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.
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.
Capital Blue Cross is a health insurer in central and eastern Pennsylvania that is a licensee of the Blue Cross Blue Shield Association. They focus on simplifying and personalizing healthcare using patient centered models.
Capital Blue Cross offers a wide variety of plans. For example they may cover health benefits for you and your family if you’re insured through an employer. Other ways they cover people include CHIP plans, student health plans and Medicare Advantage plans. It’s also possible to get an individual or family plan from them on the state Insurance Marketplace.
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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private InsuranceSelf-Pay Options
Amazing place they helped me get my faith back and I really enjoyed the groups. It was honestly the best treatment I have been to and I have been to guide quite a few. Thank you so much
chris carter
2 weeks ago
The staff and community were incredible. Very accommodating!
Kyle Forbes
3 weeks ago
Great place. Great staff. Hepsibeth is an excellent counselor!
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.
AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Self-Pay OptionsPrivate insurance
The staff were amazing. Can really tell the people care about you. Amazing people who have lived through the experience and recovery they are trying to show all of us. Can’t recommend it enough.
Tyler
1 month ago
such a good facility. love all the staff! nicole is an awesome therapist!
Sydney Shaw
1 month ago
All In Solutions received me with open arms for the second time. The staff make sure you receive a high quality care treatment. I’m grateful for the love and care . God continue to bless everyone.Thank you for you do .
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.
AlcoholismDrug AddictionDual DiagnosisOpioid AddictionSubstance AbuseMental Health And Substance Abuse
Adult ProgramYoung Adult ProgramProgram For MenProgram For Women
Private insuranceSelf-Pay Options
OH WOW! Amazing care I loved every group. The therapy sessions were the best we didn’t talk about much but there was tons of sexual tension! I highly recommend using the swimming pool during your stay. Although if you do use the pool beware that if you don’t cover up the pool a deer could drown in it. We found 3 dead deer during my stay!!
Tyler Okerner
3 weeks ago
All In Solutions changed my life in ways I can’t fully put into words. I came in feeling lost, broken, and unsure if recovery was even possible for me. From day one, I was met with genuine compassion, patience, and people who truly cared about me as a person, not just my addiction.
This program helped me heal not only mentally and emotionally, but spiritually. I found a connection to something greater than myself, learned how to sit with hard feelings instead of running from them, and started to believe that my life had purpose again. They gave me the tools, support, and safe environment I needed to grow, rebuild my self-worth, and create a foundation for a healthy future.
Today, I am over a year sober — a miracle and a second chance at life that I don’t take for granted. That new beginning started here. I will always be grateful to All In Solutions for helping me find hope, strength, faith, and a new way to live.
Monica Bitrick
1 month ago
All In Solutions has changed my life... I highly recommend this program to anyone fighting drug addiction or any problems they are facing in life. ALL the staff are amazing and very professional!! When I got here I had no hope on my future and now that I've completed this program, my dreams are becoming reality. They have taught me so much about myself and life in general to the point that I have COMPLETE confidence that I will stay sober and be able to accomplish any goal I set forward. Thank you to all the staff at All in Solutions, you guys ROCK!!!
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The Recovery Team New Jersey truly sets the standard for compassionate, high-quality care. From the moment you walk in, the staff is welcoming, professional, and genuinely invested in each person’s recovery. The environment is clean, supportive, and structured in a way that promotes healing and growth. You can tell this team is passionate about what they do and treats everyone with dignity and respect. I highly recommend The Recovery Team to anyone seeking effective, caring addiction treatment in New Jersey.
Nicolette Caimi
1 month ago
Great facility! Would definitely recommend!!
Rebecca Mayo
1 month ago
The Recovery Team New Jersey has helped me in my recovery in multiple ways. The structure of the program has kept me on point which is extremely important in early recovery. The staff here takes good care of us especially Phil. I can tell he genuinely cares about me and wants the best for me in my future and I know this not only by his words but by his actions. Stand up dude.
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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
It’s been great and friendly. I highly recommend rob, cc and Sabrina not to mention Carlos. It’s been nice meeting you all!🙂
David Phelps
2 weeks ago
All In Solutions was the best decision I’ve made in my life. From the moment Jason picked me up from the airport, to Sam and Keith doing my intake, Ms.Dela making sure I had food, the nurses and providers being so attentive to my medical needs, the therapists and facilitators helping me to rediscover my inner child and helping love myself again and all the techs that made sure I always had what I neeeded. Special shout out to CeCe, Trinity, Carlos, Rob, Fab, Jason, Ricky and chef Jason! Love this place! Let them help you find your sober self!!!
Sean White
3 weeks ago
The staff were great to work with. Location clean. I just wish that some issued were addressed sooner and there was access to some grass. They helped me work through issues i didnt even know were associated with my problem and took me through the entire process. Thank you team.
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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Self-Pay OptionsPrivate insurance
I am truly going to miss my life and my experience here. I had the best councilor, Mrs Hepzi, just her presence alone will make your day. My mom even adored her :) it’s people like her who show us that we can actually get to the place in life that WE want to be at! She showed me that I’m ready for this new exciting chapter in my sober life!
Sarah Calhoun
1 week ago
All in Solutions has shown up for me as a
Client on a level I have never in my life experienced. I have been to many facilities in search of healing from a 30 year drug, alcohol and toxic life style.. I am almost 43 years old. I am a strong willed human being and I had quit quitting because evidence in my life proved that I would never be able to break free from addiction. While in the care of All In Solutions, staff demonstrated to me love, boundaries and interest in my well being. I have been a hand full with very challenging emotional brokenness and it has been very difficult to walk thru the healing process.. never once did staff treat me as if I was a burden or beyond help. They had patience and experience and love and over and over and over repeatedly demonstrated dedication to my recovery every step of the way. My counselor was Jason. I literally thank God that I came to All in solutions. Jason is a one of a kind, emotionally, spiritually wise minded, dedicated human being / he is professional and dedicated to his clients.. for reals - he spoke truth to me and handled all my details with concern and care and met me where I was at and patiently worked thru my process with me.. Debbie, the director helped me thru many emotional struggles, Tony, admissions - absolutely amazing human being.. zero, alumni - wonderful human being filled with love and dedication.. these people are like warriors and they care about every soul that comes thru the doors. Every single staff member spent time with me to understand my intricate brokenness and played a giant role in the healing I have experienced thus far. I still have a long road of recovery ahead of me.. I now believe that recovery is possible. I know can visualize my best self living a happy joyous and free life with a support system.. honestly - words can not express the gratitude I have for each staff member.. so many of them.. the house moms at the women’s house.. I am like crying as I prepare to depart because these people became my family and that is how this rehabilitation service is.. if you or a loved one is beyond hope and beyond help -
All in Solutions - I endorse them with my entire being and will forever thank them for all they did for me.
Emily Lynch
1 week ago
Homes are very clean, Staff and Counselors are very caring and they are there to HELP! Thank You
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.
This has been the best decision I’ve ever made for my mental health.
Shell E
1 week ago
I highly recommend this Center for Recovery it is the best place I've ever seen or been to for treatment. The staff is very helpful and friendly. The classes were very educational and helpful. An excellent place for recovery!
Becky Allbright
2 weeks ago
Te groups are amazing! Communication is terrible. But I would definitely come back when needed
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.
Manny is the nicest, most competent, trustworthy and loyal man.
You're in good hands here.
Linda Berbrick
5 days ago
Awesome experience!! All the staff, nurses, and therapist were great! They made my detox as comfortable as possible. The beds were comfortable, rooms were clean, the food was great! Would recommend to anyone struggling.
Vanessa Detherage
1 week ago
I just this 7 years sober yesterday. By the grace of God and The Haven and The Recovery Team, I am still sober! If it weren’t for the Haven and TRT, I wouldn’t be alive today! Thank you to everyone there for saving my life!
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.
Drug AddictionAlcoholismOpioid AddictionDual DiagnosisMental Health and Substance AbuseSubstance Abuse
Adult ProgramYoung Adult ProgramSeniors ProgramProgram For MenProgram For WomenLGBTQ Program
Private InsuranceSelf-Pay OptionsMilitary InsuranceFinancial Aid
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 weeks 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
2 months ago
Exceptional staff and facility. Definitely one of a kind tailored treatment for people struggling with substance abuse!!
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.
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
6 days 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 weeks ago
I’m writing this review today with the most gratitude and hope I’ve had in a long time. Tree House recovery was a lifesaver for my kid and our family.
When my kid made the brave choice to go to rehab, Treehouse moved at great speed and with such care to envelope us with a plan and reassurance, offered support at many levels, and provided a loving atmosphere for my kid to land. The comprehensive program, education, therapy, and positive, practical support empowered our young son in ways I thought not possible at the time. I am in awe of his growth, mindset and choice to stay sober.
Forever grateful to the program, staff and the people who continually support his growth. Thank you Treehouse! People CAN recover and thrive. Best choice we ever made.
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.
Help turn my life around what a amazing staff truly top notch makes you feel like your at home
Marc Casselli
2 weeks ago
Beachside was the best gift I have given myself. Very comfortable, welcoming facility. Professional, caring staff, and amazing meals. Glad I chose Beachside for my recovery journey.
Trisha Levery
3 weeks ago
I participated in the 30 day inpatient program. It was excellent, the therapists and classes were well organized, and the food was great. I would highly recommend anyone in need of help to definitely give Beachside a serious consideration. 😀. The entire staff was friendly and extremely helpful as well!
Leslie Huelsman
3 weeks ago
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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.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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