Does BCBS Of Illinois insurance cover Inpatient Alcohol and Drug Rehab Centers?

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If you are one of the many people in Illinois who is in need of inpatient alcohol and drug rehab, you can access your Blue Cross Blue Shield of Illinois insurance plan for treatment. Illinois saw 48,705 residents seek substance treatment at a facility in 2019.1(p289) Your Blue Cross Blue Shield of Illinois benefits offers behavioral health services that you can use for mental health and substance misuse issues.2(top)

A BCBS of Illinois substance abuse treatment facility can check your insurance coverage for you when you call the helpline. Give the admissions navigator your insurance information, and they will verify your coverage right away for you.

You can also call the number on the back of your card for more details.

How to find BCBS Of Illinois covered Inpatient drug treatment centers in IL?

One of the quickest ways to find BCBS of Illinois rehabilitation centers near you is to contact American Addiction Centers (AAC). An admissions navigator will quickly verify your insurance coverage while you wait on the phone. AAC has leading rehab treatment centers all across the U.S., so when you call the Blue Cross Blue Shield of Illinois phone number, someone will let you know about the in-network facilities in your area.

Contacting the helpline isn’t the only way to get information about Blue Cross Blue Shield of Illinois drug treatment providers. You can also use the chat function online or fill out the form on this page.

What is BCBS Of Illinois?

Blue Cross Blue Shield of Illinois was founded during the Great Depression in 1936 in Chicago. Its roots were a culmination of people coming together who shared an interest in helping individuals and families with healthcare.

Today, there are approximately 8.1 million members, and Blue Cross Blue Shield of Illinois is the largest health insurance company in Illinois.

BCBS of Illinois offers several plans, such as:3(top)

  • Individual & family plans.
  • Medicaid plans.
  • Medicare plans.

In addition, there are different tier levels within the plans. These tiers are as follows:4(box below Review)

  • Bronze
  • Silver
  • Gold

How Much Does BCBS Of Illinois Cover (Addiction Treatment)?

The amount of your Blue Cross Blue Shield of Illinois drug treatment coverage depends on the specific plan you have and the tier level. There may be some limitations on the amount of time you can stay in particular types of Blue cross of Illinois treatment programs. Additionally, even with Blue Cross Blue Shield of Illinois substance abuse treatment coverage, you may need to pay some out-of-pocket costs, such as copayments.

Whichever Blue Cross Blue Shield of Illinois drug detox treatment plan you have, it should cover some of the following treatment levels:

  • Inpatient treatment program: An inpatient treatment program is going to give you the highest level of treatment, and it is in a residential setting. This provides the comforts of home but with qualified clinicians near you for monitoring and support. You stay in an inpatient treatment program overnight for up to a year. Although, it’s typical to stay for a shorter duration of approximately 90 days.5(inpatient)
  • Partial hospitalization program (PHP): At a PHP, you will be provided with a high level of care but go to your own residence at the end of the day. During PHP, you will participate in therapy sessions and receive support from the counselors there.6(pg.10)
  • Intensive outpatient program (IOP): An IOP is an outpatient program that serves as an appropriate step-down program after any of the above programs. During IOP, you will participate in several hours of therapy during the week. 7(p2-3)
  • Outpatient treatment program and therapy: A regular outpatient program is one you’re probably familiar with. It consists of meeting with a certified therapist about once or twice a week for evidence-based therapy. 6(pg.10)

Does Blue Cross Blue Shield of Illinois cover addiction treatment therapies?

Any type of drug or alcohol rehab program is going to include addiction therapy.8(what are treatments) Therapy is instrumental in assisting you with the recovery process. Researchers have discovered that through therapy, they can help interrupt the triggers of relapse and help people stay in treatment.9(preventing relapse)

Some of the ways it aids you in gaining sobriety include:8(how are behavioral)

  • Helps to change your behavior towards drug use
  • Helps you have a healthier perspective on future counseling
  • Helps you have healthier life skills

Some of the common evidence-based therapies in rehab include:8(outpatient behavioral)

  • Cognitive-behavioral therapy.
  • Family therapy.
  • Motivational interviewing.
  • Motivational incentives.

Does Blue Cross Blue Shield of Illinois provides coverage for mental health facilities?

Many Blue Cross Blue Shield of Illinois insurance drug treatment programs will also provide treatment for mental illnesses also. The reason for this is because mental use disorder and substance abuse often co-occur. 10(overview) A co-occurring disorder can involve any mental health disorder, but some of the more commons ones are:10(overview)

  • Anxiety disorders.
  • Attention-deficit hyperactivity disorder (ADHD).
  • Bipolar disorder.
  • Depression.
  • Personality disorder.
  • Schizophrenia.

Many risk factors contribute to people having a co-occurring disorder diagnosis. These are as follows:10(Overview bullets)

  • Genetic issues: Just like any other disease, you are more predisposed to having a co-occurring disorder if someone in your family has it. The person in your family may not have both mental illness and substance abuse, but you can get an evaluation if they have even 1 of the conditions. 10(Overview bullets)
  • Substance misuse: Misusing any type of substance over time will result in changes in brain function and structure. Consequently, this may result in a mental health disorder. 10(Overview bullets)
  • Mental use disorders: A mental health disorder makes you feel unwell. This is especially so if you don’t get treatment for it, or you are undiagnosed. This can lead you to use substances as a way to self-medicate and misuse the substance. 10(Overview bullets)

Use your Blue Cross Blue Shield Illinois mental health coverage to receive co-occurring disorder treatment. Marketplace plans must abide by the mandates of the Affordable Care Act (ACA), which states that insurers must not deny members for substance abuse.11 Instead, the ACA ensures that insurance companies, like BCBS of Illinois, provide essential health benefits to their members.11

How Long Does BCBS Of Illinois Insurance Cover Alcohol and Drug Rehab programs?

The length of your Blue Cross Blue Shield addiction treatment will vary depending on the treatment program you participate in. Each program level has a specific recommended length of time. Your Blue Cross Blue Shield Illinois coverage may cover the entirety of your stay in an inpatient treatment program.

A typical residential inpatient treatment program lasts from 30 to 90 days.12(numbered) This is normally the beginning of a treatment plan for people. The best form of treatment combines several forms of treatment,8(under circle) which would indicate staying in treatment for at least 90 days.

What if my BCBS Of Illinois policy does not cover an Inpatient drug rehab program?

If you find out that your Blue Cross Blue Shield of Illinois insurance rehab plan doesn’t cover inpatient drug treatment, don’t stop seeking help. There are plenty of other ways to pay for treatment. There are drug treatment centers in Illinois that offer financial assistance, including financial aid, scholarships, and sliding scale fee reductions for eligible participants. Don’t put off taking care of your addiction needs.

BCBS Of Illinois In-Network vs. Out-of-Network Inpatient Drug Rehab Centers

Begin your journey to a happier future by contacting in-network residential treatment centers in Illinois. Illinois substance abuse treatment centers in-network will be in a contract with the insurer and therefore able to offer an agreed-on rate. This saving gets passed on to you, helping to defray costs. If you go to an out-of-network rehab, you will have to pay for the additional costs.

Rehabs That Take Blue Cross Blue Shield of Illinois 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.

Will my insurance pay for treatment?
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