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.
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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
Did a great job.
Nelson Stevenson
1 day ago
If You wanna get back to living a good life free of drugs and alcohol I would recommend All In highly. Great group of Techs , Facilitators , Therapist and Spiritual Guidance
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
My experience here was amazing I loved it. Recommend for anyone who has a drug habit or alcohol problem!!
Sara Reuer
1 day ago
This was a very good place everyone is very nice and respectful the therapist ms. Karen is top tier she gets it done to the max her and the counselor ms.Kelly are a dynamic duo they helped me out tremendously.
Johntae Joyner
3 days ago
All In Solutions Cherry Hill literally saved my life. I don’t know where I would be if not for them. First, their program is A1 in my book. I was so broken when I made that call. From the first call until I actually got to the treatment center was God send. They made me feel like a movie star. My therapist Mrs Karen Caston was absolutely the BEST!!! She knows her stuff, I was still in denial with some things that was pointed out to me. She cried with me and held my hand through the entire process I love her and so do all of her other clients. The entire team at All In are blessings from medical management to all facilitators and techs. I met a lot of amazing people at this place including other clients. If you have a substance abuse problem I totally recommend All In Solutions Cherry Hill NJ! They will get you back on the right path for your life. You just have to be willing to take that step. I love all of you guys! Thank you for my life!!!!
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.
AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis
Adult ProgramProgram For MenProgram For WomenYoung Adult Program
Private InsuranceSelf-Pay Options
A really great environment! All the techs are great and everyone is friendly! Awesome nursing staff! All the snacks you can think of! Highly recommended!
david normandin
1 day ago
I truly loved staying here!! The staff are some of the nicest people I have ever met.
Elizabeth Six
1 day ago
everyone here, all of the techs have been amazing. Truly. I'm very, very, appreciative.
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
The place is better than expected, I’m glad I stayed almost 3 months. The longer I was here the better I felt physically and mentally. All the staff are caring people that love their job helping others.
Dino 360
1 day ago
THE REASON I GAVE MY THERAPIST SARAH 5 STARS. THE SIMPLE FACTORS I GOT TO KNOW ME LEARN MORE ABOUT ME. WHICH WAS EXCITING IN A WAY? BUT VERY JUST ONE HONEST ON THE BAD PARTS OF MYSELF THAT I NEED TO WORK ON AND NOT BEING SUCH A HYPOCRITE. AND LOOKING AT THE PEOPLE IN MY LIFE LIKE, WELL, I SHOULDN'T LOOK AT THEM THE WAY THAT I DO SO TAUGHT ME THAT.AND I CHERISH THE MOMENTS THAT I WAS WITH SARAH.MY THERAPIST, VERY, VERY MUCH.IT WAS A VERY AWESOME EXPERIENCE FOR ME.
William Bradley
1 week ago
This facility is life changing, I did an initial 30 days in detox as well as 21 days in outpatient. I’ve never felt so confident in my recovery and it’s thanks to the family I made here. These people aren’t just my friends anymore they’re so much more than that and that goes for my peers as well as the staff. The staff genuinely care about you and will form a connection with you if you’re willing to let them in. I hadn’t been sober for more than 30 days since I was 11 I’m now heading towards 60 days of sobriety and I’ve never felt better. It feels like I’ve come back to life, their classes are intriguing and fun they always keep you occupied and invested. A special thank you to the counselors Dave, Hepzibeth, Jason, Sara, Silvia & Ariel. As well as all the staff I love you guys and I’m gonna miss yall!
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 is like no other facility I’ve been to tons of freedom not locked down to a specific hallway. Has a full gym basketball court arcade 2 bowling alley lanes pickleball courts barber and more. Staff is incredibly helpful friendly and most are in recovery as well so they truly understand what we’re going through I recommend ICFR.
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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 are great. They're always courteous and accommodating to your individual needs. They are also very helpful in regards to your making the transition to PHP.
Marcus O'Rear
1 week ago
I had a great experience at haven. The staff was very interested in what I needed. Ms Lauren especially she has been a great help. .Ms Ashley,I have great respect for her because she won't lie to you,and will call you out if needed
. The staff as a whole was great.
Donald Ingram
1 week ago
My experience was nothing short of life changing. The staff are very supportive and encouraging and will help with whatever your needs may be. The counselors and very helpful and insightful, especially Sarah and Mike. Ashley and Roni are also very helpful with assisting you with aftercare plans and support while you’re here and moving on. A good place to become and stay sober. Thank you
As a private practice physician with three board certifications working in the fields of psychiatry and addiction medicine, I was always vigilant about getting to know the treatment centers in my community. I took unpaid time off to visit facilities in person, and meet with the owners, medical staff, and counselors. I was so disheartened by the status quo, which seemed to be nothing more than overly priced housing with a few AA meetings thrown in, and nefarious billing practices were commonplace at the time. A colleague brought me to Tree House Recovery, telling me it was different. Again I walked into a room of men, waiting for the pitch I’d heard dozens of times. It never came. In that room I found curiosity, knowledge, conviction, community. Vechi gave his pitch, but it was for an entirely different game. I spoke at length with the founder Justin about the neurochemistry of addiction, and the non-medication approaches to healing brains and bodies ravaged by impulsive and compulsive addictive behaviors. He got it. He preached it. I started sending patients. My patients disappeared. I’d call Tree House concerned about relapse and be told, “X is doing great! He’s still sober. He doesn’t need you anymore.” Music to my ears. Over my years of practice I “lost” many patients to THR. Vechi became my go-to phone call and was always available for my referrals. They kept in touch with me. They taught the patients I sent how to be themselves again—or for the first time! They don’t believe in recovery, they believe in life.
Jennifer Love
3 weeks ago
My recovery experience at Treehouse Costa Mesa was nothing short of amazing. The team that Justin has assembled are extremely competent and superb at their profession. I specifically want to give praise to a few of the treatment team; Coach Tom, Therapist Chuck and Therapist Tommy were instrumental in my recovery process. Thank you TH team!!!
Nathan Parrish
4 weeks ago
I absolutely love Tree House. Their staff is truly one of a kind. I’ve had the opportunity to work with them professionally, but I also have several close friends who went through their program, had an incredible experience, and are still sober today. The sense of community and support they provide is unlike anything I’ve seen anywhere else.
Really helpful changed my life.staff was amazing and always there for you without judgment. Very inclusive
nacho cheese
1 day ago
I have been to rehabs previously, however Beachside was the first rehab where the 12 steps were not a mandated expectation. It was truly a holistic experience, offering sound therapy, reiki, massages, fitness activities and more.
The onsite gym, albeit small, offered dumbbells, treadmill, Peloton Bike, and a Nordic Row. I would have preferred if it included a few kettle bells, but overall the extent of the gym was more than I expected.
The cafeteria was always clean and well stocked - the chefs were friendly and warm. Whether it was the salad bar or the amazing curated meals, or the classic cheeseburger - the food was never a source of concern for me.
The entire staff was outstanding - from the Ops Manager Rasheed, down to every single BHT. House Keeping staff were muy bueno. Kitchen staff, therapists, recreational staff, I could go on and on with lists and praise. I have never felt so heard and so welcomed as I did by the Beachside employees.
There were some inequities between the PHP and Residential program, but nothing that caused me any significant concern - just areas where I submitted suggestions to improve processes.
I truly am thankful to Beachside for the serenity they provided while I was there and I would highly recommend them to anyone who has a need for Mental Health or Substance Use Rehab.
D
3 weeks ago
Thanks to the care and support received at Beachside, our family member had an amazing experience and made real progress. We are beyond grateful for everything they did and would highly recommend Beachside to anyone seeking help for themselves or a loved one.
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Great team here!! Feels like a family, between staff and clients :)
itz Ram
2 weeks ago
This was a great place. They helped me tremendously with different resources.The staff were helpful and very nice.I met some really good people and hope to stay in contact with all of them.Thanks for the great experience.
Michelle Koski
1 month ago
This place saved my life. Where do I start… Taylor is the matriarch that definitely believes in 2nd chances and will go above and beyond if you practice and show commitment. Stephanie is like the Big sister you need when you’re slipping and need somebody to pull you back up and will DEFINITELY tell you like it is! Rod (My therapist) the gentle giant. Someone you can lean on when times get tough and spill all your guts out to… Good bad indifferent, he gonna listen and have a solution. Mike, he’s a big goofball that’s gonna put a smile on your face whether you like it or not. Shanell, such a kindred spirit, the world needs more Shanells. Such a nice Girl. Alex, ever the Multi tasker, never in a bad mood, always has a smile. Good to be around people like that. Jose, swears his Sneaker game is better than mine but his personality makes up for it… Paige, I’ll never get tired of picking on Paige and she’ll forever miss me now I’m not there to do it… Last, Derek. Don’t see him much now he’s Mr. Important but he cares and wants everyone to succeed. I leave miracles, 7 months clean, Employed full time, my OWN place (Not sober living), promoted at my job, transportation and Miracles Alumni! Not every story is a success story but this one is. Thank you miracles and if your reading this.. if I can do it, YOU CAN DO IT TOO!!!
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Frequently Asked Questions
Does Capital Blue Cross Insurance Cover Addiction Treatment?
Addiction treatment is part of behavioral health, and you can get behavioral health treatment from most Capital Blue Cross plans. The company subcontracts its addiction and mental health services through Carelon Behavioral Health.
You can still search for behavioral health services on the Capital Blue Cross webpage, but you might notice that a lot of contact information about addiction services will be from Carelon.
Every insurance plan is different and there may be requirements before you start treatment so be sure to get the details of your plan before you commit to a program.
What Types of Plans Do They Have?
Capital Blue Cross offers a variety of plans. They have individual and family plans they offer through the Insurance Marketplace and through employers to their employees. Capital Blue Cross also offers Medicare plans, CHIP coverage, and student health plans.
In individual and family plans you will find three different formats of insurance. They are Preferred Provider Organizations (PPOs) and Health Maintenance Organizations (HMOs) along with Exclusive Provider Organizations (EPOs).
PPO plans have a higher monthly premium but give you the most freedom. If you get a PPO plan, you may be able to go outside of their network and still get covered. Keep in mind if you go out of network, your coverage won’t be as much and you might have to pay a higher deductible.
In an EPO, you’re only covered if you get care from providers in their network. This type of plan usually doesn’t need referrals to see a specialist. Finally, an HMO is the least expensive each month but has more requirements. You have a primary care doctor that provides referrals to specialists and you’ll also need to choose providers from the plan’s network.
Capital Blue Cross also provides Medicare plan options for those who qualify. If you have Original Medicare you can get Medicare Supplement plans to help you cover costs like coinsurance and deductibles. You can also replace Original Medicare with a Medicare Advantage plan. This gives you the same benefits as Original Medicare but often has extra coverage such as vision and dental care. However you generally have to stay within the provider network and you may have to get preauthorizations for care.
Does Capital Blue Cross Have Any Special Features?
The Capital Blue Cross Connect program is a feature clients enjoy. That program has wellness centers you can visit and you can get health coaching and fitness training there. They also teach you skills like how to make healthy meals.
Blue365 gives discounts on fitness gear and gym memberships along with other lifestyle choices that help support your overall health. You register with your member ID card to create an account and get access to everything you need to enjoy these extra benefits.
The Healthy Blue Awards is another wellness program that helps support you based on what motivates you to make a change. There are several different packages including programs that are incentivized and non incentivized. Some tools are available year round while others are available for a predetermined time.
When your care is complex you also have access to case management and a health savings account that can help you save for qualified medical expenses using tax free money. Depending on your plan you may require a referral or prior authorization before being able to get care. Capital Blue Cross also provides online resources to help you determine what’s needed based on your insurance plan and coverage.
What Inpatient Addiction Treatment Does Capital Blue Cross Cover?
Health insurance policies focus on providing medically necessary care including behavioral health services to treat substance use disorders and mental health conditions. It is crucial to have a treatment plan from your doctor that provides the necessary information on what treatment you need based on your diagnosis and symptoms.
When necessary your addiction treatment may start with medical detoxification before moving into an inpatient or residential care program. Medical detoxification is managed by a healthcare professional who can manage and monitor your withdrawal symptoms. This process may also include FDA cleared prescription drugs that reduce withdrawal symptoms and help you stay safe and as comfortable as possible during detox.
Once the addictive substance is out of your system you may move into full time evidence based therapy and counseling in an inpatient or residential setting. This helps to identify what triggers your addictive behavior and helps you to develop healthy coping strategies that reduce your need for drugs or alcohol.
Inpatient treatment is ideal when you require 24/7 supervision and monitoring and a highly structured and intensive treatment program. During inpatient and residential care you live at the treatment facility. In some instances, you may be allowed a day pass on the weekend when therapy and counseling are not as intensive and you’re preparing for discharge.
What Outpatient Rehab Does Capital Blue Cross Cover?
Your comprehensive assessment will determine the level of care for your initial treatment. This can include an inpatient program or one of several outpatient programs. Outpatient treatment may include a partial hospitalization program (PHP) or intensive outpatient program (IOP) or even general outpatient treatment. A PHP provides the same level of intense therapy and counseling as you would receive as an inpatient or in residential care with the benefit of living at home or in sober living.
An IOP typically includes therapy several days per week for a few hours each day. While this program is less intensive it is just as structured as a partial hospitalization program. You will continue to meet with your therapists and counselors as well as participate in group support meetings. Some treatment centers offer IOPs during the morning hours or evening hours to help accommodate your family and work or school obligations.
A general outpatient treatment program usually provides therapy or counseling once or twice weekly. This can also include group support meetings and family therapy. Once you have completed your outpatient programming, you may have access to an aftercare program. The resources available in aftercare depend on the treatment center you’re working with.
Some treatment centers have alumni programs where you can connect and receive support from people who have graduated from the treatment center. Your aftercare program may include therapy sessions and community group support sessions along with routine drug or alcohol testing and life skills training. This may include sober living arrangements and educational or vocational support.
Does Capital Blue Cross Cover Methadone & Suboxone (MAT)
Methadone and Suboxone are integral parts of a medication assisted treatment (MAT) program. These programs use the FDA cleared medication to reduce your experience with withdrawal symptoms and lower the risk of severe complications that may occur during withdrawal from certain drugs.
MAT is also used in ongoing treatment for opioid and alcohol use to reduce cravings and help prevent overdose deaths. Medications that are commonly used include methadone, buprenorphine, naltrexone, and suboxone. Methadone and buprenorphine are opioid agonists. They bind on the same receptors as opioids but do not produce the euphoric effects.
This helps prevent withdrawal symptoms and reduce cravings. Naltrexone also blocks the effects of opioids at the receptor level and can help prevent relapse when you have already detoxed from opioids. Buprenorphine and methadone are used exclusively for opioid use disorders while naltrexone may be used for both opioids and alcohol. Suboxone is a combination drug of buprenorphine and naltrexone.
Does Capital Blue Cross Cover Other Mental Healthcare?
The 2010 Affordable Care Act and 2008 Mental Health Parity and Addiction Equity Act are federal laws that help provide access to mental health and substance use disorder treatment through coverage by insurance providers. However not all plans are subject to these laws so it’s crucial to check your benefit and limitation levels with your insurance provider.
Mental health conditions may include depression, anxiety disorder, eating disorders, bipolar disorders, and borderline personality. Your insurance coverage may cover therapy and crisis support when you need immediate help or pose a risk to your safety or the safety of others. This type of support is critical to stabilize the situation and connect you with the appropriate care long term.
Co occurring mental health conditions are common with substance use disorders. When your insurance provider covers treatment for substance use disorders and mental health conditions, they will typically cover integrated care for dual diagnosis. This is the medical term used to describe having both a mental health condition and a substance use disorder simultaneously.
Treatment for dual diagnosis can be more complex and requires integrated care administered concurrently to achieve the best potential for long term success.
Does Addiction Treatment Need to Be In Network?
Some Capital Blue Cross insurance plans cover out of network care and some do not. Before choosing to receive care it’s important to understand if the provider is in network or out of network for your plan and your coverage levels for each. While your insurance plan may offer some coverage for out of network care it likely comes with higher co payments and a higher deductible.
You can maximize your insurance benefits by receiving care with an in network provider. Whatever your choice by reviewing your insurance plan carefully you can make an informed decision about which provider to use.
Calls to any general helpline will be answered or returned by a paid advertiser.
By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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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