Using BCBS of California for Detox and Rehab Treatment
Table of Contents
- Using BCBS of California for Detox and Rehab Treatment
- Locating Treatment Programs That Accept BCBS of California
- Understanding Blue Cross Blue Shield Plans in California
- What Does Blue Shield of California Cover Specifically?
- Inpatient for Substance Abuse Treatment: The Next Step to Recovery
- Orange County and Beyond: The Finest Treatment Centers for Blue Shield of California
- Get Drug Rehabs in California that Take Blue Cross Blue Shield Now!
- Medically Reviewed By
In the vast expanse of California, a state brimming with opportunities and diverse landscapes, access to quality healthcare is of paramount importance. When it comes to mental health and addiction treatment, Californians seek a reliable companion in Blue Cross Blue Shield, one of the leading insurance providers in not only the region but the entire country. Despite their far-reaching authority and comprehensive coverage for millions nationwide, plenty of new, and even long-term clients, have questions regarding BCBS and addiction treatment in California and Orange County.
California, with its vibrant spirit and innovative mindset, is home to numerous treatment centers, each catering to unique needs. While it is highly likely that many of these facilities collaborate with Blue Cross Blue Shield, there is no absolute guarantee. The insurance landscape can shift unexpectedly, leaving individuals with uncertainties about coverage. That’s where Find Addiction Rehabs can (and will) help!
We can provide reputable, accredited options among alcohol and drug rehabs in California that take Blue Cross Blue Shield insurance, always completely confidentially and often within minutes.
Keep reading to find out more about BCBS coverage for treatment centers in California, and how Find Addiction Rehabs can assist in finding the right options for you or your loved one today!
Locating Treatment Programs That Accept BCBS of California
If you’re looking for information at any time regarding BCBS and drug or alcohol addiction, or any other insurance company, contact Find Addiction Rehabs. In this article, we’ll go over the specifics of Blue Shield of California and the benefits provided for those seeking drug and alcohol rehab.
By law, all insurance carriers must provide some form of coverage for addiction treatment. However, even if you’ve exercised your BCBS policy in the past, it could be possible that your policy has changed and doesn’t afford the same amount of coverage. It could also work the opposite way, and you could have access to a larger amount of coverage than you previously expected.
However, you can never be too prepared for substance abuse treatment. After finishing the article, if you’re serious about inpatient or outpatient rehab, we invite you to contact us directly to have one of our knowledgeable experts in the field of treatment facility and health insurance provider dynamics, and can easily help you put things into perspective at the lowest cost and with the proper treatment facility.
Understanding Blue Cross Blue Shield Plans in California
Before delving into the specific drug abuse treatment and durations covered under Blue Cross Blue Shield California, it’s important that you become familiar with the base coverage options for alcohol rehab, medical detox, and other elements of recovery. Blue Shield of California might seem like a complex provider to navigate.
However, the good news is, the plans are all broken down into basic levels. The coverage amounts are fairly straightforward, and if you have a partner insurance company that operates under Blue Shield of California, chances are they use the same type of structure for their plans.
We can answer any questions you have further at Find Addiction Rehabs, but for now, try and get familiar with these four plans for Blue Shield of California customers:
- Bronze Plans – These come with low monthly costs but high deductibles, covering around 60% of addiction treatment expenses.
- Silver Plans – With higher monthly premiums and lower deductibles than Bronze, Silver plans typically cover approximately 70% of drug rehab costs.
- Gold Plans – A step above Silver, Gold plans come with higher monthly premiums but lower deductibles, making them a balanced option for coverage.
- Platinum Plans – The pinnacle of coverage, Platinum plans boast the highest monthly premiums but the lowest deductibles, covering up to 90% of expenses for stays at mental health and addiction treatment facilities.
Calculating the Cost of Drug or Alcohol Addiction Treatment
There may not be a specific figure that demonstrates exactly how much coverage you’ll receive, but these numbers give you an excellent starting point and a resource for creating a ballpark estimate. For example (and these are just round figures), let’s say you have an Orange County rehab treatment facility with a cost of medical detox and inpatient alcohol rehab that comes to $20,000.
If you were a recipient of the Bronze Plan, you’d know that Blue Shield of California would cover roughly $11,000 to $12,000 of this cost. From here, you could make adjustments to your treatment plan and look for alternate means of covering out-of-pocket costs. If you’re better prepared, the chances are much lower that you’ll be denied service or left without options with no time to come up with a resolution.
What Does Blue Shield of California Cover Specifically?
Most clients are curious about the specific forms of therapy that they’ll potentially have access to during treatment, regardless of the level of care. And this is an excellent inquiry, considering this is where the majority of the healing process takes place, and what essentially molds your customized treatment plan.
Among the drug rehabs in California, those embracing Blue Cross Blue Shield insurance cover a wide range of treatments. These may encompass detoxification, individual and group therapy, medication-assisted treatment, and holistic therapies like yoga and meditation. You can stand confident that most of what your rehab facility offers is covered in some way by Blue Shield of California.
We’ll get into some specifics, and then cover some exceptions afterward. These are normally always covered by Blue Shield no matter what. This may not be 100%, as this depends on your specific policy.
Detox: The First Step to Recovery
The detox period, a vital phase in addiction recovery, is often medically assisted to help individuals weather the storm of withdrawal. Typically, clients who enter treatment for substance use disorder for opioids, alcohol, and benzodiazepines are the prime candidates for medically-assisted detox, although this isn’t a concrete rule.
The withdrawal process is physically demanding, and detox is an excellent stepping stone to drug or alcohol rehab in the inpatient setting. It’s difficult to address the mental aspect of substance use disorder if you’re challenged with the physical restraints of detox side effects. The staff keeps you comfortable during the detox period, which generally entails pharmaceutical solutions along with various holistic therapies and physical activity.
The Importance of Medical Supervision During Detox
Nurses are also present 24/7 to ensure you remain stable. Most health insurance plans provide a generous amount of coverage for medical detox, although some have stipulations. For example, some require that you transition into inpatient care immediately after detox, which calls for a pre-authorization letter from the staff.
Blue Shield of California provides at least a portion of coverage for the detox segment of recovery. However, as stated before, your specific health insurance policy dictates the exact amount of coverage you’re entitled to.
Inpatient for Substance Abuse Treatment: The Next Step to Recovery
Inpatient treatment at drug rehab centers offers a haven for individuals seeking recovery from drug or alcohol dependence and mental health challenges. These facilities provide 24/7 care and various behavioral services, conducted over 30, 60, or 90-day durations as residents immerse themselves in a transformative journey.
The severity of your addiction generally dictates the duration of your stay. Things like co-occurring mental health disorders or other mental health challenges may alter your personalized treatment plan or impact the recommended length of your treatment.
It’s strongly recommended that you follow detox with inpatient treatment to give yourself the strongest odds of success. The other post-detox option is outpatient treatment, which can also qualify as a transition program between inpatient and aftercare.
Outpatient Rehab Programs: The New Stepping Stone
California’s drug rehab centers offering outpatient programs frequently collaborate with Blue Shield of California, recognizing the importance of mitigating costs for these essential services. Although less intensive than inpatient treatment, outpatient programs remain vital for many individuals on their road to recovery. However, insurance companies might require a doctor’s prior authorization for coverage.
This is becoming more of a normal thing in addiction treatment, as many providers feel clients have the highest odds of success by completing inpatient therapy. The logic for the insurance provider is to achieve successful recovery with the lowest risk of relapse. and to avoid subsequent trips to treatment.
Does BCBS of California Cover Mental Health Services?
The short answer is yes, Blue Cross Blue Shield often covers rehab mental health services as well as dual diagnosis treatment options for their policyholders. While discrimination against pre-existing conditions has been removed as a part of the CARES and Affordable Care Act, it is not a given that you or your loved one will have insurance benefits that cover any and all forms of mental health treatments.
While mental health parity laws have helped make health insurance coverage, and specifically California insurance coverage more accessible for those with such struggles, inpatient rehab for behavioral health can sometimes still be challenging to obtain.
Before seeking medical treatment related to your behavioral health benefits, reach out to Find Addiction Rehabs. Although addiction may be in our name, we also can help you locate residential treatment programs for mental health conditions, with or without substance abuse playing a role.
Orange County and Beyond: The Finest Treatment Centers for Blue Shield of California
These are some of the top treatment centers that you’ll find work in collaboration with Blue Shield of California. Again, if you’re uncertain, we encourage you to contact Find Addiction Rehabs for more specific coverage information. Browse the following list and give us a call so we can help you take the next step in your recovery journey:
1. Constellation Behavioral Health
At Constellation Behavioral Health, you’ll find a compassionate team with over a decade of experience working together. This facility takes pride in its ability to work close with clients to craft a personalized treatment plan with a heavy emphasis on trauma and treating disorders like PTSD and other mental health challenges that often occur alongside addiction.
7918 El Cajon Blvd, Ste N227 La Mesa, CA 91942
2. Hope by the Sea
Located in the jewel of Orange County, otherwise known as San Juan Capistrano, Hope by the Sea is one of the most impactful for drug and alcohol addiction for multiple reasons.
You’ll find they accept most Blue Shield of California plans and have a knowledgeable team of professionals, but it’s the intangibles here that can’t be beaten – like its scenic location and beautiful proximity to the Pacific.
33171 Paseo Cerveza, San Juan Capistrano, CA 92675
4. Melrose Recovery Group
This is an excellent facility that includes a robust set of therapeutic options from evidence-based, to holistic, and everything in between. Melrose Recovery is still constructed in a residential format, but it houses a slightly higher amount of clients than some of the previously mentioned treatment centers. This isn’t a pitfall, as it only gives you a larger group of peers to help you hold one another accountable. Leverage the power of group therapy at this beautiful facility in Anaheim.
1247 N Lakeview Ave, Anaheim, CA 92807
5. South Shores Detox and Recovery
South Shores Detox and Recovery have been leading the way for the rehab scene in Orange County, California, and the surrounding areas, with decades of experience in helping clients. With a well-trained staff with a high level of passion for client healing, the entire process is focused on the client and their personalized treatment plan. This is a truly cutting-edge experience that’s staffed with true professionals and mental health leaders in the Orange County area.
27568 Vista De Dons, Dana Point, CA 92624
Get Drug Rehabs in California that Take Blue Cross Blue Shield Now!
When a chosen drug rehab center does not accept Blue Cross Blue Shield, navigating the situation can be challenging. However, all hope is not lost, as prior authorization forms and alternative payment options might offer solutions.
If you encounter any issues securing pre-approval for Blue Cross Blue Shield California or wish to explore the top in-network facilities across the state, rely on Find Addiction Rehabs.
We are here to illuminate your path to recovery, and our assistance is always confidential and free of charge. Reach out now to get options among the most well-respected BCBS rehabs in California!
Bryan was born in Philadelphia and remains an ardent supporter of Philadelphia sports. After attending FSU and FAU where he majored in writing, Bryan ventured out to follow in the footsteps of his idols, running straight into drug addiction. After being arrested by the President’s Secret Service, Bryan finally started to rebuild his life and beat that monkey off of his back through writing, playing music, and studying Buddhist philosophy.
Despite still having the occasional struggles with mental health, Bryan strives to be a little bit better a person each day. With the support and love from a loyal family, and kind-hearted and generous friends, Bryan tries to help people vanquish their own personal demons as he did and bring more love and beauty into a pessimistic world.