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.
Very amazing experience! from the first day to the last, the therapists and the techs are amazing and I’ll always love and look at them as family now ! There will always be a soft spot in my heart for avenues and I’ll definitely continue to go to alumni events and keep in touch with my new found family love you guys !
Troy Dailey
2 days ago
Avenues helped me more than words can express, i am grateful to everyone there for helping me get back my soul, spirit and personality after a long battle with addiction. It was amazing how much the staff and community supported me, Everyone was so understanding, they give me many great lessons in groups to help me fight off my addiction and get my strength back physically, mentally and emotionally. I finally got my life and laughter back…
GOD BLESS THE STAFF AND EVERYONE ELSE THAT WAS THERE WITH ME.
Peace & Love From ARI G
A G
4 days ago
Avenue staff and clients were very friendly and helpful to give me the resources towards my journey to alcohol free lifestyle if you want help with alcohol and drug addiction treatment call them they are one of the finest
My experience at ICFR was great. The facility was nice. My therapist was excellent. The only thing negative keeping the from 5-stars was the lack of communication. I gained more about the place and where I needed to be from my peers rather than receiving instruction from faculty.
David Carpenter
2 days ago
I have been to this place twice and would highly recommend to anyone struggling with mental health or substance abuse. Staff is great and so is the brother and sisterhood you will build.
Shauna Wolfe
5 days ago
Good people... Both the other clients and staff were supportive and caring...the food was terrible...and communication between departments could be improved. I feel my needs were met adequately and I was giving the tools and resources to continue in my recovery
I had a great experience at The Haven Detox center. All of the staff were very friendly,helpful and I was treated like I was the best person there, The nurse practitioner Jessica Percites was very helpful,Roni, the Administrator was so helpful. Kerry, Nesha, Lauren, Stephanie, Harriet, Jose, we’re always helping me with anything I needed. Anthony, the client Care Coordinator was amazing, Shawn, another Client Care Coordinator was extremely supportive and helpful withe all of my needs.
If I ever needed to come to a treatment center again, I would definitely come back here.
I made many friends and will keep in touch with all of them.
Jean Jordan
1 day ago
Such a awesome rehab I love it learned a lot Anthony is amazing sweet and very helpful and very humble Lauren was amazing and sweet and Ashley was great getting me into where I need to go and she Always made me feel welcome and omg Jason was the best therapist ever he made my heart warm and he's funny and sweet I loved all the staff and Shantel and Henny are amazing and shaggy and also jose was great always has a amazing love you all and thank you xoxo 😘
Corinne Nelson
5 days ago
I had an excellent stay at Haven !
The facility was very clean and the staff there
Was very Professional and Concerned about our needs !
It was an amazing experience and wonderful days spent.
Saul Tracy
5 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.
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
3 weeks 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
2 months ago
Never Alone brought back the child that was lost in drugs and addiction. We can't say enough about the staff and the facility. They loved and cared for her so well provide her with all the things she needed in her recover and helped her find herself again and provided her with the knowledge she needed to start her recovery. The staff cares about their jobs, care for the kids their wellbeing and their success in recovery and it shows in their dedication and interaction with the kids. Never Alone has provided her a new opportunity at life.
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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
8 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
10 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
The faculty and staff are very helpful and caring!
jeremy batchelor
1 month ago
The Indy facility is the best rehab ever gone to outta more than I can count on my fingers. The staff there are super caring and will do everything they're allowed to help u get thru the process. The director there is one of the most understanding people I've ever met in all the rehab community. I would recommend going there. Most rehab I wouldn't send people I don't like to them but not here.
Seth Brown
1 month ago
Had an emergency they listened and willing to help. Thomas was great he called, sent text to make sure we were safe and able to make the next step.
This place is amazing. It truly saved my life. Thank you to all the staff at ICFR Bedford!!! You’re all amazing!
LongSpirit
1 week ago
Great staff, had some issues with the food but they were taken care of quickly. Felt safe and secure here and well taken care of. Definitely deserves the praise it gets, it's one of the best mental health facilities I've been to or even heard about.
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
Recovery Team Newton is more than a service—they are a lifeline for anyone on the path to recovery. Their unwavering compassion and deep understanding of the challenges people face make all the difference. They don’t just offer support; they empower you to believe in yourself and your future. Every interaction is filled with encouragement, dignity, and practical tools that help you rebuild your life with confidence. If you’re searching for a team that truly cares and inspires hope, Recovery Team Newton is the guiding light you need. They remind us that recovery is not just possible—it’s achievable, and you are never alone
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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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By calling the helpline you agree to the terms of use. We do not receive any commission or fee that is dependent upon which treatment provider a caller chooses. There is no obligation to enter treatment.
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