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Health Choice Health Insurance for Drug Rehabilitation in Pennsylvania  

 

 

Health Choice Health Insurance or Health Select for drug rehabilitation in Pennsylvania may cover drug rehabilitation, residential drug rehab, outpatient treatment, and individual or group counseling. The extent of coverage and what is paid for by health insurance depends on the plan type. Every health insurance plan is different and offers different levels of care. Health Choice provides its members a variety of plan options that cover behavioral health services. Health Choice Select is a program designed to reduce the costs of select services by contracting with select facilities to provide behavioral health services and substance abuse treatment.

Treating drug addiction involves different steps, yet there is a general process. However, treatment settings and interventions should meet the needs of the person attending the drug rehabilitation center. Generally, health insurance covers hospital inpatient programs for drug detox, outpatient drug rehabilitation, and some residential drug rehab in Pennsylvania. Drug rehabilitation should be well-rounded and help a person physically, mentally, and spiritually. Health insurance reduces the cost of treatment, but it may not cover every aspect of drug rehabilitation.

 

How Does Health Choice Health Insurance Cover Drug Rehabilitation in Pennsylvania?

Health Choice offers bundled pricing that provides one consolidated bill for services. Members of Health Choice can search for facilities participating in Health Choice Select on the Health Choice website. Some health insurance plans include Health Choice High, High Alternative, Basic, Basic Alternative plans, and High Deductible Plans. Health insurance providers generally contract with facilities to provide services at one low, bundled price covered at 100% of allowable fees.

However, health insurance plans may require members to meet their deductible before any benefits, other than preventative services are paid by the plan. When using health insurance to pay for drug rehabilitation in Pennsylvania, the first step is to contact the health insurance provider. In addition, it is recommended to contact a drug rehabilitation center to find out what is covered by health insurance.

The two most common healthcare plans are Health Maintenance Organization plans and Preferred Provider Organization plans. An HMO plan allows a patient to choose a primary care physician. HMO plans have lower deductibles, yet there is no coverage for an out-of-network provider, but it offers lower premiums. PPO plans have higher deductibles, access to out-of-network and in-network providers, and members can access out-of-network providers without a referral.

 

Drug Rehabilitation Covered By Health Choice Health Insurance in Pennsylvania

Drug rehabilitation covered by Health Choice health insurance in Pennsylvania may include medically supervised drug detox, clinical drug detox, and hospital inpatient treatment. In addition, health insurance plans may cover outpatient drug rehabilitation, residential drug rehabilitation, family counseling, and some forms of individual counseling or therapy. Some health insurance providers have special agreements with treatment providers. These agreements are in place to have the provider agree to offer a certain type of care at an exact price. In return, the insurance plan agrees to provide referrals to that drug rehabilitation center.

Treating drug addiction involves different steps, yet there is a general process involved. The first step is a drug detox to manage withdrawal symptoms and ease drug cravings. The two most common detox programs are medical detox and clinical drug detox. After completing a drug detox, the next phase of treatment involves attending a residential or outpatient drug rehabilitation program in Pennsylvania. The length of time in treatment covered by health insurance varies. Health insurance plans may cover short-term or long-term rehabilitation. It is essential to contact the drug rehabilitation center and find out how the insurance plan is accepted. In addition, Health Choice will help a family understand how their insurance plan will cover drug rehabilitation.  

 

Drug Addiction Intervention in Pennsylvania

Family intervention is a carefully planned process involving friends, family, and an interventionist to confront the addict. These individuals come together to confront the addict about the consequences of their addiction. Drug addiction intervention helps the family regain control, set clear boundaries, and follow through with consequences if the addict refuses help. A carefully planned family intervention works. However, a poorly planned family intervention worsens the situation makes it even more difficult to convince the addict to attend treatment.

The best way to plan and organize a family intervention is by hiring a professional interventionist. A certified interventionist has the training and qualifications to guide a family through the process. Drug addiction interventions are beneficial for the family because it helps address co-dependency issues and enabling. There are many reasons why an intervention would be de-railed and enabling, or co-dependency is a common one. Families should never wait to plan and organize an intervention. Drug addiction becomes progressively worse without proper help and early intervention.  

 

Drug Addiction Trends and Health Insurance in Pennsylvania

A health insurance policy covers most residents of Pennsylvania. However, roughly 5.7% of residents are uninsured. Over 50% of Pennsylvania residents have a health insurance plan through an employer, while 20% of Medicaid and 16% have Medicare. Unfortunately, substance abuse impacts people from all age groups and demographics. According to the Pennsylvania Behavioral Health Barometer, between 2017 and 2019, the annual average prevalence of past-year illicit drug use disorder in Pennsylvania was 2.8%. Overall, the annual average prevalence of past year substance use disorders in Pennsylvania was 7%. Health insurance plans cover some parts of drug rehabilitation. Private drug rehabilitation can be expensive, and health insurance makes it easier to cover the cost.

 

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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