Highmark BCBS Insurance for Alcohol and Drug Rehab

Recovery is a deeply personal journey. If you have the right support, it can make all the difference. Highmark Blue Cross Blue Shield (BCBS) provides a wide range of insurance coverage for different rehab options. This ensures you can get the care that suits your needs best.

1. Inpatient Rehab: Offers 24/7 medical and emotional support in a well-organized, immersive environment. This is ideal for severe cases or people needing intensive care.
2. Outpatient Rehab: Offers flexible, tailored therapy (individual, group, or virtual) for mild to moderate cases, allowing individuals to maintain daily responsibilities.
3. Medication-Assisted Treatment (MAT): It uses FDA-approved medications like buprenorphine and methadone. These are combined with behavioral therapy. This approach helps manage cravings and withdrawal, especially for opioid or alcohol dependence.

Navigating your rehab options can feel overwhelming, but you don’t have to do it alone. Novara Recovery Center can help you explore coverage, find a provider, and take the next step toward recovery. Contact our customer service team to get started today.

Inpatient rehab is often recommended if you are grappling with severe addiction treatment needs. Highmark BCBS typically covers residential treatment, but the extent of coverage depends on your specific health plan. Some plans may have a high deductible or require copay assistance. It is important to check your Highmark coverage before starting treatment.

With Highmark, most plans require pre-certification for inpatient care at a rehab facility. The insurer offers four main plan types, each with varying levels of financial assistance and cost-sharing requirements:

• Bronze Plans: If you choose an in-network facility, you’ll need to meet the plan’s deductible. Out-of-network programs usually aren’t covered.
• Silver Plans: For in-network care, you’ll typically pay a coinsurance percentage along with the deductible. Out-of-network options generally aren’t included.
• Gold Plans: These plans often feature lower coinsurance percentages for in-network services in addition to the deductible. Out-of-network programs are typically not covered.
• Platinum Plans: In-network care may require a daily copay or coinsurance, up to a maximum amount. Out-of-network services might be covered, but they usually come with higher coinsurance and deductible requirements.

For those with milder disorders related to substance use, outpatient treatment can be an effective recovery option. Highmark BCBS may cover outpatient services, including individual therapy, group therapy, and virtual care. This flexibility lets clients keep their everyday obligations while still being on the right path to recovery.

The details of what’s covered differ quite a bit based on your particular plan. That’s why, before starting any therapy, you should carefully review your advantages.

• Bronze Plans: For in-network outpatient services, you’ll need to meet your plan’s deductible. Out-of-network care is typically not covered.
• Silver and Gold Plans: In-network programs typically necessitate a coinsurance percentage alongside the deductible. Out-of-network services are generally not included.
• Platinum Plans: Under these plans, in-network care may have a coinsurance percentage or a daily copay. This will be up to a maximum amount. Out-of-network options might be covered, but they often come with higher coinsurance and deductible requirements.

Medication-assisted treatment (MAT) is a proven method for treating opioid use disorder and other substance use issues. Highmark BCBS understands that MAT works well.

They include it in their behavioral health benefits. This covers both medication and counseling services. It is a combined method that uses FDA-approved medicines and therapy. This helps reduce cravings, manage withdrawal symptoms, and support long-term recovery.

Many Highmark plans provide coverage for MAT, including the cost of medications and medical supervision. Whether you are starting your recovery journey or trying to keep your progress, MAT can be an important tool in your healing.