Alcohol Rehab Treatment Coverage by New York State Health Insurance (NYSHIP)

Harmony Health Group Accepts NYSHIP Insurance for Alcohol Rehab Treatment

Alcohol is a widely used, and often socially acceptable, substance around the globe. Individuals who struggle to control or limit their alcohol use can experience a range of physical and psychological symptoms associated with a substance use disorder. In these instances, professional treatment can help you learn to cope with and manage your symptoms, helping you achieve long-term sobriety. The Harmony Health Group is an evidence-based treatment provider that manages various levels of addiction treatment programs located along the Eastern Coast of the United States.

Some of the treatment facilities belonging to the Harmony Health Group family are in-network with New York State Health Insurance and other popular health insurance providers. Additionally, our treatment programs generally accept coverage for mental health, substance abuse, and dual diagnosis treatment programs. If you have been struggling with your drinking, we encourage you to contact us and explore your treatment options with an Admission Counselor today!

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What is Alcohol Use Disorder (AUD) or Alcohol Dependence; Explained

Alcohol use disorder, or AUD, can be described as a pervasive health condition that can affect every area of your life. It can be challenging to control, limit, or stop their drinking behaviors. AUD generally comes with a physical dependence, which means that your body, and brain, have changed the way they function, adjusting to the continual presence of alcohol. 

Because AUD changes the way your body functions, you’re at risk for experiencing a variety of physical and psychological symptoms. The number of symptoms you experience, and their intensity, is used to determine the severity of your use disorder. Alcohol use disorder has the potential to affect everyone differently. This means that some individuals develop an addiction over a longer period than others and some experience severe health consequences such as organ damage and social repercussions that others may not. These individual differences draw attention to the importance of having individualized treatment options, ensuring that you’re able to receive the treatment you need for a long-lasting recovery. There are several risk factors associated with the development of AUD, some of which include early use, a family history of alcoholism, and a history of other mental health conditions including trauma and abuse. 

What are Signs and Signals of an Alcohol Dependence?

AUD is an individualized mental health concern that can occur in a range of severities. During your assessment, professionals will explore your current symptoms and their effect on you to diagnostic criteria to reach an appropriate diagnosis. Common signs and symptoms associated with AUD include: 

  • Consuming more alcohol, or drinking for a longer period of time than you initially intended
  • Trying to reduce or stop your drinking, but not being able to stop or maintain sobriety
  • A lot of time is spent getting alcohol, drinking, and recovering from the effects of drinking
  • Powerful cravings that are difficult to cope with
  • You’re drinking and the effects of your drinking impede your overall functioning
  • Drinking even though it has led to social conflicts
  • Disengagement from hobbies and interests you previously enjoyed
  • Driving while impaired, using machinery impaired, or engaging in unsafe sexual practices
  • Your drinking has contributed to new or worsening mental health concerns, such as anxiety and depression
  • Developing a tolerance
  • Experiencing withdrawal symptoms 

Alcohol Use Disorder Statistics in the United States

Check Your NYSHIP Alcohol Rehab Coverage Levels with Harmony Health Group

You can check your insurance coverage levels by calling us on: (866) 461-4474

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How is Alcohol Use Disorder Typically Treated? 

Research into AUD and other substance use disorders has helped us understand that individualized and comprehensive care is ideal for these mental health conditions. Because of this, there are a number of treatment options available that cater to the varying intensities of impairment commonly caused by AUD.

Intensive Outpatient Program (IOP) Covered by NYSHIP for AUD Treatment

Partial Hospitalization Programs (PHP) for Alcohol Addiction Treatment Covered by NYSHIP

Detox Programs Covered by NYSHIP for AUD Treatment

Residential Programs for Alcohol Addiction Treatment Covered by NYSHIP

Information about the Insurance Provider New York State Health Insurance (NYSHIP)

New York State Health Insurance Program (NYSHIP)  is a comprehensive health insurance provider serving New York State employees, retirees, and their dependents. Founded in 1957, NYSHIP is one of the largest public employer health insurance programs in the U.S., providing extensive coverage and a range of health services for policyholders.

NYSHIP offers a variety of healthcare plans and other related services to address the diverse healthcare needs of its members. The Empire Plan is their most well-known product, offering extensive coverage for medical, surgical, hospital, prescription drug needs, mental health, and substance abuse treatment. NYSHIP also includes Health Maintenance Organizations (HMOs) that offer managed care options through a network of doctors and hospitals. Members may also have access to dental and vision coverage, wellness programs focusing on preventive care, flexible spending accounts for managing healthcare expenses, telemedicine services for remote consultations, and employee assistance programs.

Does Harmony Health Group Accept NYSHIP Insurance for AUD Treatment?

Does NYSHIP Provide Coverage for Alcohol Addiction Testing or Screening?

Yes! NYSHIP alcohol addiction coverage generally includes the costs associated with testing and screening measures. Testing and screening tools are a vital component of the assessment process because they help professionals better understand the full effect of your AUD and the level of impairment that it is causing you.

Testing and screening measures are also used throughout the various stages of your recovery to monitor progress and to bring attention to areas of your recovery that could use additional support. Examples of commonly used assessments include urinalysis testing, breathalyzers, liver function tests, the CAGE questionnaire, the Michigan Alcohol Screening Test (MAST), and the Alcohol Use Disorder Identification Test (AUDIT). 

Does NYSHIP Cover the Financial Cost of AUD Treatment?

For those of you wondering, does NYSHIP cover alcohol rehab costs, we are pleased to share that they do, in fact, cover some, if not most, of the costs associated with alcohol rehab programs. Coverage for alcohol addiction treatment falls within the scope of the essential health benefits explained in the 2010 Affordable Care Act

This legislation ensures that insurance companies offer coverage for various behavioral health treatments, including inpatient psychiatric care, psychotherapy, and addiction treatment programs. We do want to explain that the alcohol rehab insurance benefits associated with your plan may vary from others, based on the details of your plan. As an example, there are variations in the out-of-pocket expenses that NYSHIP members have, including their deductibles, copayments, and premiums. Additionally, insured individuals may have exclusions or limitations within their coverage. If you would like support as you learn about how the details of your rehab coverage for alcoholism treatment would affect you, we encourage you to contact the Harmony Alcohol and Drug Addiction Recovery Group today! 

Does NYSHIP Insurance Cover the Cost of Medications Used for Alcohol Addiction Treatment?

Yes! NYSHIP insurance for alcohol recovery often includes the use of medications that have been approved by the Food and Drug Administration (FDA) to treat alcohol use disorder. These medications work through various mechanisms, so it’s important to discuss options with your prescribing physician to find the one that best fits your lifestyle and goals for recovery.

Medications can be beneficial both in the early stages of recovery and later on for continued support. The FDA has approved three medications for treating alcohol use disorder, including:

  • Acamprosate: Acamprosate is often used to support those in recovery, beginning five days into recovery. This medication can help individuals maintain recovery by helping their brain find its equilibrium, and decrease the intensity of cravings. 
  • Disulfiram: Disulfiram causes unpleasant side effects like nausea, headaches, and vomiting when alcohol is consumed, even in small amounts. It may be used in the early stages of recovery, but is more commonly prescribed after a few days of sobriety.
  • Naltrexone: Naltrexone works by blocking the euphoric effects of alcohol, which can help maintain motivation, increase treatment retention, and decrease the occurrence of relapses in recovery. This medication is available in a daily oral pill and intramuscular injection.  

Can You Treat Alcohol Addiction without Medication?

It is possible to achieve long-term sobriety and have meaningful lives without the use of medications. MAT is an option for AUD, but it isn’t something everyone chooses to incorporate into their recovery. Similar to other addictions, there is no “right way” to recovery. Recovery should be based on what is a good fit for you, your symptoms, and your lifestyle.

Those who decide not to incorporate medications into their recovery are still encouraged to participate in a comprehensive behavioral health program. These programs use various evidence-based therapies, including cognitive-behavioral therapy (CBT), motivational interviewing (MI), and contingency management. Treatment can include group therapy, individual therapy, educational sessions, and holistic approaches. Your treatment will help you explore and understand the different ways that your body and life were affected by your drinking behaviors. Those who have been struggling to reduce or stop drinking alcohol, are encouraged to contact Harmony Health Group to explore individualized treatment options.

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.

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Alcohol Rehab Treatment Centers That Take the NYSHIP Insurance Provider Near Me

The Harmony Alcohol and Drug Addiction Recovery Group is a leading treatment provider along the Eastern Coast of the United States, with multiple treatment facilities that may accept NYSHIP insurance. Our treatment facilities offer a range of comprehensive and holistic addiction and mental health treatment programs. Dial (866) 461-4474 to learn about how we can support you in your recovery today!

Harmony Health Group AUD Rehab Centers in Florida (FL)

Harmony Health Group AUD Rehab Centers in Massachusetts (MA)

Harmony Health Group AUD Rehab Centers in North Carolina (NC)

Harmony Health Group AUD Rehab Programs in New Jersey (NJ)

Harmony Health Group AUD Rehab Centers in Tennessee (TN)

How To Check My NYSHIP Insurance Coverage Levels for Alcohol Use Disorder (AUD) Rehab Treatment

If you find yourself concerned about the out-of-pocket expenses of addiction treatment programs, we encourage you to first look into your insurance for alcohol counseling and therapy programs. You can start by reviewing your policy documents and looking for details specific to behavioral health and addiction treatment.

You may also choose to contact NYSHIP directly with your inquiries. Another option is to complete the online verification form available on our website. This allows us to contact NYSHIP on your behalf to verify your coverage. We will begin by determining whether we are an in-network provider or not, and how this would affect the overall cost of treatment. We will also be checking on limitations, exclusions, and required authorizations associated with your plan. 

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How To Get My Insurance Provider NYSHIP To Pay For Alcohol Rehab Treatment

For many, the first step of using your alcohol dependency treatment insurance is to ensure that you are at an alcohol addiction treatment center that takes NYSHIP. While you may have out-of-network coverage, in-network providers often provide you with more opportunities to utilize the full extent of your coverage.

Verifying your coverage can help you understand the requirements of NYSHIP for your insurance plan. As an example, you may be required to obtain authorization for certain levels of care and for extended treatment durations. Your treatment provider will help you keep track of needed authorizations, and help you complete the necessary paperwork. Additionally, your treatment provider will initiate the claims process by submitting requests for the treatment services you receive. Should you later find out that your claims were denied, your treatment provider can assist you in the appeal process by helping to explain why the care you received was medically necessary. We understand that this can be a lot of information to take in, especially for those who are in the early stages of recovery. Don’t hesitate to reach out to the Harmony Health Group today for guidance in this process, we’re here to support you! 

How Much Does Alcohol Rehab Treatment Cost Without NYSHIP Insurance?

The cost of alcoholism treatment can be a source of significant worry or stress for those who require support in their recovery. The cost of treatment varies for the different levels of care and is influenced by the frequency of sessions, duration of care, amenities available, and the use of specialized treatment services. 

The National Center for Drug Abuse Statistics estimates that the cost of inpatient care is approximately $50,469. The cost of detoxification can vary as well, based on the use of various medical interventions and services that are used. For one week of care, detoxification programs can cost around $3,675. Outpatient programs can vary greatly based on the details of the care you receive. As an example, partial hospitalization programming can cost between $10,500 to $13,500 for one month, and intensive outpatient programs tend to fall between $15,000 to $19,500 per month. General outpatient programming and aftercare options can vary as well, ranging from $1,400 to $10,000 per month, depending on the care you receive. Treatment schedules for general outpatient counseling can include individual therapy, group therapy, medication-assisted treatment, or a combination of these treatment options. If you would like to explore the cost of treatment from alcohol treatment centers that accept NYSHIP, we encourage you to contact the Harmony Health Group by dialing (866) 461-4474 today! 

How to Support Yourself or Your Loved Ones with Alcohol Use Disorder

Supporting yourself or a loved one with alcohol use disorder can be a challenging journey, and we want to emphasize that you are not alone. The first step is to reach out for help, whether it’s through a healthcare provider, support group, trusted friend, or family member. Taking that initial step can have a significant impact on your journey.

Your support network can have a crucial role in your journey, which is why building a strong support network is often emphasized in treatment programs. Support can provide you with motivation and encouragement in challenging moments. If you are looking to enhance your support, you can attend peer-led support groups like Alcoholics Anonymous, SMART Recovery, or ALANON. We also encourage you to be mindful of taking care of your physical needs; ensuring that you are eating well, getting enough sleep, and not stretching yourself thin. Professional help can also be a vital source of support and encouragement for those living with, and supporting someone with an AUD. Recovery is a life-long process that comes with bumps along the road. With the right support, self-care, and knowledge, you can find a place in recovery where you can manage and cope with the curveballs thrown at you.

Alcohol Use Disorder Statistics 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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