Modified: 7th Oct 2019

Signs You May Need Rehab

There are standard signs that you may need drug and alcohol rehabilitation. The symptoms are always based on your behavioral patterns with drugs and alcohol. If you spend all your time seeking, obtaining, and consuming alcohol, leading to overconsumption, these may be signs that you need drug and alcohol rehabilitation. 

Behavioral patterns are typically indicative of a clinical diagnosis and determined by whether you fit the criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM), which includes substance use disorders. For example, a person with a mental illness condition may also present with a substance use disorder. The reverse is also true. A sample case is a person who has a mental illness condition such as major depressive disorder that may be comorbid with a borderline personality disorder and also a substance-related disorder (APA, DSM, 2013). 

Because drug and alcohol use are forms of classical conditioning in which prolonged substance use activates the rewards center of the brain, it may be difficult to abstain from substance use without drug and alcohol addiction treatment. The following list reflects some signs that you may need drug and alcohol addiction treatment. 

  • Overconsumption of drugs or alcohol typically leads to clinical impairment where you may receive a dual diagnosis. 
  • Overconsumption may result from the daily seeking of substances. 
  • Overconsumption may lead to intense cravings that require prescription medication to lessen withdrawal symptoms. 
  • Overconsumption leads to a tolerance that may be difficult to break. 

Drug and alcohol rehab patients often report times when they have tried to abstain from alcohol but were unsuccessful in their attempts, which may lead further to risky behavior and legal troubles. 

If you need a drug or alcohol rehabilitation program, contact Highmark Blue Cross Blue Shield of Delaware 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 Highmark BCBS, Delaware. 

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

Highmark Blue Cross Blue Shield Delaware cover drug and alcohol rehabilitation. Patients benefit from a health plan that offers drug rehab coverage. BCBS Delaware’s behavioral health plan coverage may require out of pocket expenses depending on your health insurance and treatment plan. 

Drug and alcohol rehabilitation require pre-authorization for the initial assessment and addiction treatment. Patients must obtain a physician referral before setting an appointment and sitting down with a drug and alcohol rehab specialist. The initial assessment allows the therapist to gather facts about possible addiction treatment. 

Patients diagnosed with a substance use disorder may be diagnosed with a mental illness condition that also requires coverage. Criteria under the Diagnostic and Statistical Manual of Mental Disorders (2013) provides guidelines for patients with a substance use disorder co-occurring with a mental illness condition. 

The therapist will consider the dual diagnosis in the initial assessment as well as what type of addiction treatment you will need for your addiction recovery. 

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

The History of Blue Cross Blue Shield of Delaware

Highmark Blue Cross Blue Shield of Delaware is a healthcare insurance provider. Highmark BCBS Delaware offers multiple plans, including health and life insurance as well as drug rehab coverage. BCBS Delaware is NCQA accredited. 

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

Why Do We Need Rehab Coverage?

Recent statistics on drug and alcohol consumption reveal different behavioral patterns for both men and women as well as adolescents and youth. Men tend to drink more than women (CDC, 2016), but women tend to be diagnosed with an alcohol use disorder (NIAAA, n.d.). 

The National Institute on Drug Abuse (NIDA) reports that in 2017, there were 70,200 overdose deaths, a rate of 21.7 per 100,000 persons. “Among these, 47,600 involving opioids [in Delaware]” (NIDA, 2019). Delaware healthcare providers wrote 101.1 opioid prescriptions in 2017 (NIDA, 2019). The U.S. rate for opioid prescriptions is 58.7 prescriptions (NIDA, 2019). According to the NIDA, the Delaware rate of opioid prescriptions has decreased to 68.3 opioid prescriptions.

Monitoring the Future (2016) reports that adolescents and youth often binge drink at a high rate and abuse prescription medication. 

Coverage for drug rehab is based on the 2010 Affordable Care Act that treats mental illness as no longer a pre-existing condition. The Mental Health Parity and Addiction Equity Act of 2008 requires insurance carriers to apply for drug rehab coverage similarly to coverage for medical and surgical procedures. 

BCBS Delaware will help you locate an appropriate in-network drug rehab provider. BCBS Delaware 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 Highmark BCBS, Delaware. 

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

Blue Cross Blue Shield of Delaware provides drug rehab coverage that is pre-authorized. Out of pocket expenses apply for visits to non-network providers and appointments that are not authorized. You must follow all pre-authorization and BCBS Delaware guidelines for drug rehab coverage. 

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

What is Detox?

The medical detoxification process requires medical supervision and possible use of prescription medication to lessen the experience of withdrawal symptoms. During the detox process, the body rids itself of toxins. The detox process might last for seven days or more, depending on your addiction and treatment plan. To receive detox, you must enroll in an inpatient treatment program. 

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

What are the Differences Between Inpatient and Outpatient Treatment?

Inpatient treatment and outpatient treatment depend on your addiction treatment plan. Inpatient treatment requires a behavioral health plan, check-in at a drug rehab facility, residence on-site, clinical counseling, individual and group therapy, and participation in activities related to the treatment program. 

Outpatient treatment requires patients to visit the drug rehab center daily and for a minimum of four hours per day. Patients can return home each night after daily attendance. Patients must attend therapy and participate in structured activities. 

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

Inpatient Treatment

  • Patients must select an addiction treatment plan that might require residence for 30 days. 
  • Patients might require medical detox. 
  • Patients are required to participate in therapy. 
  • Patients share a room with another patient. 

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

Outpatient Treatment

  • Patients must attend the drug rehab center daily. 
  • Patients can return home each night.
  • Patients must attend therapy. 

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

Get the Help You Deserve Today

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

Highmark BCBS Delaware Resources

References

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

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

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). Delaware opioid summary. Retrieved from https://www.drugabuse.gov/drugs-abuse/opioids/opioid-summaries-by-state/delaware-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.