Blue Cross Blue Shield of Texas: Rehabs & Detox Centers in TX That Take BCBS

Last updated on February 9, 2023

Does BCBS of Texas Insurance Cover Inpatient Alcohol and Drug Rehab Centers?

If you or a loved one is struggling with addiction in Texas, you may be looking into nearby Texas drug rehab centers for treatment. Many rehabs in TX accept various types of insurance to help patients pay for some or all of the treatment costs. If you have a BCBS of Texas health insurance plan, this may include coverage for inpatient alcohol and drug rehab centers.

Every health insurance plan is different and will have different levels of coverage. That’s why it’s essential to verify your benefits and coverage. There are a few different ways in which you can do this. First, you can call the number on the back of your insurance card to talk to a BCBS of TX plan representative. The plan rep can go over your plan’s details with you. Rehab centers can also help you check your coverage if you provide basic insurance information.

Finally, you could reach out to American Addiction Centers (AAC) through different channels, such as phone or chat, to check whether your BCBS of Texas plan covers addiction treatment and find treatment near you.

What Is BCBS of Texas?

Blue Cross and Blue Shield of Texas is an independent licensee of the Blue Cross and Blue Shield Association (BCBSA).¹ Across the country, 35 independent and locally owned BCBS companies provide coverage to 111 million Americans, which equates to 1 in 3 people.² BCBS of Texas is a division of Health Care Service Corporation—a Mutual Legal Reserve Company.¹ For more than 90 years, BCBS of Texas has been a statewide customer-owned health insurer.¹

BCBS of Texas is the state’s largest and most experienced health insurance company, providing coverage to about 5.1 million Texans.³ Specifically, BCBS of TX has the largest preferred provider organization (PPO) network—including 90% of Texas hospitals and 79% of Texas physicians—and is available in all 254 counties of the state.³ This means that your BCBS plan may provide coverage for 1 of the 690 rehabs in Texas.⁴

If you are a member of the BlueCard Program, you may also be able to receive national coverage if you’re traveling or living outside of Texas.³ The BlueCard Program provides the country’s largest PPO network in all 50 states, Puerto Rico, and Washington D.C., with 96% of hospitals and 83% of nationwide physicians in the plan’s network.³

Does BCBS of Texas Provide Rehab Coverage Nationwide?

Depending on the type of BCBS of Texas plan and whether you’re a BlueCard Program member, you may receive full or partial rehab coverage nationwide. The BlueCard Program provides access to the country’s largest PPO network of providers.³ This means that if you are enrolled in this program, you may have access to a large number of providers that are considered in-network with your plan, and you may be able to receive coverage for rehab, even if you attend a rehab center outside of Texas. To check whether your plan offers this coverage or whether you’re enrolled in the BlueCard Program, call the number on the back of your insurance card or log in to your BCBS of Texas online member portal.

How Much Does BCBS of Texas Cover (Addiction Treatment)?

How much addiction treatment your BCBS of Texas covers will vary based on the plan you have. Your BlueCross BlueShield of Texas plan may cover some or all of the cost of the following addiction treatments:

Inpatient or residential rehab. An addiction inpatient or residential rehab program is one that involves a patient living at a facility for days, weeks, or months. Here, they’ll receive medically supervised care 24/7, helping them to overcome their addiction safely. It is often the beginning component of treatment and may involve medical detox.^{5, Pg 8, “What types of treatment programs are available?” Para 2,}
Outpatient rehab or therapy. An addiction outpatient rehab program or therapy involves a patient traveling to a facility 1 or 2 times a week to attend therapy or counseling sessions, or meetings.^{5, Pg 10, Para 2}
Intensive outpatient programs. An addiction intensive outpatient program (IOP) provides more structure than the standard outpatient rehab program. It involves a patient attending a minimum number of hours of outpatient care services each week. ^{5, Pg 10, Para 3}
Partial hospitalization programs. A partial hospitalization program (PHP), which is also referred to as a day program, is less structured than an inpatient or residential program, but more so than an outpatient program. It typically involves a patient attending treatment sessions at a facility for 4–8 hours a day, multiple days a week, but no overnight stay is required.^{5, Pg 10, Para 1}

Although these are common addiction treatment types, it’s not guaranteed that your provider will suggest any of them for your recovery journey. Additionally, it’s not guaranteed that they will be fully or partially covered under your BCBS mental health coverage. Verify your benefits and coverage before seeking care whenever possible to understand what is and isn’t covered and to help avoid any surprise medical bills resulting from treatment costs.

Does BCBS of Texas Insurance Cover Inpatient Mental Health Treatment Facilities?

Rehabs in TX, including inpatient mental health care facilities, provide essential health care services to those struggling with mental illness, substance use disorder, or both. If someone is experiencing a mental illness and substance use disorder, it is called a co-occurring disorder.⁶ Co-occurring disorders are very common. Seventeen million U.S. adults were living with a co-occurring disorder in 2020.⁶

While it’s not believed that having one directly causes the other, research shows that having one increases your risk of developing the other.⁷ Due to the interconnectedness of the 2 conditions, if someone is experiencing a co-occurring disorder, the recommended treatment course typically involves integrated treatment.⁶ ^{“What should I do?”}Integrated treatment involves treating both conditions at the same time. ⁶ ^{“What should I do?”} It is no longer recommended to only treat 1 before the other (e.g., you don’t have to overcome alcohol addiction before a doctor addresses anxiety or depression). ⁶ ^{“What should I do?”}

Your BCBS of TX plan is required to provide some level of coverage for mental illness, substance use disorder, and co-occurring disorders.⁸ Specifically, the federal law that requires this coverage, which is known as the Affordable Care Act, mandates that almost all U.S. health plans cover treatment for substance use disorder, inpatient mental and behavioral health services, and behavioral health services.⁸ This means that whether you need targeted rehab, like stand-alone heroin rehab or alcohol rehab, or co-occurring disorder treatment, your plan may be required to offer some coverage for such services.

Does BCBS of Texas Cover Drug Treatment in TX?

As mandated by federal law, your BlueCross BlueShield coverage must extend in some capacity to drug treatment in Texas. While coverage levels may vary, and your plan may impose cost-sharing requirements like deductibles, coinsurance, or copays, you should be offered some level of coverage. To check BlueCross BlueShield coverage for your specific plan and situation, call the number on the back of your insurance card. A plan representative can help you learn more about your plan’s details, including network requirements, and help you find a covered facility near you.

Does BCBS of Texas Cover Alcohol and Drug Detox in TX?

BlueCross BlueShield insurance plans in Texas must offer some level of coverage for Texas alcohol and drug detox. Detox is when a person who was dependent on a substance stops using it and undergoes withdrawal. Because detox can bring on acute and life-threatening side effects, it is typically done in a medically supervised setting called medical detox.^{9, para 2} It may also involve using medication to help mitigate these potentially serious side effects of stopping substance use. ^{9, para 2} To check the coverage details of your Texas BCBS plan, call the number on the back of your insurance card today.

How Long Does BCBS of Texas Insurance Cover Inpatient Alcohol and Drug Rehab Program?

The length of time your BCBS of Texas insurance will cover inpatient alcohol and drug rehab programs, or any type of Texas rehab, will depend on your plan type of tier. Because there are many different types of policies and tiers of coverage, the length of time covered by the insurance provider will depend. You can look up your plan information on your insurance card or log in to your online BCBS member portal if you have an online account.

Despite insurance coverage details, good rehab outcomes and recovery are dependent on the adequate length of treatment.¹¹ Because every person progresses through their own recovery journey at their own pace, there’s not a standard time treatment may last. Residential or outpatient treatments are recommended to last significantly longer than 90 days to maintain positive outcomes.¹¹

MAT is typically recommended for a minimum of 12 months, and many in this type of program benefit from treatments for years.¹¹ Because every situation is different, please work closely with your TX Blue Cross Blue Shield providers to determine the best treatment length and program for you.

Does BCBS of Texas Cover Luxury Drug Rehab Centers in TX?

There are many different types of drug rehab centers in Texas. Depending on the accommodations, exclusivity, and types of treatment offered, a specific rehab center may be considered a luxury center. Whether your BCBS of Texas plan covers luxury drug rehab centers in Texas will depend on whether the facility is an in-network provider and the types of treatment you may need. Be sure to call the number on the back of your insurance card before seeking treatment whenever possible to check whether it’s covered under your plan.

How Long Does BCBS of Texas Insurance Cover Inpatient Alcohol and Drug Rehab Program?

Does BCBS of Texas Cover MAT (Methadone Assisted Treatment)?

Medication-assisted treatment (MAT) refers to a specific type of addiction treatment that’s only used in treatment for certain substances.¹⁰ In MAT, medications to help prevent or reduce opioid overdose are combined with behavioral therapies or counseling services to provide a whole-patient approach to treatment. Whether your BCBS of Texas mental health coverage extends to MAT will depend on your specific plan’s details. Still, your plan typically must provide coverage in some capacity for substance use disorder treatment.

What if My BCBS of Texas Policy Does Not Cover an Inpatient Rehab Program?

Depending on your inpatient drug rehab program or rehab center, you may not receive coverage under your BCBS of TX plan. If this is the case, the rehab center may offer financing or scholarship payment options. Be sure to ask if this applies to you. Making sure that you get the treatment you need right now is critical rather than pushing it down the road.

BCBS of Texas In-Network vs. Out-of-Network Inpatient Rehab Centers

An in-network provider is a provider (e.g., facility, hospital, physician, etc.) who is in a contractual agreement with BCBS of Texas.^{12 “In-network”} Services rendered by in-network providers are typically covered at a higher benefit level, which could mean lower overall costs for you. ^{12 “In-network”} An out-of-network provider is not contracted by your health plan. ^{12 “out of network”} Depending on the plan you have, you may be responsible for all of a portion of a bill from an out-of-network provider, as they may not be covered under your plan. ^{12 “out of network”}

To check whether a provider is within your plan’s network, you can log in to your BCBS of Texas online portal and look up the provider. You can also call the number on the back of your insurance card or check with the rehab center directly. Verifying your benefits before seeking care is always recommended unless it’s an emergency.

Rehabs That Take Blue Cross Blue Shield of Texas 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 Hospital: 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.

How To Find BCBS of Texas Covered Inpatient Drug Treatment Centers in TX?

Finding a BCBS of Texas-covered inpatient drug treatment center in TX may seem difficult, but American Addiction Centers is here to help. Call the AAC hotline today to speak to an admissions navigator. Our team is trained in all aspects of addiction treatment, including helping you verify your insurance coverage and locate a covered facility nearby.

There are 690 total rehab centers in Texas, and we want to help you find 1 that is right for you.⁴ Call us today to speak to a person who can check your benefits right while you’re on the phone. Our team can also help you learn more about the AAC-leading treatment centers across the nation, including Texas’ very own Green House Treatment Center. Don’t wait any longer to get the help you need today. Call us today to get started.