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.
By Michelle Tavares
Michelle Tavares is a registered nurse with over 15 years of experience in mental health nursing. She has worked in inpatient and outpatient settings as well as in bedside and administrative roles. She is a fighter of stigma and an advocate for getting people the mental health services they need.
Medically Reviewed by Anna Spooner
Anna has 10 years of experience in insurance and has been a content and copywriter since 2011. She strives to make all of her writing approachable and easy to understand while drinking copious amounts of tea. Anna writes about accessing addiction treatment, insurance, and finance.
This is an ad and Never Alone – Adolescent Addiction Treatment Center 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
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.
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 trauma group runs three times a week, Tuesday, Thursday, and Friday. I'd been to programs that mentioned trauma-informed care and then gave it maybe one session. Here it was built into the schedule in a real way, with a dedicated trauma therapist. That frequency made a difference because you actually had time to open something up and then come back to it before too much time passed.
Daniel Harrington
1 day ago
Overall great faculty, would definitely recommend patients to commit to PHP IOP here, all the facilitators are super helpful and hold very informational groups, Dr Nicole and Pastor Dan played a big role in my recovery and pushed me to do better every step of the way I highly recommend seeking help advice and opinions from them as well.
Robert Mckasty
3 days ago
Thirty-nine clients. That's the max here. South Florida has a lot of rehabs and a lot of them feel like they're processing people in bulk. This one didn't feel that way.
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
The case manager assigned to me handled things I didn't even know I needed to deal with. FMLA paperwork, insurance questions, stuff related to my job. I came in focused entirely on getting sober and didn't have the headspace for logistics. Having someone specifically there to handle that made it possible to actually focus on the program.
Daniel Kowalski
1 day ago
One thing I didn't expect to care about was being able to keep my phone. After coming from a detox program where everything got taken away, having access to my cell made a real difference. I could check in with my family, stay connected to my life outside, and not feel completely cut off from the world while doing the actual work.
Jason Reid
4 days ago
I didn't know what to expect walking into PHP after finishing inpatient somewhere else. The transition can feel like a cliff, one day you're in a fully structured setting and the next you're just... out. Cherry Hill isn't like that. PHP here runs five to six days a week with a full schedule, and it gave me enough structure to feel supported without feeling locked in. By the time I moved into IOP and started going back to normal life, I actually felt ready for it rather than thrown into it.
This is an ad and The Haven Detox – New Jersey 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
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.
Glad I came here to get help with my mental health. Employees really care about everyone and want to help you get better. The facility is clean and very nice. Highly recommend
Patrina Avila
2 weeks ago
nice and friendly staff who put client care first and super nice and clean facility
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
Great place to find yourself. Great staff that truly cares.
Steve Humbarger
1 day ago
My brother did their faith-based program and still talks about how much the chaplain helped him. Everyone from the counselors to his case manager genuinely cared.
Charlotte Bellmore
1 day ago
Attentive nurses during detox, warm counselors through the rest of treatment. Felt cared for the entire stay.
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.
El mejor lugar para tratar la adiccion de un ser querido. Un excelente grupo de profesionales que hacen mas q su trabajo, es su vocacion. Recomendado al 100% El mejor centro en Puerto Rico. Mi agradecimjento a Josefina q fue la persona contacto en Puerto Rico, quien con mucha paciencia y amor nos facilito llegar a este lugar maravilloso
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
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 place was the best! I have been to multiple places for my mental health and this thankfully was my last stop. I was recommended this place by another mental health facility. And I truly am grateful for all of the techs, therapist, and doctors! But a big shout out to the personal trainer they have there! And to the lady in the barbershop without the courage from these two I would have went crazy without seeing my family for over a month. Even on days where I felt super depressed the trainer encouraged me to just get on the treadmill and walk. And so thankful that he did that because honestly it made me feel better. And the lady in the barbershop I went to when I was too overwhelmed to do anything with my hair and without judgment she helped. I wish I could remember their names but it’s been almost a year ago. But will be forever grateful for them, and this place!
Haley Pennycuff
1 day ago
Wonderful place full over extremely capable staff. I went in very rough shape, and their wrap-around services expediently straightened out multiple areas of concern and allowed for me to focus on my recovery.
Isaac Andrade
2 weeks ago
My time here has shown me the error of my ways also due to the surrounding of people that experienced the same or similar events
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.
The staff was very helpful the food the was good the facility was modern and very clean and the clinical staff was solid which positively aided in my recovery
Mark Petit
1 day ago
All of my needs were met at the haven! I had a great experience and would highly recommend it!
Cole MLL
1 day ago
This is a dicey review - only because everybody has their own different experiences with places like this. My personal opinion, don’t take reviews to heart. Everyone’s experience is different. Mine personally, was amazing. The staff was amazing. I’ve never stayed in a treatment center that long in my life… if you knew me, that would say a lot. I have been in and out of these facilities over 15+ years.
It was very clean, I love the food, The rooms in residential were like a hotel room. They were beautiful. Best of all, the staff. From the techs all the way up to leadership, great people! The cleaning staff were on point! Huge shout out to Jordyn, Ashley, Anthony, Nick V, Roni, Rick, Penny, Corey, Harriet, Shay, Matt, and most of all my therapist, Jason. I don’t think I’ve would’ve stayed the amount of time that I stayed without my therapist, Jason. Along with the support from the staff. It was a great group of people when I was there. Truly amazing people, that wanted better. The only cons I can say about this facility, is the lack of communication between the departments. Nursing, techs and leadership are all on different communication levels, which can be become very complicated for the client. They should be more aware of medications that people need daily, so clients are not running out of medication’s… The techs need to be trained across the board on what’s right and what’s not right. Each tech had a different opinion or decision on something, with certain people.. That was the only real negative experience I had at this facility. Everything else was great, the staff and the clients!
As I said, don’t take peoples reviews to heart. Everyone has a different experience when they’re going through this type of thing. I am very grateful for the support I had at The Haven in West Palm Beach. Truly. 🙏
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
AFS is literally a great place to come and simply get yourself together. I’ve been happier since I’ve been here and I’m forever grateful for the people. Everyone is so nice and always willing to help and be there in your time of need.
Adah Kato
18 hours ago
What stood out to me when I was researching this place was that it was founded by people who've actually been through addiction themselves. The clinical training is there, but so is the lived experience. That combination tends to show up in how staff actually interact with people, not just in the paperwork.
Robert Castillo
1 day ago
Both the Detox and Recovery program were very useful. I full like I was giving the adequate tools to see internally and attack my addiction problem, and also how to stay sober during my recovery outside of the program
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
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.
As a community partner, it has been incredible to watch the work Never Alone has done to create a welcoming, supportive environment for adolescents during an incredibly important period in their lives. The investment in the facility itself, from renovations to amenities like the gym and movie theater, reflects a larger commitment to making young people feel valued, safe, and cared for.
What stands out even more is the programming and the people behind it. Never Alone is helping adolescents learn self-care, build confidence, develop healthy coping skills, and understand that they do not have to internalize the stigma often associated with seeking help or going through a difficult chapter.
These young people are so much more than a brief period of struggle in their lives, and they deserve the opportunity to move forward without allowing that period to define who they are or who they can become. It has been meaningful to see a program committed not only to treatment, but to dignity, growth, and helping young people recognize their own potential.
I’m grateful to have Never Alone as a community partner and to see the positive work happening there firsthand.
Michael Burke
4 days ago
Great facility for a great cause. Beautiful location in the woods of New York State.
Margarita
1 week ago
Great staff, have heard only good things about this place
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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.
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.
Calls to numbers on a specific treatment center listing will be routed to that treatment center. Calls to any general helpline could be forwarded to SAMHSA or a verified treatment provider.
If you wish to connect with non-sponsor centers, you can browse top-rated listings, visit our homepage and browse by state, or visit SAMHSA.
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