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.
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.
A Transformative Path to Recovery: Runway and Treehouse Recovery
My journey to sustained sobriety began at Runway, a premier short-term stabilization facility in Santa Ana, California. Designed for individuals in crisis, Runway offers 24-hour monitoring in comfortable, well-appointed accommodations, including private bedrooms, an on-site cook, and a dedicated nursing staff. A compassionate team of five to six professionals provides individualized care, preparing patients for a seamless transition to long-term treatment. Runway’s structured yet nurturing environment makes it an exceptional choice for immediate, high-quality intervention.
After stabilization, I transitioned to Treehouse Recovery to address a complex history of alcohol addiction, combat-related injuries, and a rare psychotic episode triggered by marijuana use. The Treehouse staff’s expertise in treating combat veterans navigating reintegration and substance abuse was remarkable. Their swift, targeted response to my unique challenges laid a critical foundation for my recovery.
Treehouse’s program distinguishes itself through a robust team-based approach, which fosters accountability, camaraderie, and personal growth. Patients are organized into small, cohesive units that collaborate on daily tasks, from meal preparation and facility maintenance to group sports and weightlifting. This model mirrors the discipline and interdependence of military teams, which was particularly resonant for me as a veteran. For example, morning team raft exercises in the surf required synchronized paddling, teaching us to trust one another and communicate effectively under pressure. These activities were more than physical; they instilled a sense of shared purpose and mutual reliance, reinforcing the skills needed for long-term sobriety. By working closely with peers, I rebuilt self-esteem, learned to embrace responsibility, and developed a support network that extended beyond the program. This team dynamic was a cornerstone of my recovery, providing a safe space to confront vulnerabilities and celebrate collective achievements.
Beyond its team-based framework, Treehouse emphasizes the physiological and biological aspects of addiction, moving beyond traditional talk therapy. Physical training restored my strength and confidence, while the program’s focus on leadership in its latter half prepared me for a successful return to everyday life.
Over a year later, I remain sober, with strengthened family ties and renewed self-confidence. The ongoing support from Runway and Treehouse, through regular check-ins, reflects their commitment to clients’ long-term success. Their tailored, family-like approach creates a global network of support that empowers individuals to thrive post-treatment.
I wholeheartedly recommend Runway and Treehouse Recovery to anyone seeking a path to lasting recovery. These facilities not only saved my life but also provided the tools and community to build a brighter, more fulfilling future.
Sincerely,
Charlie
CB
1 week ago
I showed up to Treehouse ready to change but i didn't know how to make these changes. Anything i tried alone always seemed to fail until i was accepted into the treehouse family. They showed me how to handle simple to complex tasks with a rational clear thinking mind. They gave me the tools and confidence to stay in a state of gratitude day in and day out. They solidified my hard working ethics and gave me a place to call home. We worked hard and we had a lot of fun. I particularly love the ocean (surfing, diving, skimboarding) so being on the boats with the team was my favorite part of the physical modalities. I owe it big time to the clinical staff for listening intently, caring and asking the right questions at the right time to help me work through a lifetime of baggage.
Cruz Bokolas
3 months ago
Treehouse has made a huge impact on my life. The values, connections and education have given me an entire different perspective on life. They have given me the tools and knowledge on how to live a life in sobriety. The staff are all super cool and very supporting of whatever you are going through and will do the best they can to help you get where you need to be. Thank you treehouse !
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid Addiction
Adult ProgramYoung Adult ProgramLGBTQ Program
Private insuranceSelf-Pay Options
I want to thank a lot of people starting with the house keeper glorietta, she has been so helpfull accommodating to my needs.She is just a friendly person but more than that a hard worker ,and has made my stay here just better.Second id like to thank dr k this guy's just one of my favorite people period.I have never had a dr I liked as much as I like him and probably never will.Hes helped me get to a really good headspace and just made this experience so much easier and I look up to him honestly.Next id tim my therapist for helping me learn and understand adiciction better love u tim!Jody is not my therapist but I really enjoyed her groups a lot so thank u jody.Id like to thank Britney the physical therapist for giving me back range of motion in my foot through hard work and persavarence.She is also been so instrumental to my recovery.Next id like to thank Mike the RA on duty and all the techs or Ra'S on my unit.i cant forget sakira who is just amazing at her job.I mean this girl goe's through a line of 10 to 15 men waiting for meds at night in matter of minutes and is friendly likeable and most of all a true profesional.Arron in neuro feedback he has been informative and so helpfull.O cant forget norike the Ra and all ra's really just made me feel comfortable and safe thank u guys I wish I remembered all ur names but I have love for you all.I cant forget the nurses in detox who took such good care of me in detox unit.I dont know if id be walking again without you all.Ohh and a special thanks to dr finale dinkle for nursing me back to health and monitoring my growth.The food here's top notch and im sure I forgot some people but thank u all from the bottom of my heart ❤️I love u and thank u all....
Mark Gibbs
2 weeks ago
If it weren’t for my experiences at Caron in 2007 and 2018 I wouldn’t be here today. Thank you to all that helped guide me to the path of a better life.
Ross Attkisson
3 weeks ago
18+ years in recovery, one day at a time thanks to Caron Treatment Centers. I grew up in a loving home in the suburbs of Philadelphia. I always felt different than my peers, and this was compounded by relentless teasing at school. I started drinking when I was 14, trying to fit in and numb the pain of feeling like an outsider. By the time I was in college, my substance use escalated to harder drugs like cocaine and eventually, crystal meth. I moved on from beer pong with my fraternity to life in the fast lane with party drugs and the club scene.
Following graduation, my life was chaotic. Being in the event planning profession, my behavior was tolerated. Often late to work, my performance was inconsistent, and no one could rely on me. I was not functioning. When my addiction led to two DUIs, jail time, and suicide attempts, I faced a sobering reality that I desperately needed help. My time in jail was a wake-up call, but then I violated my house arrest and pleaded for help. Rather than return to jail, my parole officer allowed me to get help. My family, who always supported me, set firm boundaries and helped me get into Caron. This changed my life. Today I am an event professional, living a fulfilling life and helping others how I can. I serve on several non-profit boards, including having the honor of being Vice Chair of the Caron Greater Philadelphia Regional Advisory Board as well as part of the Caron Treatment Committee and Chairing the annual Gala Planning Committee. Caron is so important to me that I have made Magic Mountain part of my legacy planning as a recent inductee to the Chit Chat Society.
I would not be here today if it were not for Caron and my mom, dad, sister, other family members and friends, because they never turned their backs on me. If you or a loved one need help from substance use disorder, please consider calling Caron.
Finally after numerous attempts dream life allowed me to live the dream WOW a amazing Recovery cent 5 star recovery retreat hello
Paul Cassagnol
1 week ago
Twenty years ago, I went through a crisis involving addiction that had catastrophic implications for my family. While my loved one was at a nationally acclaimed residential treatment program, and I had confidence he was getting the help he needed, I felt lost, alone, left out, ignored, and in the dark. I had almost no communication with my loved one or his therapists. I remember going to an in-person educational seminar at the facility, where we learned about addiction, but had no personalized information about our person or situation.
Now I’m walking this journey with my daughter, whose loved one is in residential treatment at DreamLife. At intake, she was given a packet of information that included links to family sessions that were held over Zoom six times a week for a total of 10+ hours! We both jumped in the first week, and even in the early days of this crisis, when we were emotionally reeling, we felt seen, known, informed, cared about, communicated with, and supported.
Some classes are led by a recovered addict, who gives us an understanding of what life is like for an addict, how they think, and what their early recovery journey will look like, including how they might push buttons or manipulate their family members in ways that are counterproductive to their recovery. Others are led by the mother of an addict, who sensitively helps families understand the emotions and situations that we are thrust into, and how our well-intentioned efforts might sabotage their progress. Both have the objective of helping us to understand how our behavior contributes to enabling addiction, and to give us the skills and knowledge that will strengthen our resolve and ability to be healthy ourselves, and stop being naive participants in the circus of addiction.
The family program at DreamLife is remarkable. The instructors are knowledgeable, articulate, and passionate when lecturing, and attentive, compassionate, kind, and wise when applying the principles to individual questions and situations presented by family members. The classes have a rotating ‘membership’ as there is always a mix of people who have just arrived and people whose loved ones are ready to come home or move to the next step in treatment. This creates a dynamic much like an Al Anon meeting, where we all benefit from hearing the facilitator talk about a particular client’s situation with their family, as well as learning insights from each other as family members jump in to share their own experiences. It also gives a very real sense that we are not alone, and even though we may never meet any of our fellow participants in the Zoom sessions in real life, we feel seen and supported by them.
If you have a loved one at DreamLife and you have not taken advantage of the Family Sessions, then you are missing out. Anyone who loves an addict who is or has been at DreamLife is welcome. My daughter is learning how to live with her loved one in a way that supports his recovery and acknowledges that she has her own recovery journey, too. Living thousands of miles away, I am learning how to support my daughter. Without the opportunity to attend, I might feel helpless, and I would be ignorant about the disease of addiction and what it takes to commit to recovery. I might feel angry, rather than compassionate, as the behaviors that can look like willful, selfish, moral failures are actually symptoms of a neurologic disease that overrides the ability to live a deliberate, purposeful life.
It appears that very few of the residents have a family member attending the sessions that we have found invaluable. This is such a lost opportunity to learn about addiction and to be informed about the progress of your loved one as they engage in recovery. Please consider this an invitation from someone like you, with nothing to gain. You will benefit, and we all will benefit from your participation.
Thank you, DreamLife, for pioneering ways to include and equip families of your primary clients. It is a gift. And no matter how our journey unfolds, my family is grateful.
Lisa Olson
3 weeks ago
My loved one is currently in residential treatment at DreamLife Recovery in Donegal. As a family member, I give DreamLife five stars for their family programming sessions run by Curtis Rogers and Robin Miller over Zoom.
These classes have been critical to my own parallel journey as I learn more about how to effectively support my loved one without enabling the addiction. I've developed new skills for how to recognize manipulation, set boundaries, and "wear my own hat". These classes have empowered me with the wisdom to recognize what is and is not in my control and the courage to make hard choices that are in the best interest of me and my loved one.
Addiction is a family disease and it affects everyone touched by it. Because of the nature of the disease, it is often the family members and loved ones who need to change first in order for the addict to change themselves. I highly recommend that anyone with a loved one at DreamLife to prioritize attending as many of the classes as they can. The time commitment is worth it and you will learn so much.
I have been coming to this location since the Mt.Pocono office was closed down. Ishima was my therapist at that site, and I make the drive to Allentown specifically to see her. In the three years I have been seeking treatment with Kidspeace, it's always been a positive experience. My reason for seeking treatment forced me to be very thorough in my looking into many different organizations and I can say I have made the right choice with Kidspeace.
michael maul
1 month ago
Very good for kids
Soimary Ortiz
2 years ago
Hay Personal de habla hispana. Buen trato y servicio en tiempo.
I am pleased to give this 5-star review of MRC. I attended PHP and IOP, and had individual counseling twice a week. The counselors are excellent. They encourage a lot of participation in the groups. The topics are relevant to recovery- stress management, 12 steps, nutrition, body-mind connection, gratitude, and a lot more. Weekly yoga is offered and it doesn't matter what level you are. I was supported and cared for all the way through the process of outpatient recovery.
Erin Bayhan
10 months ago
Excellent place with excellent staff!
william wilcox
1 year ago
I am very happy going to Montco Recovery Center. I get a lot out of my groups and I especially like my counselor Bill. He's very helpful in my recovery. I also get along with the majority of people in my groups. If anyone asks where to go for recovery I will definitely recommend Montco!
Blueprints has been amazing. The staff care about the clients. Have been a vital part of my recovery. would recommend blueprints to anyone struggling with active addiction and wants to get sober
Jordan Sager
3 months ago
Blueprints is a good program.
Brian Sherrick
4 months ago
Great support, I am grateful for the care and concern. I would love to work a job like this helping others progress. If you know someone that needs help and structure, This is the place!!
I've been wanting to write a review for awhile. August 31 will be two years since I first came to Singer Island and it was truly life changing. I've been to other rehab's prior to this one. The staff and whoever was running the place back in 2023 did an amazing job. I went back a year later and it went downhill. This place changed my life and I met wonderful people who I think about daily. This is the only place I've ever felt safe in my entire life and that includes Crystal Lake as well. Thank you for what you guys did for me. Two years later and I reminisce all the time. You guys truly had the best therapist, case managers and group facilitators back in 2023. & I LOVE the TECHS/BHT'S all of you, don't even get me started lol. They truly cared and made me think deep about life and how to be happy again. & shoutout to Troy he's probably the only person keeping this place going with his LIV program.
Jessica Dagostino
1 week ago
I just left Singer Island a week ago, and my experience was amazing. I was in a state rehab facility before this, and to say this place was 100x better is an understatement. I absolutely loved the LIV Adventure Program with Troy and Adam. They gave us holistic healing opportunities that I haven’t seen anywhere else, and I absolutely would recommend Singer Island to anyone looking for a rehab facility that cares and is actually useful.
Emily Beave
1 month ago
I went to Singer Island back in January 2025 for less than a month. The staff was amazing and helpful. I’m writing this review to let yall know if you’re looking for a mindset change the LIVE program here is the best. They will challenge and motivate you to be your best self. I’ll be forever grateful to Troy, Adam, and Ms Erica for helping me start my journey the right way. Everything they’ve said has been exactly what I need to hear at the right time. Love y’all!!!
Journey Pure is a diamond in the rough. It’s simple and it’s because they really care about all of us individually. It’s also an amazing support system of my peers in groups and the staff made me feel welcomed and that really helps when discussing deep feelings and emotions.
Bill Duncan
2 months ago
JourneyPure exceeded my expectations in every way. The staff's compassion, expertise, and dedication to helping are truly inspiring. Buddy and Heather are two of the most caring & compassionate counselors who truly lead with their hearts. The entire team is amazing! From the initial intake process to the aftercare support, I felt heard, validated, and empowered to take care of my needs. I'm grateful for the progress I've made and the tools l've gained to maintain my healthy lifestyle. I highly recommend JourneyPure for its exceptional care and unwavering support. Thank you!
Patricia
4 months ago
Journey Pure has been absolutely amazing. From the staff in the front office to the therapists. If you are considering sobriety and don’t want to do it alone you’ve found the right place! It’s so much more than just about being sober it’s about dealing with past and present issues. Journey Pure gave me my life back!
Since coming to Ponessa, Andrew has provided excellent behavioral health services to my child! He is very patient and takes the time to explain things. Andrew is flexible with scheduling and works around what works for you. He is easy to get in touch with and responds in a timely fashion. Ms. Michelle at the front is always so welcoming with a smile and willing to answer any questions. She takes the time to get to know everyone with a few moments of friendly interaction while you check in. I highly recommend Ponessa, they are great!
Miranda F
4 weeks ago
Monique was absolutely wonderful to work with. She helped our son and our family so much. She went above and beyond to support us during a really hard time and our son is in a much better path now. Thank you so much!
Thank you to the staff of the pediatrics center! You made such a difficult time so much easier to transition through!
Nicolette Tabacco
1 year ago
My experience here was great considering the situation. Staff was friendly, they feed you VERY well, and I met some really good people that genuinely care. They helped me through my issues and gave me the tools I need to take care of myself and live a happy life. Thank you
Russ Pup
1 year ago
The place is great. My daughter is there. Only complaint i have is there policy. Me and my wife drove 1 1/2 hour. And only one can visit. Then was told my service dog could NOT come inside.
Keven Hollan
2 years ago
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Frequently Asked Questions
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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