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Most health insurance companies offer coverage for drug rehab and alcohol rehab in their policies. This coverage is most likely in your policy, too.
The American Affordable Care Act (ACA), also known as Obamacare, includes substance use disorders as one of the ten conditions that requires essential health benefits. This means that all reputable American health insurance plans have to provide insurance coverage for substance use disorders.
So, the ACA assures that as long as your insurance plan was issued after 2014, you will have at least some insurance coverage for addiction treatment and drug rehab in a qualifying rehab center.
Times have changed. This isn’t 1924. It’s not even 1974. Today, we know that substance use disorders are real, they destroy people’s lives, and there is very high-quality help available simply for the asking.
If you or a loved one suffers from a substance use disorder of any kind, and/or a mental health condition that perhaps contributes to a substance use disorder, it’s important to get the help needed to move past it.
A life free from the bondages of addictions and lived in the joy of mental well-being is indeed a life well worth living.
So if you want some help with addictions and/or mental wellness and your health insurance covers this kind of therapy, please, do yourself, your family, and actually your whole community a beautiful favor and tap into that insurance coverage to get the help that can liberate you from the chains of addiction and make your whole life so much freer and better. Because once you get a handle on living life without the bondage of addiction, you will wonder why you waited so long to give yourself the beautiful gift of enjoying and engaging with life so fully.
Asking for help is a sign of great strength, not weakness, at all! Remember that refusing to get help is the work of an oversensitive ego. And that it takes tremendous strength to reach out for a helping hand. Admitting you need help is the most difficult step – and the most important. There is no shame in asking for help. An individual’s addiction is bigger than the addicted individual, which is why people need help to move past it.
We are here for you.
The short answer to this question is, a lot more than most people want to pay for themselves if they have the option.
The cost of treatment in an intensive outpatient treatment facility such as Premiere Recovery Center typically runs between $300 - $1,000 per day, depending on the level of care the patient requires. Residential treatment that takes place in a hospital or an inpatient treatment center and offers 24-hour care is, of course, significantly higher. Naturally, outpatient programs and partial hospitalization programs for substance abuse treatment are lower cost than full hospitalization and inpatient treatment programs. Treatment typically runs for 30 to 90 days.
Medication-assisted treatment, when part of the treatment plan for substance use disorder, will have a slightly higher price tag because of the necessary associated costs for the medication and its administration.
Thus, if you’re wondering how much rehab is, the cost of rehab can vary considerably depending on the individual’s current condition and healthcare needs, type of treatment, as well as the specific treatment provider and rehab programs selected for treatment services for the patient.
Detoxification from any substance is most safely conducted in a treatment center, with experienced healthcare professionals standing by to monitor the detox process. Depending on the level of severity, detox can occur in either outpatient or inpatient rehab centers. It is always the first stage of addiction treatment, and all American insurance companies should cover detox.
The professionals at treatment centers know that the individualized treatment programs they develop for their patients often involve mental health and behavioral health therapy. These underlying health conditions are generally intertwined with drug abuse and alcohol addiction. Insurance providers are also aware of these co-occurring conditions, and health insurance plans often cover behavioral health and mental health in a rehab center for alcohol rehab and/or drug rehab for these reasons. Healthcare insurance providers know that addiction treatment also often involves mental health attention.
Health insurance providers have annual limits on health coverage they’ll pay out to treatment providers or rehab facilities for an individual. With this in mind, curtailing residential treatment when possible and opting for more low-cost intensive outpatient programs can help ensure the patient receives insurance coverage for addiction treatment over a longer period of time. This is beneficial to the patient and helps reinforce long-term change. When it comes to paying for that kind of care over time, it’s much easier to just present your insurance card and pay the annual deductible and co-pays for your or a loved one’s addiction treatment rather than setting up a payment plan and bearing the costs yourself once your benefits run out. We also accept private insurance.
While most insurance companies cover rehab, some offer disclaimers about in-network and out-of-network providers. Rest assured that Premiere Recovery Center is considered in-network for all major health insurance providers in the area. Nevertheless, if there are any questions at all, please do not hesitate to give us a call to double-check. That could be the most useful couple of minutes of your life, actually.
Please remember to discuss these insurance questions with us when we are looking at your treatment options and developing an individualized treatment plan for you or your loved one. Our goal is to help ensure you or your loved one gets the kind of quality care needed both in the immediate and more distant futures. The more information we have about your situation, the better equipped we are to select the right healthcare providers and treatment providers for you to help ensure you get the care you need.
Most insurance companies cover rehab, as required by the Affordable Care Act. However, amount of coverage and specific treatments covered can vary widely among insurance policies.
As a first step to answer your question of how much coverage you have for addiction treatment, take a look at your health insurance policy or contact your insurance provider. You will want to know which addiction treatment services are covered under your plan and at what percentage. Look for information on co-pays, deductibles, and coverage limits for services including detox, inpatient rehabilitation, and outpatient treatment programs. Check for any support with transitional housing.
This insurance coverage language is often found in the insurance policy section regarding substance use disorder and substance abuse treatment. Terms “alcohol addiction” and “drug addiction” may also be present in the policy language.
You will next want to verify in-network providers for your policy. Many insurance plans use a network of preferred providers. These are treatment centers and healthcare professionals who have contracted with the insurance company to provide services at a reduced rate. When you choose an in-network provider, you can maximize benefits and minimize out-of-pocket costs.
It is important that you clearly understand your financial responsibility before embarking on addiction treatment. You need to know which services and expenses are not covered by your insurance plan and certainly any policy limits. Be sure to budget accordingly and explore payment options if needed.
Premiere Recovery Center is an intensive outpatient treatment facility for addictions to substances of all types. We work with a lot of insurance companies and are pleased that today, we can offer more individuals the help they need because insurance coverage for substance use disorder is now commonplace.
We proudly serve the populations of Clackamas, Multnomah, and Washington Counties, with an occasional Clark County resident gracing our hallways. At our partial hospitalization facility in Happy Valley, Clackamas County, Oregon, we provide intensive outpatient therapy to individuals at Level 2.1 level of care, requiring 9-20 hours of treatment weekly, and at Level 2.5 level of care, requiring 20+ hours of weekly treatment. We receive patients when released from inpatient care (down-leveled from Levels 3+), and release them when they’ve progressed to the point where they require less than 9 hours a week of addiction therapy (Level 1). We work with patients’ professional schedules when possible. Our facility is comfortable, private, and quiet, all conducive to a powerful healing space.
Our intensive outpatient model replaces the traditional addiction therapy model in that it provides tailored, intensive outpatient care rather than inpatient care. This cuts costs considerably and helps smooth the transition back to the real world without compromising any therapy hours. We believe this makes the rehab experience better. Our patients have much more flexibility, which means freedom, and the feeling of freedom always enhances any life experience.
For those patients looking to extend the support received in therapy to the overnight hours, we have two residences in the area, located in Happy Valley (men) and Pleasant Valley (women). These are massive, beautiful homes that we’ve stocked with every imaginable comfort and amenity to guarantee our patients’ comfort during their treatment. The homes are safe, private, clean-and-sober, quiet, comfortable, spacious, and wholly supportive of the rehab experience.
As a next step after rehab at Premiere Recovery Center, we also have an affiliated transitional housing organization called Premiere Sober Living. These are clean-and-sober apartments housed with individuals that still prefer the support of a dedicated clean-and-sober environment and lifestyle 24/7.
At Premiere Recovery Center, we work with all of the major insurance companies and a lot of the minor ones. Aetna, Blue Cross Blue Shield, Cigna, and many others receive regular invoices from us.
You should do your best to inform yourself about your insurance coverage for addiction treatment, and you should also talk with us about your coverage. We work with these insurance representatives all the time and are familiar with how they work, so we can help you navigate the insurance end as well.
Sometimes, life happens a little too quickly and urgently to have time to stop and spend a couple of hours fiddling around with your insurance policy or on hold with your insurance company trying to figure out your coverage. Don’t worry. Just give us a call. Be ready with your insurance policy information and we will do the checking for you. We have them all on speed dial.
Once we have this information, we are well-prepared to start designing a treatment plan for the patient that also takes into account the financial end and any financial limitations to keep in mind.
We want you or your loved one healthy as well, and we want to do all we can to help facilitate that healing in a way that is minimally burdensome on a patient’s financial resources and family members. We will devise a treatment plan that keeps all of this in mind.
Give us a call today. We will help you sort out the complexities of your insurance policy and help get you or your loved one on the right track to recovery.
Premiere Recovery Center is an intensive outpatient treatment facility for addictions to substances of all types. We work with a lot of insurance companies and are pleased that today, we can offer more individuals the help they need because insurance coverage for substance use disorder is now commonplace.
We proudly serve the populations of Clackamas, Multnomah, and Washington Counties, with an occasional Clark County resident gracing our hallways. At our partial hospitalization facility in Happy Valley, Clackamas County, Oregon, we provide intensive outpatient therapy to individuals at Level 2.1 level of care, requiring 9-20 hours of treatment weekly, and at Level 2.5 level of care, requiring 20+ hours of weekly treatment. We receive patients when released from inpatient care (down-leveled from Levels 3+), and release them when they’ve progressed to the point where they require less than 9 hours a week of addiction therapy (Level 1). We work with patients’ professional schedules when possible. Our facility is comfortable, private, and quiet, all conducive to a powerful healing space.
Our intensive outpatient model replaces the traditional addiction therapy model in that it provides tailored, intensive outpatient care rather than inpatient care. This cuts costs considerably and helps smooth the transition back to the real world without compromising any therapy hours. We believe this makes the rehab experience better. Our patients have much more flexibility, which means freedom, and the feeling of freedom always enhances any life experience.
For those patients looking to extend the support received in therapy to the overnight hours, we have two residences in the area, located in Happy Valley (men) and Pleasant Valley (women). These are massive, beautiful homes that we’ve stocked with every imaginable comfort and amenity to guarantee our patients’ comfort during their treatment. The homes are safe, private, clean-and-sober, quiet, comfortable, spacious, and wholly supportive of the rehab experience.
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