Capital Blue Cross Health Insurance Coverage for Addiction Treatment

Discover how Capital Blue Cross supports addiction treatment with comprehensive plans, specialized services, and valuable wellness programs.

Awards hero badge
Awards hero badge

Capital Blue Cross Health Insurance Coverage for Addiction Treatment

Discover how Capital Blue Cross supports addiction treatment with comprehensive plans, specialized services, and valuable wellness programs.

Top Insurance Providers

Aetna logo

Aetna

Blue Cross Blue Shield logo

Blue Cross Blue Shield

Cigna logo

Cigna

UnitedHealth Group logo

UnitedHealth Group

Humana logo

Humana

Elevance Health logo

Elevance Health

Center Type
Levels of Care
Programs
Payment Options
Accreditations
Amenities

Addiction Centers That Accept Capital Blue Cross

Filter
State
City
    Levels of Care
    Programs
    Payment Options
    Amenities
    Name / Address / Rating Description Treatments / Payments / Programs Review / Contact Images

    The Haven Detox – New England

    Ad
    This is an ad and The Haven Detox – New England is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
    Worcester, MA
    4.9
    (272 reviews)
    Check iconClaimed
    Imagine recovering from addiction in an upscale environment that nurtures every aspect of your physical and mental wellness. That’s what you’ll find at The Haven Detox – New England. At our sprawling campus in Worcester, Massachusetts, we combine evidence-based therapies with innovative, holistic programs to offer a bespoke treatment experien
    View Website (508) 257-1950
    The Haven Detox – New England has no reviews yet. Leave a review.
    20
    20
    1
    Top 10 in CBC
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.80 / 10
    4.9
    (570 reviews)
    Check iconClaimed
    All In Solutions Detox in Simi Valley is one of the best ranked inpatient detox facilities in California providing safe, medically supervised care for individuals beginning their recovery from drug or alcohol addiction. As part of the All In Solutions Behavioral Health network, this facility serves as the first step in a full continuum of care. Cli
    I will recommend this facility to anyone who is in need of a care especially an addict. The staff here has excellent knowledge.
    Shea
    1 month ago
    All in Solutions changed my life. The staff here is very friendly and heart warming. Jason my counselor guided me down a healthier, sober lifestyle. Silva is an angel and helped me along the way with my marriage. HepZ is an A++++++ and my buddy Conner helped me find my higher power. I would recommend All in Solutions to anyone seeking a healthier lifestyle and sobriety. Debbie and Anthony are Rockstars and run a wonderful facility.
    Eric Boyer
    1 month ago
    This facility is awesome. The staff is so caring about everyone. I would definitely recommend All in solutions.
    Deanna Flores
    1 month ago
    The facilities at Divine Detox in Simi Valley, CA 2
    5
    5
    The facilities at Divine Detox in Simi Valley, CA 1 The facilities at Divine Detox in Simi Valley, CA 3 The facilities at Divine Detox in Simi Valley, CA 4 The facilities at Divine Detox in Simi Valley, CA 5
    2
    Top 10 in CBC
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.79 / 10
    4.9
    (309 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health center and addiction treatment program in Boynton Beach, Florida. They provide a partial hospitalization program, an intensive outpatient program (IOP), an outpatient program, medication-assisted treatment, and mental health care for adults with substance use disorder. All In Solutions Counseli
    I was just calling around to find a local detox, when I accidently called AIS and someone answered the phone, and immediately tried convincing me to fly to floida the next day... I wasn't having it. Hung up on him. Then my phone started ringing with Florida a number over and over and I finally picked up, and began speaking with someone different, some guy with deep voice named Drew. He promised he just wanted to talk to me- and wouldn't pressure me to commit to anything I wasn't ready for. He said he wanted to hear my story, learn about me and what had me reaching out of help. Before I knew it, it had been about an hour of chit chatting, comparing war stories, when Drew asked if he could send me links to both the Florida and California locations. I got spoked again, and hung up on him, too. I walked away from from phone for about 30 mins and when I came back, I had missed calls and a few texts from Drew, just asking me to call him back, even if I wasn't commmiting to anything. He wasn't pushy or aggressive. He was the fist person I felt I could be honest with in years, and I trusted him more than I trusted myself at that moment. He told me personal things about himself and we shared our experiences as I laughed and cried, realizing he was right, and I needed to go away for a while to help myself. I was an uber, booked by Drew, to the airport for a flight, also booked by Drew, the next day. I can confidently say AIS was life changing for me, but without Drew on the other end of the phone, I wouldn't have gone anywhere. Of all of the staff- the drs, nurses, support staff, etc... I give Drew, the guy on the phone, my hero badge. If you're lucky enough to get this guy on the phone when you call- consider yourself in good hands. AIS is a great place to rediscover how important, strong, and loved you are. It's people like Drew who convince you're worthy of the help.
    Jamie McMillan
    2 days ago
    Overall stay and treatment in this program was amazing. Just a few things housing in west palm beach in S Dixie Hwy. the facility needs some updates with mold growing outside the windows, more activities would be great like bowling, arcades, and museums
    Stev-O Marron
    2 days ago
    This is a very good treatment center...Both the detox facility as well as the clinical building. I would highly recommend this program to anyone struggling with substance abuse especially for those who enjoy the faith based aspect in recovery.
    Jon Griffin
    2 weeks ago
    4
    3
    Top 10 in CBC
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.74 / 10
    4.8
    (410 reviews)
    Check iconClaimed
    All In Solutions Counseling Center is a mental health and addiction clinic in Cherry Hill, New Jersey. They provide outpatient addiction treatment and mental health care. They offer options like an intensive outpatient program, a partial hospitalization program, and medication-assisted treatment. All In Solutions Cherry Hill Drug & Alcohol Reha
    My experience at All In Solutions was excellent. A special shout out to all the staff. especially the Techs who were flexible and met all my housing needs. Let me not forget to give a heartfelt shout out to the Administration Assistant, Erica. Her friendly smile and personality was something to look forward to every morning. A special thanks to Chris B, the wise Guru of AA's Big Book. An extreme special thank you to the Alumni Coordinator, Lauren. for everything she did for me.
    John Collins
    1 month ago
    To say All In Solutions of Cherry Hill, N.J. saved my life would be a GROSS UNDERSTATEMENT. As would be any attempt to express my gratitude to their staff with mere words. After 33 straight years of drug & alcohol abuse, I would have never imagined myself making it through even the 1st few days of a recovery program, much less become a man who swears by the life changing process that comes only by properly working a 12 step program. In fact, I'd have laughed at you if you tried to tell me that it could cure my life long ailment. God Bless the entire staff at A.I.S. for patiently taking taking their time to make sure that I actually not only got it right, but got it right this 1st time. It takes more than what is ethically & professionally required of you to have such a profound effect on someone like me. Much, much more. But each & every staff member regularly went well above & beyond their call of duty where my recovery is concerned. Thank you, ALL OF YOU & God Bless you. Please keep doing what you do.
    Don Gendron
    1 month ago
    I felt that I got exactly what I needed out of this program. All the staff were helpful and nice. I learned a lot more than I expected to and all my needs were met. I highly recommend this facility for anyone who is struggling and needs that extra help with their recovery.
    Jackson Wood
    2 months ago
    4

    The Recovery Team – North Little Rock

    Ad
    This is an ad and The Recovery Team – North Little Rock is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
    North Little Rock, AR
    5.0
    (52 reviews)
    Check iconClaimed
    The Recovery Team, founded 10 years ago, is known as one of the top addiction treatment and mental health rehab centers in the country. 

 The treatment centers provide therapy and medications (if needed) that get to the root of the issue in a welcoming, comfortable environment. Treatment is covered by insurance and backed by hundreds of positi
    View Website (888) 270-7241
    The Recovery Team – North Little Rock has no reviews yet. Leave a review.
    4
    4
    Top 10 in CBC
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.71 / 10
    4.7
    (247 reviews)
    Check iconClaimed
    All In Solutions California was previously known as Adjustments Family Services. They are located in Simi Valley, California. They provide multiple treatment programs for men and women to address dual diagnosis and opiate addiction. Private insurance is accepted. With top-rated Outpatient and PHP programs, All In Solutions Counseling Center Califo
    I absolutely love this facility!!! It has been life changing for me. I appreciate all the staff and their efforts to help the clients. Zee is amazing and got me back here for the help I needed. The PM shift at Honey Pine has been such a great support system for me. Nancy, Margret, Barbie and Keisha have been absolutely wonderful. Nancy and Keisha have always been great to talk to and keep me motivated. Even if it’s just someone to vent to. Their words are genuine and powerful for my recovery. Anthony and Debbie have been life saving for me. They have gone above and beyond to keep my recovery and my safety strong. I am forever grateful to have been a client here twice. Thank you AIS for all that you have done for me. I’m forever grateful!!
    Sydney Catlett
    1 week ago
    The curriculum here, recovery, relapse prevention, addiction and self love has truly changed my life and given me the tools I'll Cary forward. From the bottom of my heart, thank you to all of the staff for your care and support. A special.Thank you to my counselor, Hepzi, along with Tracy the EMDR therapist and Connor, the sober coach, along with all the other counselors. You've all made a lasting impact on my recovery. Debbie and Anthony are also amazing and truly care about the clients and their healing. I'm incredibly grateful for this experience and would highly recommend this program to anyone seeking help. Thank you all so much.
    R P
    2 weeks ago
    The staff care about your treatment and recovery. They are respectful and knowledgeable. Everything here is designed to help you succeed.
    Adam Askew
    2 weeks ago
    The facilities at Adjustments Family Services in Simi Valley, CA 2
    5
    5
    The facilities at Adjustments Family Services in Simi Valley, CA 3 The facilities at Adjustments Family Services in Simi Valley, CA 1
    5
    Top 10 in CBC
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.70 / 10
    4.7
    (271 reviews)
    Check iconClaimed
    All In Solutions Wellness Center is a treatment facility located in West Palm Beach, Florida. This facility specializes in treating adults who are struggling with co-occurring disorders and addiction. The levels of care offered here are detox, residential, and aftercare programs. As one of the best-rated detox centers in Florida, All In Solutions
    All staff extremely hospitable and helpful, Good food made for for lunch and dinner on weekend days nursing was very attentive and knowledgeable
    Ryan Abram
    1 month ago
    They are really awesome and nice
    demetria
    1 month ago
    The facility was clean, the staff is helpful and friendly. The facility offers groups all day where they have activities and open discussions. They have a real life chef during the week and take out on the weekends. The facility also has snacks, ice cream, multiple breakfast foods, and more. A therapist is appointed to assist that clients see at least once a week. This was my first time in treatment, but several other clients told me that this was one of the best treatment centers they had been too. I highly recommend.
    Hollie Hamilton
    1 month ago
    5
    5
    The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 2 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 4 The facilities at All In Solutions Wellness Center - West Palm Beach, FL in West Palm Beach, FL 5
    6
    Top 10 in CBC
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.66 / 10
    4.9
    (788 reviews)
    Check iconClaimed
    Indiana Center for Recovery offers leading detox and addiction treatment services for adults in Bloomington, Indiana. They provide various treatment services such as detox, outpatient rehab and residential rehab. The facility is accredited by the Joint Commission and has been A Diverse Range of Amenities One of the things I like most about this fac
    I have been at this specific facility three separate times and each time I feel that I left with tons of incredible insight and resources to help me continue my mental health recovery journey. The staff is very nice and are always there to help when needed.
    Madison Scheid
    2 weeks ago
    ICFR is an amazing treatment center. The group sessions are the best lve ever experienced. The group facilitators are educated and well experienced. The case management team lead by Caitlin Witcher and Megan Herald go above and beyond the call of duty to meet your needs, there amazing. The upper management support is extremely helpful and supportive of the amazing staff. ICFR is the best treatment center in all of America.
    Bradley Czachor
    3 weeks ago
    This is a great place to be if you need help, recommended to all. Staff is great and easy to speak with.
    Abraham Herrera
    3 weeks ago
    31
    31

    The Haven Detox – Arizona

    Ad
    This is an ad and The Haven Detox – Arizona is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
    Green Valley, AZ
    4.9
    (56 reviews)
    Check iconClaimed
    Stepping away from the people, places, and things that remind you of life in addiction can be transformative. Pair that with innovative therapies and compassionate care from renowned clinical and medical experts, and you’ve arrived at The Haven Detox. Holistic Healing Meets Modern Science in Green Valley Our latest treatment center in Green Valle
    View Website (520) 363-2704
    The Haven Detox – Arizona has no reviews yet. Leave a review.
    14
    14
    7
    Top 10 in CBC
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.65 / 10
    4.9
    (389 reviews)
    Check iconClaimed
    The Haven Detox in West Palm Beach, Florida, treats adults18 and older who are experiencing addiction issues. They offer a personalized approach to meet you where you are now. They also provide bilingual detox for those who aren’t fluent in English. It’s more than a medical detox, it’s a sanctuary to start you on the path to sobriety. At one
    The haven is the best
    D
    1 week ago
    I appreciated the structure guidance and the overall concern from everyone involved. It made a meaningful difference on my journey and I would recommend it to anyone looking for help.
    James Mehok
    1 week ago
    I came here twice ones in 23 and in 2026 both times I was welcomed with love and support started out with detox than moved to residential and they helped set me up with a PHP outta state and supported me everyday they could they helped get me right with the trauma therapy and everything much love for this place and much love for the program they have helped me so much over the years Roni the admin lady is fantastic she helps with everything she is fantastic along with Ashly! The techs nursing everyone is great!!!!!
    Benjamin Bolser
    1 week ago
    22
    22
    8
    Top 10 in CBC
    Rehab Score
    Our Rehab Score is designed to make it easier for you to find the best treatment centers. We combine overall ratings with recent feedback to create a score that reflects a center's quality right now.
    8.64 / 10
    4.8
    (78 reviews)
    Check iconClaimed
    Boca Recovery Center Huntington is a drug and alcohol rehab facility in Huntington, Indiana, offering 24/7 clinical services, medical detox, and residential addiction treatment. Located near the Fort Wayne metropolitan area at 3040 W Park Drive, the center treats substance use disorders and co-occurring mental health conditions with a focus on comf
    HI, My name is MATT P. I AM AN ALCOHOLIC!!! OK, lm going to keep this short. In Most states when you go to recovery you're treated like a prisoner they lock you into a recovery center and you can't go anywhere do anything not at Boca. Boca Recovery Center is totally different they treat you with respect. The staff: At Boca the staff understand what you're going through,they've been there . Most of them are recovering themselves . They get it! To the staff at Huntington Indiana. You Know Who You Are. Ya' all are great! Even if you have a disability the staff of Boca and Huntington Indiana will make sure that you are comfortable and capable of meeting your goal. If I had to pick four words to sum up the staff in Huntington Indiana it would be kind, professional, respectful, and compassionate. In summary if you have the compassion to want to get clean and stay sober Boca Huntington Indiana is one of my top recommendations. As long as you have the desire to get clean. And the willingness to stay sober Boca recovery will help you on your journey Thank you Boca Huntington Indiana I couldn't have done this without you!!!!
    Barbara Pontrelli
    1 month ago
    Boca is the place to be. The staff is awesome. That people get along very respectful if you want to get your life together or you got a loved one that needs help with addiction. Joe's awesome Dave is awesome. Candace is awesome. Never won their nurses. They're all awesome people, and I gotta take a shout out to Michelle. It's Sunday not gonna forget you either brother, I recommend this place to the fullest. I can go all day long out. I can talk about this place.they , treat you like a human being if I ever have to go back , i'm coming to boca , thank you stafffor everything you've done for me and don't forget to cook, he's amazing.He makes sure you're full cook's plenty of food.ThanksEveryone!!!
    Tyson Matthews
    2 months ago
    Boca helped me so much and the staff is so so good and I agree Joe was the one that touched heart his meetings was my daily medicine. I need to go back to Boca and hoping they'll let me come back soon. Calling them this week to line everything up with them.
    Pam Bryant
    3 months ago
    24
    24
    The front exterior of Boca Recovery Center Huntington, with handicap accessible ramp and brand signage A simple patient room at Boca Recovery Center Huntington, featuring a bed, two nightstands, and a colorful world map artwork on the wall. The room has soft blue walls and a window with blinds. Spacious theater-style seating arrangement in Boca Recovery Center Huntington, designed for group sessions or presentations. Recreation room at Boca Recovery Center Huntington featuring foosball, ping pong, and seating for relaxation.
    Costa Mesa, CA
    4.9
    (162 reviews)
    Check iconClaimed
    Tree House Recovery is located in Costa Mesa, California. It is a men's only addiction treatment facility. Insurance is accepted. Financing from a lender is also accepted. The men in treatment live together and share food and chores. You and the other residents are considered teammates. Every point of treatment is done together, except for one on o
    Matt Change the trajectory of my son‘s life and supported me as my son‘s parent through the process. I cannot recommend this place or MAtt as an admission specialist more. He changes his lives.
    natalie anderson
    4 weeks ago
    Graduating from Treehouse Recovery is one of the most meaningful things I’ve ever done. Im eternally grateful to Justin and all the staff that helped me. When I first arrived, my life felt completely out of control and I honestly didn’t know if real change was possible. Treehouse didn’t just help me get sober — it helped me rebuild myself. The structure, the workouts, the accountability, and the brotherhood pushed me in ways I had never experienced before. What makes Treehouse special is that the staff truly care. They don’t treat you like a number. They challenge you, support you, and hold you to a higher standard because they want to see you become the man you’re capable of being. The brotherhood I found here is something I’ll carry with me for the rest of my life. If you’re struggling and wondering whether recovery is actually possible, it is. Treehouse helped me find a new direction and a new life, and for that I’m incredibly grateful.
    Jonas Eisenberg
    1 month ago
    I arrived at Tree House physically, mentally, emotionally, and spiritually exhausted and hopeless. I leave renewed in all these areas and with hope through the brotherhood that is Tree House clients and staff. There’s no other way to put this than to keep it clear; the staff at Tree House genuinely care, seek to understand my needs, utilize a unique program that addresses the whole person, and provided me with the means to find my drive and motivation again. They demonstrated love (sometimes tough love) and genuine belief in me, thereby empowering me to overcome, achieve, and move forward as the best version of myself.
    Jason James
    2 months ago
    Tree House Recovery CA 92627
    3
    The facilities at Tree House Recovery in Costa Mesa, CA 1 The facilities at Tree House Recovery in Costa Mesa, CA 2

    Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette

    Ad
    This is an ad and Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette is a paid advertiser. Paid advertisers may be listed first in search results. This ad may contain content provided by the advertiser. Rehab.com does not verify ad content or any reviews that are displayed. Learn More
    Lafayette, IN
    5.0
    (9 reviews)
    Don’t just settle for any generic treatment center. Indiana Center for Recovery has a reputation for the most advanced addiction and mental health care in the state — with 10 locations and hundreds of positive reviews online. The team is led by nationally recognized treatment professionals. The programs are built on a foundation of science
    View Website (888) 270-7241
    Indiana Center For Recovery – Alcohol & Drug Rehab Center – Lafayette has no reviews yet. Leave a review.
    3
    West Palm Beach, FL
    4.7
    (382 reviews)
    Check iconClaimed
    Beachside Rehab is a luxury alcohol and drug rehab treatment center that provides detoxification, inpatient treatment, outpatient treatment, and aftercare services to adults aged 18 and older. The detoxification program is a medically monitored program overseen by professionals. individuals have the option of a medicated or non-medicated withdraw
    Beachside was very good for me. I went there not understanding how to cope with anxiety. All the primary therapist helped me in different ways, even if they weren’t my main therapist. The techs and nurses are top notch, administration is very good and helpful. Shout out to Chris F, Chris B, Bryan, Eloise, Sarah, and Ashley therapists. Nesha, Monice, Drew, Brandon, More nurse Karen, nurse Victoria, nurse Jerry for getting me through my journey. I left a week ago and feel great using the tools provided!
    Dillon Gary
    2 days ago
    Beachside is a supportive place that has done wonders for my recovery. My therapist was and is extraordinary. The nursing staff, technicians, and therapists care deeply about helping their clients, and it shows. The holistic approach allowed me to explore new therapeutic activities and practices, and the activities director is simply the best. I highly recommend Beachside for those seeking help in recovery.
    Michael L
    1 week ago
    Beachside has such a wonderful team. Bryan the primary therapist is such an amazing guy and he truly saved my life. If I ever need treatment again, I’ll be heading right back here. Thank you for giving me hope again :)
    Demetri
    2 weeks ago
    No results icon
    No results Found.
    The combination of filters you have selected has no results. Please refine your selections and try again.

    Frequently Asked Questions

    Does Capital Blue Cross Insurance Cover Addiction Treatment?

    Addiction treatment is part of behavioral health, and you can get behavioral health treatment from most Capital Blue Cross plans. The company subcontracts its addiction and mental health services through Carelon Behavioral Health.

    You can still search for behavioral health services on the Capital Blue Cross webpage, but you might notice that a lot of contact information about addiction services will be from Carelon.

    Every insurance plan is different and there may be requirements before you start treatment so be sure to get the details of your plan before you commit to a program.

    What Types of Plans Do They Have?

    Capital Blue Cross offers a variety of plans. They have individual and family plans they offer through the Insurance Marketplace and through employers to their employees. Capital Blue Cross also offers Medicare plans, CHIP coverage, and student health plans.

    In individual and family plans you will find three different formats of insurance. They are Preferred Provider Organizations (PPOs) and Health Maintenance Organizations (HMOs) along with Exclusive Provider Organizations (EPOs).

    PPO plans have a higher monthly premium but give you the most freedom. If you get a PPO plan, you may be able to go outside of their network and still get covered. Keep in mind if you go out of network, your coverage won’t be as much and you might have to pay a higher deductible.

    In an EPO, you’re only covered if you get care from providers in their network. This type of plan usually doesn’t need referrals to see a specialist. Finally, an HMO is the least expensive each month but has more requirements. You have a primary care doctor that provides referrals to specialists and you’ll also need to choose providers from the plan’s network.

    Capital Blue Cross also provides Medicare plan options for those who qualify. If you have Original Medicare you can get Medicare Supplement plans to help you cover costs like coinsurance and deductibles. You can also replace Original Medicare with a Medicare Advantage plan. This gives you the same benefits as Original Medicare but often has extra coverage such as vision and dental care. However you generally have to stay within the provider network and you may have to get preauthorizations for care.

    Does Capital Blue Cross Have Any Special Features?

    The Capital Blue Cross Connect program is a feature clients enjoy. That program has wellness centers you can visit and you can get health coaching and fitness training there. They also teach you skills like how to make healthy meals.

    Blue365 gives discounts on fitness gear and gym memberships along with other lifestyle choices that help support your overall health. You register with your member ID card to create an account and get access to everything you need to enjoy these extra benefits.

    The Healthy Blue Awards is another wellness program that helps support you based on what motivates you to make a change. There are several different packages including programs that are incentivized and non incentivized. Some tools are available year round while others are available for a predetermined time.

    When your care is complex you also have access to case management and a health savings account that can help you save for qualified medical expenses using tax free money. Depending on your plan you may require a referral or prior authorization before being able to get care. Capital Blue Cross also provides online resources to help you determine what’s needed based on your insurance plan and coverage.

    What Inpatient Addiction Treatment Does Capital Blue Cross Cover?

    Health insurance policies focus on providing medically necessary care including behavioral health services to treat substance use disorders and mental health conditions. It is crucial to have a treatment plan from your doctor that provides the necessary information on what treatment you need based on your diagnosis and symptoms.

    When necessary your addiction treatment may start with medical detoxification before moving into an inpatient or residential care program. Medical detoxification is managed by a healthcare professional who can manage and monitor your withdrawal symptoms. This process may also include FDA cleared prescription drugs that reduce withdrawal symptoms and help you stay safe and as comfortable as possible during detox.

    Once the addictive substance is out of your system you may move into full time evidence based therapy and counseling in an inpatient or residential setting. This helps to identify what triggers your addictive behavior and helps you to develop healthy coping strategies that reduce your need for drugs or alcohol.

    Inpatient treatment is ideal when you require 24/7 supervision and monitoring and a highly structured and intensive treatment program. During inpatient and residential care you live at the treatment facility. In some instances, you may be allowed a day pass on the weekend when therapy and counseling are not as intensive and you’re preparing for discharge.

    What Outpatient Rehab Does Capital Blue Cross Cover?

    Your comprehensive assessment will determine the level of care for your initial treatment. This can include an inpatient program or one of several outpatient programs. Outpatient treatment may include a partial hospitalization program (PHP) or intensive outpatient program (IOP) or even general outpatient treatment. A PHP provides the same level of intense therapy and counseling as you would receive as an inpatient or in residential care with the benefit of living at home or in sober living.

    An IOP typically includes therapy several days per week for a few hours each day. While this program is less intensive it is just as structured as a partial hospitalization program. You will continue to meet with your therapists and counselors as well as participate in group support meetings. Some treatment centers offer IOPs during the morning hours or evening hours to help accommodate your family and work or school obligations.

    A general outpatient treatment program usually provides therapy or counseling once or twice weekly. This can also include group support meetings and family therapy. Once you have completed your outpatient programming, you may have access to an aftercare program. The resources available in aftercare depend on the treatment center you’re working with.

    Some treatment centers have alumni programs where you can connect and receive support from people who have graduated from the treatment center. Your aftercare program may include therapy sessions and community group support sessions along with routine drug or alcohol testing and life skills training. This may include sober living arrangements and educational or vocational support.

    Does Capital Blue Cross Cover Methadone & Suboxone (MAT)

    Methadone and Suboxone are integral parts of a medication assisted treatment (MAT) program. These programs use the FDA cleared medication to reduce your experience with withdrawal symptoms and lower the risk of severe complications that may occur during withdrawal from certain drugs.

    MAT is also used in ongoing treatment for opioid and alcohol use to reduce cravings and help prevent overdose deaths. Medications that are commonly used include methadone, buprenorphine, naltrexone, and suboxone. Methadone and buprenorphine are opioid agonists. They bind on the same receptors as opioids but do not produce the euphoric effects.

    This helps prevent withdrawal symptoms and reduce cravings. Naltrexone also blocks the effects of opioids at the receptor level and can help prevent relapse when you have already detoxed from opioids. Buprenorphine and methadone are used exclusively for opioid use disorders while naltrexone may be used for both opioids and alcohol. Suboxone is a combination drug of buprenorphine and naltrexone.

    Does Capital Blue Cross Cover Other Mental Healthcare?

    The 2010 Affordable Care Act and 2008 Mental Health Parity and Addiction Equity Act are federal laws that help provide access to mental health and substance use disorder treatment through coverage by insurance providers. However not all plans are subject to these laws so it’s crucial to check your benefit and limitation levels with your insurance provider.

    Mental health conditions may include depression, anxiety disorder, eating disorders, bipolar disorders, and borderline personality. Your insurance coverage may cover therapy and crisis support when you need immediate help or pose a risk to your safety or the safety of others. This type of support is critical to stabilize the situation and connect you with the appropriate care long term.

    Co occurring mental health conditions are common with substance use disorders. When your insurance provider covers treatment for substance use disorders and mental health conditions, they will typically cover integrated care for dual diagnosis. This is the medical term used to describe having both a mental health condition and a substance use disorder simultaneously.

    Treatment for dual diagnosis can be more complex and requires integrated care administered concurrently to achieve the best potential for long term success.

    Does Addiction Treatment Need to Be In Network?

    Some Capital Blue Cross insurance plans cover out of network care and some do not. Before choosing to receive care it’s important to understand if the provider is in network or out of network for your plan and your coverage levels for each. While your insurance plan may offer some coverage for out of network care it likely comes with higher co payments and a higher deductible.

    You can maximize your insurance benefits by receiving care with an in network provider. Whatever your choice by reviewing your insurance plan carefully you can make an informed decision about which provider to use.

    Get Help Today Phone icon 800-823-7153
    Question iconSponsored Helpline