Does Anthem Blue Cross Blue Shield Of South Carolina Offer Coverage for Opioid Treatment?
It’s no secret that the opioid crisis is ravaging communities across the United States. In South Carolina alone, 835 people lose their lives to opioid abuse, at a rate 17.1% higher than the average national rate. In an effort to combat the problem, more and more people are seeking treatment for opioid addiction. But what if you cannot afford it? Can you still get help?1
Anthem Blue Cross Blue Shield of South Carolina, one of the largest private health insurance providers in the state, offers coverage for opioid addiction treatment among other coverage plans. However, the coverage may vary depending on your individual plan. You will need to contact your insurance provider to find out exactly what is covered under your plan. This article will cover some of the basics of how Blue Cross Blue Shield Of South Carolina addiction treatment works.2
What Is BCBS of South Carolina?
Blue Cross Blue Shield of South Carolina is a health insurance company that was founded more than 70 years ago. They offer a variety of health insurance plans, including individual and group coverage. Blue Cross Blue Shield Of South Carolina healthcare plans also offer dental and vision coverage, as well as prescription drug coverage. They have a number of locations across the state of South Carolina, and they are one of the largest employers in the state.3
Blue Cross Blue Shield of South Carolina is committed to providing quality healthcare to its members. They work with a network of doctors and hospitals that provide care for their members. They also have a team of customer service representatives that are available to help members with any questions or concerns they may have.3
Which Services Does Blue Cross Blue Shield of South Carolina Rehab Coverage Include?
Blue Cross Blue Shield of South Carolina (BCBSSC) offers several different levels of coverage for rehabilitation services based on your individual plan, which may include:4,5
- Screening and interventions: These services are typically covered under most Blue Cross Blue Shield of South Carolina healthcare plans and may include screening tests to determine if you have a substance abuse problem as well as counseling and behavior modification treatments to help you recover from addiction.
- Medical detoxification: This level of care is typically covered under BCBS of SC plans if it is medically necessary. Inpatient detoxification may be covered under your plan if you have a history of severe withdrawal symptoms, struggle with severe opioid addiction, or are considered at high risk for relapse.
- Inpatient rehabilitation: Inpatient opioid treatment may be covered under your plan if you have a severe addiction requiring around-the-clock care or multiple co-occurring disorders requiring intensive treatment.
- Outpatient rehabilitation: Outpatient rehabilitation is typically covered under most Blue Cross Blue Shield of South Carolina addiction treatment plans and may include counseling, group therapy, and individualized treatment programs.
- Treatment for co-occurring disorders: Treatment for co-occurring disorders is typically covered under most plans and may include counseling, medication management, and other services if the doctor’s initial assessment indicates a dual diagnosis.
- Behavioral therapies: Behavioral therapies are typically covered under most Blue Cross Blue Shield Of South Carolina rehab coverage plans and may include cognitive behavioral therapy, dialectical behavioral therapy, and exposure therapy.
Are There Any Services Not Covered by BCBS of SC Insurance?
Most private insurance companies offer some level of coverage for inpatient rehab, though there may be some limitations. For example, your policy may only cover a certain cost, and a number of days in rehab or may only cover certain types of treatment.2
It’s also important to note that not all services provided by inpatient rehab centers will be covered by Blue Cross Blue Shield of South Carolina insurance. Some of the most common services not covered by insurance include:2,5
- Holistic care services: These can include acupuncture, massage therapy, and yoga.
- Recreation programs: Many inpatient rehab centers offer recreation programs as part of their treatment plan. However, these are often not covered by insurance.
- Food delivery: Inpatient rehab centers often provide meals as part of their treatment plan. However, food delivery is typically not covered by insurance.
- Private treatment services: Some inpatient rehab centers offer private and luxury treatment services, such as joint couple’s opioid treatment, one-on-one therapy sessions or emergency or same-day treatment admission. These services are often not covered by insurance.
- Alternative therapies: Many inpatient rehab centers offer alternative therapies, such as art therapy and music therapy. These services are often not covered by insurance.
If you’re concerned about whether your insurance will cover the cost of inpatient rehab, the best thing to do is to contact your insurance company directly. They can tell you what services are covered under your policy.
What Are the Costs of Opioid Treatment?
There is no one-size-fits-all answer to this question, as the costs of opioid treatment can vary depending on a number of factors. However, some estimates suggest that the average cost of opioid treatment ranges from $6000 to $15,000 annually.6
Treatment costs may also vary depending on the type of treatment received, as well as the location and intensity of care. In addition, insurance companies may not cover the entire cost of treatment at out-of-network facilities, which can further increase out-of-pocket costs. Ultimately, the best way to determine the cost of opioid treatment is to speak with a treatment provider or admissions navigator.2
Inpatient Treatment Cost
The cost of inpatient treatment will vary depending on the facility and the length of stay. Some facilities offer financing options like sliding scale fees based on income, but most will require payment in full upfront. Blue Cross Blue Shield Of South Carolina addiction treatment should cover most of the costs if the facility is in-network with BCBS of SC. It is important to check with your insurance provider to see whether they will cover the costs of inpatient treatment before making a decision.4
Outpatient Treatment Cost
The cost of outpatient treatment can vary depending on the severity of the addiction, the type of treatment, and the length of time in treatment. Outpatient treatment costs usually include the cost of medical detoxification, which may last anywhere from a few days to a few weeks. Following this step, patients are expected to attend counseling sessions, and individual and group therapy. The frequency of these sessions will determine the overall price of treatment.4
Partial Hospitalization Treatment Cost
The cost of partial hospitalization treatment can vary depending on a number of factors, such as the facility you choose, the length of your stay, and your insurance coverage.7
Because the treatment center’s activities are longer and more intensive than outpatient treatment, the cost falls between inpatient and outpatient treatment. In addition to individual, group, and counseling sessions, the program may also provide medication management services, which in turn may affect the price. Due to its long hours, participants may need to take time off from work to participate in the program.7
Medication-Assisted Treatment Cost
Depending on the program and treatment options chosen, there is a wide range of costs associated with medication-assisted treatment for opioid abuse. In general, monthly costs may be anywhere from $126 to $1176. In terms of opioid addiction treatment, Naltrexone, Buprenorphine, and Methadone are the most commonly used medicines. Medication-assisted treatment also includes regular weekly appointments, drug administration, drug testing, as well as related services.6
How Do Treatment Costs Compare to the Costs of Addiction?
The cost of treatment for addiction can seem high, especially when you compare it to the cost of addiction itself. However, keep in mind that the cost of addiction is much higher than the cost of treatment. Addiction costs also include:8
- Health care costs: These can include emergency room visits, hospitalizations, and doctor’s visits.
- Treatment costs: If you’re not in treatment, you may be paying for things like detoxification programs.
- Productivity losses: Addiction can lead to lost wages due to missed work or job loss. It can also lead to reduced productivity at work.
- Criminal justice costs: People struggling with opioid use are more likely to be involved in criminal activities. Prosecution, incarceration, and other criminal justice costs are paid by society.
- Other costs – Addiction can lead to relationship problems, financial problems, and legal problems.
All of these costs combined annually amount to more than $11000, with only a little over 13% going towards treatment.8
In short, addiction is expensive. On the other hand, treatment is an investment that can save you money in the long run. Treatment can help people get their life back on track, so they can be productive and contributing members of society.5
What Program Durations Are Covered by Blue Cross Blue Shield Of South Carolina Addiction Treatment?
Blue Cross Blue Shield of South Carolina (BCBSSC) offers policyholders a few different addiction treatment program duration options based on the opioid program they are referred to. These include inpatient, outpatient, and partial hospitalization programs (PHP). Blue Cross Blue Shield Of South Carolina healthcare plans will likely cover most, if not all, of the costs associated with these treatments. However, it is important to note that coverage may vary depending on the individual’s policy. It is recommended that individuals check with their insurance representative to verify their coverage prior to enrolling in any addiction treatment program or going through the assessment process at a chosen facility.2
Inpatient programs are typically the most intensive and expensive option, but they also offer the highest level of care. These programs require individuals to live at the facility for the duration of treatment, which typically lasts between 30 and 90 days. Outpatient programs allow individuals to live at home and continue going to work or school while receiving treatment. These programs typically last for 12 weeks. PHP programs are a less intensive option that combines elements of inpatient and outpatient care. These programs typically last for 6 weeks.5,7
What Is the Difference Between Inpatient and Outpatient Opioid Rehab?
BCBS of SC inpatient opioid rehab provides a higher level of care and support than outpatient programs. Patients in inpatient programs are usually housed in a facility where they can receive around-the-clock care and support from medical professionals and counselors. This type of program also provides a more focused environment, which provides a high level of accountability for patients. Outpatient programs do not offer the same level of care and support, but they can be more flexible in terms of scheduling and cost. Treatment ecosystems that include both inpatient and aftercare programs can provide patients with the best possible care.5
When it comes to opioid addiction, there is no one-size-fits-all solution. The most important thing is to find a treatment program that meets your needs and provides you with the support you need to recover. If you are considering an inpatient program, make sure to research the facility carefully and make sure it is a good fit for you. Once you have made the decision to enter an inpatient program, be prepared to commit to the program and follow through with the treatment plan.5
Using Blue Cross Blue Shield Of South Carolina Rehab Coverage for Treatment
When it comes to drug and alcohol rehab, Blue Cross Blue Shield of South Carolina offers some of the best drug treatment coverage in the state. If you are a member of BCBSSC, you have access to a wide range of treatment options and resources that can help you get on the road to recovery.2.3
There are a few things you need to do in order to take advantage of your BCBS of SC coverage. First, you will need to find a rehab program at a substance abuse treatment facility that is in network with your insurance. Second, you will need to determine whether or not you are able to use your insurance to pay for treatment. Finally, you will need to work with the local rehab center to determine what your coverage entails. After that, the admissions navigators will guide you through the intake process and get you started on your journey to recovery.2
Where Can I Find Help Through Blue Cross Blue Shield of South Carolina?
When you’re struggling with an addiction, the last thing you want to worry about is how to pay for treatment. Thankfully, there are many addiction treatment centers that accept Blue Cross Blue Shield of South Carolina drug rehab insurance. American Addiction Centers can help you verify your insurance coverage and find a treatment center that fits your needs.
If you’re not sure if your insurance will cover treatment, the best thing to do is call their alcohol and drug rehab helpline and speak to an admissions navigator who can check your benefits during a completely confidential phone call. This way, you can get the answers and help you need without having to worry about anything else.
American Addiction Centers (AAC) is a leading provider of drug and alcohol rehab services, with a wide variety of rehab centers that accept Blue Cross Blue Shield of South Carolina insurance coverage, including:
- Professional opioid treatment in Greenville.
- Safe medical detox in Columbia, SC.
- Modern inpatient treatment centers in Charleston.
- Licensed opioid treatment programs in Florence, SC.
What Rehab Centers Take Blue Cross Blue Shield of South Carolina 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.
