Harmony Health Group Accepts BCBS Insurance
Opioid use disorder is a public health concern in the United States, with overdoses claiming more than 6 times the lives it did back in 1999. From 2020 to 2021, there was a 16% increase in the number of overdose deaths BlueCross Blue Shield is committed to providing its policyholders with comprehensive coverage to address opioid addictions.
Check Your BCBS Opioid Treatment Coverage Levels with Harmony Health Group
You can check your insurance coverage levels by calling us on: (866) 461-4474
What is Opioid Use Disorder? Quick Overview:
Opioid use disorder is a chronic and progressive disease that is influenced by biological, environmental, genetic, and psychosocial factors. An opioid addiction can include physical dependence, psychological dependence, or a combination of both. Examples of substances that would fall under this category include heroin, fentanyl, codeine, morphine, and oxycodone.
Individuals who are living with opioid use disorders experience two or more of the following symptoms within 12 months:
- Continued use despite worsening physical or psychological health
- Continued use despite social and interpersonal consequences
- Decreased social or recreational activities
- Difficulty fulfilling professional duties at school or work
- Excessive time is taken to obtain or recover from taking opioids
- More opioids are taken than intended
- Experiencing cravings
- Inability to decrease the amount of opioids used
- Developing a tolerance
- Opioid use continues despite the dangers it poses to you
- Experiencing withdrawal symptoms, or the user continues to take opioids to avoid withdrawal
Opioid Addiction Statistics and Misuse in the U.S.
Types of Addictive Illicit Opioid Drugs Commonly Abused
Opioid use disorder can have individual differences from person to person, including the severity of their use and the substance they are abusing. There are several opioids that have the potential to be abused, and some of the more commonly abused illicit opioids include:
Heroin
Fentanyl (Illicit Versions)
Carfentanil
Opium
Oxycodone (when obtained illegally)
Types of Addictive Prescription Opioid Drugs Commonly Abused
In addition to illicit opioids, prescription pain medications can also contribute to the development of an opioid use disorder. The risk of addiction increases among those who take their medication in a manner other than prescribed, whether it’s a higher dose or more frequently than intended. Examples of commonly abused prescription opioid medications include:
Oxycodone
Hydrocodone
Morphine
Codeine
Fentanyl (Prescription Versions)
Information About Blue Cross Blue Shield (BCBS)
Blue Cross Blue Shield was founded in 1929 by a hospital administrator, Justin Ford Kimball, in Dallas, Texas. At that time, BCBS provided prepaid hospital services to teachers by pooling funds from teachers to cover medical costs. In 1939, the Blue Shield began providing coverage for physician services, and over time, grew into the Blue Cross Blue Shield we know today.
What sets BCBS apart from other carriers is that it’s comprised of independent, locally operated companies that collectively provide coverage to Americans nationwide. This decentralized model allows each BCBS company to tailor its products and services to the specific needs and preferences of its local community. Additionally, BCBS is recognized for its extensive provider networks, comprehensive coverage options, and commitment to promoting health and wellness through its programs and initiatives.
BCBS offers an assortment of brands, products, and services for individuals, families, and employers. Commonly used products include health insurance plans, health and wellness programs, disease management programs, prescription drug coverage, dental coverage, and vision coverage.
Harmony Health Group Accepts BCBS Insurance for Opioid Misuse Treatment
Does Blue Cross Blue Shield Cover Opioid Rehab?
Yes, Blue Cross Blue Shield (BCBS) does provide coverage for opioid rehab, supporting those on their path to recovery. The extent of coverage can vary depending on the specific BCBS plan, as well as the state in which you reside. This flexibility ensures that individuals seeking help for opioid addiction have access to necessary treatments tailored to their unique needs. It’s important to consult with your BCBS representative to understand the specifics of your coverage, including any deductibles, co-pays, or specific program qualifications required for BCBS opioid addiction treatment.
Understanding and navigating insurance benefits can be overwhelming, especially during a time when focus and energy are directed towards healing. BCBS recognizes the critical importance of support in overcoming opioid addiction and therefore offers a range of services under its opioid rehab coverage. These may include inpatient and outpatient treatment options, counseling, and medication-assisted treatment (MAT), designed to offer a comprehensive approach to recovery. Encouragingly, this commitment by Blue Cross Blue Shield to opioid rehab coverage reflects a broader dedication to compassionate care, underscoring the promise of recovery and empowerment for those battling opioid addiction.
What Does BCBS Cover for Opioid Rehab and Treatment?
Blue Cross Blue Shield covers opioid rehab programs in both outpatient and inpatient treatment settings in numerous instances. The coverage you receive is dependent on several characteristics, including the severity of your addiction and the details of your health insurance plan.
Opioid treatment centers that accept Blue Cross Blue Shield may provide opioid detoxification services, inpatient rehabilitation programming, partial hospitalization programming, intensive outpatient programming, general outpatient programming, and medication-assisted treatment. Since BCBS offers customized insurance plans, we encourage you to verify your insurance online to learn about your premiums, deductibles, exclusions, and claims process. If you have specific questions about your coverage options or available addiction recovery programs near you, we encourage you to contact the Harmony Alcohol and Drug Addiction Recovery Group today.
Does Blue Cross Blue Shield (BCBS) Cover Medical Detox From Opioids?
Yes, Blue Cross Blue Shield opioid rehab coverage can include medical detoxification programs, for individuals who require around-the-clock medical supervision and support. Opioid detoxification programs can help you cope with and manage opioid withdrawal symptoms and provide you with opioid relapse prevention skills. For many, detox programs are a necessary first step in their recovery journey.
Does BCBS Cover Opioid Addiction Therapy Counseling?
Yes, Blue Cross Blue Shield (BCBS) indeed covers opioid addiction therapy counseling, acknowledging the significant impact that compassionate support and professional guidance can have on an individual’s recovery journey. This coverage is a testament to BCBS’s commitment to providing comprehensive care for those grappling with opioid addiction. It’s essential, however, to recognize that coverage levels and the specifics of the services provided can vary widely depending on your particular plan and the state you reside in. BCBS’s approach to opioid addiction counseling reflects an understanding of the complex needs of individuals facing these challenges, offering a beacon of hope and a pathway to healing.
As part of BCBS’s opioid addiction therapy and counseling coverage, individuals may find themselves with access to a variety of therapeutic services, including individual counseling, group therapy sessions, and potentially, family counseling options.
Other Opioid Addiction Treatment Programs Covered by Blue Cross Blue Shield
When we talk about various opioid treatment programs, it can get confusing understanding the various levels of care, and what sets them apart from each other. Blue Cross Blue Shield opioid rehab centers can provide an assortment of customizable treatment options to address the different areas of your life that were affected by your use. This includes:
Opioid Rehab Addiction Treatment Partial Hospitalization Programs (PHP)
Opioid Addiction Treatment Intensive Outpatient Program (IOP)
Opioid Rehab Residential Rehab Programs
Does BCBS Cover Medications Used to Treat Opioid Use Disorder (OUD)?
Medications can play an important role in recovery for individuals who are in various stages of their recovery. Individuals who are detoxing from opioids, benzodiazepines, and opioids can utilize medication management to provide relief from physical and psychological symptoms associated with withdrawal and reduce the chances of a relapse. Symptomatic treatment is also a common approach in detox programs.
Medications including buprenorphine, methadone, naltrexone, and Suboxone are medications that can be used as individuals progress in their recovery for added support. These medications can reduce the frequency and intensity of cravings, block the euphoric effects of use, and in some cases, mitigate the risk of an overdose in the event of a relapse. The Harmony Substance Abuse and Recovery Group is committed to providing you with individualized and comprehensive care, so if you find yourself thinking that medications may align with your recovery goals, we encourage you to contact us today!
Opioid Rehab Centers That Take Blue Cross Blue Shield (BCBS) Insurance Near Me
The Harmony Health Group is a renowned behavioral health treatment provider along the East Coast with multiple facilities that are in-network with BCBS and accept insurance coverage for their treatment programs. If you have found yourself experiencing mental health or substance abuse difficulties, we encourage you to call (866) 461-4474 today to learn about available treatment options near you!
Harmony Opioid Rehab Centers in Florida (FL)
Harmony Opioid Rehab Centers in Massachusetts (MA)
Harmony Opioid Rehab Centers in North Carolina (NC)
Harmony Opioid Rehab Centers in New Jersey (NJ)
Harmony Opioid Rehab Centers in Tennessee (TN)
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.
How To Check My Blue Cross Blue Shield (BCBS) Insurance Coverage Levels for Opioid Addiction Rehab Treatment
If you have reached a point in your journey where you are ready to get help for your mental health concerns, we would like to commend the progress you’ve made already! This isn’t an easy step, but the gains you can experience are immeasurable. Verifying your insurance is an important step of this process when using health coverage.
There are a few routes you could take to do this. One would be to call BCBS directly and talk to them about in-network providers in the area that you are looking for. Another option would be to contact the treatment provider and ask for their assistance. To simplify this process, the Harmony Health Group has created an online insurance verification form that allows us to do the leg work for you. To learn more about how we can assist you in verifying your insurance, we invite you to dial (866) 461-4474 today!
How To Get Blue Cross Blue Shield (BCBS) To Pay For Opioid Addiction Rehab Program
Once your insurance has been verified, the process of having BCBS cover the cost of your treatment tends to be simple. In most cases, your treatment provider will submit a medical claim on your behalf indicating the service, or services, provided so that they can issue reimbursement.
An important component of verifying your insurance is asking about their claims process, and seeing if your plan requires a prior authorization before you begin services. The Admissions Counselors with the Harmony Health Group are familiar with prior authorizations, and can support you in the process of obtaining one, should your plan require it.
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How Much Does Opioid Treatment & Rehab Cost Without Blue Cross Blue Shield (BCBS) Insurance Coverage?
The cost of addiction treatment can vary greatly based on several factors, including the level of care being provided, the duration of treatment, available amenities, and the luxury features of the facility. Additionally, the use of specialized treatment options such as medication-assisted treatment and dual diagnosis care can increase the cost of care.
Inpatient treatment program costs, including detoxification programs, tend to have higher costs than outpatient programs due to the live-in treatment setting and access to medical supervision and support around the clock. Inpatient rehabilitation care can vary from $5,000 to $80,000 in the U.S. The average cost for detoxification is $525 per day. General outpatient programs can range from $1,400 to $10,000 per month. IOP and PHP programming tends to cost more than general outpatient care. We encourage you to remember that these costs can vary significantly based on individual characteristics.
Related BCBS Coverage Articles
Substance Abuse, Prevalence, and Treatment Statistics in the United States
- Over 1 million deaths have occurred since 1999 as a result of overdoses
- 75% of the fatal overdoses included an opioid in 2021, including pain medications, as well as synthetic opioids, such as fentanyl
- The first wave occurred in the 1990s and involved prescription opioids.
- The second wave began in 2010 and involved the use of heroin, and the most recent wave began in 2013 and has been linked to synthetic opioids, particularly fentanyl.
- The 2019 National Survey on Drug Use and Health reported that 3.7% of the U.S. population had misused opioids within the last 12 months, most of which were pain relievers.
- 9.7 million individuals abused prescription pain medications compared to an estimated 745,000 individuals abusing heroin in 2019
Resources
- “Carfentanil: A Dangerous New Factor in the U.S. Opioid Crisis.” Drug Enforcement Agency. Accessed April 29, 2024. https://www.justice.gov/usao-edky/file/898991/dl.
- “Codeine: Medlineplus Drug Information.” MedlinePlus. Accessed April 29, 2024. https://medlineplus.gov/druginfo/meds/a682065.html.
- “Data Overview.” Centers for Disease Control and Prevention, August 8, 2023. https://www.cdc.gov/opioids/data/index.html.
- “Drug Fact Sheet: Oxycodone.” Drug Enforcement Agency. Accessed April 29, 2024. https://www.dea.gov/sites/default/files/2020-06/Oxycodone-2020_0.pdf.
- Dydyk AM, Jain NK, Gupta M. Opioid Use Disorder. [Updated 2024 Jan 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK553166/
- “Fentanyl Drugfacts.” National Institutes of Health, March 3, 2023. https://nida.nih.gov/publications/drugfacts/fentanyl.
- “Heroin.” National Institutes of Health, December 4, 2023. https://nida.nih.gov/research-topics/heroin.
- “Hydrocodone: Medlineplus Drug Information.” MedlinePlus. Accessed April 29, 2024. https://medlineplus.gov/druginfo/meds/a614045.html.
- “Key Substance Use and Mental Health Indicators in the United States:Results from the 2019 National Survey on Drug Use and Health.” Substance Abuse and Mental Health Services Administration. Accessed April 29, 2024. https://www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR090120.htm#sud10.
- “Opioid Data Analysis and Resources.” Centers for Disease Control and Prevention, August 8, 2023. https://www.cdc.gov/opioids/data/analysis-resources.html.
- “Opium-2020.PDF.” Drug Enforcement Agency. Accessed April 29, 2024. https://www.dea.gov/sites/default/files/2020-06/Opium-2020.pdf.
- “Understanding the Opioid Overdose Epidemic.” Centers for Disease Control and Prevention, August 8, 2023. https://www.cdc.gov/opioids/basics/epidemic.html.
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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