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Beacon Health Options Health Insurance for Drug Rehabilitation in Pennsylvania 

 

 

Beacon Health Options health insurance for drug rehabilitation in Pennsylvania covers different behavioral health services for substance abuse. Beacon Health Options was known as ValueOptions and has over 30 years of experience in managed care. Beacon Health Options specializes in behavioral health care. Plans include health benefits for substance abuse, addiction treatment, and behavioral health providers. Beacon Health has a network of different providers and drug rehabilitation centers. Generally, coverage includes outpatient drug rehab, drug detox programs, inpatient treatment, and different counseling services.  

Treating drug addiction involves different steps, yet there is a general process involved.  Most drug rehabilitation centers in Pennsylvania accept health insurance. The first step in treating drug addiction is a drug detox to manage withdrawal cravings and symptoms. The most common drug detox options are clinical drug detox and medical drug detox. Most health insurance plans cover drug detox. The next phase of drug rehabilitation involves attending a residential or outpatient drug rehabilitation center in Pennsylvania.

Most inpatient and outpatient drug rehab centers are covered by health insurance; however, the type of treatment differs. It is also essential to consider aftercare support like 12-step meetings, sober living homes, and other forms of peer support. When searching for a drug rehabilitation center in Pennsylvania through health insurance, the first step is contacting the health insurance provider and the drug rehabilitation center.

 

How Does Beacon Health Options Health Insurance Cover Drug Rehabilitation in Pennsylvania?

Beacon Health Options health insurance covers different drug rehabilitation services in Pennsylvania. The extent of coverage depends on the health plan type. Health insurance may cover a percentage of treatment with a deductible, coinsurance option, or copayment option. The drug rehabilitation center may require the entirety of payment up-front, and the insurance company reimburses after treatment is complete. The two most common healthcare plans are Health Maintenance Organization plans and Preferred Provider Organization plans.

An HMO plan allows a person to choose their primary care physician and keep that healthcare provider for most of their treatment needs. However, when seeking drug rehabilitation outside of the network, they will likely need a referral from the primary care physician. HMO plans tend to have lower or no deductibles. In addition, overall coverage is usually lower than a PPO plan. Someone who has an HMO plan is likely not seeking drug rehab or counseling out of the health insurance provider network, and they are paying lower premiums.

PPO plans allow patients to seek healthcare providers in and out of their network without a referral. PPO plans have higher deductibles than those with an HMO plan. In addition, PPO plans cover drug rehabilitation within the insurance provider network, and patients do not need a referral for treatment outside of the insurance provider network. The first step is contacting Beacon Health Options and drug rehabilitation center in Pennsylvania to find out how insurance is accepted.

 

Drug Rehabilitation in Pennsylvania Covered by Beacon Health Options

Drug rehabilitation in Pennsylvania covered by Beacon Health Options varies and may include outpatient or inpatient hospital programs, residential drug rehabilitation, drug detox programs, family-based counseling, and individual counseling. The two most common drug detox options are medical detox and clinical drug detox. The severity of drug addiction determines what method of drug detox is needed. Beacon Health Options will likely cover some type of inpatient detoxification or withdrawal management.

After completing drug detox, the next phase of treatment involves attending a residential or outpatient drug rehabilitation program in Pennsylvania. The different therapy and counseling options include individual counseling, group therapy, family counseling, dual diagnosis, medication-assisted treatment, life skills, and different behavioral therapies. Outpatient drug rehabilitation is commonly covered by health insurance; however, every health insurance provider is different.

Beacon Health Options offers comprehensive substance abuse treatment options for members that have substance abuse benefits. Health insurance may require the patient to get prior authorization before being admitted to treatment. It is important to find the right type of drug rehabilitation in Pennsylvania. No one form of treatment is suitable for every person. Treatment settings and interventions should be tailored to meet the patient’s needs attending the drug rehabilitation center.

 

Drug Addiction Intervention in Pennsylvania 

Arranging drug rehabilitation in Pennsylvania through Beacon Health Options is the first step. Unfortunately, most people addicted to drugs do not admit they have a problem or accept help. Drug addiction intervention in Pennsylvania motivates an addict to get help and attend drug rehabilitation. Intervention is a carefully planned process that brings together friends, family, and a professional interventionist to confront the addict about the consequences of addiction.

A drug addiction intervention aims to demonstrate how addiction has impacted the life of the addict and their family. With the help of a professional interventionist, the family can regain control, set clear boundaries, and get the addict the help they need. In addition, family intervention offers prearranged treatment with clear steps, goals, and guidelines. A successful intervention must be planned carefully to work as intended.

However, a poorly planned family intervention worsens the situation making it much harder to convince an addict they need help. A professional interventionist helps to guide a family through the planning and execution of the family intervention. More importantly, they help the family follow through with consequences if the addict refuses to accept drug rehabilitation.

 

Health Insurance and Drug Addiction Trends in Pennsylvania 

Health insurance covers certain aspects of drug rehabilitation in Pennsylvania, making treatment more affordable. However, roughly 5.7% of Pennsylvania residents are uninsured, but 51.8% of residents have health insurance through an employer. In addition, 20% have insurance through Medicaid, and 16% are insured through Medicare. Most drug rehabilitation options are covered by health insurance, including treatment for drug and alcohol addiction. According to the Pennsylvania Behavioral Health Barometer, 59% of treatment admissions to local programs were for a drug problem only, while 29% were for both alcohol and drugs. Generally, drug rehabilitation should meet the needs of the person attending the program.

 

Sources-

https://www.statista.com/statistics/238823/health-insurance-status-of-the-total-population-of-pennsylvania/

https://www.samhsa.gov/data/sites/default/files/reports/rpt32855/Pennsylvania-BH-Barometer_Volume6.pdf

 

 

 

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