Explore how Health Care Service Corporation (HCSC) covers drug rehab and addiction treatment. Discover plan options here.
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.
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Elevance Health
| Name / Address / Rating | Description | Treatments / Payments / Programs | Review / Contact | Images | |
|---|---|---|---|---|---|
1
Top 10 in HCSC
Rehab Score
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.
8.66 / 10  Claimed | The Haven Detox in West Palm Beach, Florida, treats adults18 and older who are experiencing addiction issues. They offer a personalized approach to meet you where you are now. They also provide bilingual detox for those who aren’t fluent in English. It’s more than a medical detox, it’s a sanctuary to start you on the path to sobriety. At one | Treatments Programs Payment Options  Alcoholism Drug Addiction Opioid Addiction Substance Abuse Mental Health And Substance Abuse Dual DiagnosisMental Health  Adult Program Program for men Program for women Seniors Program Military Program  Private Insurance Self-Pay Options Sliding Scale Payment Assistance Free | 
This facility exceeded my expectations. Upon arrival, I was understandably nervous, as this was my first experience in a treatment center. However, the staff were consistently courteous, supportive, and professional throughout my stay. I would especially like to recognize Anthony and Shawn, who went above and beyond to ensure my needs were met.
Roni was also extremely helpful in answering my questions and guiding me through the treatment process, which made my transition much easier.
I am very satisfied with the care I received, the positive outcome of my treatment, and the comprehensive discharge plan my therapist provided to support my continued recovery. I would confidently give this facility five stars and highly recommend it to others seeking treatment.
Sam A
17 hours ago
Hands down the best place to get sober, great staff great food and very peaceful
Eric R
2 days ago
This is my first time here at the Haven and the entire staff has been fantastic. Anthony, Alvin, Sue, Hunter, Kristina, all the nurses, and so many more. The therapeutic value has been immense and the weather is finally warming up enough to use their great outdoor facilities.
Highly recommend for anyone with addiction issues or any type of mental health problems!
Adam Chinn
4 days ago
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2
Top 10 in HCSC
Rehab Score
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.
8.66 / 10 Claimed | Indiana Center for Recovery offers substance use disorder treatment services for adults in Bloomington, Indiana. They provide various treatment services such as detox, outpatient rehab and residential rehab. The facility is accredited by the Joint Commission and has been A Diverse Range of Amenities One of the things I like most about this facility | Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionMental HealthSubstance AbuseDual DiagnosisMental Health And Substance Abuse Adult ProgramProgram for menProgram for womenSeniors Program Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance | 
good.
Will Hester
23 hours ago
This place changed my life!! The staff is AMAZING and the education I received was very useful!!
Jennifer Brosmer
1 day ago
ICFR helped our family begin the healing process. Our daughter went to ICFR after being diagnosed with a severe medical condition, affecting her well-being. She needed to learn how to manage her health and also live on her own successfully, while dealing with her struggles. I can't thank ICFR enough for all they have done for our family and our daughter. There was help every step of the way, from the initial phone calls to the weekly chats with her therapist. Questions were answered immediately and they helped us navigate the murky waters of insurance. Family Day was the cherry on top! We were able to see our daughter, hug her, and learn how to be a better family. Jackie Daniels and her staff did an outstanding job! ICFR will hold a special place in my heart! If your loved one is struggling, don't hesitate to give them a call.
Carol Copp
6 days ago
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3
Top 10 in HCSC
Rehab Score
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.
8.50 / 10 | Crossroads - Flower Campus is an alcohol and drug rehab program in Phoenix, Arizona that offers addiction treatment to men seeking recovery. Their programs are for those who need the structure of living on-site while undergoing treatment. One of the best rated inpatient rehabs in Arizona, The Flower Campus for Men is located in Phoenix, Arizona, an | Treatments Programs Payment Options AlcoholismDrug AddictionSubstance AbuseOpioid Addiction Adult Program Young Adult Program LGBTQ ProgramProgram For Men Private InsuranceSelf-Pay Options Financial AidSliding Scale Payment Assistance Medicaid Military Insurance | 
Helped me a lot .
M
6 months ago
It was an amazing experience and wonderful days spent.
Saul Tracy
7 months ago
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
2 years ago
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5 5 
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Avenues Recovery Center at Lake ArielAd This is an ad and Avenues Recovery Center at Lake Ariel 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 Lake Ariel, PA Claimed | Clients seeking treatment for alcohol addiction may be required to undergo detox first. As one of the best detox facilities in Pennsylvania, the process at Avenues Recovery Center ensures any abused substances are out of a client’s system and that they are in a healthy frame of mind when they enter residential treatment. Detox is overseen and | Treatments Programs Payment Options Substance AbuseAlcoholismDrug AddictionMental Health And Substance AbuseDual Diagnosis Adult Program Private InsuranceSelf-Pay OptionsMilitary Insurance | View Website (570) 354-6060 | 
Staff is incredible! Joey was a great help for my recovery.
Kurt Adams
3 weeks ago
This was a great place to start over very laid back. Food counselors and techs are great
Jeremie Czekalski
3 weeks ago
Been sober a few months now thanks to this place. My counselor Val helped me through some of the hardest moments of my life and supported me & my family every step of the way. Addiction took over my life and nearly destroyed my relationship with my family. I would not be here if it was not for her, Avenues and the wonderful staff they have there. Tyler, Cassie and Joe Kane were also a big help. Would recommend to anyone needing help.
Chris
4 weeks ago
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5 5 
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4
Top 10 in HCSC
Rehab Score
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.
8.30 / 10 Claimed | Never Alone is an alcohol and drug rehab center for adolescents located in Hurley, New York. They provide residential treatment services to help you overcome your addictions and find hope on the other side. Teens experience a lot of changes that can be stressful and confusing. Unfortunately, sometimes this leads them to abuse drugs and alcohol. Lo | Treatments Programs Payment Options AlcoholismDrug AddictionMental Health and Substance AbuseOpioid AddictionSubstance Abuse  Teen programYoung Adult Program Private insuranceSelf-Pay OptionsSliding scale payment assistance | 
I was there in 2006-2007 it was definitely worth the experience, since I was facing prison time! Nothing bad to say honestly, just viewed the website an I notice Mr Roland Miley is now a program director, when I was there he was a senior staff/ counselor. Remember him like yesterday REAL passionate bout his recovery and others but if you was just there faking it till you make it out he'll let you know as well!
GUESS AGAIN
20 hours ago
The experience with Never Alone was a breath of fresh air. My 16 year old son completed his journey 11/19 and came home with a whole new perspective on life and his future. His clinical technician Karissa was a wonderful aide in the process dealing with my son. The family sessions were a great opportunity for me, my son and his mom to work on communicating with one another which was hard to accomplish before our sessions but Karissa helped navigate that and allowed us to grow through our sessions. The weekly parent groups were a very helpful resource and tool as well. I appreciate all the support and encouragement the staff at Never Alone gave to my son and salute them for taking their time to guide my son through his journey.
Simione Corbett
2 months ago
My daughter spent over 2 months at Never Alone on her recovery journey. We can't say enough great things about the staff and the facility. The staff communicated well and provide support for the entire family. They have been the biggest step and help in her recovery, they provided her with tools she can use in her daily life to stay on tack to help cope with hard things that happen in life. She says now that this was the best thing that could have been provided to her while in addiction.
Lucy Vilamaa
3 months ago
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5
Top 10 in HCSC
Rehab Score
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.
8.20 / 10 | Caring Hands Recovery is an addiction treatment facility located in Corona, California. They offer addiction treatment for individuals struggling with alcohol and drug abuse They do accept most private health insurances. Every treatment program is customized. The admissions process consists of a list of questions that must be answered. By answerin | Programs Payment Options 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
10 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
1 year 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
Tina Gagnon
1 year ago
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5 5 
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6
Top 10 in HCSC
Rehab Score
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.
8.12 / 10 Claimed | Indiana Center for Recovery has a reputation for the most advanced addiction and mental health care in the state — covered by insurance and backed by hundreds of positive reviews. Many innovative therapies here go beyond what’s available at other treatment centers (including GeneSight Testing to tailor medications based on genetics not guesswor | Treatments Programs Payment Options AlcoholismOpioid AddictionDrug AddictionDual DiagnosisSubstance AbuseMental Health And Substance AbuseMental Health Adult programSeniors ProgramProgram For MenProgram For Women Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance | 
Excellent facility and even better staff :)
Rob Bartlett
1 week ago
Staff is absolutely tremendous, and was a vital part of my recovery. The executive director Kelly Brown is extremely professional and beyond helpful. The facility is beautiful and kept immaculate. Food is amazing and very nutritional. I absolutely recommend this facility to anyone with addiction problems looking for help.
Dillon
1 month ago
Nice place 👌 GREAT STAFF!! Client care is number 1!!
Shannel Walsman
1 month ago
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10 10 
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The Recovery Team – New JerseyAd This is an ad and The Recovery Team – New Jersey 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 Mountainside, NJ Claimed | The Recovery Team has a reputation for the most advanced addiction and mental health care in the country — with 5 locations and hundreds of positive reviews online. The programs are built on a foundation of science and mental wellness. Many of our innovative options are simply not available at most other treatment centers. | Treatments Programs Payment Options AlcoholismDrug AddictionMental Health And Substance AbuseOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramProgram For MenProgram For WomenSeniors Program Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance | View Website (888) 270-7241 | 
The Recovery Team New Jersey truly sets the standard for compassionate, high-quality care. From the moment you walk in, the staff is welcoming, professional, and genuinely invested in each person’s recovery. The environment is clean, supportive, and structured in a way that promotes healing and growth. You can tell this team is passionate about what they do and treats everyone with dignity and respect. I highly recommend The Recovery Team to anyone seeking effective, caring addiction treatment in New Jersey.
Nicolette Caimi
4 weeks ago
Great facility! Would definitely recommend!!
Rebecca Mayo
1 month ago
The Recovery Team New Jersey has helped me in my recovery in multiple ways. The structure of the program has kept me on point which is extremely important in early recovery. The staff here takes good care of us especially Phil. I can tell he genuinely cares about me and wants the best for me in my future and I know this not only by his words but by his actions. Stand up dude.
Sean Lawley
1 month ago
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7
Top 10 in HCSC
Rehab Score
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.
8.05 / 10 Claimed | Indiana Center for Recovery has a reputation for the most advanced addiction and mental health care in the state — covered by insurance and backed by hundreds of positive reviews. Many innovative therapies here go beyond what’s available at other treatment centers (including GeneSight Testing™ to tailor medications based on genetics not guess | Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse Adult programProgram for menProgram for womenSeniors Program Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance | 
Super helpful, staff was kind and caring, an got everything I needed as soon as possible
Rj the best dog
1 day ago
I spent 10 days here for grief therapy. At times it was a bit unorganized but the staff took the extra step to ensure we had everything wr needed. Since a snow storm came through they had staff that stayed at the center to ensure staff was available the following day. I would recommend to treatment! ❤️❤️❤️
Amy Searcy
2 weeks ago
Excellent facility overall. Great therapists and facilitators. Awesome community. This is an ideal place to meet new friends to take with you on the journey of recovery.
Chris Lockhard
2 weeks ago
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8
Top 10 in HCSC
Rehab Score
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.
7.92 / 10 | MedMark Treatment Centers, located in Hayward, California, provides outpatient and medication-assisted treatment services to adults aged 18 and older. Their alcohol and drug rehab services are catered to those living with opioid addiction. The medication-assisted treatment program combines FDA-approved medications with mental health counseling. I | Treatments Programs Payment Options Mental Health and Substance AbuseOpioid Addiction Adult ProgramYoung Adult Program Self-Pay OptionsSliding Scale Payment AssistancePrivate insuranceMedicaidMilitary Insurance | 
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
Wicho I
1 year ago
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9
Top 10 in HCSC
Rehab Score
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.
7.91 / 10 Claimed | If you’re looking for help that actually helps you, you’re in the right place. Our proven treatment options for alcohol, drug, and mental health issues are covered by insurance — backed by the highest accreditation in healthcare and hundreds of positive reviews online. | Treatments Programs Payment Options AlcoholismDrug AddictionMental HealthOpioid AddictionSubstance AbuseDual Diagnosis Adult ProgramProgram for menProgram for women Private InsuranceSelf-Pay OptionsSliding scale payment assistance | 
Staff and facility are amazing! Great program!
bianca ramos
4 weeks ago
Absolutely incredible place. Amazing owners, caring staff, great program and alumni groups
Liz Cormier
4 weeks ago
Great staff. Good place to heal. They take care of your needs
Shayne Clark
1 month ago
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The Recovery Team – North Little RockAd This is an ad and The Recovery Team – North Little Rock 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 North Little Rock, AR Claimed | The Recovery Team, founded 10 years ago, is known as one of the top addiction treatment and mental health rehab centers in the country.
The treatment centers provide therapy and medications (if needed) that get to the root of the issue in a welcoming, comfortable environment. Treatment is covered by insurance and backed by hundreds of positi | Treatments Programs Payment Options AlcoholismDrug AddictionOpioid AddictionSubstance AbuseDual DiagnosisMental HealthMental Health And Substance Abuse Adult ProgramProgram For MenProgram For WomenSeniors Program Private InsuranceSelf-Pay OptionsSliding Scale Payment Assistance | View Website (888) 270-7241 | 
Love Love this place nice to know I have an amazing recovery family 😁
Andrea
1 month ago
The Haven recovery team has treated me better then expected and the treatment plan was a perfect match.
Travis Allen
1 month ago
I had an absolute amazing experience at The Recovery Center not only was all staff kind and compassionate about helping the clients but also was a major step in our recovery journeys and development of our new lives we will lead in the world after this . I’ll allways have much love and appreciation for every single one of team members that not only aided me but also supported and encouraged me through this process. Rating a 10 out of 10 highly recommended!
Ember Wilson
1 month ago
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10
Top 10 in HCSC
Rehab Score
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.
7.90 / 10 | Eastway Corporation is a behavioral health and addiction treatment center in Dayton, Ohio. They operate about 24 behavioral health facilities across the state and help individuals address challenges like mental health, substance use and co-occurring disorders. The latter is when you’re simultaneously dealing with addiction and mental health issue | Treatments Programs Payment Options AlcoholismDrug AddictionDual DiagnosisMental Health and Substance AbuseOpioid AddictionSubstance AbuseMental Health Adult ProgramYoung Adult ProgramLGBTQ ProgramTeen Program Child Program Self-Pay OptionsMedicaid MedicarePrivate 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
1 year 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.
JJAMES JJORDAN
1 year ago
Peer Support Specialist
Sherise Marks
1 year ago
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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.
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.
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.
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.
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.
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.
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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