One question that always comes up when a person is struggling with addiction is, “How do I know if I’m covered for drug or alcohol rehab?”

Considering that successful recovery from addiction depends on specialized treatment, it’s no surprise that this question is a major concern for so many American families. The most straightforward and honest answer to the question is, “It depends on your insurance provider.”

Whether you have insurance coverage for drug and alcohol rehabilitation will depend on a long list of factors, including the structure of your insurance plan, specific coverage policies and the size of the insurance company’s preferred provider network.

There is no one-size-fits-all answer to this question. However, following these steps will help you and your family get the right answers to important insurance coverage questions.

Review Your Insurance Coverage

Start by reaching out to your insurance provider directly. It helps to prepare a list of specific questions before making the call. Discussing the nuances of insurance coverage can quickly become overwhelming, and having a list of questions will help you to focus your thoughts.

These are just a sample of the types of questions that will get you the information you need:

  • “Does my insurance coverage include every phase of drug and alcohol rehab (detox, inpatient and aftercare)?”
  • “Will my policy cover any of the medications prescribed to me during rehab?”
  • “What will my copay and/or deductible be if I choose to seek treatment for addiction?”
  • “What program lengths are covered by my current policy?”
  • “Does my policy require me to seek treatment within a provider network?”

What Types Of Drug And Alcohol Treatment Are Covered With Insurance?

Again, the answer to this question will greatly depend on your insurance provider and your coverage plan. Generally speaking, detoxification is the most likely service to be covered, especially since patients face fatal withdrawal symptoms if their detox process is not monitored by health care professionals.

Outpatient and inpatient coverage varies widely between insurance plans, but most policyholders should expect their insurance provider to at least mitigate these costs with partial coverage.

Learn About the Different Levels of Care

The Difference in HMO vs. PPO Insurance Plans for Rehab

Do you have an HMO or a PPO health insurance plan? Understanding the differences will help give you a clearer idea of whether an addiction treatment center will accept your insurance.

Click on one of the following options to better understand the differences between HMO and PPO plans:

What Is an HMO?

What Is a PPO?

Work with an Insurance Coverage Professional

Navigating complex insurance policies on your own can be extremely difficult. You may find that speaking to you insurer directly leaves you with more questions than answers. In cases like these, you and your family are better off reaching out for extra support rather than making an uninformed decision.

Our team of addiction professionals offer over a decade of experience with addiction and treatment. We are more than willing to lend our expertise to families when they have questions about insurance coverage. We have experience in working with a wide range of providers, including:

  • Blue Cross Blue Shield
  • Humana
  • Cigna
  • Aetna
  • UMR
  • VelaPoint
  • Beacon Health
  • UnitedHealthcare

Our professionals are dedicated to educating families about the best ways to get a loved one into an effective rehab program without breaking the bank.

Learn About Your Provider

Consider Drug and Alcohol Rehab Without Insurance

Did you find that the answer to, “Do I have insurance coverage for drug and alcohol rehab?” is a no? Don’t give up hope. There are still multiple options for covering the cost of a life-saving treatment program.

Many treatment centers offer affordable payment plans to patients who are in need of help but aren’t covered by their insurance providers. Some even offer financial assistance in extreme cases where patients need immediate help.

Families may have to do some digging to find a solution, but opportunities for covering treatment are certainly available. Consider working with an industry expert to help you identify new ways to save money on the treatment you or your loved one desperately needs.

Begin The Addiction Recovery Process

You shouldn’t have to let a confusing insurance policy stop you from asking your provider for hard answers about coverage. Granted, that’s easier said than done. Knowing what to ask and how to ask is much easier when you have an industry expert at your side.

At Addiction Treatment Services, our mission is to help families make informed decisions about alcohol and rehabilitation. Give us a call or contact us online if you’d like some straight answers about your convoluted insurance plan.