Health Plan of Nevada Opioid Addiction Treatment Coverage

The use of opioids has increased 5-fold since 1999, resulting in the opioid epidemic we see today. ^{1 Three Waves of Opioid Overdose Deaths} Opioids are highly addictive prescription and illegal substances, including heroin, oxycodone, fentanyl, and morphine, often administered to treat pain.^{2 what are opioids?} Synthetic opioids like fentanyl and tramadol are responsible for most opioid overdose deaths today. ^{1 Three Waves of Opioid Overdose Deaths}

The opioid epidemic has affected millions of families nationwide, including in Nevada. In 2019, Nevada ranked 20th in opioid prescribing and 28th in opioid overdose deaths in the U.S.^{3 p. 26 Nevada Overdoses} In 2020, the rate of opioid-related overdose deaths in Nevada drastically increased from 374 in 2019 to 541.^{3 p. 26 Nevada Overdoses}

Health Plan of Nevada is dedicated to providing high-quality healthcare to its members, including access to treatment for opioid addiction. Many options for opioid addiction treatment are available, like medical detox, behavioral therapies, inpatient rehab, and outpatient programs. If you or a loved one is ready to seek treatment for opioid addiction, hundreds of in-network rehab centers are available through Health Plan of Nevada.⁴

What Does Health Plan of Nevada Insurance Cover for Opioid Treatment?

Some, if not all, of the costs of various opioid treatment services could be covered under Health Plan of Nevada healthcare plans. Substance abuse treatment is individualized, but effective treatment for opioid addiction commonly requires a combination of medical detox, behavioral therapies, and medication-assisted treatment (MAT). ^{5 Recovery is possible}

Your level of coverage depends on different factors, like your specific plan and the services you need. Still, your Health Care of Nevada insurance will likely cover the following typical treatment options:

• Screenings and interventions. Screenings and interventions are used by healthcare professionals to gauge the severity of your addiction and recommend the best treatments to help you achieve sobriety. ^{6 p. 18 How do we get more substance-abusing people into treatment?}
• Medical detox. Detox is often the first step in effectively treating opioid addiction.^{5 recovery is possible} The body must rid itself of harmful substances when opioid use ceases. Medical professionals help patients through detox by providing certain medications to stop cravings and aid in the withdrawal process.^{6 p. 32 Types of Treatment Programs}
• Inpatient and residential rehab. Inpatient and residential rehab can be useful for people with more severe addictions. These facilities provide a safe place to live and recover while building healthy coping skills. Most standard programs last between 30 and 90 days, but some offer longer stays.^{6 p. 33-34}
• Outpatient rehab. Often a first start for treating mild to moderate addictions, outpatient programs offer care options like medical detox and behavioral therapies. You can remain living at home while developing coping skills to fight addiction triggers and promote long-term recovery.^{6 p. 35}
• Behavioral therapies. A combination of behavioral interventions and medication is often used to treat opioid addiction.^{5 recovery is possible} Cognitive-behavioral therapy (CBT) effectively treats substance use disorder by helping patients learn what triggers their drug use and how to change their behaviors.^{6 p. 10-11 What is drug addiction treatment?}
• Treatment for co-occurring disorders. A co-occurring disorder, or “dual diagnosis,” happens when someone struggles with addiction and a mental health illness.^{7 intro} Almost half of the 21 million people struggling with addiction have a co-occurring disorder.^{7 intro} Mental health professionals recommend treating both issues simultaneously for the most effective results.^{7 what should I do?}

Health Plan of Nevada’s Behavioral Health Options provides access to mental health and opioid treatment. Over 140 opioid specialists and rehab centers in Nevada accept Health Plan of Nevada.⁴

What Health Plan of Nevada Insurance does not cover for Opioid Treatment?

Most insurance providers cover treatment for opioid addiction that is medically necessary and appropriate for care. Most standard evidence-based pharmacotherapy and psychotherapy treatments are included. But you likely won’t receive Health Plan of Nevada coverage nationwide for additional services and non-medical amenities like those offered in many luxury and private facilities.

Holistic healthcare, recreational programs, food delivery, private treatment services, and alternative therapies can all be useful in making the recovery process comfortable and helping with promoting long-term recovery. Still, these services aren’t seen as necessary components of addiction treatment and often won’t be covered under your Health Plan of Nevada insurance.

What is Health Plan of Nevada Insurance?

A UnitedHealthcare company, Health Plan of Nevada works diligently to meet the health and wellness needs of its members and improve their quality of life. By partnering with trusted care providers, Health Plan of Nevada makes the healthcare experience simple and convenient. Various individual and family, employer, Medicaid, and Medicare plans and policies are available, all delivering high-quality resources and options for behavioral health treatment, including opioid addiction treatment.⁸

Health Plan of Nevada’s behavioral healthcare provides access to the following: ^{9 Some of the services provided by BHO include}

• The Life Connection (TLC) Employee Assistance Program
• Specialty behavioral health services
• 24/7 crisis intervention services
• Work-life services
• Preferred provider network services

How Much Does Opioid Rehab Cost?

The cost of opioid rehab varies based on several contributing factors, along with your specific insurance plan. Factors like the treatment services and type of facility you choose can affect how much you pay for opioid rehab. Getting treatment in an inpatient or residential rehab will often be more expensive than outpatient programs. Treatment in a luxury or private rehab with exclusive amenities like room service, alternative therapies, and spa treatments is typically more expensive than standard inpatient rehab.

The duration and intensity of the services you require also contribute to how much you’ll pay. Since everyone is unique, and no one treatment will work for all, individualized plans that address your specific needs are often most effective in promoting long-term recovery.^{6 p. 5 #2} Your specific plan will be designed to address the severity of your addiction and meet you where you are in your recovery journey. Specific treatment services and lengths of treatment that are most beneficial to your sobriety will be recommended. Costs will continue to increase as you spend more time in treatment.

The costs below are estimates based on reports from different rehab facilities and research studies. To learn more about specific rehab costs, contact the center you’re interested in attending.

Cost of Inpatient Opioid Rehab

The price of inpatient opioid rehab varies drastically depending on the type of facility you choose and the duration of your treatment. Because of these factors and limited research, it’s hard to determine average costs.

In 2008, a standard 30-day inpatient opioid program averaged about $6,000.^{10 p. 3.2 Cost band estimates table 2} A 30-day program in a luxury facility was about $20,000, while longer stays of 60 to 90 days ranged from $12,000 to $60,000. Needless to say, these prices have increased since then, so it’s best to check with the facility you’re interested in for specific pricing.

Cost of Outpatient Opioid Rehab

Treatment in outpatient rehab programs can often be more affordable than inpatient rehab. In 2008, a standard 3-month outpatient program was around $5,000.^{10 p. 3.2 Cost band estimates table 2} Costs will increase if attending a well-renowned program.

The type of services you need, the duration of your treatment, and the frequency of visits all affect how much outpatient rehab will cost. Once again, these prices have likely increased, so it’s best to check with the rehab center you’re interested in attending for more information.

Cost of Opioid Partial Hospitalization Programs (PHP)

Partial hospitalization programs (PHPs) or day treatment programs offer similar care options as inpatient rehabs but allow you to live at home and attend treatment daily. Costs differ and have increased, but in 2008, the average opioid PHP was between $375 and $500 weekly.^{11 results}

Cost of Medication-Assisted Treatment (MAT)

MAT is often used in conjunction with behavioral therapies to treat opioid addiction.^{5 recovery is possible} Medications like methadone, naltrexone, and buprenorphine are administered during recovery to normalize brain chemistry, prevent withdrawal symptoms, and reduce cravings.^{5 recovery is possible} Cost can vary depending on the type of medication and duration of treatment, but in 2017, average prices for MAT ranged between $6,000 and $15,000 a year.¹²

Opioid Rehab vs. the Cost of Opioid Addiction

Figuring out how to pay for opioid rehab can be confusing and may deter you from seeking treatment. But when considering the cost of opioid addiction, opioid rehab is well worth the price. Along with depleting your finances, leaving opioid addiction untreated can cause you to destroy relationships with loved ones and put your life and others at risk. You may also experience significant losses and struggles like health issues, homelessness, and legal problems.

Attending opioid rehab is an investment in yourself that will offer countless returns over time. Understanding your health plan of Nevada insurance coverage nationwide can ease some of the stress when deciding how to pay for opioid rehab and help you find the best program for you.

What Length of Opioid Rehab Does Health Plan of Nevada Insurance Cover?

Remaining in treatment as long as you need is critical to achieving sobriety.^{6 p. 5 #5} Mental health professionals agree that longer treatment times are most effective in promoting long-term recovery.^{6 p. 5 #5}  Although treatment is different for everyone, taking the appropriate time needed to focus on getting better can help you maintain sobriety over time.^{6 p. 5 #5}

Research has found that treatment for less than 90 days has limited effectiveness, especially with opioid addiction. Those fighting opioid addiction have been found to benefit the most from at least 12 months of MAT.^{6 p. 16 How long does drug addiction treatment usually last?}

You may be wondering how long your Health Plan of Nevada Insurance will cover opioid addiction treatment costs. Your length of coverage depends on your specific insurance plan. Because there are many different types of policies and tiers of coverage, it’s best to reach out to your insurance provider for more information. Call the number on the back of your insurance card, or contact American Addiction Centers (AAC) to find out your Health Plan of Nevada coverage nationwide.

Choosing between Health Plan of Nevada Insurance Inpatient vs. Outpatient Opioid Rehab Centers

It’s helpful to consider the severity of your addiction and your lifestyle needs when choosing between Health Plan of Nevada inpatient drug rehab centers nationwide and outpatient programs. Outpatient rehab can be beneficial for people with mild to moderate addictions. Still, inpatient rehab can benefit those with addictions of all severity.

Inpatient rehab provides a safe space for continuous quality care and 24/7 support from mental health professionals. It can be particularly beneficial for those struggling with opioid addiction, as the intense withdrawal symptoms and severe mental health effects make recovery difficult without help. Focusing completely on your recovery while welcoming the support you need to get better will only make your journey to recovery easier.

Many specialized opioid programs provide support groups and individual therapy. You’ll be able to connect with others on similar journeys and hold each other accountable as you build new skills and learn healthy ways to cope.

How to Use Health Plan of Nevada Insurance for Opioid Rehab?

Using your Health Plan of Nevada insurance for opioid rehab is simple. Reach out to your primary care provider or an in-network opioid specialist for assistance in finding a suitable rehab program. Once you’ve found a good fit, contact the facility to determine your ability to use your Health Plan of Nevada insurance and the level of coverage you’ll receive.

How to Find Opioid Rehabs That Accept Health Plan of Nevada Insurance

AAC can verify your insurance coverage and help you find opioid rehabs that accept Health Plan of Nevada insurance. Reach out to us through online chat or call our helpline to speak directly with an admissions agent who can check your benefits right while you’re on the phone. Every year, hundreds of people attend rehab financed through Health Plan of Nevada.

You can access some of the best treatment centers nationwide through AAC. Desert Hope Treatment Center is our Las Vegas facility providing several specialized treatment options and individualized therapeutic interventions to address opioid addiction, like medical detox, inpatient treatment, outpatient programs, and sober living.

Starting the journey to recovery can open the doors to a happier, healthier life. If you’re ready to seek treatment for opioid addiction, AAC is here to help.