Excellus Blue Cross Blue Shield New York for Addiction Treatment
Discover how Excellus BlueCross BlueShield supports addiction treatment with comprehensive coverage options across upstate New York.
Excellus Blue Cross Blue Shield New York for Addiction Treatment
Discover how Excellus BlueCross BlueShield supports addiction treatment with comprehensive coverage options across upstate New York.
Excellus BlueCross BlueShield serves communities across upstate New York. They are an independent licensee of the Blue Cross Blue Shield Association of companies. This Federation allows independent companies to use Blue Cross Blue Shield resources while operating independently to serve the needs of local communities.
One of the key features of Excellus BlueCross BlueShield is its commitment to preventive care. They emphasize regular health screenings, wellness programs, and vaccinations. The company provides resources and support to policyholders to help manage chronic conditions like diabetes and heart disease to help reduce costly hospitalizations.
Does Excellus BCBS Cover Addiction Treatment?
Most Excellus BlueCross BlueShield health insurance policies cover drug rehab and addiction treatment. The 2010 Affordable Care Act requires most insurance plans to cover 10 essential health benefits, which include both mental health and substance use treatment. However, there are exceptions to the law, and every plan is different, so be sure to check your coverage details before you begin rehab.
Your insurance plan will also focus on covering medically necessary care, which will be largely determined by the treatment plan your doctor creates. Work closely with your doctor so you know what kind of treatment to look for when it’s time to start your recovery.
Opioid AddictionDrug AddictionSubstance AbuseMental HealthAlcoholismMental Health and Substance Abuse
Adult Program
Private InsuranceSelf-Pay Options
Numa is a wonderful facility helping many people suffering from the disease of addiction. The staff truly cares and shows the utmost attention to detail. I would recommend to any family member or friend!!!
Alex Spivak
1 month ago
Great place to heal and grow. The staff care and are willing to help if you let them. Educational and useful groups that prepare you for relapse prevention and coping skills etc. Definitely recommend if you or a loved one are looking for a treatment center that CARE about their clients.
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.
Very professional staff, so glad to have them in Roane County!
Steve Register
2 months ago
Mental health services has been great!Can't say that for PCP. I'm extremely anemic (blood work shows that) and can't get in until the 16th of January! Unfortunately, I don't have insurance so I can't afford to go anywhere else. Guess I'm not dead enough to get the care needed.
Cheryl May
5 months ago
Awesome staff and very friendly. I nearly passed out on the blood draw but they kept me awake and alert! Most VA clinics just let me fall to the floor but not this one!
One thing is for sure, Helio Health saved my life. I started as a client and now I am working for Helio. Outpatient, residential, recovery center and inpatient/detox. All amazing programs that a lot of people put their heart and soul into.Some people like to complain about anything because nothing will ever, please them. I have lived on the streets and if someone comes into this facility and states that the streets are better. Then they clearly have never been on the streets. It's all about perspective. If you're ready and willing to make your life better regardless of what you have to do and how it will make you, "feel". If we made people completely comfortable, with all this and that, then no one would leave. I have seen that with different facilities that have all this food and that but then they don't have the proper treatment or groups. But they feed you well. Pick your poison. Some kids act like spoiled brats and nothing is ever enough. Maybe you should change your perspective, it's amazing what is possible by thinking positive regardless of the situation. It's easy to come on here and judge when you don't see it through. Suffering is real. You can choose to let a little rain ruin your day or you can choose to make a rainbow. The choice is yours. We give you the necessary tools, now it's up to you to alchemize what is taught. I can choose to be better, or I can make excuses. What do you choose?
Shannon Kinzie (Shanni Baby)
5 months ago
A very respectable place
Holly Thornton
7 months ago
So as a client I thought I would share my "unadulterated" thoughts on Helio Health. First of all, lets start with rehab in general. It's a horribly uncomfortable process that will eventually save your life. This being said, its pretty easy to have a negative view of any organization while you are 30 days or less from a drug or a drink. I have found Helio Health to have an abundance of resources for one to obtain sobriety and restart their life. In just the last 80 days I have been able to get my head screwed on straight, remain sober, fix broken relationships and obtain a pathway to success in every area of my life. Physically, mentally, spiritually the tools were there to obtain. It was up to me to accept that no "program" or rehab is going to be perfect and my life transformation was up to me. It was my job to use the assets given to my advantage and Helio Health had plenty to offer that were much different than my prior rehab experiences! Although staffing any business can be tough in these times, the counselors and nurses were super helpful and friendly. Hopefully with the intense need for recovery staff, businesses will start to pay them a bit more of what they deserve!
My mom stayed there 7 days for detoxNext day of she get out to do DETOX my mom social workers from A CPS PENDING CASE CALL THEM CUZ MY MOM 36 YEARS OLD DECIDED GO BACK AND DO INPATIENT 28 CUZ SHE REALLY Want to do the admissions..... They said she have to wait 2-3 weeks for a bed...Now I understand why the world been covered of many people want to get help and they don't care really well them...
Ramdiel Deleon
4 months ago
Cleanest detox I ve ever been to and they always make sure you re good and they have some good meals. They care here. I needed to go and I m greatful I did.
Some wildly inaccurate comments have compelled me to write a review. I have been with tempo for almost two years now, abrasive, unprofessional, and rude is a complete misrepresentation of this staff. I was once in your position so I have an understanding of where you may be at mentally. If you can t get one over on people that doesn t mean they are rude or insensitive. Its time to grow up. I dealt directly with Charlene over email and on the phone last week and she was nothing, but pleasant and helpful. She worked with me and we reached a mutually beneficial outcome that same day. I know I am not the easiest person to deal with, but the Tempo staff have always treated me with respect and kindness since day one. I suggest you continue to seek help and take it seriously. This is your life and if you are having a hard time with people who are truly looking out for you, it might be time to do a serious evaluation of your life and who you are. I want to thank Tempo for everything they have done for me the past year and 10 months. I am thankful for all of you.Best,JT
They are all amazing! They really care and want to help everyone and don't just treat you as a patient or number but individualize each person and coordinate their care based on their individual needs!
Brittany Hunter
1 year ago
Very good therapists, healthy & positive environment
Mayson Riggins
2 years ago
I cannot say enough good things about James Holt (treatment specialist) From the moment he answered the phone, I felt like I was talking to an old friend! His dedication and sincere concern made me feel safe speaking to him! I would highly recommend! Thank you James!
My experience was it was a very decent facility.The staff seems to really care. I had a amazing counselor casssandra weaver that lady believed in me and really had legitimate concern for her work load as well as other people s case load.she restored my belief in humanity.I don t talk to her as often as I would like but she always made time when and if I needed it.Being African American and her occasion I Thought I would face racism Total opposite.wherever her and her cat Missy are God bless her soul professionalism Along with the QUEEN WHO RUNS THE PLACE LACY WHO FIGHTS FOR US HER AND DAVE BEHIND THE SCENES.THE FOOD WAS OKAY.CP
Carmen Collins
7 months ago
I have been with unity chemical dependency for a while now. All of the staff in outpatient and the majority of staff in inpatient are compassionate and were essential for my recovery. My outpatient therapist is always ready to listen and give incredible support and resources. I don't think I would be in recovery if it weren't for my therapist, Sam. My life has been saved. I have improved my quality of life, as well as my relationships. I highly recommend unity chemical dependency for those who struggle with addiction. If you are committed to changing your life, this program and staff will do everything to support you.
Samantha Markham
11 months ago
The care and attention I received from staff was life changeing for me. I am so thankful to each person working there. They all went above and beyond...
I had an outpatient procedure performed by Dr. Dibenedetto last year. He and his team were courteous and professional. They took great care of me and were able to accommodate me in a tight schedule. The facilities were clean and the nurses and staff helped me to feel comfortable and safe.
Jessica Rosati
3 months ago
Wonderful compassionate people
gamer for life
8 months ago
The team that works with my Uncle is fantastic there he is on the blue floor and Nichole the head nurse always works hard to make him feel safe and comfortable. They are all a wonderful team.
Our 17-year-old daughter spent time at Chrysalis Therapeutic Boarding School, and we are deeply grateful for the progress we witnessed during her stay. From the beginning, it was clear that the staff truly cared about each student not just their safety and well-being, but their emotional growth and long-term success.Her therapist at Chrysalis was exceptional. She developed a level of trust and connection with our daughter that none of her previous therapists had been able to reach. The therapist s insight, compassion, and clinical expertise made all the difference. She helped our daughter take true ownership of her decisions, both in terms of the tools she learned and the consequences of choosing whether or not to use them. This accountability has been empowering for her and has had a lasting impact.The campus itself is safe, peaceful, and beautifully maintained. We always felt that the girls were well cared for, both physically and emotionally.The Chrysalis program encourages parent involvement and connection. We built relationships with other parents and felt supported by staff every step of the way. It s clear that Chrysalis doesn t just focus on the student they support the whole family system.Sending our daughter to Chrysalis turned out to be one of the best we ve ever made. We wholeheartedly recommend this program to families who are looking for deep, lasting healing and growth.
Hayley Garnham
2 months ago
Our child attended Chrysalis for 17 months. That period of time was one of incredible transformation. The wrap around therapeutic work, adventure programming and supportive, engaging academics were exactly what our child needed. The family work was also instrumental in creating positive, lasting changes for our child and our entire family system evolved. The therapeutic team at Chrysalis changed the trajectory of our child s life. As a family we continue to use the skills we learned at Chrysalis long after graduating from the program. Transition and after care support was an essential component of the program.
Elizabeth Repoli
5 months ago
Chrysalis did a wonderful job helping my daughter recover from an extremely difficult time of her life. Amy Durden her counselor was an excellent human with skills that were remarkable.
Gregg de Haan
7 months ago
No results Found.
The combination of filters you have selected has no results. Please refine your selections and try again.
What Type of Plans Does Excellus BCBS Offer
Excellus BlueCross BlueShield offers different types of policies across New York state counties. You may have an individual and family plan through the Marketplace or your employer. Those who qualify may have a Medicaid or Medicare plan. Not every policy is available in every county.
The individual and family plans vary based on how much the monthly premium is and how much they cover. A Bronze plan in the Marketplace will have the lowest premium but only cover about 60% of the cost of care. A Gold plan in the Marketplace is more expensive monthly but also covers about 80% of the cost of care. A silver plan offers a moderate premium and covers 70% of your care.
The Excellus Essential Plan is a free insurance plan available to people with lower or moderate incomes who do not qualify for Medicaid. This helps fill the gap for individuals who make too much to qualify for Medicaid but not enough to afford plans in the Marketplace. Each Essential plan has the same benefits and features, but the one you qualify for depends on your household size and income.
They also offer several free or low cost choices if you qualify for Medicaid or Child Health Plus, which is insurance coverage for eligible children up to age 19 based on your family’s gross income. Excellus offers different Medicaid plans depending on the county you live in.
Excellus also offers Medicare Advantage plans that replace Original Medicare and may include extra benefits such as dental, vision, and hearing coverage. However if you have an Advantage plan, you may need to use an in network provider and some care requires preauthorization.
Finally, Excellus BlueCross BlueShield offers dental plans for individuals and families that help cover preventive care, such as exams, fluoride treatments, and x-rays, as well as routine treatment such as cleanings and root canals.
How to Verify Coverage With Excellus BCBS
Not all policies have the same level of coverage for drug addiction treatment. You must verify your insurance coverage before starting treatment so you are not surprised by unexpected bills and can seek financial aid from appropriate sources to cover treatment your policy benefits do not cover.
Excellus has a member services phone number for individual and group policies and if you are on Medicare. Member Services can answer questions about your policy benefits and guide you to in network drug and alcohol addiction treatment centers.
A second option is to work with the treatment center of your choice. Many times they verify your insurance policy coverage free of charge and offer a quick phone assessment to determine if you are a good fit for their program. They can also estimate your out of pocket expenses based on your insurance policy coverage. Some treatment centers will help guide you in finding financial aid within the community, including scholarships and grants from local businesses, and may offer alternative payment plans or sliding scale fees.
What Inpatient Addiction Treatment Does Excellus BCBS Cover?
Most Excellus plans will cover necessary inpatient addiction care. Excellus will expect the clinician who refers you to residential treatment to show that it’s the level of care needed to address your illness severity. With some Excellus plans the referral might need to come from your primary care provider.
Depending on the substance you have been using you may have to go through medical detox before you can go to residential rehab. Some residential rehabs can do medical detox on site but not all can. While at detox the focus is to medically supervise your withdrawal to keep it safe and as comfortable as possible. It can take between three to ten days to withdraw from a substance for most people.
In residential rehab you can expect the focus of the treatment to change from medical management to building your recovery. Your stay may last weeks to months. Life in residential treatment is highly structured to help bring healthy routines back into your life. You’ll spend your day in individual counseling and groups that teach you how to live in recovery and prevent relapse.
What Outpatient Rehab Does Excellus BCBS Cover?
Most Excellus plans will cover some level of outpatient rehab but every plan is different. It’s important to get your insurance details before you commit to treatment — especially because you may need a referral or preauthorization to get coverage.
After inpatient care Excellus may cover treatment in a partial hospitalization program (PHP). Some people can start treatment at this level if they have a stable supportive living environment. PHP is a lot like residential rehab with the main difference being that you sleep at home and return daily for treatment. Like residential rehab the therapy groups center around teaching you how to prevent relapse and live in recovery.
After PHP or instead of it your provider may refer you to an intensive outpatient program (IOP) if your clinical condition warrants. The difference between IOP and PHP is the length of time you’re there each day. An IOP is usually two to three times a week and it might not last the entire day. This option is best for people who are trying to keep their job while they’re in treatment or who are returning to work after having been in treatment full time.
Excellus includes standard outpatient treatment providers in their network. With standard outpatient treatment you’ll meet with an addiction counselor and/or a medication provider on a regular basis. The usual frequency is once a month but you and your clinicians may agree on a different schedule. Note that certain plans may expect you to get a referral from your primary care provider for visits with a counselor or addiction specialist to be covered.
Does Excellus BCBS Cover Methadone & Suboxone (MAT)?
Addiction treatment that uses medications like methadone or Suboxone is commonly known as medication assisted treatment or MAT. You can use medications to help you treat opioid use disorder and alcohol use disorder. If MAT is a medically necessary part of your treatment plan then Excellus may cover it.
One way to use MAT is as part of a medically supervised withdrawal or detox. Medications can aid withdrawal from alcohol or benzodiazepines or opioids so that you avoid the worst health consequences of detox. Once you’re through detox there are medications that can help manage cravings and avoid relapse that your MAT provider can prescribe.
People who are dependent on opioids have another option with MAT and that’s to go on a maintenance dose. With maintenance MAT you avoid going through a full detox. You may not detox at all depending on whether you’re maintained with Suboxone or methadone. A MAT provider can give you a prescription for Suboxone. With methadone you would need to go to a clinic every day to get your dose.
Does Addiction Treatment Need to Be In Network?
The type of plan you have will dictate if you have to stay within the Excellus provider network to get addiction treatment. If you have an HMO the answer is probably yes. Even with plan types that let you go out of network you’ll want to be sure to read the fine print about what happens if you do. If you go out of network with a plan that allows that coverage your expenses are likely to be much higher.
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.
Sponsored Helpline
800-784-1361
Opioid Addiction
Drug Addiction
Substance Abuse
Mental Health
Alcoholism
Adult Program
Private Insurance
Self-Pay Options
Dual Diagnosis
Military Program
Young Adult Program
Military Insurance
LGBTQ Program
Medicaid
Financial Aid
Medicare
Sliding Scale Payment Assistance
