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BCBS of Michigan Insurance Coverage for Opioid Detox & Rehab Centers

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

The opioid epidemic is a growing problem that has reached every state, including Michigan. In 2021, there were 20,185 Michiganders over the age of 12 who sought treatment for an opioid misuse disorder.1(top) If you are also dealing with opioid abuse in MI, you can seek treatment using your BCBS of Michigan insurance substance abuse treatment coverage plan.2(top)

With one of the BCBS of Michigan healthcare plans, you can start your journey to recovery and wellness. The first step is to verify your insurance with an admissions navigator when you contact the BCBS of Michigan Insurance rehab center.

What Does BCBS of Michigan Insurance Cover for Opioid Treatment?

Your BCBS of Michigan addiction treatment plan will cover various types of services to assist you in your opioid evaluation and withdrawal. The extent of your BCBS of Michigan Opioid rehab nationwide coverage will vary based on what type of insurance policy you have. BCBS of Michigan insurance coverage includes both HMO- and PPO-type plans on 3 different tier levels.3(p1) These levels are bronze, silver, and gold. 3(p1)

You can check the back of your insurance card to see what tier level you have or call the number listed there. You can expect that your BCBS of Michigan rehab coverage may cover some of the following important rehab services:

Screening and Assessment. When you go through the screening and assessment phase, a therapist or clinician will provide a thorough evaluation to assess your needs. Also, they will provide you with a treatment plan to assist you with your recovery from opioid misuse.4(what happens next)

Detox. During detox, you will receive treatment for opioid withdrawal, which can be difficult to manage. Clinicians offer medication and therapy together to ease you through the difficulties of going off opioids. Detox provides a safe place to withdraw from the drugs. 4(what happens next)

Inpatient or residential rehab treatment. Using your BCBS of Michigan mental health treatment coverage, you can begin treatment at an inpatient rehab program. This type of treatment takes place in a comfortable setting with clinicians around you at all times. You’ll stay the night in the facility for the entirety of the treatment. You’ll receive therapy to help you navigate withdrawal and understand the roots of addiction.4(types of)

Outpatient rehab treatment. During an outpatient rehab program, you’ll have less intense treatment. This type of treatment often comes after inpatient and serves as a bridge to transitioning to the outside world. It consists of therapy on a regular basis with a certified counselor. You’ll meet about 1 or 2 times a week, depending on your treatment plan.4(types of)

Intensive outpatient program (IOP). An IOP consists of a therapy program that is on an outpatient basis. You can use BCBS of Michigan opioid rehab coverage to participate in the program. Therapy is generally several hours a week. 5(p10)

Behavioral therapies. During rehab treatment, you will participate in evidence-based therapies. Therapy serves as the foundation of a solid Blue Cross Blue Shield of Michigan insurance rehab program. There are various types of behavioral therapies, such as cognitive-behavioral therapy.6(top)

Treatment for co-occurring disorders. It’s common for a mental health disorder to accompany a substance misuse disorder. If this occurs, it is referred to as co-occurring disorder. Obtaining co-occurring disorder treatment will help facilitate better recovery results because you will receive therapeutic treatment for both conditions together. 4(types of)

What BCBS of Michigan does not cover for Opioid Treatment?

You can’t expect that BCBS of Michigan Inpatient drug rehab centers nationwide will be able to cover all aspects of your opioid treatment. The Affordable Care Act (ACA) mandates that marketplace healthcare plans provide members with fair coverage for mental health and substance misuse disorders.7(affordable) This may include some of the treatments mentioned above.

However, you probably won’t have coverage for the following:

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

What Is Blue Cross Blue Shield of Michigan?

Blue Cross Blue Shield of Michigan got its start in 1975. They began by purchasing small health plans in east and mid-Michigan.6(top)

Over time, these health plans grew and developed into 4 independent regional health maintenance organizations (HMOs). 6(top)

In 1998, these HMOs merged to form Blue Care Network of Michigan, the largest HMO in Michigan. 6(top)

BCBS of Michigan insurance offers the following health plans: 3(p1)

  • Health Maintenance Organization (HMO)
  • Preferred Provider Organization (PPO)

These plans may be 1 of the following 3 tier levels: 3(p1)

  • Bronze
  • Silver
  • Gold

How Much Does Opioid Rehab Cost?

The cost of an opioid rehab treatment center may vary depending on the type of insurance policy you have. There are other contributing factors that may impact the cost of rehab. These factors include the following:

  • How intense the services of the treatment are
  • The types of services offered
  • How long the treatment plan is
  • The amenities that are offered

Cost of Inpatient Opioid Rehab

The average cost of inpatient opioid rehab may be higher than other forms of treatment because of the intensiveness of rehab. Keep in mind that you’ll have clinicians around you at all times. So, the facility has to be staffed, which will be more costly.

Cost of Outpatient Opioid Rehab

The cost of an outpatient opioid BCBS of Michigan insurance drug treatment program is not as intense as inpatient rehab. Consequently, it won’t cost as much as other treatments. Usually, you’ll be going to therapy once a week, which accounts for the lower price point.

Cost of Opioid Partial Hospitalization Programs (PHP)

During a PHP, you’ll be in a therapeutic setting for most of the day. In most instances, you’ll be in therapy for several hours a day. Trained therapists will assist you as you go through the withdrawal process. Therapy is a foundational part of your experience in rehab. 6(p10)

Cost of Medication-Assisted Treatment (MAT)

The cost of a medication-assisted treatment (MAT) program may cost more than other forms of therapy aside from inpatient rehab. The reason is that MAT consists of obtaining medicine from a federally approved facility.4(medication) One medication approved by the FDA for opioid use disorder is methadone. 4(medication)

Opioid Rehab vs. the Cost of Opioid Addiction

If you’re concerned about the cost of BCBS of Michigan addiction treatment nationwide, you need to be aware that there are other costs of not seeking treatment. In other words, there are costs to opioid addiction, which include:

  • Needing money to buy opioids, which can be expensive.
  • Missing work and facing loss of income as a result.
  • Experiencing health complications and problems.
  • Experiencing a loss of personal relationships.

What Length of Opioid Rehab Does BCBS of Michigan Cover?

The length of time that your BCBS of Michigan drug coverage plan will pay for varies depending on the type of policy you have. You may incur copayments or coinsurance costs during treatment. However, you may be able to get much of your main treatment covered. You can also check the back of your insurance card to find out what policy you have.

The amount of time you need to be in a rehab facility will be worked out between you and your therapist as you create a treatment plan. Make sure you stick with a plan that is lasting enough for sobriety.

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

Selecting an inpatient rehab treatment program over an outpatient opioid rehab is the best choice for your sobriety goals. Some of the reasons include:

  • You’ll receive a higher quality of care.
  • You’ll be surrounded by trained staff.
  • You’ll have more accountability.
  • There is a supportive group to encourage you on the journey.
  • Provides a more focused environment.

How to Use BCBS of Michigan Insurance for Opioid Rehab?

You can begin your journey to a better future by taking the steps to begin a treatment plan. These steps include the following:

  • Consult your doctor about your issues.
  • Check for BCBS of Michigan substance abuse providers in your area.
  • Ask if the rehab facility takes your BCBS of Michigan insurance.
  • Work with the therapist to develop a drug treatment plan.
  • Begin the admissions process.

How to Find Opioid Rehabs That Accept BCBS of Michigan Insurance

Start today by calling the BCBS of Michigan helpline at American Addiction Centers (AAC). An admissions navigator can verify your insurance coverage for you. AAC is a widely respected provider of addiction healthcare nationwide. You can talk to the admissions navigator at AAC to discuss where to find BCBS of Michigan rehabs near you.

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. (2021). Quick statistics Michigan.
  2. MI Blues Perspectives. (2020). Does my health plan cover mental health and substance use disorder services?
  3. Blue Cross Blue Shield. (2022). 2022 Michigan health plans.
  4. Substance Abuse and Mental Health Services. (n.d.). Types of treatment.
  5. Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration. (2004). What is substance abuse treatment? A booklet for families. HHS Publication No. (SMA) 14-4126. Rockville, MD.
  6. National Institute on Drug Abuse. (2019). Treatment approaches for drug addiction DrugFacts.
  7. Abraham, A.J., Andrews, C.M., Grogan, C.M., D’Aunno, T., Humphreys, K.N., Pollack, H.A., Friedmann, P.D. (2017). The Affordable Care Act transformation of substance use disorder treatment. American journal of public health, 107(1), 31–32.
  8. Blue Cross Blue Shield of Michigan. (2023). Blue Care network.
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