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.
Tree House is truly an incredible place. My life was changed in so many ways thanks to Tree House and the amazing staff. I love this place with all my heart and the people I got to know during my time there. The structure of the program combined with the camaraderie of the people around you is a match made in heaven. Thank you Tree House for giving me the life I live today.
clint wilson
2 months ago
Hands down the best decision I made for myself to save my life. I had no idea what to do with my life as I was spiraling into a seemingly inescapable abyss until I reached out to Treehouse. I had my reservations about going to a place like Treehouse as a member of the LGBTQ+ community but the amount of support and acceptance I received even before I committed to going was incredible. I gained the knowledge and tools that I use on a daily basis that help me live life to the fullest potential. I discovered new things about myself while going through the program by living outside of my comfort zone and allowing myself to try things I never thought I would be interested in. Treehouse was able to create a space where I could explore these new things and create strong bonds with guys that impacted my recovery in the best way possible and gave me a stronger foundation to move forward with my life. The therapy was life changing, shoutout to Chuck and Ryan, they saw something in me that I could not see for myself and helped me bring that out. The coaches were incredible as well, shoutout to Dylan, he taught me so much that went above and beyond physical fitness and weight training. Vechi and Brandon were instrumental in working with me to get me the help that I needed and incredible human beings. Words cannot express how grateful and honored I feel to have gone through and graduated from this program. If you're looking for a place that'll give you the best chance at success in recovery, this is it. You are worth it.
Salvatore Bonilla
3 months ago
When I first walked through the doors at Treehouse, I was lost, broken, and trapped in a cycle of addiction that I never thought I could escape, Never! I had become a prisoner to alcohol and drugs, and my life was spiraling out of control. The guys at Treehouse, there programs, and there unwavering support, helped me find my way back to the person I was meant to be!At my lowest point, I felt like there was no hope But within the walls of Treehouse, I found Compassion, Understanding, and the TOOLS I needed to fight for my sobriety. Through counseling, support groups, and the kindness of those who had walked this path before me, I learned that I was NOT alone. I discovered strength within myself that I never knew existed, and for the first time in a long time, I believed in the possibility of change. I learned to take Responsibility for my Actions, to heal from the pain I had caused myself and others, and to embrace a FUTURE filled with HOPE. TREEHOUSE gave me the courage to rebuild relationships, to Chase Dreams I had long abandoned, and to live a life of PURPOSE and CLARITY.Today, I am proud to say that I am sober. Every morning, I wake up with a sense of Gratitude instead of dread. I have regained my health, my relationships, and most importantly, my sense of self-worth. NONE of this would have been possible without the GUIDANCE and SUPPORT that Treehouse provided me during my darkest days.I just want to say Thank You for being the place where I found healing, hope, and a second chance at life. I have and will carry the lessons I have learned within me ALWAYS, and I hope to one day give back to others who are fighting the same battle. Because of you, I am no longer just surviving, I am truly living!Much Love..
I want to extend my heartfelt gratitude to Dream Life Recovery, the staff and the community I ve had the privilege of being a part of during my recent stay. It has been by far the best therapy I ve received on my recovery journey. The lessons I ve learned about my myself there are paramount in my recovery efforts. I have a firm foundation moving forward and I owe that to so many great influences there. I am truly blessed to have found this place. Thank you
Pat McNicholas
2 months ago
My recovery journey has spanned over two decades and included dozens of treatment centers. After 8 years of sobriety, I spent 6 years in a devastating series of relapses. Arriving at DreamLife, I had lost the will to live and determined myself hopeless. I wasn't a friendly face or an easy case. Despite my best efforts to sabotage myself, the staff at DreamLife fought for me. They saw value in my life that I couldn't. Having been to many rehabs, none are perfect. Some have 5-star amenities or an ideal climate and location. But what matters are the staff and the treatment itself. DreamLife is second to none in these departments. Many staff are in recovery and know what it takes to live successfully with this devastating disease. The therapists are top notch and provide holistic and proven modalities to fit clients unique needs. My trauma, self-defeating behaviors and cognitive distortions were all addressed. Because of DreamLife, I have a life again, one I was convinced was beyond reach. Eternally grateful.
Meredith Bushman
2 months ago
This place is an absolute amazing place! Because of this place my sister just celebrated her 5 years of being sober. Dream life is definitely a wonderful place!
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
7 months ago
Excellent place with excellent staff!
william wilcox
9 months 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!
I've had a great experience at Blueprints Recovery! They met all my needs and then some! Every single staff, tech, counselor and administration were wonderful! Houses and facilities were maintained to a professional level. 10/10 to Blueprints!
Jeremiah Miller
2 months ago
They care best place to get help away from addiction. Good staff
I am now 2 months sober because of this place. It is definitely does not look exactly like the pictures when you show up but it is worth your time to spend that time on yourself 80 percent of the staff is awesome shout out to Troy,adam,Tommy,and all the folks who put on classes. biggie and smalls were pretty horrible if you have been here you know who im talking about. But regardless I would not be where I am right now if I would not have gone to this place and if you are in need of help with substance abuse would definitely recommend
Cody
2 months ago
This place has changed my life for the better. This was my second attempt at rehab,the first place didn t work this one has changed my whole perspective on life and how to live a beautiful and fulfilling healthy life. From the staff and community I met and shared my story with I am so grateful for the opportunity and what it has done for me, the LIV program was crucial to my sobriety and recovery. I can t thank Troy and Adam enough for teaching me and showing me things I have never experienced before in my life. Michelle, Daniel, Oscar and all the other staff I found very personable and caring. My journey through singer island was life changing and I can t thank them enough. I will return there some day to show my gratitude for everything they have taught me and showed me, life is really beautiful and fun while sober. Thank you singer island. Much loveKris Lowe
Kris Lowe
2 months ago
I am coming up on 60 days sober, the longest I ve been sober since I was 14. The LIV program has changed my perspective on sobriety and life in general. I ve found a purpose and reason to wake up in the mornings. I am forever grateful for the insight and opportunity Troy and Adam has given me. This program has saved my life and with the work they are doing I am positive they will continue to save the lives of many others. #dohardshi*
Journey Pure trueIy saved my life. I felt genuinely welcomed, cared and empowered to begin my recovery. I was welcomed by Zilpa with love and compassion. JP staff are amazing; supported, qualified, experienced, knowledgeable and compassion individuals. Heather, Buddy and Dr. Dickun developed an individualized treatment plan that included, intensive therapy and strong relapse prevention tips and treatment. Thank you Teresa for holding the front office and helping me in my most challenging days. Overall, I felt comfortable and respected sharing my struggles. Today I can say I was born again. I am happy, healthy and productive. I found a wonderful support system and most important a Family. I am able to walk the road to recovery and embrace the changes thanks to JP and their staff. I highly recommend Journey Pure. If you are struggling with substance abuse give journey Pure the opportunity to assist you.
katherine monge
3 months ago
Writing this review to reinforce the other ones. From the staff to the clients , the acceptance and atmosphere are amazing given the circumstances for attending the group sessions. Highly recommend for anybody in need of extra help or somebody to talk to.
David White
4 months ago
If you or a loved one are struggling discover LIFE here. Receive love here until you love yourself. Real pure love - the hard love necessary to make CHANGE. It s your Journey - make it count and make it last. The best things in our lives require the most amount of work - invest in yourself. As the staff drills into you - you are worth it.
Michelle with Support Staff is a literal angel and was so amazing. The staff I met here today was extremely accommodating went above and beyond to make me feel comfortable and welcomed. I can't wait to continue care with them here. Micheal Fox is wonderful at his job and helping me through my therapy and care.
Kris-Sama
6 months ago
I really appreciate the service of Greg& Michelle ,I can say that they really care about everyone that comes on Tuesday. I GIVE THEM A 5 STAR.
Terence
7 months ago
I think that the place is amazing, it has helped me by letting me have someone to communicate my feeling, thoughts, and life to.
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.
Bowling Greens staff is down to earth. Cuts no corners
Tennille Bedney
1 week ago
not a bad place if you work it the right way. I made the most of my stay. lots of clients that don't want to even get clean so stay away from them and surround yourself with those who are serious about recovery and it should work out. love the techs shout out to six and chase thanks for all your help. just follow the rules and it will go smooth.
Ceo Dadoq
1 month ago
I was there in march of 2024 and I need to come back again I guess I forgot some items
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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.
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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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