Signs You May Need Rehab

People often hide their drug and alcohol substance use. They hide their drinking from friends and their spouses. They overconsume alcohol to the point of tolerance. They spend all their time seeking and consuming drugs and alcohol. People have been classically conditioned to interpret drugs and alcohol as pleasurable as the reward centers of the brain are activated when people consume chemical substances. Attempts to abstain from alcohol are often unsuccessful. If anyone of these criteria fits you, then these are examples of signs that you may need drug and alcohol rehabilitation. 

You may also need drug rehabilitation if you are a candidate for dual diagnosis. Some patients with a substance use disorder may also present with a co-occurring mental illness condition. Some patients with a mental illness condition may be comorbid with an alcohol use disorder or opioid use disorder. The Diagnostic and Statistical Manual of Mental Disorders (DSM) provides the criterion for diagnosing substance use disorders and mental illness conditions. 

The following are standard signs that you may need drug rehab: 

  • Consumption of drug and alcohol leading to significant clinical impairment
  • Seeking, obtaining, and consuming drug and alcohol daily 
  • Intense cravings during the withdrawal process 
  • Tolerance after prolonged use

Patients often report trying to quit substance use, but they are unsuccessful due to triggers and daily stressors. Continued substance use typically leads to aggressive behavior and legal troubles. 

If you require a drug or alcohol rehabilitation program, contact BlueCross Idaho and Regence BlueShield of Idaho to determine your drug rehab needs. Blue Cross Blue Shield coverage depends on your addiction treatment plan and available coverage. 

For more information on your coverage and plans or access to resources, contact BlueCross Idaho and Regence BlueShield of Idaho.

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

BlueCross Idaho and Regence BlueShield of Idaho offer drug and alcohol rehab coverage. Patients can choose from individual and family health plans for drug rehab coverage. 

Regence BlueShield Idaho serves 161,814 members, houses 10,026 in-network providers, and includes 453 in-network hospitals and clinics. 

Blue Cross Blue Shield patients must obtain a physician referral before enrolling in a drug rehabilitation program. Out of pocket expenses may apply for visits to non-network providers. 

Visits to a drug and rehabilitation center will begin with an appointment to speak with a therapist. The first appointment will be useful for gathering facts about your substance addiction. The therapist will determine the appropriate treatment from the first visit. The therapist will apply counseling and drug rehab guidelines and preferred practices. 

The therapist may also consider a dual-diagnosis if your substance use disorder is comorbid with a mental illness condition.

For more information on your coverage and plans or access to resources, contact BlueCross Idaho and Regence BlueShield of Idaho.

The History of Blue Cross Blue Shield of Idaho

BlueCross Idaho and Regence BlueShield of Idaho are health plans that serve the Northwest and Intermountain region. They serve 2.6 million members in Oregon, Washington, Idaho, and Utah. 

In serving the respective communities for 100 years, Regence connects families to healthcare. In an April news release, Regence health plans have taken an active role in reducing opioid prescriptions by 39 percent through 2018. Their health plans address pain management and addiction prevention. 

For more information on your coverage and plans or access to resources, contact BlueCross Idaho and Regence BlueShield of Idaho.

Why Do We Need Rehab Coverage?

There has been a vigilant effort to reduce opioid prescriptions, address alcohol and substance-related addictions, and prevent relapse. Statistics on adult men, adult women, and youth and adolescents have revealed binge drinking among men, alcohol use disorder among women, and illicit drug and prescription drug use among adolescents and youth. Patients are also receiving dual diagnoses for substance use disorder and a mental illness condition. Statistics reveal much about the behavioral patterns surrounding drug and alcohol use. 

The National Institute on Drug Abuse (NIDA) reports that in 2017, there were 70,200 overdose deaths, at a rate of 21.7 deaths per 100,000 persons. Among the 70,200, 47,600 involved opioids (NIDA, 2019). Idaho healthcare providers wrote 70.3 opioid prescriptions in 2017 (NIDA, 2019). The U.S. rate for opioid prescriptions is 58.7 prescriptions (NIDA, 2019). 

The need for drug and alcohol rehabilitation coverage supports the changes under the 2010 Affordable Care Act and the 2008 Mental Health Parity and Addiction Equity Act, which allows health plans to provide comparable coverage for drug and alcohol addiction similarly to coverage provided for medical and surgical procedures. 

BlueCross Idaho and Regence BlueShield of Idaho will help you locate an in-network drug rehabilitation provider. 

For more information on your coverage and plans or access to resources, contact BlueCross Idaho and Regence BlueShield of Idaho.

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

Coverage through BlueCross Idaho and Regence BlueShield of Idaho must be pre-authorized. The health plans require plan members to seek authorization before enrolling in drug rehab. Customers must follow the guidelines of the health plan to ensure they receive coverage. Out of pocket expenses will apply for visits to non-network providers and unauthorized addiction treatment. 

For more information on your coverage and plans or access to resources, contact BlueCross Idaho and Regence BlueShield of Idaho.

What is Detox?

Detox is a medical process where the physical body rids itself of toxic chemicals. Detox is medically supervised and monitored 24 hours per day, seven days per week by a trained clinician and licensed medical professional. Patients who experience severe withdrawal symptoms may request covered prescription medication to lessen the severity of the withdrawal process. A detox may last more than seven days if the patient reports long-term tolerance due to prolonged use and abuse of drug and alcohol substances. 

For more information on your coverage and plans or access to resources, contact BlueCross Idaho and Regence BlueShield of Idaho.

What are the Differences Between Inpatient and Outpatient Treatment?

Inpatient treatment continues the addiction treatment process. The difference between inpatient treatment and outpatient treatment depends on the severity of the patient’s addiction. Patients with a severe substance addiction may benefit from inpatient residential treatment where patients live on-site, participate in structured activities, engage in individual and group therapy, and complete addiction counseling. Patients share a room with another client. 

Outpatient treatment patients are not housed at the drug rehab center, but they are required to complete daily visits and therapy. Patients may return home each night. They can work and attend school. Patients must attend individual and group therapy on different days and up to six hours per day. 

BlueCross Idaho and Regence BlueShield of Idaho offers the following treatment options:

Inpatient Treatment

  • Residential treatment that could range from 30 to 60 days or 30 to 90 days depending on the severity of the addiction
  • Medical detox
  • Therapy 
  • Room and board 

Contact BlueCross Idaho and Regence BlueShield of Idaho for more information about coverage and out of pocket expenses. 

Outpatient Treatment

  • Daily visits, prescribed hours 
  • Home returns, work, school attendance 
  • Therapy and counseling

For more information on your coverage and plans or access to resources, contact BlueCross Idaho and Regence BlueShield of Idaho.

Get the Help You Deserve Today

If you or a loved one needs drug and alcohol rehabilitation treatment, contact BlueCross Idaho and Regence BlueShield of Idaho to discover your healthcare options. 

Regence Resources

Regence About Us

Regence Member FAQs

Regence News Release

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

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

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

National Institute on Drug Abuse. (2019, May). Idaho opioid summary. It is retrieved from https://www.drugabuse.gov/drugs-abuse/opioids/opioid-summaries-by-state/idaho-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.