Health Care Service Corporation Coverage for Addiction Treatment
Explore how Health Care Service Corporation (HCSC) covers drug rehab and addiction treatment. Discover plan options here.
Health Care Service Corporation Coverage for Addiction Treatment
Explore how Health Care Service Corporation (HCSC) covers drug rehab and addiction treatment. Discover plan options here.
Health Care Service Corporation (HCSC) is a health insurer that operates in Illinois, Montana, New Mexico, Oklahoma, and Texas. They are affiliated with Blue Cross Blue Shield. What really stands out is that they are a customer owned health insurer. The company was founded in 1936 and today has 23 million members and 28,000 employees. They focus on connecting members to excellent care, helping them get quality outcomes.
Does HCSC Cover Drug Rehab?
There was a law passed in 2010 that dramatically changed how addiction treatment and mental health care were covered by insurance. The law, the Affordable Care Act (ACA), requires most long term health insurance plans to cover 10 essential health benefits. The list includes mental health and addiction treatment. The law has some exceptions, so make sure to verify your insurance.
That means your HCSC insurance plan may cover at least some of the costs of drug rehab. You can also get help with co occurring mental health disorders. Every HCSC is different and will have different in network providers and costs you are responsible for. That’s why it’s important to understand the details of your plan before you begin treatment.
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When I got to Avenues I was broken. The counselors and the staff was great especially Tyler, thank you for all that you do.
Misha Lopato
2 months ago
This facility us amazing. Shout out to Bria Lydia Dave kamisha Ryan makayla Joey Joe Cassie and all the rest. The only complaint is that the facility is not accessible for the handicapped.
Mlynda Schmitt
2 months ago
10/10 recommend Avenues. An amazing community with great staff that care about your growth. You won’t be disappointed!
My son is 18 and struggling with a fentanyl addiction. To say the very least it’s been hard and traumatic. My son went to the crossroads detox facility. The 12 step program works miracles and the people that work within the facility have first-hand experience often times with their own addiction recovery. Rose and Bridgette were incredibly impressionable on my son and worked very hard to influence him positively. If I could afford to open a dozen more of these places I would. God bless these people and those struggling with addiction.
Nicole Eccleston
1 year ago
Being at Crossroads has been a blessing in disguise extremely grateful for the peers, staff and the pretty souls God has allowed me to cross paths with. Crossroads gave me a second life and ever since ive felt reborn. It is now set in stone in my life and IAM forever appreciative for helping me recognize the purpose i have in this life and shining its light on me encouraging me to shine my light on those who navigate in the dark who are in need of a guiding light, thas what crossroads has been to me
illmaticisrael
2 years ago
Went in for 45 but stayed the 90. All in all I really enjoyed my stay and got the much needed help I wanted. Rehab is not for everyone but if I would recommend any 1 I would say flowers is the best shot you have.
Very friendly from the moment I walked in.The security guards are wonderful.The nurses are wonderful.Everybody greets you with a smiling face.
My counselor is great His name is Mark A., and he will help you with anything you need help with. I'm really blessed to have him as my counselor and blessed 🙌 to get in this program if your serious about recovery and you don't want to buy that crap in the streets please give this place a try I just take it one day at a time hopefully I can come back and leave a post in the future you can't rush greatness one day at a time.. keep coming back.. it works if You work it .. Much love and Respect to anyone trying to get clean
AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance AbuseMental Health
Adult ProgramYoung Adult ProgramLGBTQ ProgramTeen ProgramChild Program
Self-Pay OptionsMedicaidMedicarePrivate Insurance
If it wasn't for Eastway I would have been dead by now. I've been with them for 15 years. But their housing program is okay. I also like the fact that there's a pharmacy right there inside. I've been using Eastway's Pharmacy since they opened up. I definitely like that your meds can be delivered to your front door IF you have No Way of getting to the Eastway building. IF you have (a) prescription(s) that needs to be filled the same day you go in for an appointment with a Doctor they will have it filled by the time you're done with your appointment. I will Always recommend Eastway to someone that needs mental health and proper medications. I like the staff that works there. Everyone is very nice to you and they usually have a smile on their face. I try to get a laugh out of one of them and it usually works. As long as Eastway has their doors open I will continue to go there. The staff is wonderful. I'm glad that I have a case manager for longer than two years. My case manager now (and has been for 4 solid years.) She goes above and beyond the call of duty. (She's been there for about 20 years). She helps me go grocery shopping and soon to do laundry up the road. I Pray everyday that I don't lose the case manager I have now. I have pleasant feelings for Eastway. IF you get the chance to be a client at Eastway, remember that getting the right medication can take some time. It took them close to 13 years of trying different medications to get the right regimen that works for ME. I also like the fact that there's a Bus Stop right out front of the building. 😎🤗🤓💜✌️🤙👌💟☮️. I hope you can enjoy the care and staff there. Everyone there is a happy, pleasant person. I LOVE EASTWAY!!! The ONLY way I'll go somewhere else is IF they close their doors. My mother told me about Eastway and when I started the "Journey" there I had a sense of good things to come my way. The rollercoaster of emotions that I was going through finally ended when I became a client at Eastway. At first I didn't like it there because of TWO case managers they Always had a funky attitude towards me and dismissed the fact that I'm there for Mental Health. I'm getting treatment for my Bipolar Disorder. Looking back I'm Glad that I got help from them. IF I didn't make the first appointment to go there, I HIGHLY DOUBT I would be alive right now making this post. Eastway is the one facility that I recommend EVERYONE to go to for Mental Health. In my opinion and experience, Eastway is the place to go get help. Thank you Eastway for your help and this "journey" I'm on with y'all.
Tamara Pitts
8 months ago
I have been at eastway for years excellent! Staff too work with great doctors.and I'm just not saying that just too be saying that it's true I've always been able too get my meds which is one of
the important reason too go to eastway other than the nurse staff and Doctors.If you need help I highly recommend eastway.ps I'm doing very well on my meds and help from my case manager. Remember everything doesn't go your way . But the Doctors know thier job. You just have too do your part also.
I spent 8wks at The Meadows. It was life changing for me. The Survivors week helped me with my childhood traumas and learn how to heal my inner child. I met with my trauma therapist several times after this. Also met with evening and weekend therapists. Family week was intense but worth it. My husband joined me that week. They have a brain center where I got to use a CES device to help my anxiety and panic attacks. Also the Chi Machine. I was able to do the safe and sound protocol daily therapy (SSP) for a week. This is suppose to help get you out of the fight or flight mode. I went to acupuncture therapy and found it helpful for my fibromyalgia pain. There were daily evening mediation therapy and 12 step meetings. I got to learn about codependency and CoDA meetings. I also attended ACA meetings. I learned effective coping skills while there. I would recommend this place to anyone that needs help with mental health issues, addictions, grief and loss, traumas, and just need a reset in life.
brooke meunier
2 months ago
They changed my life. Now I have a career helping people who struggle with mental health and addiction as I did.
Thomas J
3 months ago
A great in person rehabilitation center for military members! I finally kicked my main additions for good and have been recovering for almost a year now.
Adult ProgramYoung Adult ProgramLGBTQ ProgramMilitary Program
Self-Pay OptionsPrivate insurance
Caring Hands is amazing. Thanks to Shey for staying on hold for a 4 hour phone call with me, so that my loved one was able to get the approval and urgent care they needed. The staff was wonderful and I can not thank you enough for the care you provided.
Gayle Alvarado
3 months ago
This place is perfect. Shey and Tina are the kindest most patient people I’ve ever met. They had such an impact on my life that I think of them regularly. 😇❤️
Will Danielss
5 months ago
I have been with Caring Hands Recovery for five years, witnessing countless clients, come in and receive treatment for various challenges, including childhood trauma, substance, abuse, and family issues. Our dedicated team works tirelessly to help individuals, rebuild relationships, and find forgiveness, allowing them to move forward. In addition to providing emotional and therapeutic support the staff here at Caring Hands‘s will assist each client in maintaining any legal issues to ensure that they are meeting their obligations as well as assisting the clients in applying for FMLA and SDI if they are employed. If you are looking for a family like environment we are the recovery home for you
Friendly staff, very respectful and they do their job. I have had nothing other than five star service here at Medmark Hayward.
Casey Bryant
1 year ago
Been coming here for a long, long time Through my recovery I have had many counselors some better than others funny how things happen my husband transferred to Medmark from BAART in Oakland crazy we both ended up on Rich’s case load { R.I.P. RICH another great counselor } so you know we both can’t have the same counselors so of course I got kicked to the curb. Best curb I got kicked to { so to speak. } which is currently Nicole Martinez, the best I’ve ever had , She definitely help me get to where I am now she goes above and beyond helped me in my life so much, I don’t even know what I’m gonna do when we goes our separate ways 😔..I wish I can take her with me. I wish I can give her 20 ⭐️’s but was only given an option of 5 ⭐️.
⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️⭐️🙌🏾🙌🏾🙌🏾🙌🏾🙌🏾🙌🏾⭐️⭐️⭐️⭐️⭐️⭐️
Jessica Nero-baisa
1 year ago
Hi I'm Luis and I just wanna say my counselor is amazing her name is katt and I could not do it with out her.love u katt
Ashley, And Hope, We're very professional, And very helpful.My whole time I stayed there. Excellent job ladies
michael shayne
2 months ago
Ashley made this visit very comfortable, she literally made this place. It can get boring but you got to stick it out….. FYI the microwave meals suck ass but occasionally, you get a good one.
zach tanner
3 months ago
I did my detox at the facility Great environment they are respectful to their patients great staff shout out to Ashley keep up the great work.👍
Everything was wonderful , the staff , the doctor. Great experience. Thank you.
Jose Porras
2 months ago
Dr Danielle Losey is a great doctor very patient ,kind, compassionate has helped me a great deal.......good listener!!!!! Thank you Danielle!!!! Your awesome!!!!
Sylvia Mena
2 months ago
I just want to say that Codac my has really supported me through these last several years that I've known them you know we've had our differences and repasters but in the end they have really stuck by me and would stick by me no matter what I've never lied to them and they know it let me take very good records there and it wouldn't be a good idea to mess around about it because I I fully believe that I have would have their support 100% anywhere just wanted to check in here and let you know how you
Dr. Carter and the staff are super. I had to see a specialist and they made it happen like true professionals.
Donald McClary
2 months ago
The office was accommodating to my needs as I am a wheelchair user. The weight was not terribly long. The visit was straight to the point and out of there.
Jessica
2 months ago
A great person and a great listener really really helps me get through things the best. Thank you
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Frequently Asked Questions
Insurance Plans Offered By HCSC
HCSC offers Blue Cross Blue Shield (BCBS) insurance policies in five states. They generally don’t call themselves HCSC but instead use company names like Blue Cross Blue Shield of Illinois or Blue Cross Blue Shield of New Mexico. Through BCBS, they also have Medicare and Medicaid plans for those who qualify.
Many BCBS insurance plans are Health Maintenance Organizations (HMOs). The best part of these plans is that they cost less. You need to use providers that are in the plan’s network, and there are no out of network benefits. You also choose a doctor to be your primary care provider, and that doctor will provide referrals to specialized care like drug rehab.
Some Blue Cross plans are Preferred Provider Organizations (PPOs). These plans give you more choice in providers, but they are also more expensive each month. With a PPO you have a broader provider network and you don’t need referrals for specialized care. One thing that’s unique about a PPO is that you may also be able to get out of network coverage, although you’ll pay a higher percentage of the costs.
If you qualify, Medicare and Medicaid plans are also available through each state’s BCBS company. Medicare is generally available to those who are 65 and older, or those who are permanently disabled. Medicaid is free or low cost insurance for lower income residents of the state.
What Inpatient Rehab Does HCSC Cover?
HCSC will focus on covering evidence based treatment that’s in line with your doctor’s recommended care plan. Depending on your insurance, you may need a referral and/or preauthorization to get care. Here are some of the inpatient treatment options that might be covered.
Medical detox allows you to have medical help while substances leave your body, so you can get a fresh start in treatment. You don’t have to be afraid of detox when medical professionals are by your side to help you with withdrawal symptoms.
Residential treatment gives you a distraction free environment to start your recovery. One thing that’s neat about residential treatment is that you often get access to holistic treatment as well as traditional counseling. You’ll also have regular activities, recreation, and outings.
What Outpatient Treatment Does HCSC Cover?
Outpatient treatment lets you partake in your everyday life at home while receiving care so you can maintain contact with family and keep working or attending school. Outpatient programs can be challenging as you might encounter addiction triggers in your daily environment.
Most HCSC plans cover research supported treatments delivered via outpatient addiction programs. Outpatient treatments include different levels of care, such as standard outpatient programs, intensive outpatient programs (IOP), and partial hospitalization programs (PHP). They all rely on clinically effective validated interventions like individual counseling and group therapy sessions. They also offer life and coping skills workshops and education on addiction and recovery.
A PHP is a full time day program where you go home at night and on weekends. These programs typically have a minimum of 20 hours per week of treatment and may last up to 90 days. IOP clients have three hour sessions three to five days per week. IOP and PHP programs are characterized by a more structured approach which can be key to accomplishing your recovery goals.
Medication assisted treatment (MAT) might also be covered as part of outpatient care — combining medications with counseling and behavioral therapies.
It’s best to verify your coverage details with HCSC before initiating an outpatient treatment plan. Remember that you may need a referral or preauthorization for certain outpatient treatments and services. A medical professional’s thorough assessment is the best way to determine the right level of care for your individual needs.
Does HCSC Cover Methadone & Suboxone (MAT)?
Most HCSC plans will cover MAT—including methadone and Suboxone—when it’s considered a medical necessity. MAT is utilized in two phases of the recovery journey: During medical detox and as part of long term treatment.
The medical detox value of MAT lies in its capacity to manage acute physical withdrawal symptoms and reduce initial cravings. Medical professionals employ prescription medications like Suboxone or methadone to ease the physical distress of drug withdrawal. The FDA approved medicines can bind to the same chemical receptors as the drugs individuals abuse which minimizes discomfort and reduces the risk of dangerous complications as you get the drug out of your system. MAT in the medical detox phase is invaluable for individuals battling addiction because it helps them navigate safely—and comfortably—the first steps of their recovery journey which increases the likelihood of successful treatment completion.
During the long term treatment stage MAT helps tackle ongoing obstacles that get in the way of recovery. Medications like buprenorphine or methadone may be prescribed for their beneficial effects in diminishing drug cravings that can persist for many months. Prolonged substance abuse disrupts brain chemistry so prescription drugs with normalizing properties can be very helpful in establishing long term recovery.
The combination of FDA approved medications with counseling and behavioral therapies makes MAT a valuable tool that improves treatment adherence and reduces relapse risk.
Remember to verify coverage before committing to a plan. You may need a referral or reauthorization as plans can differ regarding individual medications and coverage duration.
Does HCSC Cover Other Mental Healthcare?
Mental healthcare is listed in the Affordable Care Act as one of 10 essential health benefits so most plans will cover at least part of the cost.
Mental health can be addressed evidence based ways. Individual and group therapy may be covered as part of your plan as well as psychiatric medication management. Your plan may also cover assessments and evaluations. Depending on your insurance coverage inpatient and outpatient treatment options may be available for mental health.
It’s critical to understand that certain mental health conditions like anxiety or depression along with borderline personality disorder (BPD) and other disorders are associated with an elevated risk of substance abuse. Having a mental health diagnosis along with substance use is known as a co occurring disorder or dual diagnosis. If you have a dual diagnosis an integrative approach to addiction treatment and mental healthcare is fundamental for improving your chance of recovery long term.
It’s important to verify your insurance coverage before getting treatment. Some plans may have limitations or exclusions for certain services so always check with HCSC about the benefits that apply to you.
Does Addiction Treatment Need to Be In Network?
HCSC’s coverage for out of network addiction treatment depends on your plan’s characteristics. PPO plans provide some out of network coverage but you’ll pay much more out of pocket for these services. HMO plans do not cover out of network care. Many Medicare Advantage plans are HMOs, and Medicaid plans are limited to providers that accept the insurance plan in the state.
Using in network providers is strongly recommended as your best choice to keep out of pocket costs low and maximize your insurance’s benefits. Before initiating treatment double check your provider’s network status and other coverage details with HCSC. Out of network care may sometimes be necessary. However it can seriously increase your expenses so it’s best for you to use the network to your advantage.
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