New York State Health Insurance (NYSHIP) Coverage for Drug Rehab Treatment 

Harmony Health Group Accepts NYSHIP Insurance for Drug Rehab

Living with a substance use disorder often requires support from mental health professionals who have specialized training in effective therapies and interventions. With the right support, you can learn to effectively cope with and manage the physical and psychological symptoms that are associated with substance use disorders. The Harmony Health Group is a premier mental health treatment provider that manages multiple levels of care along the Eastern Coast of the United States. 

Our many treatment facilities are in-network with popular healthcare insurance providers, including NYSHIP. To help reduce the costs associated with behavioral health treatment, we accept insurance coverage for mental health, substance abuse, and dual diagnosis care. If you have been experiencing persistent mental health distress, or have found it challenging to control your substance use, we encourage you to reach out today to explore our New York State Health Insurance Program drug rehab centers!

What is Drug Addiction and Substance Use Disorder (SUD); Explained?

Substance use disorders (SUD) are a group of mental health conditions known for causing various physical and psychological symptoms, including tolerance and withdrawal symptoms. Individuals living with an SUD often find it challenging to control, reduce, or limit the use of substances. Drug use disorders are a grouping of addictions that fall within the scope of SUDs.  

Drug use disorders have individual differences, similar to other mental health conditions. This can include the factors that contributed to the development of your addiction, the substance or substances being abused, the intensity of your impairment, and the symptoms you experience. Some find that they develop a use disorder rather quickly, whereas it may take years or even longer, for others. Some of the symptoms commonly associated with drug use disorders include:

  • Using in, or being in dangerous situations, caused by your substance abuse
  • New or worsening conflict with family and friends
  • Inability to fulfill responsibilities because they are engaging in behaviors related to addiction
  • New, or worsening, legal challenges
  • Development of tolerance and withdrawal symptoms
  • Using more of the substance, or for a longer duration, than originally intended
  • Having a desire to stop using, but being unable to maintain sobriety
  • A significant amount of time is spent obtaining, planning to use, and using substances
  • Withdrawing from social events, hobbies, and previously enjoyed activities
  • Mood swings and irritability
  • Shifts in a person’s appearance, grooming behaviors, and hygiene
  • Unintended weight loss or gain and changes in appetite
  • Sleep disturbances such as insomnia
  • Physical signs of impairment such as changes in pupils, nodding out, slurring of speech, and poor coordination

SUD Statistics and Drug Misuse Trends in the U.S.

Check Your NYSHIP Drug 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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Commonly Misused Substances that Lead to Substance Use Disorder (SUD)

As we mentioned, SUD is a class of mental health conditions that include several specific addictions. It is important to note the differences between these disorders because they have varying risks, symptoms, and methods of treatment. Some of the prominent drug use disorders include:

What is Opioid Use Disorder (OUD)?

What is Cocaine Use Disorder (CUD)?

What is Benzodiazepine Use Disorder (BUD)?

What is Methamphetamine Use Disorder (MUD)?

What Are Other Less Commonly Abused Substances?

Quick Overview of the Insurance Provider New York State Health Insurance (NYSHIP)

New York State Health Insurance Program (NYSHIP) is a comprehensive health insurance provider that offers coverage options for New York state employees, retirees, and their families. NYSHIP was founded in 1957 and now offers a range of products and services, including medical, behavioral health, surgical, hospital, and prescription drug coverage, as well as dental and vision care, and wellness programs.

NYSHIP has evolved over the years to include various plans, such as The Empire Plan, Health Maintenance Organizations (HMOs), and Flexible Spending Accounts (FSA). These available services allow members to access a wide network of healthcare providers and facilities, which can provide the needed treatment and support for various medical and mental health needs. 

Does Harmony Health Group Accept NYSHIP Insurance for SUD Treatment?

Does NYSHIP Provide Coverage for SUD Rehab Treatment and Drug Abuse Recovery?

Individuals looking to learn if NYSHIP covers drug rehab are in the right place! NYSHIP does, in fact, provide coverage for essential health services that were identified in the 2010 Affordable Care Act. This allows NYSHIP members to access various SUD treatment programs during the various stages of their recovery, in addition to psychotherapy and inpatient psychiatric care.  

It is important to note that NYSHIP drug rehab coverage can have variations, so it is important to properly verify your coverage so that you have a better understanding of the parameters associated with your insurance policy. You may have variations in your out-of-pocket expenses including copayments, deductibles, and premiums. Additionally, you may have authorization requirements or limitations that affect your insurance coverage.

Does NYSHIP Cover Drug-Related Medical Detox?

NYSHIP rehab coverage does generally provide coverage for drug detoxification programs. These programs provide a vital source of support for individuals who are transitioning into the early stages of recovery, especially those who are at risk for experiencing severe or concerning symptoms during withdrawal. 

Detoxification programs vary in length and are dependent on your specific symptoms. This includes the substance or substances, that you’re struggling with, the severity of your use, and the symptoms you’re experiencing. In most cases, detox programs last around 7 days, though this does fluctuate. Detoxification programs can utilize various intervention strategies to prepare you for later stages of recovery, including drug relapse prevention skills and strategies. 

Does NYSHIP Cover Substance Abuse Counseling & Therapy Treatment?

Drug abuse counseling that takes NYSHIP can provide you with customized care that addresses an assortment of mental health and substance use disorders. Drug counseling programs can use a variety of approaches including individual, group, and support groups. These programs aim to help you learn to cope with the psychological components of addiction. 

It is important to verify your coverage so that you have a better understanding of the coverage options you have for drug treatment programs. You may be required to obtain prior authorization for drug counseling and therapy programs and pay copayments or deductibles for the services provided. Counseling and therapy sessions are an important component of addiction treatment because they allow you to address the underlying concerns that contributed to the development and continuation of your addiction. Counseling and therapy take place in both inpatient and outpatient care settings, providing you with a continued source of support. 

Substance Use Disorder Treatment Program Options Covered by NYSHIP

Drug treatment centers that accept NYSHIP can offer a variety of addiction and mental health treatment options. Each of these programs is designed to provide you with specialized care, based on your current symptoms and level of impairment caused by your use disorder. We encourage you to seek professional guidance in determining which program would be ideal for you!

Partial Hospitalization Programs (PHP) SUD Treatment Covered by NYSHIP

Intensive Outpatient Program (IOP) SUD Treatment Covered by NYSHIP

SUD Treatment Residential Rehab Programs Covered by NYSHIP

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.

Does NYSHIP Provide Coverage for Medications Used for SUD Treatment?

Medications are commonly used in treatment for those who are experiencing drug withdrawal symptoms, and those living with opioid use disorder and alcohol use disorder. Medications can have a vital role in the success rates of treatment and are commonly included in NYSHIP SUD treatment coverage. 

It is important to note that the coverage you receive for various medications is dependent on the details of your plan. As an example, some medications may require prior authorization for use. Additionally, some plans may limit coverage eligibility or reduce coverage rates for name-brand medications. These details can be learned when verifying your insurance, so we encourage you to speak with your prescriber about appropriate medication options.

What Medications Are Used to Treat Substance Use Disorder (SUD)?

What Does NYSHIP Cover for Drug Rehab Addiction Treatment?

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Drug Rehab Centers That Take New York State Health Insurance (NYSHIP) Insurance Near Me

The Harmony Health Group is a premier behavioral health treatment provider that manages multiple treatment facilities along the East Coast. With inpatient and outpatient treatment options available, we are confident that we can provide you with comprehensive care tailored to your personal needs, experiences, and lifestyle. Dial (866) 461-4474 today to explore available treatment options!

Harmony Drug Rehab Centers for SUD in Florida (FL)

Harmony Rehab Centers in Massachusetts (MA)

Harmony Rehab Centers for SUD in North Carolina (NC)

Harmony Drug Rehab Centers for SUD in New Jersey (NJ)

Harmony Drug Rehab Centers for SUD in Tennessee (TN)

How To Check NYSHIP Insurance Coverage for Substance Use Disorder Rehab Treatment

To learn more about your NYSHIP insurance coverage, you can start by reviewing your policy documents or visiting the NYSHIP website. This can provide you with an overview of your benefits and coverage levels for different types of treatment available for SUD and related mental health concerns. For a more simplified approach, you can complete our online verification form.

When you complete our online form, we will have the information we need to contact NYSHIP directly and inquire about your coverage. We ask about your coverage rates, preauthorization requirements, out-of-pocket expenses, as well as limitations and exclusions for your policy. Having all this information allows you to make an informed decision about your care and your treatment provider. If you have specific questions about verifying your coverage, or about the admission process in general, we encourage you to contact us using the form below.

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How To Get NYSHIP To Pay For Drug Addiction Rehab

The first step to getting NYSHIP to pay for your drug treatment is to verify your insurance and learn about your policy. As an example, you may receive more coverage for choosing an in-network provider, or be required to obtain authorization before treatment to be eligible for coverage. The next step is to ensure that you have obtained the needed requirements before starting treatment. 

We do want to note that your treatment provider will help with this. Once you choose to be within the NYSHIP network, you can then work closely with the facility to ensure that the necessary paperwork has been completed. This may include submitting medical records, treatment plans, and authorization forms. As you engage in treatment, your provider will submit medical claims on your behalf to NYSHIP directly. 

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How Much Does Drug Abuse Treatment & Rehab Cost Without NYSHIP Insurance Coverage?

The cost associated with addiction treatment programs is often different for each person due to the varying symptoms and levels of impairment experienced. Differences that affect the price of treatment include the level of care, duration, frequency, and location of the treatment facility. Luxurious treatment facilities and specialized treatment programs are known to increase the overall cost of drug rehab. 

The National Center for Drug Abuse Statistics reported that the average cost of detoxification programming was approximately $3,675 per week. This price can fluctuate for those who receive medication-assisted treatment and those who engage in a rapid detox. Inpatient rehabilitation programs can cost around $50,469 per treatment episode. This too can fluctuate, especially for those who receive specialized treatments like dual diagnosis care and MAT, as well as those with longer treatment durations. You will likely notice variations in the costs associated with outpatient programs. Outpatient treatment can provide support for those who are at different stages of their mental health journeys, which can require various levels of support and encouragement.  Partial hospitalization programs may cost around $12,000 per month, while intensive outpatient programs can cost $17,250 for one month. General outpatient care can vary in frequency and duration, which is often reflected in its cost. Some individuals receive more than one session per week, whereas others have one recurring appointment each week. 

Substance Use Disorder Treatment 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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