Does BCBS of Texas Cover Opioid Rehab or Detox Centers?

Struggling with opioid addiction is challenging, but you’re not alone. Between 2017-2019, the Substance Abuse and Mental Health Services Administration (SAMHSA) found that an average of 70,000 Texans struggled with opioid use disorder each year.¹ Many more struggled with opioid use without a diagnosis.¹

The good news is that there are treatment programs that can help you break free from substance use, and if you have Blue Cross Blue Shield coverage in Texas, your insurance can pay some or all of the cost of rehab. The Affordable Care Act (ACA) requires all long-term insurance plans to cover 10 essential health benefits, which include mental health and substance use treatment.²

Different plans have different coverage details, however, so it’s important to verify your insurance before choosing a treatment program. You can call the number on your insurance card or contact American Addiction Centers (AAC) anytime to find out more about your coverage.

What Does BCBS of Texas Insurance Cover for Opioid Treatment?

Each person’s treatment plan will be different, so it’s important to work with your doctor to create a plan that meets your needs. BCBS of Texas healthcare plans will focus on covering medically necessary treatment based on your doctor’s recommendation.

Common treatment options for opioid use include:³

• Screenings and Interventions: Before you begin rehab, your doctor will work with you to find the right treatment plans for your needs. The doctor will ask about what opioids and other substances you use, how much, your home environment, and more. It’s vital to be honest, so you get the care you need.
• Medical detox: Detoxification is the process of letting the opioids leave your body so you can start fresh without substance use. However, it can be a difficult process, and it’s often best if you’re medically supervised to manage withdrawal symptoms. After detox, you’ll begin substance use treatment.
• Inpatient treatment programs: During inpatient treatment, You receive around-the-clock care and support from medical and emotional staff, which allows you to begin the process of healing in a safe and structured environment. Inpatient rehab centers also offer the opportunity to begin therapy for underlying mental health issues. Treatment may include counseling, educational programs, and medication management (if required).
• Outpatient programs: Outpatient treatment can provide a person the opportunity to get the help they need while still being able to work or attend school. Outpatient sessions focus on drug abuse education, individual and group counseling, and teaching participants how to cope without their substance use. This type of treatment can be a starting point for treatment or a follow-up after you graduate from inpatient treatment.
• Behavioral therapies: Behavioral therapy is evidence-based treatment that can help people overcome multiple types of substance use issues, including opioids.⁴ Examples of behavioral therapy include cognitive-behavioral therapy (CBT), contingency management, and couples and family therapy.⁴
• Treatment for co-occurring disorders: Having both a mental health diagnosis and substance use issues is known as a co-occurring disorder. To give yourself the best chance at long-term recovery, it’s important to treat your mental health and substance use together.⁵

Whatever your treatment plan includes, it’s important to complete the program through graduation. It’s common to want to stop treatment when you start to feel better, but it’s important to give yourself the best chance at long-term recovery by practicing new habits in a safe environment as long as possible.

What BCBS of Texas does not cover for Opioid Treatment?

Another thing to keep in mind is that your BCBS of Texas addiction treatment coverage will focus on paying for evidence-based treatment rather than non-traditional or experimental options.

Some examples of treatment that is not likely to be covered include:

• Recreation-only programs.
• Food delivery.
• Alternative therapies.
• Non-medical amenities.
• Holistic care services.
• Treatment from unapproved providers.

To make the most of your BCBS of Texas insurance coverage, make sure you choose a treatment facility that uses evidence-based treatment.

How Much Does Opioid Rehab Cost?

The cost of treatment varies widely. The types of treatment offered, the facility and more can all impact the price. For example, a private rehab with individual rooms will cost more than a state-subsidized rehab with shared rooms.

Other elements that affect the price of treatment programs include:

• Services offered. A program that only offers the essentials will be less expensive than a rehab that offers a variety of recreational activities or spa services.
• Service intensity. The more intense and structured the program, the more costly it’s likely to be. For example, an inpatient or partial hospitalization program is likely to be more expensive than outpatient treatment.
• Treatment duration. The longer a program is, the more it will cost. However, it’s important to attend treatment long enough to create new habits and stick with them—it’s even more expensive to attend treatment twice.
• Amenities. A program that has more amenities, such as a pool, basketball court, or spa, is going to cost more than a treatment center with only the basics.

Remember that you shouldn’t pick a treatment program on price alone. You’ll want a program that can help you stay focused but also provides the care you need. You can save significantly by finding a treatment program covered by your Blue Cross Blue Shield rehab coverage.

Opioid Rehab vs. the Cost of Opioid Addiction

What’s the cost of not getting treatment? You might think you’re saving money, but when you look at the cost of opioid use, you’ll quickly reach a different conclusion. Opioids are very expensive because you’re obtaining them illegally in most cases. You’re also running significant risks of being arrested and facing large fines and prison time. Opioid use also causes serious health problems and you’ll lose money from missing work — or being unable to work at all. When you look at the price of opioid use, it’s clear rehab is worth the cost.

What Length of Opioid Rehab Does BCBS of Texas Cover?

How long does rehab last? No answer is right for everyone, but research shows that most people need at least 90 days to make a significant change in their substance use habits, including quitting.⁶ That’s why many treatment programs are at least 3 months long. However, your specific process may be longer and might include multiple types of treatment programs. For example, you might do an inpatient program and then outpatient treatment.

What’s important is that you finish your treatment process completely. That gives you the best chance at successful recovery the first time, rather than having to attend treatment multiple times to solidify your new habits. Your BCBS of Texas rehab coverage may have specific requirements or limitations, so it’s important to know the details before you commit to a program. You can call the number on your insurance card, or you can contact AAC anytime, 24/7. Our admissions navigators can verify your insurance in just a few minutes as they chat with you and answer any questions you have about rehab.

Choosing between BCBS of Texas Inpatient vs. Outpatient Opioid Rehab Centers

The type of treatment you choose will largely be based on your doctor’s recommendation. If your doctor recommends inpatient rehab, it’s important to follow through. Outpatient treatment may seem easier and be less expensive, but you may need to get out of your home environment to make a serious change in your substance use.

Some of the benefits of inpatient care, if recommended, include:

• High-quality care. You’ll receive around-the-clock, high-quality care from your inpatient treatment center.
• Treatment ecosystem. An inpatient rehab will have everything you need to create new habits and move toward recovery, with no distractions from daily life.
• There will be a team around you 24/7 to support you in your recovery.
• Focused Environment. Everything about inpatient rehab is focused on recovery. You won’t have any distractions or temptations to fall into old habits.
• In an inpatient setting, you have accountability at all times. Everyone is rooting for you to create new habits and break free of substance use long-term.

Be sure you follow the treatment plan your doctor recommends, especially if it includes starting with inpatient treatment.

How to Use BCBS of Texas Insurance for Opioid Rehab?

How do you get started with Blue Cross Blue Shield opioid rehab in Texas? There’s a simple process. You start by consulting with your doctor and determining the right treatment plan for your needs. Then, you’ll find a rehab program that has what you’re looking for. There might be certain features or services that you’re interested in, and you’ll want to find a BCBS of Texas substance abuse treatment facility if possible.

How do you know what facilities are part of your health insurance coverage? You can call the phone number on your insurance card or connect with AAC through online chat, over the phone, or by filling out the form below. We’re here to help you verify your insurance and take the first steps toward recovery. Once you’ve chosen a program, work with the rehab center to apply your insurance coverage and ensure that any other costs are taken care of. You’re on your way to a life free of substance use.

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.

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 Opioid Rehabs That Accept BCBS of Texas Insurance

You deserve a life free from substance use so that you can create the life you’ve dreamed of. We’re here to help you take the first steps.

You can call our helpline to get more information about your insurance coverage and learn about our top-quality treatment facilities, such as Greenhouse Treatment Center in Texas. We can answer any questions you have about treatment and help you get started on your journey to freedom.

It’s time to create a new life. Contact us today.