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As with many health insurance providers, Blue Cross provides coverage for a variety of mental health diagnosis and substance use disorders. Coverage at LVRC for Blue Cross Blue Shield policy holders includes a host of programs and services. These include programs such as Medical Detox to ensure our clients are safely and comfortably separated from the habit forming substance. Other programs include other inpatient drug rehabilitation programs like Residential treatment. Outpatient coverage is also a part of Blue Cross Blue Shield policy holders benefits. These programs consist of Partial Hospitalization (Day Treatment), Intensive Outpatient and Outpatient services.
Will Blue Cross Blue Shield Cover My Drug or Alcohol Rehab?
Bluescross Blueshield drug and alcohol rehab benefits can vary from policy to policy. Since Las Vegas Recovery Center is an in-network provider for Blue Cross, we have established a good relationship that assists our clients receive the right addiction treatment at the right time. Each of our clients receive a full assessment to assist our clinical and medical staff to recommend the right program. Whether you are struggling with alcohol addiction, prescription drugs or other addictive substances, we can ensure you receive the treatment you or your loved one needs. How long you will be in treatment has many factors that include your type of Blue Cross policy, your unique history and medical needs. Las Vegas Recovery Center continually updates Blue Cross on your progress to ensure seamless and high quality care
Blue Cross Blue Shield and LVRC’s Medical Detox Program
Medical Detox is often a necessary step for Blue Cross policy holders before therapeutic treatment for drugs and/or alcohol can be effective. Las Vegas Recovery Center staffs a full medical team that will complete initial assessment so a plan to safely and comfortably remove alcohol and drugs from your body can be developed. How long a person is in Medical Detox various due to a variety of factors. Age, length of addiction, overall physical health and previous medical detoxes are a few of the factors that can impact your overall experience. LVRC provides a variety of medications and services to limit negative physical and emotional discomfort during detox. Each day our medical team will evaluate you or your loved to ensure our interventions are effective. The ultimate goal is to end your physical dependence on drugs and/or alcohol.
BCBS and Inpatient Addiction Recovery Treatment
Inpatient addiction treatment for BCBS policy holders can vary. LVRC offers (2) distinct inpatient programs. Medically Managed Inpatient treatment is designed to provide behavioral health care simultaneously with chronic or acute health conditions. Residential treatment is designed to focus solely on treating addiction to drugs or alcohol with therapeutic services.
BCBS and Medically Managed Inpatient Addiction Recovery Treatment
Some Blue Cross policy holders may have benefits that cover Medically Managed Inpatient addiction treatment. This type of program combines high quality medical care with cutting edge behavior therapy that reduces hospital admissions that can interrupt addiction treatment. Abusing drugs or alcohol over longer periods of time can have an impact on our bodies and create or exacerbate health conditions. It is vitally important these health conditions are managed while receiving addiction therapy.
BCBS and Residential Addiction Recovery Treatment
Some Blue Cross policy holders may have benefits that cover Residential Treatment. This addiction treatment program is designed for those who have don’t have chronic medical conditions and have completed a medical detox. Clients in our residential addiction programs live on site for the duration of their treatment stay. For those who don’t require a medical detox, beginning the program will require an assessment so we may communicate with BCBS for authorizations and approvals. By receiving authorizations for residential treatment we prevent large, unexpected out of pocket expenses.
BCBS and Outpatient Addiction Recovery Treatment
Outpatient treatment comes in many forms. Blue Cross Blue Shield policy holders may have benefits for Partial Hospitalization Programs, Intensive Outpatient services or Outpatient services. Each of these programs provides different levels of intensity to ensure your addiction to drugs or alcohol is treated in the appropriate clinical setting.
BCBS and Partial Hospitalization (PHP) Addiction Treatment at LVRC
Partial Hospitalization for alcoholism or drug addiction, also known as PHP, is the highest level of outpatient care available. PHP provides daily care at LVRC for up to 8 hours while allowing you to return home or to a structured Recovery Residence or sober living. If this benefit is available on your Blue Cross Blue Shield policy we can discuss the details after your free insurance verification by our admissions office. Clients must meet certain criteria to directly enter this program as well as receive the proper authorization from BCBS. PHP is also used once one of LVRC’s inpatient programs is completed.
BCBS and Intensive Outpatient (IOP) Addiction Treatment at LVRC
Intensive Outpatient addiction therapy is comprised of weekly group therapy sessions including, weekly individual sessions and joint family groups. LVRC offers daytime groups sessions as well as night time group sessions that allow our clients to work or attend school and spend time with their families. As with PHP, Las Vegas Recovery Center has specific criteria to enter this program. To find out more please contact our admissions office at 702-515-1373. Our admissions counselors will verify your benefits and discuss your unique needs.
BCBS and Outpatient (OP) Addiction Treatment
Outpatient or OP addiction treatment for alcoholism or drug addiction is the lowest level of care LVRC offers. Outpatient, if a covered benefit by your BCBS policy, consists of (1) weekly group therapy session and (1) individual session per month. Most of our clients who enter this program have completed our Intensive Outpatient Program are months into their new found recovery from addiction.
BCBS Insurance and Rehab
It is important to utilize your Blue Cross Blue Shield network insurance with addiction treatment programs who are in-network. This means that Las Vegas Recovery Center has worked closely with BCBS to established reduce rates for all our levels of care. By doing so both LVRC and BCBS reduce any out of pocket expenses. Some BCBS policy require a 20% copay while others require a 10% copay. Most BCBS policies have yearly deductibles that need to be met. Our admissions office will help you understand more about your policy and what to expect before entering treatment. As with most in-network health insurance it is vital we obtain authorizations prior to the start of your treatment program. By doing so we prevent large unexpected bills for our clients.
Will I Have A Copay or Coinsurance for Drug or Alcohol Rehab?
Your copay or coinsurance depends on the type of Blue Cross Blue Shield policy you have. Our Admissions Office will provide a free benefit verification to provide a more accurate picture of your out of pocket expense before you enter our treatment programs for alcohol or drugs.
Out-of-Network Rehab with BCBS
Many treatment providers do not meet Blue Cross Blue Shields strict criteria to become an in-network provider. Those that don’t may accept BCBS insurance but are considered Out-of-Network. That means that your copays or coinsurance will be much higher. It is not uncommon to see BCBS members required to pay 50% of any charges. This can create a massive financial burden most families can’t take on, ultimately preventing addiction care when it is needed the most.
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