Rehab Centers That Accept Highmark Insurance

Highmark Insurance is a BlueCross BlueShield licensee that serves 6 million members in West Virginia, Delaware, Pennsylvania, and parts of New York. The organization provides extensive behavioral health coverage, including treatment for substance use and mental health disorders, utilizing the BCBS network of vetted Highmark rehab centers.

If you have a Highmark health insurance plan and need help addressing an addiction or mental health condition, coverage includes all levels of care at an appropriate intensity with reduced out-of-pocket costs for you.

Does Highmark Insurance Cover Drug Rehab?

Highmark health insurance plans cover drug rehab as mandated by the Affordable Care Act. Highmark plans treat addiction as a chronic medical condition that requires professional intervention.

The scope of coverage is contingent on the plan type, deductible, and whether you choose treatment at an in-network provider. Highmark rehab centers within this network generally offer the most affordable treatment options with the best benefits.

To verify your coverage, use the online member portal or call customer service using the phone number printed on your Highmark insurance card. Customer service agents can clarify any limitations on coverage, as well as requirements for pre-authorization, co-payment, and co-insurance. They can also help you find Highmark drug rehabs near you.

What Types of Addiction Treatment Does Highmark Cover?

Highmark health insurance plans cover a full range of addiction treatment modalities, from detox and outpatient therapy to residential rehab. Coverage varies considerably based on the plan type, but most plans offer robust coverage for addiction as an essential health benefit.

Medical Detox

Supervised medical detoxification is the first fundamental phase of addiction recovery. Highmark rehab centers offer detox services in an inpatient and outpatient setting, with coverage extending to the type of detox deemed most appropriate by healthcare providers. Medical professionals manage withdrawal symptoms, administer medications, monitor vital signs, and provide 24-hour supervision throughout the process.

Medication-Assisted Treatment

Medication-assisted treatment combines talk therapies and counseling with medications approved by the FDA to manage alcohol and opioid addictions. Highmark rehab centers offer medication-assisted treatment coverage when it’s determined as clinically necessary by qualified healthcare providers.

Common medications include acamprosate, disulfiram, and naltrexone for alcohol addiction, and naltrexone, methadone, and buprenorphine for opioid addiction. These drugs help mitigate cravings, reduce the intensity of withdrawal symptoms, prevent relapse, and promote sustained recovery from drug or alcohol addiction. Highmark insurance plans cover both the costs of medications and medical monitoring.

Inpatient Rehab

Inpatient rehab delivers 24/7 care in a safe and structured setting over 30, 60, or 90 days. Residential rehab programs provide counseling, group therapy, family therapy, educational sessions, and life skills training. Some rehabs covered by Highmark also offer dual diagnosis treatment programs to address co-occurring mental health disorders. Inpatient rehab generally requires pre-authorization from Highmark before treatment begins.

Dual Diagnosis Treatment

Dual diagnosis treatment is an integrated approach that tackles addictions and co-occurring mental health disorders simultaneously. This is proven to deliver superior outcomes to treating each condition separately [5].

Highmark mental health coverage includes psychiatric care from psychologists, psychiatrists, and addiction specialists working together to deliver coordinated care for co-occurring disorders.

Outpatient Treatment Programs

Outpatient treatment programs are much more flexible, enabling individuals to receive effective addiction treatment around their everyday commitments.

An IOP (intensive outpatient program) delivers up to 15 hours of weekly treatment sessions, while a PHP (partial hospitalization program) involves up to 30 hours of therapy each week. Traditional outpatient programs offer weekly or bi-weekly therapy sessions.

Counseling & Behavioral Therapy

One-to-one counseling and group therapy are integral to evidence-based addiction treatment at Highmark rehab centers. Coverage extends to talk therapies like CBT (cognitive behavioral therapy) or DBT (dialectical behavior therapy), motivational therapies, and trauma-informed treatment approaches. Family therapy may also be indicated due to how the effects of addiction ripple out beyond the affected individual.

Continuing Care

Recovery doesn’t end with the completion of treatment. Ongoing care may involve outpatient counseling, peer support groups, case management, and sober living communities. Highmark coverage includes all services determined essential to sustained recovery.

Get Evidence-Based Addiction Treatment with Health Insurance at a Premier Rehab Center in California

At Renaissance Recovery in Southern California, we treat all addictions with intensive outpatient programs at our luxury beachside facility. We work with many major health insurers to widen access to treatment, even for those with financial constraints.

All treatment programs at Renaissance are tailored to individual needs, with therapies such as:

• Medication management
• Psychotherapies like CBT and DBT
• Motivational therapy
• Family therapy
• Group therapy
• Individual counseling
• Holistic therapies
• Aftercare support

Verify your insurance benefits and kickstart your addiction recovery by calling 866-330-9449.

Sources

1. https://www.hhs.gov/healthcare/about-the-aca/index.html 2. https://www.ncbi.nlm.nih.gov/books/NBK64119 3. https://www.samhsa.gov/substance-use/treatment/options/medications 4. https://pubmed.ncbi.nlm.nih.gov/30352668/