Select Page

Blue Cross Blue Shield Covered Alcohol Rehabilitation in Pennsylvania

 

 

Blue Cross Blue Shield covered drug rehabilitation in Pennsylvania may include medically supervised alcohol detox, clinical alcohol detoxification programs, residential alcohol rehabilitation, outpatient alcohol rehabilitation, and aftercare counseling. Blue Cross Blue Shield is one of the biggest healthcare insurance providers in the United States. Health insurance covers different aspects of substance abuse treatment. However, the extent of coverage and what is paid for by health insurance depends on the health insurance plan.

When searching for alcohol rehabilitation programs in Pennsylvania, there are different approaches to consider. Blue Cross Blue Shield does help its members find appropriate alcohol treatment in Pennsylvania. Generally, treatment settings and interventions should meet the needs of the person attending alcohol rehabilitation. Alcohol rehabilitation should be well-rounded and help a person physically, mentally, and spiritually. Another option to consider is an addiction assessment with a drug rehab referral center or a qualified healthcare provider. An addiction assessment aims to provide an evaluation and recommend alcohol treatment programs in Pennsylvania. 

 

How Does Blue Cross Blue Shield Health Insurance Cover Alcohol Rehabilitation in Pennsylvania?

Blue Cross Blue Shield covers alcohol rehabilitation in Pennsylvania through extensive policies that include behavioral health services. The two most common health care plans are Health Maintenance Organizations plans and Preferred Provider Organization Plans. HMO plans allow patients to choose their primary care physician and see that doctor for most of their medical and treatment needs. When seeking alcohol rehabilitation outside of the network, a referral is needed by the primary care physician.

Typically, an HMO plan has lower or no deductibles, and overall coverage is usually a lower cost. PPO plans allow patients to seek healthcare providers in and out of their network without referrals. Typically, PPO plans have higher deductibles than those of an HMO plan. Health insurance plans will also likely have a co-insurance or co-payment option. Some health insurance plans require the client to pay everything up-front and be reimbursed upon completion of alcohol rehabilitation. The first step is to contact the alcohol rehabilitation center and the Blue Cross Blue Shield health insurance provider.

 

Alcohol Rehabilitation in Pennsylvania Covered by Blue Cross Blue Shield

Alcohol rehabilitation in Pennsylvania covered by Blue Cross Blue Shield includes hospital inpatient programs, medically supervised alcohol detox, and other forms of alcohol detox. In addition, individuals with Blue Cross Blue Shield can access residential alcohol rehab programs and outpatient alcohol rehabilitation programs. Residential and outpatient alcohol rehabilitation programs offer long-term and short-term treatment options. The length of time needed in treatment is determined by the severity of the alcohol addiction. However, health insurance plans only cover a specific length of time, depending on the treatment program.

Under the Affordable Care Act, insurance plans are required to provide a one-page summary of benefits and therapies along with their fees. It is important to contact the alcohol rehabilitation center and Blue Cross Blue Shield to found out what alcohol treatment options are covered. Treating alcohol addiction may require a medical detox to manage withdrawal cravings or individual counseling, group therapy, or inpatient care. The extent of coverage depends on the plan type. Still, health insurance is a viable option for families who need substance abuse treatment. Generally, counseling options, such as 12-step facilitation, group therapy, and individual counseling are covered by health insurance.

 

Alcohol Addiction Intervention in Pennsylvania

Alcohol addiction intervention in Pennsylvania is a carefully planned process done with the help of a professional interventionist. Most people struggling with alcohol addiction are unwilling to accept help or admit they have an alcohol addiction. Alcohol addiction intervention demonstrates to the addict how the consequences of their addiction have impacted their life and the lives of their family and friends. Family intervention for alcohol addiction presents the addict with a structured opportunity to make changes before things get worse. In addition, an alcohol addiction intervention helps the family regain control, set clear boundaries, and consequences if they refuse rehabilitation.  The best way to plan and organize a family intervention is by hiring a professional interventionist.

During an alcohol addiction intervention, family, friends, and the interventionist come together to confront the addict about the consequences of addiction and ask them to accept treatment. The intervention provides specific examples of their destructive behavior and their impact on the addict and their family. In addition, it offers prearranged treatment plans with clear steps and goals. In the event the alcoholic refuses treatment, the family follows through with a bottom line and consequences. A properly planned family intervention works. However, a poorly planned family intervention worsens the situation causing the alcoholic to feel attacked. Families should not wait when planning and organizing a family intervention. Without early intervention and alcohol rehabilitation, alcohol addiction becomes progressively worse.  

 

Alcohol Addiction in Pennsylvania and Health Insurance

Blue Cross Blue Shield is an excellent health insurance option that covers behavioral health services and substance abuse treatment. In Pennsylvania, roughly 5.7% of residents are uninsured, yet, 51% have health insurance through an employer. In addition, 20% have Medicaid, and 16% have Medicare. Health insurance is important to have to cover some of the cost of alcohol rehabilitation. Unfortunately, alcohol addiction impacts many residents in Pennsylvania. According to the Pennsylvania Behavioral Health Barometer, between 2017 and 2019, the annual average prevalence of past-year alcohol use disorder in Pennsylvania was 5.1%. Overall, the annual average prevalence of past-year substance use disorders in the state was 7% among people aged 12 or older. Early intervention and alcohol rehabilitation is essential to treat alcohol addiction.

 

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

Call Now Button