CareFirst BCBS Detox and Addiction Treatment Programs Near Me

Does CareFirst BCBS Insurance Cover Inpatient Alcohol and Drug Rehab Centers?

If you or your loved one need substance use disorder treatment, CareFirst Blue Cross can cover you. Whether you need inpatient, outpatient, or a combined style of treatment, there are options available. You can receive individualized treatment with compassionate counselors either in DC or the surrounding areas of Maryland and Virginia. Through CareFirst, you can schedule an appointment at a participating regional center or get help finding a provider in your area.

Reaching out for help only takes a few minutes but a lot of courage. Rehab centers can check your coverage for you if you provide them with your information. You can also call the phone number on the back of your insurance card to learn more about your plan’s specific details.

How To Find CareFirst BCBS Covered Inpatient Drug Treatment Centers?

In 2019, over 10,000 people sought treatment for substance use disorders nationwide.^{1 (Table 5.9A)} Utilizing your health insurance coverage can get you the help you need, whether you go someplace close to home or a little farther away.There are 28 public rehab centers within DC, which you can search for using BCBS’s Substance Use Resources Center search feature.²

What Is CareFirst BCBS Insurance?

CareFirst BCBS has 12 in-network rehab centers for intensive outpatient care located throughout DC, Maryland, and Virginia.³ There are also inpatient CareFirst residential treatment centers that can help you get the care you need. Resources are available to help you coordinate your care.⁴

CareFirst is an independent licensee of the Blue Cross and Blue Shield Association.⁵ As a non-profit healthcare company, it is able to offer an extensive portfolio of health insurance plans and services to 3.5 million individuals and employers in DC, Maryland, and Northern Virginia.⁵ It is invested in bringing quality healthcare, affordability, accessibility, and safety to its clientele.

What States Does CareFirst BlueCross BlueShield Cover?

As their focus is on building the future of healthcare throughout the United States, CareFirst offers nationwide services, not just in DC. CareFirst services extend throughout the District of Columbia, Maryland, the town of Vienna, the cities of Fairfax and Alexandria, Arlington County, and the Virginia areas of Prince William and Fairfax Counties situated east of Route 123.⁶ Their plans cover substance use recovery, which includes education for yourself and your doctors on treatment options and causes for substance use.³

How Much Does CareFirst BCBS Cover (Addiction Treatment)?

CareFirst drug rehab may cover some or all the cost for inpatient/residential rehab, outpatient rehab/therapy, intensive outpatient programs, and partial hospitalization programs. CareFirst also offers a special program that can help you find the treatment you need; all you must do is contact their support team and let them know what you are experiencing.³

Substance abuse treatment is commonly conducted in either inpatient or outpatient settings.^{7 (“Treatment Settings”, paragraph 1)} Inpatient hospitalization includes 24/7 supervised treatment by a multidisciplinary staff who place an emphasis on medical detox and other psychiatric and medical crises.^{7 (“Treatment Settings”, paragraph 4)} Residential treatment is a live-in facility with around-the-clock staffing, and it caters to people with serious substance use disorders who do not have the motivation or support from a social group to achieve and maintain abstinence on their own.^{7 (”Treatment Settings”, paragraph 5)}

An intensive outpatient treatment facility will require you to attend for about 9 hours per week and is also referred to as partial hospitalization.^{7 (“Treatment Settings”, paragraph 6)} This might be better for you if you are in the early stages of treatment. Outpatient treatment differs in that it requires less than 9 hours of attendance per week and is best suited for those with social supports, transportation, appropriate living situations, and motivation for sobriety.^{7 (“Treatment Settings”, paragraph 7)}

Does CareFirst Blue Cross Blue Shield Provide Coverage for Mental Health Facilities?

Co-occurring disorders means that there is a coexistence of a substance use disorder and mental health condition.^{8 (Paragraph 1)} There are about 9.2 million American adults who have a co-occurring disorder. ^{8 (Paragraph 2)} There are no precise combinations of these disorders, but some of the most-treated mental health conditions include major depressive disorder, bipolar disorder, and anxiety and mood disorders.^{8 (Paragraph 5)}

When the Affordable Care Act (ACA) was introduced, there was an expansion of coverage made by providing subsidies for coverage purchase in the non-group market as well as the expansion of Medicaid.^{9 (“The Affordable Care Act and Behavioral Health”, paragraph 1)} This led to more people becoming eligible for rehab who have co-occurring substance use disorders.^{9 (“Medicaid Expansion”, paragraph 4)} In other words, health insurance providers have provisions in their plans for treating co-occurring disorders.

Does CareFirst Blue Cross Blue Shield Cover Addiction Treatment Therapies?

CareFirst substance abuse treatment centers provide various types of therapies. One of the most common types of psychotherapy used in treating substance use disorders is cognitive-behavioral therapy (CBT) due to its known effectiveness.^{10 (Paragraph 1)} It holds that psychological problems are partially based on unhelpful ways of thinking, unhelpful behavior, and that people can learn better ways of dealing with these problems.^{10 (Paragraph 3)} People can learn how to face their own fears, learn calming techniques, and use roleplay to better interact with others.^{10 (Paragraph 5)}

Dialectical behavioral therapy (DBT) is another type of therapy used in rehab centers that coaches mindfulness techniques, distress tolerance, emotional regulation, and interpersonal effectiveness.^{11 (“Skills Training”, Paragraph 2)} It essentially adds acceptance strategies to the behavioral change strategies used in CBT by validating and accepting people as they are.^{11 (“What is the ‘D’ in DBT?”, paragraph 2)}

Medication-assisted therapy is often used in conjunction with behavioral therapies and counseling, creating a “whole-patient” technique for approaching substance use disorders.^{12 (Paragraph 1)} Research shows that combining therapy and MAT can be successful at treating substance use disorders and even help sustain their recovery.^{12 (Paragraph 3)}

How Long Does CareFirst BCBS Insurance Cover Alcohol and Drug Rehab Programs?

Treatment durations can vary based on the coverage you have, but bear in mind that positive rehab outcomes are strongly correlated with adequate length of treatment.¹³ Participation of less than 90 days is considered to have limited efficacy as opposed to stays of 90 days or longer.^{13 (Paragraph 1)} These longer stays help maintain better outcomes.

Since there are multiple policies and coverage tiers, the length of time covered by your insurance provider can depend on your specific plan. Given this fact, it is a good idea to look up your plan information using the details listed on your insurance card.

What If My CareFirst BCBS Policy Does Not Cover an Inpatient Rehab Program?

Even if CareFirst BCBS does not cover your inpatient drug rehab program, you can still get financial assistance through grants or scholarships and/or other special financing options. Individual facilities tend to be the main distributors of scholarships, and you can find out about them by directly contacting these facilities.^{14 (“Who Provides the Scholarships?”, paragraph 1)}

Scholarships might also be provided by corporations that manage these facilities.^{14 (“Who Provides the Scholarships?”, paragraph 2)} Funding might be available for people who qualify. Also, nationwide and community-based non-profit organizations might offer scholarships.^{14 (“Who Provides the Scholarships?”, paragraph 3)}

Inpatient and outpatient facilities tend to provide scholarships although inpatient facilities are more expensive due to the intensive care level you will receive.^{14 (“What Treatments Are Covered?”, paragraph 1)} Some or all of the cost might be covered by their scholarships.

State-funded, no-cost facilities that are run by third parties, the state, or the federal government can provide you with a no-cost rehab stay.^{14 (“State-Funded, No-Cost Facilities”, paragraph 1)} However, space can be limited.^{14 (“State-Funded, No-Cost Facilities”, paragraph 1)} Even so, it is important to not put off going to rehab since doing so might lead to more problems down the road.

CareFirst BCBS In-Network vs. Out-of-Network Inpatient Alcohol and Drug Rehab Centers

CareFirst Blue Cross Blue Shield covered drug treatment programs are found in-network, which means that these facilities already work with CareFirst. Out-of-network facilities are ones that do not currently take CareFirst. If you are uncertain whether your selected facility is in-network, you can check with the facility itself or your insurance provider.

What Rehab Centers Take Blue Cross Blue Shield of Alabama Insurance?

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 local rehab near you 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 CareFirst Blue Cross Blue Shield insurance.