Will insurance cover hospital detox services?

Camylle Hermiston asked a question: Will insurance cover hospital detox services?
Asked By: Camylle Hermiston
Date created: Mon, Jun 14, 2021 11:54 AM

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Those who are looking for an answer to the question «Will insurance cover hospital detox services?» often ask the following questions:

💄 Will insurance cover hospital detox?

Because they see addiction as a medical issue, they provide resources for recovery. However, each insurance company takes a different approach to detox and rehab coverage. You will want to fully understand your benefits before you dig too deeply into a program. Some insurance companies offer better coverage for facilities that are in their network.

💄 Will insurance cover hospital detox centers?

The Cost of Drug Detox Treatment in America. Facing addiction is stressful, and so is facing addiction recovery treatment. One of the primary concerns faced by individuals with substance use disorder and their families is whether their medical insurance will cover the cost of drug or alcohol detox and addiction treatment.

💄 Will insurance cover hospital detox facilities?

Some insurance policies only cover some types of detox treatment. Other times, the insurance company will want to pick a method of treatment for you based on your current medical need. Factors involved in this decision include: Severity of withdrawal symptoms; Options available in the treatment facility the patient is referred to

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Screening and intervention services; Detoxification from alcohol; Medication for detox or recovery maintenance; Inpatient services at a hospital or specialty care center; Outpatient rehab or treatment services; Individual or group counseling; Anything extraneous, rather than medically necessary, is less likely to be covered.

Additionally, since passage of the Affordable Care Act (ACA) in 2010, many private insurance companies have opted to cover the same essential health benefits (EHBs) that Marketplace insurers offer as part of the ACA, which includes mental and behavioral health services. 6,11 This may include treatment such as inpatient, outpatient, detox, counseling, and other services, but it’s important to ...

If detox is beneficial, your insurer will likely cover it due to the specialist’s recommendation. If you are seeking help for mental health disorders, Blue Cross insurance may cover the cost for emergency medical care to stabilize your health. This is dependent on the individual circumstances of your case.

However, it may not cover the type of coverage you’re looking for. For example, it might only cover detox and outpatient services, but not inpatient programs. If you use Medicare or Medicaid, you’ll have to check your exact plan, as only some cover substance abuse treatment. What If You Don’t Have Insurance Coverage for Rehab?

According to the U. S. Centers for Medicaid & Medicare Services, inpatient rehab service coverages include: Assessment; Detox services; Behavioral-based therapies; Medication treatments; Counseling; Case management services; Ultimately, actual coverage amounts vary depending on the type of insurance policy a person has. Coverage for Pre-Existing Conditions

These are standard, basic plans. This particular plan from Kaiser covers inpatient detox for withdrawal from either drugs or alcohol with an in-network hospital and physicians. The policy includes the patient’s medications, education, recovery services, room and board, and therapy.

Substance abuse treatment services, such as detox, therapy, life skills training, educational programs, and recovery support, may all be at least partially covered through health insurance. Both the insurance provider and treatment provider can help families learn how to maximize coverage to minimize their personal costs.

Aetna covers a wide range of addiction treatment services including inpatient detox and medication-assisted treatments such as methadone or suboxone. If you have health insurance, detox may be fully or partially covered. Find out more about Aetna health coverage ›

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