BlueCross BlueShield of Texas For Cocaine Detox and Rehab Programs in TX

Last updated on February 9, 2023

Does BCBS of Texas Cover Cocaine Rehab?

In Texas, 8% of all admissions to treatment programs in 2018 were for cocaine addiction.^{1, pg. 5, para 4} Additionally, there were 886 provisional deaths linked to cocaine, just behind the 951 deaths due to methamphetamine.^{1 pg. 2} What these statistics show is that if you or a loved one is struggling with cocaine addiction, you are not alone. For many, attending treatment is one way to overcome their cocaine addiction, but it can be expensive.

Fortunately, if you have a Blue Cross Blue Shield (BCBS) of Texas health insurance plan, you may be able to use it at 1 of the 691 rehab facilities in Texas.² Depending on your BCBS of Texas health plan, you may be able to have some or all of your cocaine rehab treatment covered. To find out what is covered under your plan, call the number on the back of your insurance card.

What Does BCBS of Texas Insurance Cover for Cocaine Treatment?

BCBS of Texas is 1 of the 35 independent licensees of the Blue Cross and Blue Shield Association (BCBSA).³ It has been a statewide customer-owned health insurance company for more than 90 years.³ Today, approximately 5.1 million Texans are covered by a BCBS of Texas plan, making it the state’s largest health insurance company.⁴ Across the state, BCBS of Texas offers private individual and family plans, employer-sponsored (group health) plans, Medicare plans, Medicaid plans, and other insurance products.⁵

Because there are so many different types of plans that are offered by BCBS of Texas, not every plan will be the same. Depending on your plan and the network included in your plan, 1 of the 691 rehab centers in Texas may be accepted by your BCBS of Texas plan.² In addition to covered facilities, some of the following common types of cocaine rehab treatment may be covered under your plan:

Screenings and interventions. Mental health professionals and facilities often use screenings and interventions to assess a patient’s cocaine use or addiction. It is often done to identify whether the patient has a cocaine use disorder or addiction.⁶
Detox. For many, the first step toward recovery in treatment is to undergo detoxification, which is the process of ridding substances (like cocaine) from the body.^{7, para 2} It is often done in a medically supervised setting, like inpatient rehab, to help manage the potentially life-threatening and acute side effects of withdrawal.^{7, para 2}
Inpatient. With inpatient cocaine rehab, a patient lives at a facility for the duration of their treatment, receiving round-the-clock supervision and medical care.^{8, (How are behavioral therapies used to treat drug addiction?)}
Outpatient. With outpatient cocaine rehab, a patient travels to a treatment facility 1 or 2 times a week to receive care, which could include group meetings or 1-on-1 therapy sessions. No overnight stay is involved.^{8, (How are behavioral therapies used to treat drug addiction?)}
Behavioral therapies. There are a variety of behavioral therapies that may be offered to a patient during their cocaine recovery. Behavioral therapies are designed to help encourage patients to change their behaviors and attitudes, remain sober, and learn strategies for coping with their daily stresses without using cocaine.⁹
Treatment for co-occurring disorders. A co-occurring disorder occurs when a patient has both a mental illness and substance use disorder (like cocaine addiction) simultaneously. ¹⁰ One condition may not directly cause the other. Still, they both can exacerbate each other, which is why integrated treatment is a good approach, treating each condition separately but at the same time.^{10 “What should I do?”}

What BCBS of Texas Does Not Cover for Cocaine Treatment

Depending on the BCBS of Texas plan that you have, there may be certain types of cocaine treatment that are not covered under your plan. Some elements that may not be covered under your plan could include:

Non-medical amenities
Holistic care services
Recreation programs
Food delivery
Private treatment services
Alternative therapies

How Much Does Cocaine Rehab Cost?

Cocaine rehab costs can vary widely. Some of the factors that affect the overall cost of cocaine rehab include the plan that you have, where you attend rehab, the amenities and services offered by the facility, and the intensity and duration of treatment. It’s recommended that you verify your insurance benefits prior to seeking care whenever possible.

Cost of Inpatient Cocaine Rehab

Every BCBS of Texas plan is different, which means how your plan covers the costs of inpatient cocaine rehab may differ from someone else’s plan. The differences in plan coverage make it difficult to determine the average cost of inpatient cocaine rehab.

Other factors that will affect the overall cost of cocaine rehab include the type of care you receive and the facility at which you receive it. If your BCBS of Texas plan doesn’t fully or partially cover the cost of inpatient cocaine rehab, ask whether the facility offers payment options like scholarship or financing payment options to offset some of the costs of care.

Cost of Outpatient Cocaine Rehab

Outpatient cocaine rehab care costs will vary based on the BCBS of Texas plan you have, the number of outpatient sessions you attend, and the facility at which you receive your care. Choosing an in-network versus out-of-network outpatient provider or facility could affect your coverage levels and the overall cost of cocaine rehab. Be sure to review your plan’s coverage details and network parameters before seeking care when possible.

Cost of Cocaine Partial Hospitalization Programs (PHP)

Attending a cocaine partial hospitalization program (PHP), which is also known as a day program, may vary in costs to you as the patient. How long your treatment lasts and where you receive the care from will affect your overall costs, as will the specific type of plan you have. Work with the rehab center directly to learn more about your summary of benefits and coverage details.

Cost of Medication-Assisted Treatment (MAT)

MAT is a common treatment method recommended to certain patients to help lessen their need for detoxification and manage their addiction symptoms.¹¹ Your BCBS of Texas may provide coverage for prescription drugs, but there may be plan tiers and copays in place, depending on your plan. Based on this and the prescription drug(s) that are used in MAT, your overall costs will vary. Call the number on the back of your card to learn more.

Cocaine Rehab vs. the Cost of Cocaine Addiction

The overall cost of cocaine and other illicit drug use in the United States totals $193 billion annually.¹² What’s more, the highly addictive and illegal stimulant was involved in 19,000 overdose deaths in 2020.¹³ Because it is illegal, there is the threat of being incarcerated, which can lead to lost income in the short- and long-term, torn apart families, and other similar negative outcomes.

Additionally, people with substance use disorder often develop other long-term chronic conditions, like heart disease, lung disease, cancer, stroke, and mental illness.¹⁴ Caring for these additional conditions can become expensive. As such, prioritizing going to cocaine rehab now may be more cost-effective than pushing it off and risking these other scenarios.

What Length of Cocaine Rehab Does BCBS of Texas Cover?

Successful or positive outcomes related to cocaine rehab are contingent upon patients remaining in treatment for a long enough time.¹⁵ Even though every person’s situation is unique, longer treatment times are generally considered to be most effective. Specifically, research shows that remaining in treatment for at least 3 months is essential to curb or stop a patient’s drug use and maintain positive outcomes.¹⁵ Be sure to work with your provider to determine the appropriate treatment length for your situation.

What treatment length is recommended by your provider and what is covered under your plan may differ. Because there are many different types of policies and tiers of coverage offered by BCBS of Texas, the length of time covered will depend upon your specific plan. You can log in to your BCBS of Texas online portal, call the number on the back of your insurance card, or work with the rehab center directly to determine your plan’s coverage lengths.

Choosing between BCBS of Texas Inpatient vs. Outpatient Cocaine Rehab Centers

Your health care provider can help you determine which rehab setting is best for you, depending on your personal situation. Choosing an inpatient versus outpatient cocaine rehab center is not always a clear-cut choice. Inpatient centers may offer a more focused and supportive environment, with extensive attention to your care, as you’re living at the facility for the duration of your care.

An outpatient center may also provide the level of support and treatment types that are right for your path to recovery. Be sure to discuss all elements of care, including the quality of care, treatment ecosystem, support groups, environment, and accountability expected at each type of rehab center, with your provider when evaluating what option might be best for you.

How to Use BCBS of Texas Insurance for Cocaine Rehab?

You will first work with and consult a doctor who can help to evaluate your cocaine addiction and need for cocaine rehab. Then, they may refer you to cocaine rehab or a cocaine rehab facility. You will often work together with the provider to find a suitable program to recover from your cocaine addiction.

Before enrolling in a program, you’ll want to determine whether you can use your insurance at the facility. You can do this by working directly with the facility, providing them with your insurance information, and asking if it’s accepted there. If your plan is not accepted there, you can ask the doctor for a different referral.

Once you find a center that takes your insurance, the facility will coordinate with BCBS of Texas for payment of services rendered, and you may receive bills for any cost-sharing requirements (e.g., deductibles, coinsurance, or copays).

How to Find Cocaine Rehabs That Accept BCBS of Texas Insurance

If you’re ready to get treatment for cocaine addiction and you have BCBS of Texas insurance, you may be wondering how to find a nearby facility that accepts your insurance. That’s why American Addiction Centers (AAC) is here.

Our team of trained staff is here to help you every step of the way, whether that’s helping you learn more about your benefits and coverage or finding a nearby treatment facility. AAC also has industry-leading rehab centers across the country, including here in Texas. At the Greenhouse Treatment Center, patients receive high-quality care in a serene setting, helping them overcome their addictions.

Give our cocaine addiction helpline a call today. You’ll be able to speak with a real person who can help you verify your benefits while you’re on the phone. An admissions navigator can also help you find a nearby treatment facility that takes your BCBS of Texas plan and verify whether your plan is accepted at any of AAC’s leading treatment facilities. Don’t wait to get the care you need—call the hotline to get started today.