Modified: 7th Oct 2019

Signs You May Need Rehab

There are many signs that you might need drug and alcohol rehabilitation. Signs may be based on your patterns with substance use. Signs may form a diagnosis of a substance use disorder. Signs may also develop a substance use disorder co-occurring with a mental illness condition. The most important sign is your behavior with drugs and alcohol. The following are standard signs for individuals who may need drug and alcohol rehabilitation treatment:

  • If you use drugs or alcohol to clinical impairment
  • If you spend all your time looking for and obtaining drugs or alcohol
  • If you struggle with cravings from drugs or alcohol
  • If you have developed a tolerance that makes it difficult for you to seek treatment

Many clients also have reported attempts to abstain from drugs and alcohol but are unsuccessful. 

Clinical signs that lead to drug or alcohol rehabilitation include social drinking. You may feel ashamed for overconsumption. You may engage in risky sexual behavior due to drug or alcohol consumption. Substance abuse may lead to legal troubles and problems with friends and family. 

If you need drug or alcohol rehabilitation, Anthem Blue Cross Blue Shield of Colorado may provide the coverage you need depending on your insurance plan and treatment options. 

For more information on your coverage and plans or access to resources, contact Anthem BCBS, Colorado.

Do Blue Cross Blue Shield of Colorado Plans Cover Drug & Alcohol Rehab?

Blue Cross Blue Shield Colorado provides coverage for drug and alcohol rehabilitation. You may benefit from drug and alcohol addiction treatment as a member of an insurance plan. BCBS Colorado offers behavioral health plans that may require out of pocket expenses depending on your treatment plan and insurance coverage. 

All drug and alcohol addiction treatment require pre-authorization and physician referral. Once you obtain the physician referral, you will be able to set an appointment with a drug and alcohol rehabilitation therapist at a drug rehab center. The first appointment is necessary because it is at this time, the therapist will assess your substance addiction, gather facts about your substance addiction, and offer a tentative diagnosis concerning your addiction treatment. 

The therapist will also consider a dual diagnosis. Some patients present with substance use disorder and a co-occurring mental illness condition. BCBS Colorado covers dual diagnosis. You will receive both addiction treatment and prescription and therapeutic options for a mental illness condition. The first appointment will determine the number of sessions you will need, whether you will need medical detox, inpatient treatment, or outpatient treatment. 

You may need inpatient treatment due to prolonged use of chemical dependency and tolerance. Outpatient treatment that follows usually helps you to navigate your addiction recovery. You will need to contact your primary care physician for more information about the appropriate specialist for your addiction treatment. 

For more information on your coverage and plans or access to resources, contact Anthem BCBS, Colorado.

The History of Blue Cross Blue Shield of Colorado

Anthem Blue Cross Blue Shield of Colorado is a healthcare insurance provider. Anthem BCBS Colorado is dedicated to providing exceptional value for our customers. Anthem BCBS operates under different trade names, but it also serves the Rocky Mountain region in Colorado. BCBS Colorado is NCQA accredited. 

For more information on your coverage and plans or access to resources, contact Anthem BCBS, Colorado.

Why Do We Need Rehab Coverage?

According to the Centers for Disease Control (CDC), men tend to binge drink more than women. Woman are diagnosed more than men with an alcohol use disorder (NIAAA, n.d.). 

The National Institute on Drug Abuse (NIDA) reports that in 2017, there were 578 overdose deaths, a rate of 10.0 per 100,000 persons. Colorado healthcare providers prescribed 52.9 opioid prescriptions (NIDA, 2019). The U.S. rate for opioid prescriptions is 58.7 prescriptions (NIDA, 2019). 

Monitoring the Future (2016) provides estimates of drug and alcohol and illicit drug use among adolescents and youth. Three in 10 young men binge drink during their middle school and high school years (Monitoring the Future, 2016). Adolescents and youth also report the abuse of prescription drugs such as Adderall and Ritalin (Monitoring the Future, 2016). 

These figures suggest that drug and alcohol addictions are considered chronic diseases that are treatable in the same way as heart disease and diabetes. Healthcare providers, insurance companies, and drug and rehabilitation clients work together to navigate addiction recovery. 

Once you enter a drug and rehabilitation center, you will be able to focus on your addiction recovery, receive the necessary counseling and treatment, and learn how to address your triggers and daily stressors that affect relapse. 

BCBS Colorado provides the full or partial coverage you need to move you forward in your addiction recovery. 

For more information on your coverage and plans or access to resources, contact Anthem BCBS, Colorado.

How Does Blue Cross Blue Shield of Colorado Rehab Coverage Work?

Blue Cross Blue Shield of Colorado provides drug and alcohol rehabilitation for authorized and approved claims. Members must obtain pre-authorization before visiting with a drug and rehabilitation center, including speaking directly with a therapist. Out of pocket costs apply for unauthorized treatment. Out of pocket costs may also use for treatment that extends beyond the treatment plan. You must obtain authorization and follow the process outlined by BCBS Colorado.

For more information on your coverage and plans or access to resources, contact Anthem BCBS, Colorado.

What is Detox?

The medical detoxification process requires the body to rid itself of toxins associated with drugs and alcohol use. The detox process is medically managed and supervised by a licensed physician. A detox may take seven full days and nights, or it may take weeks due to prolonged use of drugs and alcohol and tolerance of substances overall. Detox precedes inpatient residential treatment. 

Detox is a complicated process. As your body withdraws from toxins and chemicals, it experiences severe withdrawal symptoms that might require prescription medicine to lessen symptoms. A patient may experience withdrawal leading to a seizure or a viral infection. Some patients who may undergo opioid withdrawals may also need one or more substances to reduce the symptoms; substances might include tobacco or a stimulant (APA, DSM, 2013). Trained physicians use their best judgment. 

The detox process also results in the patient experiencing nausea and anxiety. Prescription medication may be needed for patients presenting with a mental illness condition. 

For more information on your coverage and plans or access to resources, contact Anthem BCBS, Colorado.

What are the Differences Between Inpatient and Outpatient Treatment?

Inpatient treatment differs from outpatient treatment.

With inpatient treatment, patients receive a behavioral health plan. Patients may check into a hospital or a state or private psychiatric hospital. Patients may also check into a rehabilitation center. Inpatient treatment might include residential treatment, where patients also receive addiction treatment and counseling. 

Outpatient treatment may be partial hospitalization or intensive outpatient treatment. Partial hospitalization is a structured program that is less intensive, but that requires patients to visit a drug and alcohol rehab center for four or six hours per day. Intensive outpatient treatment is also a structured program, but patients can return home each night. Patients can also work and attend school. Outpatient treatment requires weekly attendance. 

Blue Cross Blue Shield of CO provides drug and rehabilitation coverage, but treatment options vary:

Inpatient Treatment

  • Treatment plans maybe 30 or 60 days.
  • Detox is medically managed and supervised 24 hours per day, seven days per week. 
  • Residential treatment includes accommodation and food.
  • Daily therapy sessions are required.
  • Clients live on-site and share a room with another client. 

Contact BCBS CO for more information about coverage and out of pocket expenses. 

Outpatient Treatment

  • Outpatient treatment may be longer than inpatient treatment. 
  • Clients attend therapy and weekly meetings. 
  • Outpatient permits clients to return home each night. 
  • The client attends individual and group therapy.

For more information on your coverage and plans or access to resources, contact Anthem BCBS, Colorado.

Get the Help You Deserve Today

If you or a loved one needs drug and alcohol rehabilitation treatment, contact Blue Cross Blue Shield of Colorado to discover your healthcare options. 

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Other Resources

Beronio, K., Po, R., Skopec, L., & Glied, S. (2013, February 20). Affordable care act expands mental health and substance use disorder benefits and federal parity protections for 62 million Americans. Retrieved from https://aspe.hhs.gov/report/affordable-care-act-expands-mental-health-and-substance-use-disorder-benefits-and-federal-parity-protections-62-million-americans

Centers for Medicare & Medicaid Services. (n.d.). The mental health parity and addiction equity act (MHPAEA). The Center for Consumer Information & Insurance Oversight. Retrieved from https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/mhpaea_factsheet.html

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edition. Washington, D.C.: American Psychiatric Publishing.

Centers for Disease Control and Prevention. (n.d.). Fact sheets—excessive alcohol use and risks to men’s health. Retrieved from https://www.cdc.gov/alcohol/fact-sheets/mens-health.htm.

National Institute on Alcohol Abuse and Alcoholism. (n.d.). Alcohol use disorder. Retrieved from https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-use-disorders.

National Institute on Drug Abuse. (2019, March). Colorado opioid summary. Retrieved from https://www.drugabuse.gov/drugs-abuse/opioids/opioid-summaries-by-state/colorado-opioid-summary.

Schulenberg, J.E., Johnston, L. D., O’Malley, P., Bachman, J. G., Miech, R. A., & Patrick, M. E. (2016). College students and adults ages 19-55. Monitoring the Future, National Survey Results on Drug Use, 1975-2016. Retrieved from http://www.monitoringthefuture.org/pubs/monographs/mtf-vol2_2016.pdf.