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Cigna Health Insurance for Drug Rehabilitation in Pennsylvania

 

 

Cigna health insurance for drug rehabilitation in Pennsylvania may cover different forms of drug detoxification, residential drug rehabilitation, outpatient drug rehab, and individual or group counseling. However, the extent of coverage and what health insurance pays for depends on the health plan type. Cigna is a worldwide health service company that helps people better their overall health and well-being. Cigna provides coverage for a range of treatments that help people recover from drug addiction.

Treating drug addiction involves different steps, and there is a general process involved. Using health insurance involves contacting the drug rehabilitation center and health insurance provider. It is essential to determine what is covered and how the substance abuse treatment center accepts health insurance.  The first step in treating drug addiction is drug detox to manage withdrawal symptoms and ease cravings. After completing a drug detox program, the next phase of treatment involves attending a residential or outpatient drug rehab program in Pennsylvania. Overall, drug rehabilitation should be tailored to the needs of the patient.

 

How Does Cigna Health Insurance Cover Drug Rehabilitation in Pennsylvania?

Using health insurance to cover drug rehabilitation in Pennsylvania involves contacting the drug rehab center and the insurance provider. It is essential to know what services are offered within the network or pre-authorization, copay, or out-of-network providers. Generally, pre-authorization or a referral from a physician is usually required for substance abuse treatment. Prior approval is when the health insurer determines what rehabilitation or equipment is medically necessary for treatment. Cigna health insurance plans also offer an employee assistance program that gives access to licensed clinicians.

Additionally, there may also be a deductible or a copayment or coinsurance service. A copayment is a flat amount that is paid for the treatment, and coinsurance is a percentage of the costs that are paid. A deductible is an amount that is paid for covered services before Cigna pays for treatment. Usually, accessing drug rehab in Pennsylvania from an in-network provider does help with avoiding paying the full cost of the treatment program. Out-of-network providers do not usually have a negotiated set price with the health insurance provider.

 

Drug Rehabilitation in Pennsylvania Covered by Cigna Health Insurance

Drug rehabilitation in Pennsylvania covered by Cigna health insurance may include hospital inpatient detox, opioid treatment programs, and medically supervised drug detox. Other drug rehabilitation options may consist of outpatient substance abuse treatment, residential drug rehab, and individual or group counseling. The type of drug rehab services and plans Cigna health insurance covers vary. Still, there is a range of treatment services for drug addiction. It is vital to ensure the drug rehabilitation is the right match. Generally, treatment settings and interventions should meet the needs of the person attending treatment.  

Cigna offers different plans to families, individuals, and employers. The most common health insurance plans are Health Maintenance Organization plans, Exclusive Provider Organization plans, and Point of Service plans or Preferred Provider Organization plans. HMO plans require the person to choose a primary care provider from a local network of health care providers. A PPO plan offers an extensive network of health care providers. It does not require the person to choose a primary care provider. In addition, with a PPO plan, the individual can see specialists without obtaining a referral. Health insurance plans tend to offer extensive resources access to behavioral healthcare services for most forms of substance abuse. Along with finding drug rehabilitation through a health insurance provider, the addict or family can access an addiction assessment. An addiction assessment aims to provide an evaluation and recommend drug rehabilitation programs in Pennsylvania.  

 

Drug Addiction Intervention in Pennsylvania

Drug addiction intervention in Pennsylvania is a carefully planned process that brings together family, friends, and an interventionist to confront the addict about the consequences of their addiction. Watching someone struggle with drug or alcohol addiction is not easy. Most people addicted to drugs are unwilling to accept help or admit they have a drug addiction. Family intervention in Pennsylvania motivates the individual to seek help for their drug addiction. The best way to plan and organize a family intervention is by hiring a professional interventionist.

A family intervention aims to help the family set clear boundaries, regain control, and establish consequences if the addict refuses to accept help. Drug addiction intervention provides specific examples of destructive behaviors and their impact on the addict and their family. The intervention also offers prearranged treatment plans with clear steps, goals, and guidelines. A successful family intervention is planned carefully and works. However, a poorly planned intervention can worsen the situation causing the addict to feel cornered and become resistant to treatment.

 

Drug Addiction and Health Insurance in Pennsylvania

Drug addiction impacts people from all age groups and backgrounds. According to the Pennsylvania Behavioral Health Barometer, the annual prevalence of past year substance use disorders was 7% between 2017 and 2019. The annual average prevalence of past-year alcohol use disorder was 5.1% among people aged 12 or older. In addition, from 2017 to 2019, among people aged 12 or older, the annual average prevalence of past year illicit drug use disorders was 2.8%. In Pennsylvania, roughly 5.7% of residents are uninsured. However, approximately 51.8% of residents have health insurance through an employer, while 20% have Medicaid, and 16% have Medicare. Having health insurance is essential to alleviate the cost associated with drug rehab.

 

Sources-

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

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

 

 

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