Does BCBS Of Texas Insurance Cover Inpatient Alcohol & Drug Rehab Centers?

There’s a lot of stigma that surrounds substance use, which means those that struggle with addiction often feel isolated and alone. The truth is quite different — millions of Americans struggle with substance use, and you can break free with the help of substance use treatment.

How can you afford treatment? If you have BlueCross BlueShield insurance in Texas, your health insurance can pay for some or all of the cost of rehab. The Affordable Care Act (ACA) requires all long-term health insurance plans to have coverage for 10 essential health benefits, which include mental health and substance use treatment.^{1, fifth bullet}

However, the level of coverage varies depending on your plan, so it’s important to review your coverage before committing to a treatment program. You can call BCBS to check coverage, or you can reach out to American Addiction Centers (AAC). Our admissions navigators are available 24/7 and can verify your insurance in just a few minutes as they chat with you.

What Is BCBS of Texas?

While many people think that Blue Cross Blue Shield is a single company, but it’s actually an affiliation of 34 independently operated health insurance companies.² The group covers one in three Americans through all 50 states, Puerto Rico, and D.C., as well as many Americans who travel and live internationally.²

Blue Cross Blue Shield of Texas has been covering members for over 90 years and is customer-owned, so members are their key priority.³ The company offers a variety of insurance plans, including individual and family plans, Medicare Advantage, Medicaid, and employer plans.³

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

There’s no treatment process that will work for everyone who struggles with substance use. Instead, your doctor will work with you to create a personalized plan based on your history of use, support system, home environment, and more.

Some of the common treatment options included in these plans are:^4,5

• Inpatient Rehab. Inpatient care is a way to focus on your recovery without distractions. At a rehab center, you will have around-the-clock care and support. You will get a combination of group and individual therapy, which will help identify the root issue and develop a treatment plan that addresses your unique needs. Treatment includes counseling, educational programs, and medication management (if required).
• Outpatient Rehab. Outpatient care is a few hours a week of therapy, counseling, or activities that can be a starting point for treatment or a follow-up to inpatient care. The light schedule allows you to maintain your normal schedule while still getting the help you need. Outpatient sessions typically focus on substance abuse education, relapse prevention, stress management, communication skills, and goal setting.
• Intensive Outpatient Programs (IOP). IOPs are structured programs that follow a schedule and routine, and the care is more focused than normal outpatient care. The program also offers courses to address the issues that cause addiction, such as trauma, emotional regulation, self-discovery, and more. IOPs often involve a minimum of three hours of treatment per day, five days per week.
• Partial Hospitalization Programs (PHP). PHPs offer a similar intensity of treatment as inpatient or residential programs and may include one-on-one therapy, group therapy, family meetings, medical services, and treatment for co-occurring mental health disorders. You would attend the PHP up to five days per week for up to six hours each day. Nights and weekends are spent at home instead of in the treatment facility.

Regardless of what type of treatment you are prescribed, it’s important to follow through all the way to graduation. That means finishing each step of the treatment plan, not just the initial program. It’s tempting to stop treatment as you start to feel better, but you’ll give yourself the best chance of long-term recovery by practicing your new skills in a safe environment as long as possible.

Does BCBS Of Texas Insurance Cover Inpatient Mental Health Care facilities?

Many people with substance use issues also struggle with mental health, and it’s common to wonder if there is BCBS mental health coverage that will help you get the care you need. In fact, 50% of those with substance use issues also have a mental health diagnosis, which is known as a co-occurring condition.⁶ Common mental health issues that co-occur with substance use include anxiety, depression, post-traumatic stress disorder (PTSD), attention-deficit hyperactivity disorder (ADHD), and more.⁶

If you have mental health concerns alongside substance use, it’s important to treat both together. Research shows that this kind of integrated treatment will give you the best chance of long-term recovery.⁷ Will BCBS insurance plans cover mental health treatment as well as substance use rehab? Yes, the ACA includes both mental health and substance use in the list of essential health benefits.¹

However, the plan may have specific limits and requirements, so be sure to verify your insurance before you commit to a specific treatment plan. You can check BCBS coverage by contacting the insurer directly or connecting to AAC by phone, online chat, or by filling out our contact form. We can review your coverage in just a few minutes.

Does BCBS Of Texas cover addiction treatment therapy?

Like all insurance plans, Blue Cross Blue Shield drug rehab coverage focuses on paying for high-quality, evidence-based care so that you get the best possible chance at long-term recovery. Alternative or unproven therapies are often not covered by insurance.

Examples of evidence-based therapies that may be part of your treatment program include:⁸

• Cognitive behavioral therapy (CBT).
• Relapse prevention (RP).
• Therapeutic residential communities.
• Contingency management (CM).
• Brief interventions (BI).
• Motivational interviewing (MI).
• 12-Step programs.

When you’re reviewing your options, be sure to consider high-quality treatment programs that focus on evidence-based therapy so you break free from substance use and live a happy, healthy life.

How Long Does BCBS Of Texas Insurance Cover Inpatient Alcohol and Drug Rehab program?

How long is rehab? It’s a question many people have, but there’s no answer that fits everyone. The length of treatment will depend on the program your doctor prescribes for you.

Research shows that most people need at least 90 days to make a significant change in their substance use habits, including quitting.⁹ That’s why many treatment programs are at least three months long.

However, your treatment process may be longer than that, depending on your needs. What’s important is to follow your doctor’s recommendations completely and commit to seeing your treatment process through until the end.

Your insurance plan may also have limits and requirements in order for treatment to be covered, so be sure to check your insurance before you start rehab. You can call BCBS of Texas or reach out to AAC online or by phone. We’re available 24/7 to help you.

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

As you look at different rehab options, you may find that your BlueCross BlueShield coverage doesn’t cover the full cost of treatment, and you have to cover some of it yourself. Or you might decide on a specific treatment program but find that it’s not one of the approved BCBS of Texas rehabilitation centers, so you have to pay the full cost yourself.

Don’t let these financial setbacks stop you from getting the treatment you need. There are many ways to manage the cost of rehab, and your insurance is only part of the solution. For example, you may be able to set up a payment plan for what you owe, or the treatment facility might offer scholarships.

Some people choose a treatment program with a sliding scale of fees based on their finances or borrow money from friends and family to pay for rehab. The one thing you can be sure of is that once you’re free from substance use, you’ll be in a far better mental and physical position to manage your financial obligations.

What’s important is to get the help you need right away without putting it off. There will never be a perfect time to go to treatment, but you want to get free before you face serious long-term legal and health consequences from substance use. You deserve a happy, healthy life.

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

When reviewing different treatment centers, you’ll notice that some of them are listed as an “in-network” BCBS of Texas treatment center, while others are “out-of-network.” What does that mean? All insurance plans have a group of doctors and medical centers (including rehab facilities) that agree to treat plan members for a lower price in return for referrals from the plan.¹⁰ This group is known as the insurance plans network.¹⁰

However, many insurance plans don’t offer much, if any, coverage outside of the network.¹⁰ That means if you attend an out-of-network treatment center, you may have to pay the full cost yourself.¹⁰ To keep your costs low, look for Texas drug rehabilitation centers that are part of your insurance plan’s network. If that’s not possible, don’t panic—as we mentioned earlier, there are many ways to pay for rehab. What’s important is getting the care you need to be free from substance use.

How to find BCBS Of Texas covered Inpatient drug treatment centers in TX?

How can you know if a treatment program is a BCBS of Texas rehab center or will be covered by your insurance? It’s all about understanding the details of your insurance plan. Fortunately, you don’t have to look into it on your own. You can call the insurance company directly, or you can reach out to AAC for help. Our admissions navigators can review your insurance plan in just a few minutes and answer any questions you have about rehab.

We can also let you know about high-quality AAC treatment facilities, such as the Greenhouse Treatment Center in Dallas County, Texas. Greenhouse Treatment Center offers a variety of programs, including inpatient, outpatient, and co-occurring disorder treatment.

You deserve a happy, healthy life free of substance use. Take the first step toward your dreams by contacting us today.

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.
• River Oaks Treatment Center: Located in the Riverview, Florida, River Oaks offers comprehensive addiction treatment for individuals struggling with addiction and co-occurring disorders. River Oaks is a Blue Cross Blue Shield Blue Distinction Facility, in recognition of their expertise in high-quality care for addiction treatment.

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.