Harmony Health Group Accepts Empire Blue Cross Blue Shield For Drug Rehab Coverage
Individuals who find themselves struggling with a drug addiction can find a variety of Empire BCBS drug treatment centers within the Harmony Health Group Family. Our comprehensive and individualized treatment programs can be found in various locations on the East Coast, including detoxification, inpatient, and outpatient drug addiction treatment options.
Our many treatment locations are in-network with several health insurance providers, including Empire Blue Cross Blue Shield. By accepting insurance for our mental health, substance abuse, and dual diagnosis treatment options, we can provide affordable and comprehensive treatment services to those living in our communities. To learn more about our available treatment programs, we encourage you to contact the Harmony Health Group by dialing (866) 461-4474 today!
Quick Overview: Understanding Drug Addiction and Substance Use Disorder (SUD)
Substance use disorders, called SUDs for short, are a grouping of mental health conditions within the Diagnostic and Statistical Manual of Mental Disorders that are known for contributing to a variety of physical and psychological symptoms. The key feature of these disorders is that it is challenging to control, reduce, and stop using drugs.
Drug use disorders can occur in a variety of intensities, from mild to severe. Some of the common symptoms associated with drug use disorders include the development of a tolerance, where more of the substance is needed to have a similar euphoric experience. Withdrawal symptoms often occur due to prolonged and heavy substance use that changes the way that our brains and bodies function. There isn’t an exact cause or path to addiction, but rather several risk factors that may contribute to the development of your addiction. Some of the risk factors associated with substance use disorders include a history of substance abuse in your family, a history of trauma and mental health conditions, and an early use of substances.
What are the Signs, Symptoms, and Triggers of Drug Addiction and SUD?
Substance use disorders can affect everyone differently, encompassing a range of symptoms and severities. Some individuals develop an addiction over time, whereas others experience a rapid onset of addiction. These variations are based on individual characteristics and the substance being abused. Some of the symptoms that are common among those living with an SUD include:
- An inability to control or limit the use of substances
- Using in dangerous situations or putting yourself in dangerous situations because of use
- Using more of the substance or for a longer duration than originally intended
- Having a history of trying to get sober, but being able to maintain sobriety
- Withdrawing from family, friends, and previously enjoyed activities
- Experiencing moodiness and irritability
- Needing to use to avoid feeling sick
- New or worsening legal concerns
- An inability to fulfill obligations at home, work, or school
- Spending a significant amount of time thinking about, planning, obtaining, and recovering from the effects of drugs
- Continuing to use despite new or worsening mental health symptoms
How to Support Yourself or Someone You Love with Drug Addiction
If you are struggling with a substance use disorder, the first step is to reach out for help. Depending on the severity of your use, you may require detox services, which are provided by healthcare professionals. Professionals can assess your current needs, and discuss treatment programs that may be appropriate for your needs.
If you are worried about a loved one, we encourage you to be kind to yourself. It is challenging to support someone who is struggling with an addiction and to balance that line between supporting them and enabling them. We encourage you to consider reaching out to support yourself to ensure that you’re coping with the challenges and stressors you experience. If your loved one is open to getting help, you can help them contact a treatment facility and schedule an initial appointment. With that, we encourage you to remember that internal motivation can be more impactful than external motivation, though they can both have a role in recovery. If you would like to speak with an Admission Counselor about our available drug addiction treatment programs, we encourage you to dial (866) 461-4474 today!
Information and Statistics on Substance Use and Drug Addiction Dependence in the U.S.
An estimated 13.5% of Americans over the age of 12 use drugs each month, a rate that has been increasing by approximately 3.8% each year. Over 138 million Americans have used drugs at one point during their lifetime, and 25% of those who do use drugs face a drug use disorder.
Almost a quarter of those who have a drug addiction struggle with opioids, including pain medications and heroin. Some of the more commonly used substances in the U.S. include marijuana, opioids, prescription pain medications, prescription sedatives, cocaine, prescription stimulants, methamphetamine, and LSD. Less than 7% of those who were living with a substance use disorder in 2020 received the care they needed, and an estimated 107,000 died from a fatal overdose. An estimated 70% of fatal overdoses in 2022 were caused by synthetic opioids including fentanyl. There is no denying that drug use and drug use disorders can have a significant impact on your health and community.
More About the Insurance Provider Empire Blue Cross Blue Shield (BCBS) of New York
Empire Blue Cross Blue Shield has been providing affordable healthcare available for residents within 28 eastern and southeastern counties of New York since 1985. Empire BCBS is a member of the larger Blue Cross Blue Shield Corporation and focuses on helping New Yorkers receive the care they need.
It is estimated that Empire BCBS provides coverage for 38,000 businesses, unions, and small employers, encompassing an estimated 4 million individual members. In 2004, Empire BCBS became a part of Anthem, Inc., when it was acquired by WellChoice, Inc. Empire BCBS members have access to several healthcare plans including HMOs, PPOs, and Medicare Advantage plans.
Does Harmony Health Group Accept Empire BCBS Health Insurance for Drug Rehab Treatment?
Does Empire BCBS Health Insurance Pay For Drug Addiction Screening and Testing?
In most cases, yes, Empire BCBS will provide some form of coverage for drug addiction screening. Screening and testing measures are generally incorporated into admission assessments to determine the severity of a drug use disorder so that professionals can make an accurate diagnosis, and develop an appropriate treatment plan.
Screening and testing measures may be short or long, and can also investigate your experience with other mental health conditions. This is a vital step of the admission process because it helps treatment professionals ensure that you’re receiving treatment that is appropriate to your needs. Some treatment facilities repeat screenings and testing throughout your treatment to compare to your original results to gauge progress and to highlight changes that could be made to your treatment plan.
Check Your Empire Blue Cross Blue Shield Coverage Levels with Harmony Health Group
You can check your insurance coverage levels by calling us on: (866) 461-4474
Does Empire Blue Cross Blue Shield Cover the Cost of Drug Addiction Treatment and Recovery?
For those wondering, does Empire Blue Cross Blue Shield cover drug rehab treatment, the answer is yes! Empire BCBS usually offers rehab coverage for drug treatment programs. It is important to note that your drug addiction therapy coverage is dependent on the details of your plan, which can have a direct impact on your out-of-pocket expenses.
Another detail we encourage you to be mindful of is the need for prior authorizations. Some policies require that you receive this before you begin treatment, not doing so can cause a delay or possible denial for your related medical claims. If you would like to learn more about the scope of your insurance plan, we invite you to complete our insurance verification form and call (866) 461-4474 to speak with an Admission Counselor today!
Does Empire Blue Cross Blue Shield (BCBS) of New York Insurance Cover Any Medications Used to Manage Addictions?
The simple answer is yes, Empire BCBS does provide coverage for prescriptions that are commonly used to treat drug addictions. With that being said, there may be details of your policy that affect your out-of-pocket expenses and certain limitations or exclusions for your coverage.
As an example, your prescription drug coverage may have limitations on your use of name-brand medications, or only provide coverage for generic options. These are important details to be mindful of because medications can be costly, even when taken on a short-term basis. Long-term medication use is common for those who are living with certain addictions, including:
What Medications Are Covered by Empire BCBS for OUD?
What Medications Are Covered by Empire BCBS for AUD?
What are Other Medications Covered by Empire BCBS?
Can You Recover from Drug Addiction Without Medication Covered by Empire BCBS?
Certainly. It is possible to recover from a drug addiction without the use of medications. Medications that are used in detox programs are used to ensure that your body safely and effectively adjusts to the natural changes that occur when you stop using. These medications may be necessary to mitigate the risk of severe symptoms, including hallucinations and seizures.
Medications that are used in later stages of recovery can help you manage challenging symptoms, including cravings, which can contribute to relapses and unnecessary challenges in your recovery. Individuals who are not interested in incorporating medications into their recovery may find that they can develop the skills and knowledge they need with the use of comprehensive treatment programs that incorporate evidence-based and holistic treatment practices.
Harmony offers a multitude of locations up and down the East Coast for behavioral health services. Call us to learn about our facilities and treatment options.
Drug Rehab Treatment Programs That Take Empire Blue Cross Blue Shield Insurance Near Me
The Harmony Health Group is a premier behavioral health treatment organization that manages drug addiction treatment centers that take Empire Blue Cross Blue Shield. Our treatment programs provide individualized and comprehensive care options, to ensure that you receive the support and resources needed for a healthier lifestyle. Call us at (866) 461-4474 today to learn more!
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How To Check My Empire BCBS Health Insurance Coverage Levels for Drug Rehab Treatment Near Me
To learn about your Empire Blue Cross Blue Shield, you can start by reviewing the details of your insurance plan. If you don’t have hard copies of these documents, you can log into your member’s service portal and review your policy documents online. You’ll want to look for information regarding behavioral health coverage, and possibly prescription drug coverage. Another option is to complete the online insurance verification form with the Harmony Health Group. This form provides us with the information we need to contact Empire BCBS on your behalf to learn about your out-of-pocket expenses, limitations, and required authorizations. Our Admission Counselors are here to support you throughout the admission process, including learning about your insurance coverage. We invite you to contact us today.
How To Get Empire BCBS of New York To Pay For Drug Rehab Programs
There are a few steps you’ll want to take to ensure that you can use the maximum benefits associated with your insurance for personalized drug rehab programs. You can start by contacting BCBS and asking for a list of drug treatment centers that accept Empire BCBS. This allows you to start the search process knowing that you’ll be able to use your insurance.
The next step is to narrow down your list of treatment providers based on your treatment needs and preferences. This step may take a bit of leg work to look into available program options and holistic approaches. Once you have chosen a treatment provider, they will contact BCBS on your behalf to confirm your coverage for drug addiction treatment. This allows you to receive a personalized quote for the cost of treatment so you can plan accordingly. As you engage in treatment, your provider will submit medical claims on your behalf to Empire BCBS, which may require you to pay for copayments and deductibles at the time of service. If you have questions about verifying your insurance or submitting claims to your insurance provider, we encourage you to dial (866) 461-4474 for support!
How Many Times Will Empire Blue Cross Blue Shield (BCBS) Pay For Drug Rehab?
Blue Cross Blue Shield does not have a limit for rehab treatment. Addiction is a progressive disease that can continue to develop over time, even after periods of sobriety. This means that your treatment needs today are likely different than they were in the past, which means that the care you receive would be different.
Though they do not have a limit on the number of times you can receive care, Empire BCBS does require that the care you receive is medically appropriate for your needs. This means that if they feel as though your requested treatment does not align with your current symptoms and risk, they may not provide you with coverage. If you find yourself in a position where BCBS has denied your claim or authorization, you have an option to appeal their decision.
How Much Do Drug Rehab Programs Cost Without Empire BCBS Health Insurance Coverage?
The cost associated with drug treatment programs often varies based on the care that you receive. In most cases, inpatient treatment has higher costs than outpatient care and can range from $5,000 to $80,000, according to the National Center for Drug Abuse Statistics.
The variation in drug rehabilitation programs is caused by the duration of treatment, use of specialized services, and access to high-end or luxurious amenities. Medication-assisted treatment and dual diagnosis services are examples of specialized services that are often incorporated into drug treatment programs. We encourage you to call (866) 461-4474 for a personalized quote regarding the cost of drug treatment programming.
What Are Common Approaches to Drug Treatment Programs Covered by Empire Blue Cross Blue Shield
Drug addictions can occur with different severities and symptoms, which require different treatment approaches. In most cases, intensive treatment options are used with individuals in the early stages of recovery and those with high-risk factors. As you progress in recovery, the intensity and frequency of treatment tend to decrease to reflect your progress.
Intensive Outpatient Program (IOP) Drug Rehab
Intensive outpatient programming is a form of outpatient treatment that includes group and individual counseling multiple times each week. This program focuses on learning and implementing relapse prevention strategies into your routine and navigating challenges that you may experience in the early stages of recovery. These programs often have morning and evening sessions, accommodating your work or school routine.
Partial Hospitalization Programs (PHP) Drug Rehab
Partial hospitalization programs, or day treatment programs, provide a full day of structured treatment for those who struggle throughout the day and require professional support. These programs are comparable to inpatient rehabilitation programs, but allow you to remain in your home environment. These programs often provide access to dual diagnosis care and medication-assisted treatments.
Detox Programs for Drug Addiction
Drug detoxification programs are designed to provide you with a safe place to transition from active addiction into recovery. This is a common, and important step, for those who are physically dependent on drugs. Medications can be used to provide symptomatic treatment or provide relief from withdrawal symptoms and cravings.
Residential Programs for Drug Addiction and Rehab
Residential rehabilitation programs provide around-the-clock medical treatment and support. This level of care is ideal for those who are experiencing severe impairment because of their drug use, those who completed a drug detox, and those who are unable to maintain abstinence at home. These programs help you develop relapse prevention skills, improve communication patterns, and implement healthy behavioral changes.
Substance Use Disorder Info and Drug Addiction Stats in the United States
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Get in touch with Harmony Health Group to find out about our rehab admissions process, free assessment, treatment options or to check your insurance coverage levels. Your first step to recovery starts here!
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