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Blue Cross Blue Shield Illinois Coverage for Opioid Detox & Rehab Centers

Yes. BCBS of Illinois covers drug and alcohol rehab.
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Does BCBS of Illinois cover Opioid rehab?

Struggling with opioid use can leave you feeling ashamed and alone, but more people struggle in the same way than you realize. Between 2017-2019, a Substance Abuse and Mental Health Services Administration (SAMHSA) study found that 292,000 Illinois residents over the age of 12 admitted misusing prescription pain relievers in the last year.1, p. 28, second paragraph

If you’re ready to break free from opioid use, you need the right treatment program. But how can you afford it? The good news is that BCBS of Illinois healthcare plans can help you pay for some or all of the cost of rehab.

The Affordable Care Act (ACA) requires all long-term health plans to cover 10 essential health benefits.2, bulleted list Among these benefits are mental health and substance use treatment.2, fifth bullet That means you can count on your BCBS of Illinois insurance coverage to help you get the care you need.

What Does BCBS of Illinois Insurance Cover for Opioid Treatment?

The specific treatment you need will vary depending on your use habits, home environment, and more. It’s vital to work closely with your doctor to create a treatment process that fits your needs.

Some of the most common treatment options include:3

  • Screenings and Interventions: Screenings and interventions are used to diagnose and address substance use concerns. Screenings may involve questions about your substance use habits, family history, and other risk factors, and interventions are immediate actions your doctor can take to help if you can’t start treatment right away.
  • Medical detox: Detox is a process where you are medically supervised while you stop using opioids and allow the drugs to exit your body. This may involve using medication or other strategies to manage withdrawal so that you can begin substance use treatment.
  • Inpatient treatment programs: Inpatient treatment provides a safe, supportive environment to help patients break free from their addiction and begin the journey to recovery. Through round-the-clock medical and emotional support, inpatient facilities offer the opportunity to focus solely on healing without the distractions of everyday life.
  • Outpatient programs: Outpatient treatment allows you to receive therapy, counseling, and activities without living at a facility. It typically involves attending a few hours of sessions each week and can occur in a variety of settings. Sessions are scheduled to make it easier for you to attend school or work during treatment.
  • Behavioral Therapies: Behavioral therapies focus on teaching individuals new coping skills that help to modify their thoughts, feelings, and behaviors related to opioid use. Research has proven the effectiveness of these treatments in people battling substance use issues, including opioids.4, first paragraph Examples of behavioral therapy include cognitive-behavioral therapy (CBT), contingency management, and couples/family counseling.4, first paragraph
  • Treatment for co-occurring disorders: Are you struggling with both opioid use and mental health issues? This combination is known as a co-occurring disorder, making it essential to find an integrated treatment program that covers both concerns. Doing so will give you the best chance of lasting recovery.5, first paragraph

No matter what your doctor recommends for your treatment process, what’s most important is to finish your treatment. It’s common to want to stop your program when you start to feel better, but it’s only by practicing your habits for an extended period of time that you give yourself the best chance of long-term recovery.

What BCBS of Illinois does not cover for Opioid Treatment?

Insurance plans focus on covering the most effective, medically necessary treatment. For substance use, that means your BCBS of Illinois addiction treatment coverage will focus on evidence-based and necessary care.

The types of treatment not typically covered by insurance include:

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

If you include these types of services in your treatment plan, you will likely pay the full cost yourself. Be sure to focus your treatment on effective, evidence-based rehab so that you get the full benefit of recovery and a great chance of long-term success.

How Much Does Opioid Rehab Cost?

Is rehab expensive? It depends on what type of treatment program you choose. There are elements of a treatment program that make it more expensive, but that doesn’t mean you should choose that program or that you don’t need that kind of care.

Fortunately, your insurance can help you pay some or all of the cost, so what’s most important is getting the exact type of care you need.

What factors affect the cost of rehab?

  • Services offered. If a treatment program offers more one-on-one treatment, it’s likely to cost more than a group treatment program. Also, more specialized treatment services may cost more than a program focused on the basics.
  • Intensity of services. The more structured and focused a program is, the more it’s likely to cost. It takes additional staff and expertise to offer more intense services. As a result, inpatient rehab is more expensive than an outpatient program.
  • Duration of treatment. The longer you’re in treatment, the more you’re likely to pay. For example, a six-month program is likely to be more expensive than a 90-day option. Of course, that doesn’t mean you should attend the shortest rehab. It’s important to choose a program that meets your needs.
  • Overcoming substance use is challenging, and some treatment programs offer amenities designed to help you relax and reduce your stress. The more amenities that are available, such as recreational activities, a pool, access to a gym, and more, the more a program is likely to cost.

Don’t let the cost of your treatment hold you back. There are many ways to pay for rehab, and what’s most important is giving yourself the best chance of long-term recovery so you don’t have to attend treatment multiple times.

Opioid Rehab vs. the Cost of Opioid Addiction

If rehab is expensive, should you just give up the idea and keep using opioids? Of course not—and one of the main reasons is that opioid use is far more expensive than rehab.

Because opioids are illegal, they’re expensive and dangerous to purchase, especially when you start to need more and more to get the same effect. You also face the possibility of being arrested, which can lead to expensive legal fines and even time in jail—which costs a lot.

There are also significant health problems associated with opioid use, and these can cost you a lot of money in medical bills as well as missed work. You can also lose your job due to the legal or health problems associated with using opioids, which is about as expensive as you can get.

As you can see, it’s far more expensive to use opioids than to attend treatment, and you’re also missing out on the chance to create a life you love.

What Length of Opioid Rehab Does BCBS of Illinois Cover?

How long will you be in rehab? Each person is different, so there’s not a single right answer. Research shows that most people need at least 90 days to make a significant change in their substance use, which is why many rehabs are three months long.6, fifth point

However, your treatment plan could be longer and include multiple treatment options, like outpatient treatment that follows your inpatient program. What’s most important is that you complete the treatment needed to allow you to break free from opioid use.

Different BCBS of Illinois rehab coverage plans have different limits and requirements, so be sure you understand your plan’s details before you begin treatment. You can call BCBS directly or you can contact the admissions navigators and American Addiction Centers (AAC) at any time. Our Navigators can verify your insurance in just a few minutes while talking to you and are available to answer any questions you have about rehab.

Choosing between BCBS of Illinois Inpatient vs. Outpatient Opioid Rehab Centers

The decision of whether or not to go to inpatient rehab will depend on your doctor’s recommendation based on your needs. However, many doctors prefer to have patients start with inpatient rehab and move on to other supportive treatment afterward.

What makes inpatient rehab different? Here are a few things to know:

  • Quality of care. Inpatient rehabs are staffed by experts and medical professionals who provide a high level of care around the clock.
  • Treatment ecosystem. In inpatient treatment, everything in your environment is tailored toward your recovery. The daily routine, counseling sessions, and recreational activities all help support you in creating new habits and living a substance-free life.
  • Support group. When you’re in inpatient treatment, your community and those around you 100% support your recovery and the changes you’re making. That support can be very hard to get in your regular daily life.
  • More focused environment. Daily life has a lot of distractions and stressors that can push you back toward substance use if you don’t have good coping skills. Inpatient treatment gives you a great place to learn those coping skills in a safe, focused environment.
  • When you’re in inpatient rehab, you have a system to hold you accountable to your new way of life. You have less exposure to bad influences and a better chance at creating a new lifestyle.

Inpatient rehab isn’t always the final answer for everyone—sometimes you need additional support even once you graduate from the program. But it can be a great start on your new life.

How to Use BCBS of Illinois Insurance for Opioid Rehab?

How do you take advantage of your BCBS of Illinois opioid rehab coverage? The first step is to talk to a doctor who can help you set up a treatment plan for overcoming substance use. It’s important to be honest with your doctor so you get a plan that meets your needs.

Next, start looking at rehab programs. Make sure they match the treatment plan your doctor created, for example, that they offer integrated treatment of co-occurring conditions if you need it.

Once you have some treatment options, you can check to ensure they accept BCBS of Illinois Insurance drug treatment coverage. When you narrow it down to your final choice, you can work with that rehab center to apply your insurance to the cost of treatment and set up a plan to handle any out-of-pocket costs you may be responsible for.

How to Find Opioid Rehabs That Accept BCBS of Illinois Insurance

Finding rehab programs that accept BCBS of Illinois coverage can feel overwhelming, but we’re here to help. You can contact the insurance company directly, but it may be easier to reach out to AAC. We’re available 24/7, and you can reach us by online chat, over the phone, or by filling out the form below.

Our admissions navigators can review the details of your insurance in just a few minutes during your conversation and help you see what treatment centers are within your network. AAC is proud to run several high-quality treatment centers around the country, and we’re here to help you break free from opioid use into a happier, more productive life.

Rehabs That Take Blue Cross Blue Shield Insurance 

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have a Blue Cross Blue Shield insurance plan, the following AAC facilities accept Blue Cross Blue Shield for drug and alcohol addiction rehab.

  • AdCare Rhode Island: With various facilities located in Rhode Island, AdCare provides innovative, quality, and cost-efficient addiction treatment. Its integrated system of care offers an inpatient treatment center in North Kingstown and a network of outpatient offices throughout Rhode Island. AdCare’s continuum of care includes detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, inpatient and outpatient services, and tele-health.
  • Desert Hope Treatment Center: Located in Las Vegas, Nevada, Desert Hope provides individualized care programs as well as offering a full continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, and tele-health.
  • Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and many levels of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and tele-health, all in a luxurious setting with high-end amenities.
  • Laguna Treatment Center: Located in Orange County, California, Laguna is a chemical dependency recovery hospital that focuses on treating people who are medically compromised and need 24/7 oversight. Provided care includes detox services, residential treatment, dual-diagnosis treatment inpatient treatment, and intensive outpatient services.
  • Oxford Treatment Center: Located in Etta, Mississippi, Oxford offers gender-specific rehab while offering an opportunity to connect with nature and try new activities. Provided care includes detox, residential treatment, dual-diagnosis treatment, inpatient and outpatient treatment, intensive outpatient services, and tele-health, all with individualized treatment programs.
  • Sunrise House Treatment Center: Located in Lafayette Township, New Jersey, Sunrise House provides treatment for people suffering from substance abuse from a medical and holistic standpoint. With various evidence-based therapeutic interventions, personalized care is provided through detox, residential treatment, dual-diagnosis treatment, and outpatient services.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Blue Cross Blue Shield insurance.

Sources

  1. Substance Abuse and Mental Health Services Administration. (2020). Behavioral health barometer, Illinois.
  2. Healthcare.gov. (n.d.). What Marketplace health insurance plans cover.
  3. Findtreatment.gov (n.d.). Treatment options.
  4. Carroll KM, Onken LS. Behavioral therapies for drug abuse. Am J Psychiatry. 2005 Aug;162(8):1452-60.
  5. National Institute on Drug Abuse. (2020, April). What are the treatments for comorbid substance use disorder and mental health conditions?
  6. National Institute on Drug Abuse. (2018, January). Principles of effective treatment.
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