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.
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
I’m so happy I choose to come here. I’ve learned so much being here about my addiction and myself in general. The staff, the nurses the group therapy were all amazing. I’m going to miss the people in here I met. Thank you Kristina, KERMIT, Kate thank you Carlos, Theresa, LACEY, RICKY, CiCI, SAM, JESS nurses Chris Ashley ALL OF THEM! God bless yall!! Love you all I’ll miss you
Nisha Lacondrata
1 month ago
I had a great experience at All In Solutions Treatment Center. The staff was incredibly caring, supportive, and genuinely invested in my recovery. I learned a lot about myself and gained tools I can carry with me moving forward.
The facility was comfortable, the care was excellent, and the overall environment made it easy to focus on getting better. I also have to give a huge shoutout to the chef—the food was outstanding.
I’m very grateful for my time at All In Solutions and would absolutely recommend it to anyone looking for compassionate, high-quality treatment.
Matthew Bomgaars
1 month ago
My experience at All In Solutions exceeded my expectations. I was treated with respect, honor and dignity. I was kept comfortable while detoxing.
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
Once you settle in it’s great. Very positive environment and the staff are great.
T.eandah
1 week ago
Staff and counselors were absolutely phenomenal and helped me tremendously. Would highly recommend if you need help with your addiction.
Shaun Sellers
1 week ago
Awesome experience. Staff is accommodating to all your needs from top to bottom. Groups are engaging and promote confidence in sharing. I required extra attention because of a medical issue and I was provided transportation to all of my appointments. Top notch!!
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
I cannot say enough wonderful things about Ms. Karen at All In Solutions. She has been an incredible therapist and a true blessing throughout my journey. Her compassion, patience, understanding, and genuine dedication made me feel heard, respected, and supported every step of the way. She has a special way of making you feel comfortable opening up, even when discussing the hardest parts of life. Her guidance, encouragement, and wisdom have helped me see things differently and continue growing into a better version of myself. I am truly grateful for everything she has done for me. Ms. Karen is more than just a great therapist; she is someone who genuinely cares about the people she helps. All In Solutions is fortunate to have someone like her. I will always appreciate the positive impact she has made on my life. Thank you, Ms. Karen, from the bottom of my heart!
Ray C
2 days ago
My time spent at All In Solutions Treatment Center was an important part of my recovery journey. During my stay, I had the opportunity to focus on myself, understand my addiction, and begin making positive changes in my life. The experience helped me realize that recovery is possible when I am willing to be honest with myself, accept help, and put in the work. Just want to shout out my fav alien ever ERICA at the front desk she made my day easier and she is so fun. If your having a bad day she will for sure make your day better. My therapist Ms. KAREN is definitely an angel sent from above. She will get you where you need to be. The best group to be in is MADDIE'S group she run family dynamics. It's a good group and i would recommend her group to anyone. My case manager ANTHONY is the bomb he gets stuff done.
I am grateful for the support, guidance, and lessons I received throughout my time there. The experience gave me a better understanding of myself, my behaviors, and the changes I need to make to live a healthier and more fulfilling life.
raymond campbell
2 days ago
I would like to take a moment to recognize Ms. Karen Caston at All In Solutions for the extraordinary therapist and individual she is.
As the aunt of a former client, I cannot express enough gratitude for the compassion, professionalism, and genuine dedication Ms. Karen demonstrated throughout my niece’s time in the program.
Ms. Karen is an exceptionally knowledgeable, highly educated, and emotionally intelligent professional who brings a rare combination of clinical expertise and genuine humanity to her work. It is evident that she does not simply view her position as a job, but rather as a calling to make a meaningful difference in the lives of those she serves.
What sets Ms. Karen apart is her ability to make her clients feel genuinely heard, understood, respected, and valued. She takes the time to understand each individual beyond their circumstances, creating an environment where trust can be established and true healing can begin.
Perhaps the greatest testament to her impact is that Ms. Karen was the primary reason my niece chose to remain in the program. During moments when she questioned whether continuing treatment was the right decision, it was Ms. Karen’s unwavering support, encouragement, and genuine investment in her well-being that gave her the confidence to continue.
As a family member, knowing that someone truly cares about your loved one’s emotional well-being and personal growth is invaluable. Ms. Karen provided that reassurance through both her words and her actions.
Professionals like Ms. Karen are an incredible asset to the mental health and recovery field. Her intelligence, integrity, compassion, and commitment to her clients deserve the highest level of recognition.
All In Solutions is extremely fortunate to have someone of her caliber on its team. I sincerely hope her dedication does not go unnoticed, because therapists like Ms. Karen are the very reason individuals find the strength to continue their journey toward healing.
Thank you, Ms. Karen, for being a source of stability, encouragement, and genuine care when it mattered most. Your impact extends far beyond your clients and reaches the families who love them.
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
Wonderful place , case management was wonderful, therapy was great, couldn’t be happier with my stay . I would highly recommend to anyone especially if you have faith in Jesus Christ. Got me put on the right direction
Justin Caines
4 weeks ago
Great staff that actually care about clients. Definitely the best treatment center in Florida.
Cody Morgan
4 weeks ago
This is a great facility and great program a lot of great people work here that care about helping others !!!!!
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
AIS. Is a very good program I learned a lot here to cope with life the staff and counselor are amazing and do really care about your sobriety and mental health
Jerry Martinez
3 weeks ago
I absolutely love All in Solutions. They've played a large role in developing me into the person I am today. The staff is great! Especially the counselor, Mrs. Hepzibeth!! She's been the sweetest, and I've created an unbreakable bond with her. She will always hold a special place in my heart. l love y'all and am forever grateful for everything!!
Fleniecia Caldwell
1 month ago
For anyone dealing with opioid or fentanyl dependency specifically, the medical detox with 24-hour clinical supervision is the detail that matters most early on. Withdrawal management done properly makes everything that comes after it more possible.
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 HealthMental Health And Substance Abuse
Adult ProgramSeniors ProgramLGBTQ Program
Private insuranceSelf-pay options
Todo fue especial. Muy agracecido con todo el personal. Todos muy amables comprometidos. Muchas gracias
Michael Gordillo
1 month ago
Haven Detox ha sido un lugar de bendición para nuestro familiar. Todos sus empleados, desde terapias, trabajadores sociales, médicos, los cocineros y todo el personal en general tiene la vocación y la empatía para hacer más q su trabajo, hacen que se sientan en familia. No tengo como agradecer el cambio q hemos obtenido.
Es el mejor lugar para tratar la adicción de un ser querido! Que DIOS los siga usando de forma poderosa!!! Gracias Josefina por ser la persona que nos ayudó a llegar a este lugar!
BlancaPor Perez
2 months ago
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
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.
Very nice staff and people. Organizing needs some work, but otherwise, it’s a very great place. Open and welcoming community. Peers are kind and most here voluntarily. I have met some great people here and some lifelong friends.
Landon Dougherty
1 week ago
I can't say enough great things about this recovery center. From day one to day 30 I was given the best information and care. I can't imagine a better place for the help I needed.
Anthony Casada
2 weeks ago
ICFR was just what I needed to learn about my addiction and learn about ways to recover successfully. The clinical staff and support staff are outstanding in every way. The accommodations are comfortable and they do everything they can to address your needs.
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 facility is fantastic! Very clean and organized. The staff is wonderful, esp: Ms. Janell, Desmond and Meachi. Honestly the staff was always helpful and chipper when you are at your worst. I would definitely go back again and recommend it to anyone. I appreciate all the help I received. <3
Libbi Witcher
4 days ago
Tina Moore and all of the staff here are wonderful people. The facilities are next level. Very clean very nice! I really enjoyed the tour and meeting everyone! They really care here!
Geremy Wilkerson
1 week ago
A wonderful facility with wonderful staff. The team here truly cares about the community they serve.
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 has completely changed my life and for the better I came in high as a j bird and I hated my life and when I got here I really just wanted to do the detox portion but here I am 26 days later and I’m still here the classes they we do are amazing dbt classes helped me out a lot and I learned I can live a life that does not involve using drugs like meth or fentanyl and that I can honest be happy done the staff are wonderful very helpful and they really are here to help change lives there not after a paycheck heck they even take you to your appointments and they also make sure your safe when you leave and they find after care for you so you can continue to stay sober and live the life of a sober person and the best part is when you wake up in the morning you can go out side with your coffee and a smoke and watch the sun rise over the lake and sunset as well I’m truly going to miss this place and if I ever relapse again I know where I will come back to
Thank you to all the staff at HAVEN DETOX
Nathan Schibline
3 weeks ago
The haven has been one of the greatest experiences I’ve ever had the pleasure of going to. From the staff to the clients I’ve been here since September and I coin out on Thursday. Every step of the way I have learned something new. I wouldn’t trade my experience for anything. I highly recommend the haven detox for detoxing or residential treatment.
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.
First and foremost I would like to take the time and thank all of the staff at the West Palm Beach phacility for being so kind, caring and understanding of my needs during my time in detox and residential. From clinical to the therapist, chefs, nursing and senior staff, my time did not go unattended or unnoticed. If you're in need of help and looking for a treatment center that truly cares, please don't hesitate and give The Haven Detox a call.
Sincerely...Thomas F.
Thomas Fallis
6 days ago
Learned so much about myself. It was a blessing. And David is the best!!!
William Grappy
1 week ago
Treatment and continued support here was very helpful
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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