Signs You May Need Rehab
Signs you may rehab are based on your behavioral patterns with drugs and alcohol. Behavioral patterns might include spending the majority of your time seeking and obtaining alcohol and also hiding alcohol from your close friends and family members.
Behavioral patterns may also reflect a diagnosis of a substance use disorder such as alcohol use disorder or opioid use disorder. The Diagnostic and Statistical Manual of Mental Disorders (2013) classifies substance use disorders as an individual consuming alcohol over a long period or exhibiting cravings that involve classical conditioning. Consuming alcohol activates the reward centers of the brain. The following are examples of signs that you may need drug and alcohol rehabilitation based on a pattern of behavior with substances:
- Consumption of drugs and alcohol may lead to clinical impairment.
- Use of drugs and alcohol may lead to daily seeking and obtaining substances.
- Consumption of drugs and alcohol may lead to cravings that are difficult to resolve without addiction prescription medicine to lessen withdrawal symptoms.
- Overconsumption of drugs and alcohol may lead to a tolerance that is difficult to break.
Clients often report their unsuccessful attempts at managing alcohol, which further leads to more consuming, engaging in social drinking, engaging in risky sexual behavior, and legal troubles.
If you need a drug or alcohol rehabilitation program, contact Anthem Blue Cross Blue Shield of Connecticut to determine your drug rehab needs. Coverage will depend on your treatment plan and insurance.
For more information on your coverage and plans or access to resources, contact Anthem BCBS Connecticut.
Do Blue Cross Blue Shield of Colorado Plans Cover Drug & Alcohol Rehab?
Blue Cross Blue Shield Connecticut offers coverage for drug rehabilitation. Patients may benefit from an addiction treatment program as a member of a health plan that provides drug rehab coverage. BCBS, Connecticut, offers behavioral health plan coverage for drug rehab. You may be responsible for out of pocket expenses depending on your treatment plan.?
Drug and alcohol rehabilitation require pre-authorization through your primary care physician. You must obtain a physician referral before you can set an appointment with a drug rehab specialist or licensed therapist. The first appointment you make after pre-authorization is essential. The therapist will conduct an initial assessment that is tentative but important for gathering facts about your substance addiction. The diagnosis that the therapist offers is provisional and part of your record with the drug and alcohol rehabilitation center.
Therapists may offer a dual diagnosis. Sometimes patients who have a substance use disorder may also present with a mental illness condition. Substance use disorder and mental illness conditions tend to co-occur with certain substances. For example, a person diagnosed with an alcohol use disorder may also present with a bipolar disorder, anxiety disorder, and antisocial personality disorder (APA, DSM, 2013). Patients diagnosed with an opioid use disorder typically presents with viral infections and depressive disorders due to withdrawal (APA, DSM, 2013).
The therapist will determine the number of sessions, the medical detox if necessary, inpatient treatment, and outpatient treatment options. If you need inpatient treatment, you may be required to live on-site. Outpatient treatment helps you to navigate the addiction recovery process.
For more information on your coverage and plans or access to resources, contact Anthem BCBS Connecticut.
The History of Blue Cross Blue Shield of Connecticut
Anthem Blue Cross Blue Shield of Connecticut is a healthcare insurance provider. Anthem BCBS, Connecticut, provides excellent value for its customers. Anthem BCBS operates in Connecticut and offers multiple plans, including health insurance, dental insurance, vision insurance, term life insurance, travel medical plans, and Medicare. BCBS, Connecticut, is NCQA accredited.
For more information on your coverage and plans or access to resources, contact Anthem BCBS Connecticut.
Why Do We Need Rehab Coverage?
Recent CDC statistics on binge drinking in adult males reveal that men binge drink more than women. According to the National Institute on Alcohol Abuse and Alcoholism (NIAAA), women are more likely to be diagnosed with an alcohol use disorder than their male counterparts.
The National Institute on Drug Abuse (NIDA) reports that in 2017, there were 955 overdose deaths involving opioid use, a rate of 27.7 per 100,000 persons. Connecticut healthcare providers wrote 48.0 opioid prescriptions (NIDA, 2019). The U.S. rate for opioid prescriptions is 58.7 prescriptions (NIDA, 2019).
Monitoring the Future (2016) reports statistics on adolescent and youths engaging in drug and alcohol and illicit drug use. According to the report, three in 10 young men binge drink and abuse prescription medications such as Adderall and Ritalin (Monitoring the Future, 2016).
The figures represent the current issues with drug and alcohol as chronic diseases that are covered similarly to treatable chronic diseases such as heart disease and diabetes.
BCBS, Connecticut, will help you locate an in-network drug rehab provider to help you focus on addiction recovery. BCBS, Connecticut may provide full or partial overage to move you forward in your addiction recovery.
For more information on your coverage and plans or access to resources, contact Anthem BCBS Connecticut.
How Does Blue Cross Blue Shield of Colorado Rehab Coverage Work?
Blue Cross Blue Shield of Connecticut offers drug rehab coverage provided it is authorized. BCBS will not cover health insurance claims that are not based on prior authorization. Out of pocket expenses will apply for non-network providers and non-authorized claims based on your treatment plan. It is essential to obtain approval and follow all BCBS Connecticut guidelines regarding your drug rehab coverage and addiction treatment.
For more information on your coverage and plans or access to resources, contact Anthem BCBS Connecticut.
What is Detox?
The detoxification process is medically supervised and monitored. Patients undergo drug and alcohol withdrawal from the physical body. The body processes the toxins and chemicals, and it might take seven days or even weeks, depending on factors such as prolonged use and tolerance. Detox requires that you enroll in an inpatient residential treatment program.
Because medical detox is a complicated process, your withdrawal symptoms may be so severe that you need prescription medication to lessen your symptoms. Patients often undergo seizures or viral infections due to detoxing processes. Trained and licensed physicians and drug and rehab specialists are familiar with the process of medical detox and understand the physical symptoms that result. Patients presenting with a mental illness condition may need additional prescription medication to manage those symptoms.
For more information on your coverage and plans or access to resources, contact Anthem BCBS Connecticut.
What are the Differences Between Inpatient and Outpatient Treatment?
The differences between inpatient treatment and outpatient treatment are based on your treatment plan and insurance coverage.
Most inpatient treatment programming provides a behavioral health plan where patients must check into a hospital to receive treatment. Inpatient residential treatment requires patients to live on-site, receive addiction treatment and counseling, engage in individual and group therapy, share a room with another client, and participate in another structured programming that requires accountability and development of life skills.
Outpatient treatment includes both partial hospitalization and intensive outpatient treatment where patients must visit the drug and alcohol rehabilitation center almost daily, for six hours per day. Patients can return home each night under this treatment option. Patients can work and attend school. Patients must participate in structured activities, including therapy.
Blue Cross Blue Shield of CT provides drug and rehabilitation coverage, but treatment options vary:
Inpatient Treatment
- Treatment plans begin at 30 days.
- Detox is medically managed with the use of prescription medication.
- Inpatient residential treatment includes accommodation and food.
- Patients must attend daily therapy sessions as residents.
- Clients reside in shared rooms.
Contact BCBS CT for more information about coverage and out of pocket expenses.
Outpatient Treatment
- Outpatient treatment is a step down from inpatient treatment and may take longer.
- Clients must attend daily therapy.
- Clients may return home each night.
- The client must attend individual and group therapy.
For more information on your coverage and plans or access to resources, contact Anthem BCBS Connecticut.
Get the Help You Deserve Today
If you or a loved one needs drug and alcohol rehabilitation treatment, contact Blue Cross Blue Shield of Connecticut to discover your healthcare options.
Anthem BCBS Connecticut Resources
Anthem Individual and Family Plans
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). Connecticut opioid summary. Retrieved from https://www.drugabuse.gov/drugs-abuse/opioids/opioid-summaries-by-state/connecticut-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.
