. With this plan, about 70% of your treatment would be paid for.

    Gold

    This plan comes with a higher monthly payment but can cover around 80% of your substance use treatment.

    Exactly how much of your addiction treatment is covered depends on your individual plan. Millions of federal employees, seniors and their family members are covered by the Federal Employee Program.

    Blue Cross Blue Shield separates its individual and family insurance plans into four levels ranging from bronze to platinum, each with different deductibles and out-of-pocket expense expectations. Get in touch with your insurance carrier directly to confirm coverage levels.

    Platinum

    These insurance plans have the lowest possible deductibles and the highest monthly payment. They can help pay for around 90% of the medical costs for rehab.

    We Accept Your Insurance

    If you or a loved one are ready for rehabilitation from Drugs or Alcohol — Call Us today or click “Get Started” below.  Changing Tides is ready to help!

    Verifying If Your Blue Cross Blue Shield Insurance Covers a Rehab Center

    In most cases, you’ll have to pay out of pocket for a portion of your rehab care. The actual rates depend on whether your rehab center is on the list of in-network providers. Seeking treatment from an in-network provider means the insurance company covers more of the bill and your costs are minimal.

    Costs can also vary based on your individual insurance coverage and the deductibles you’ve already paid. You can check your Blue Cross Blue Shield insurance benefits by getting in touch with your plan administrator.

    Blue Cross & Blue Shield’s Treatment Plan for Recovery?

    A treatment plan is a document created by the rehab center with input from the client to ensure the treatment provided matches their goals. Blue Cross and Blue Shield also offers their own versions of treatment plans that a recovery center, like Changing Tides, can work with. Treatment plans show an individualized road map to recovery for each person seeking addiction treatment services. Plans are goal-oriented and time-sensitive and represent the agreement made between the addiction treatment center and the client.

    Following an initial assessment of a substance use disorder, the treatment provider creates a tailored plan to include:

    • Details of how addiction issues are currently affecting the client’s life, such as problems in the workplace or at home
    • List of specific issues caused by substance addiction
    • Long- and short-term goals of treatment
    • Treatment objectives, including attending individual and family counseling, taking prescribed medication and joining a program such as AA
    • Methods of tracking progress, including notes and written testimony from the client
    • A plan by the treatment provider to help avoid relapsing in the long run

    Is Addiction Considered a Preexisting Condition?

    In the past, substance abuse disorders were considered a preexisting condition, and finding individual coverage was more difficult. However, due to the Affordable Care Act, drug and alcohol addiction are no longer treated as preexisting conditions. That means you shouldn’t be denied coverage because of your addiction.

    When BCBS Won’t Fully Cover the Cost of Alcohol and Drug Rehab

    When struggling with mental health conditions such as a substance use disorder, money shouldn’t get in the way of pursuing a healthy lifestyle. While Blue Cross Blue Shield insurance coverage only partly pays for your recovery services, there are financial avenues you can explore to help pay the out-of-pocket portion of your drug abuse treatment.

    First, you can call Changing Tides to discuss your individual circumstances and get a full picture of your insurance coverage. Changing Tides will help you understand exactly how much of your care is covered by Blue Cross and Blue Shield insurance benefits vs. out-of-pocket expenses.

    You can also put some of the cost on a credit card or try to get a medical loan. Additionally, if your family members are involved in your recovery, they might be willing to help lend you some money towards the cost of your treatment facility.

    No matter the will, there is a way.  Recovery can be costly, but the cost of not seeking treatment can be worse.  Changing Tides is here to help.