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Bright Health Insurance Coverage for Opioid Rehab

On this page, you will learn about Bright Health insurance coverage for Opioid addiction treatment and how to confirm what benefits are available under your specific plan.
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Bright Health Insurance for Opioid Addiction Treatment

Provider Overview

Does Bright HealthCare Insurance Coverage Apply to Opioid Rehab?

Bright HealthCare insurance offers various individual and family plans and covers a wide range of services, including mental health and addiction treatment.1 According to the MHPAEA, an act that was passed in 2008, all insurance company healthcare plans must cover mental health treatment and substance use recovery. Therefore, Bright HealthCare will typically cover drug rehab depdending on your plan.2

This may also include opioid rehab, although you should check this with the insurance provider, who can help you find an adequate in-network recovery center.2

What Is Bright HealthCare Insurance?

Founded in 2016, Bright HealthCare insurance offers individual and family health plans, Medicare Advantage, and small business health plans across 17 states. Recognized by URAC for its quality and compliance, the company serves over 623,000 individuals.1

What Opioid Treatment Services Does Bright HealthCare Insurance Include?

Bright HealthCare coverage nationwide includes opioid treatment services for individuals struggling with addiction to heroin and other opiates, prescription drugs, and synthetic opioids. This includes services such as detoxification, inpatient rehabilitation, and medications.3

Bright HealthCare healthcare plans may include coverage for the following:3

Detoxification

A detoxification process helps the body rid itself of substances while treating the symptoms of withdrawal. Detox is not an opioid treatment by itself. It’s only the first step that helps prepare an individual for treatment.3

Inpatient Care

Inpatient treatment facilities offer detox and rehabilitative care to those with serious mental or medical concerns, substance use disorders, or the co-occurrence of both. They usually take place at a treatment center, which provides a safe and supportive environment for those in need of assistance.3

Outpatient Care

Those who are able to attend regular counseling sessions and appointments will benefit most from outpatient treatment. The treatment frequency depends on the specific program. Some programs require attending treatment and counseling sessions daily, while others schedule one to three sessions per week.3

Behavioral Therapies

Behavioral therapies are an important part of treatment for opioid addiction. They can help people learn how to resist opioid use, avoid relapses, and cope with stressors. There are a number of different types of behavioral therapies, including cognitive-behavioral therapy, motivational enhancement therapy, and contingency management.3

Co-Occurring Disorder Treatment

People with co-occurring disorders require specialized treatment. Following an assessment, treatment for co-occurring disorders should be tailored to meet the person’s specific needs. Co-occurring disorders can be treated in a variety of ways, including medication, therapy, and self-help groups.3

Are There Services Insurance Will Not Cover?

There are a number of services that insurance does not cover for addiction treatment, namely those deemed “not medically necessary”. These can include holistic treatment practices such as yoga, meditation, or reiki; recreational activities, alternative treatment practices, private rooms, and non-essential amenities such as private room TVs and phones.3

What Is the Cost of Treatment for Opioid Addiction?

The cost of opioid rehab can vary depending on the program you choose, its duration, and the services patients receive for its duration. Some programs may be more expensive than others, but the cost of treatment is worth it when you consider the long-term benefits. Most programs offer treatment that lasts for a few weeks up to a few months, and the frequency of treatment varies depending on the program.4

Inpatient Opioid Rehab Costs

Inpatient opioid treatment may be expensive, but it’s often necessary for people who are addicted to opioids. The cost of inpatient treatment will vary depending on the facility and the type of treatment provided. Some facilities may offer different payment methods such as sliding scale fees, which means that the cost will be based on the patient’s income. Others that are in-network with Bright HealthCare insurance may help people with most of the costs. People who are addicted to opioids may require inpatient treatment to overcome their addiction.4

Outpatient Opioid Rehab Costs

Outpatient opioid rehab costs can vary depending on the rehab center. However, many rehab centers offer financing plans to help make the rehab cost more affordable. Outpatient opioid rehab cost usually includes the cost of the rehab center’s services such as counseling, medication, and behavioral therapy. Fortunately, most private pay plans typically include outpatient opioid rehab.4

Costs of PHP for Opioid Treatment 

The cost of partial hospitalization programs (PHP) for opioid treatment can vary depending on the program and the location. This price can be higher or lower depending on the facility. It usually entails 20 or more hours per week of receiving treatment at a treatment center, which may include individual and group therapy, counseling, and support group meetings. The frequency and duration of the program will affect the price of treatment.5

Medication-Assisted Treatment (MAT) Costs

The cost of medication-assisted treatment for opioid addiction can vary based on the treatment prescribed. Medication-assisted treatment can lead to reduced drug use, criminal activity, and health care costs. The annual costs of MAT range from $6,552 for methadone treatment to $14,112 for naltrexone, including the treatment and regular counseling sessions, drug administration, and associated services.6

How Do These Costs Compare to the Cost of Addiction?

The total cost of prescription opioid use disorders and overdoses in the United States was $78 billion in 2013. Out of that, only $2.8 billion was used for treatment.6 

This shows that the amount spent on treating substance use disorders represents a small portion of the costs associated with opioid abuse.6 

Untreated opioid use generates additional costs through the following:6

  • Treating opioid overdose cases
  • Lost wages and productivity
  • Low quality of life
  • Criminal enforcement and prosecution
  • DUI accidents and incidents
  • Treating infants born to opioid dependence

How Long Does Bright HealthCare Covered Drug Rehab Last?

As Bright HealthCare rehab coverage offers the same benefits for opioid treatment as for any other medical emergency, the plan may cover most of, if not all of the duration of treatment, including inpatient and outpatient treatment, MAT, and other treatment models.2

The specific length of coverage may vary based on the insurance plan and the location of the facility (what state it is in). To make sure your treatment is fully covered, make sure to contact the number on the back of your insurance card and confirm your coverage with the insurance company representative.2

Ideal treatment length varies based on the type of drug used and the patient’s health and drug use history. Matching treatment settings, length, and services to the corresponding case is vital to ensure higher recovery chances.7

As such, treatment lengths may vary from 60 to 90 days, with most patients attending an aftercare program and staying on maintenance treatment for up to a year or more when needed.7 For precise information on how long your coverage will last, you can call the Bright HealthCare helpline and discuss the details of your plan with one of the representatives.

Comparing Inpatient to Outpatient Opioid Treatment

Inpatient care entails staying at a treatment facility for a set period of time, where patients will have access to medical personnel, treatment, a sense of accountability, and the support of their peers.7 

Some of the benefits of inpatient treatment include:7

  • The treatment is personalized to the patient’s needs and situation.
  • Patients experience a lower risk of relapse during their stay.
  • The inpatient setting provides a supportive community for patients to build on when they leave the facility. 
  • Patients may feel less alone in their addiction recovery journey because of the supportive community.
  • Inpatient care can detoxify the body and help rid it of harmful substances.
  • Inpatient treatment can help patients get to the root of their addiction and address any underlying mental health issues.
  • Patients will have 24/7 access to medical care.
  • Inpatient treatment can help patients get their lives back on track so they can return to work and support themselves financially.

Not everyone who struggles with addiction requires inpatient care. Outpatient treatment may be a great option for people who are able to attend scheduled therapy and counseling sessions. Those who have a stable and supportive living environment may be good candidates for outpatient care, but it’s important to consult a treatment professional and adhere to their suggestions.7

How to Use Bright HealthCare Coverage Nationwide?

If you or your loved one need help with opioid addiction, check with your insurance company to find out what is covered and what you will have to pay for yourself. You can find the Bright HealthCare helpline number on the back of your insurance card. Once you call it, one of their dispatchers will be able to give you more information on your insurance coverage, in-network facilities, and more.2

Once you’ve found a suitable facility, make sure you get in touch with their admissions navigators to verify your insurance and schedule your assessment. Calls made to the treatment facility are completely confidential and will not be reported to law enforcement, so it’s important to answer their questions truthfully. Some treatment centers offer same-day admissions, while others may schedule the first available opening. During the waiting time, you may receive a sort of interim care, depending on the facility.

Everyone who enters treatment receives a clinical assessment to determine the best type of treatment for them. No single treatment is right for everyone. Treatment needs to meet your individual needs in order to be effective.3

Where to Find an In-Network Bright HealthCare Substance Abuse Treatment Facility?

As one of the widely recognized treatment providers, American Addiction Centers operates a network of facilities that accept Bright HealthCare insurance. Calling the American Addiction Centers’ alcohol and drug abuse hotline will connect you to an admissions navigator at a local treatment center who will provide any information you need. In addition to verifying your rehabilitation insurance coverage, they can provide a list of in-network Bright HealthCare rehab centers, offer additional payment options, and set you on the right path to recovery.

American Addiction Centers network includes Bright HealthCare rehab centers nationwide, including:

  • River Oaks Treatment Center: Located in Riverview, FL, River Oaks Treatment Center offers personalized programs with a range of treatment modalities, from medical detox to inpatient rehab and residential treatment. You will work with a team of specialists who will create a comprehensive treatment plan based on your unique needs. 

The staff includes licensed therapists, addiction counselors, physicians, and nurses who are all dedicated to helping you heal and recover. You’ll also have access to amenities like massage therapy, a dedicated meditation area, yoga, art, and music treatment so that you can relax and focus on your recovery. 

  • Recovery First Treatment Center: Located in Hollywood, FL, Recovery First Treatment Center offers various amenities such as a fully-equipped gym, recreation rooms, and apartment-style accommodation. However, as treatment comes first, the facility offers access to various treatment options including behavioral therapies, group and individual counseling, and evidence-based dual-diagnosis treatment.
  • Greenhouse Treatment Center: Serving Grand Prairie, TX, and the greater Dallas area, Greenhouse Treatment Center offers different levels of care to fit patients’ needs. You can detox in a safe, medically monitored environment at the Greenhouse Treatment Center inpatient facility. You can transition to outpatient therapy if you need more help following treatment. The staff will adjust your plan as needed, depending on how well you’re doing in treatment.
How to Read Your Insurance Provider Card
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  • 1Insurance Provider Name
  • 2Policy Member's Full Name
  • 3Policy Membership/Subscriber ID
Sources
  1. Bright HealthCare. About Us.
  2. Find Treatment.gov. Paying for Treatment.
  3. Find Treatment.gov. Treatment Options.
  4. National Institute on Drug Abuse. (2019). Treatment Approaches for Drug Addiction DrugFacts.
  5. Center for Substance Abuse Treatment. (2006). Substance Abuse: Clinical Issues in Intensive Outpatient Treatment. Treatment Improvement Protocol (TIP) Series 47. DHHS
  6. National Institute on Drug Abuse (2021) How much does opioid treatment cost?
  7. National Institute on Drug Abuse. (2012). Principles of Drug Addiction Treatment: A Research-Based Guide, Third Edition.
  8. Substance Abuse and Mental Health Services Administration. (2020). Faith-Based and Community Initiatives (FBCI).

Check Your Policy Coverage

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Frequently asked questions

What to Expect From Bright HealthCare Addiction Treatment?
Opioid addiction treatment at Bright HealthCare rehab centers may vary from facility to facility, but usually includes the following steps:4 Medical detox is often the first step in treatment for opioid addiction following intake. Detox helps patients deal with withdrawal symptoms and prepares them for rehabilitation and medication-assisted treatment. Following a comprehensive assessment, individualized treatment plans are developed for each patient, which may incorporate medication-assisted treatment and other types of therapy. Counseling is an integral part of any opioid addiction program and can help individuals understand what drives their opioid addiction and learn to stay away from potential triggers. It may also help them deal with the emotions that addiction can trigger. Therapies for opioid addiction can be very effective in helping people recover. Some therapies entail seeing a therapist one-on-one, while others involve other recovering individuals in a group setting. Cognitive-behavioral therapy is the most common type of treatment used in opioid rehabilitation since it helps people learn how to cope with stressors. Support groups help foster a sense of community and understanding among participants. They can be very beneficial in helping individuals maintain their sobriety and mental health even after leaving inpatient treatment. Inpatient treatment may be followed by an aftercare program which includes regular therapy sessions, maintenance drug administration, drug testing, or a transition to intensive outpatient treatment or sober living treatment.
What Length of Treatment Is Covered by Bright HealthCare Addiction Treatment Plans?
Treatment lengths at a Bright HealthCare-covered substance abuse treatment facility may last 30, 60, 90 days, or more, based on the patient's treatment needs. It’s important to match treatment length with the severity of addiction to ensure complete recovery.7 Opioid abuse can be treated effectively with long-term treatment. Treatment lasting less than 90 days is generally less successful. Bright HealthCare-covered addiction treatment may cover a significant portion of SUD treatment, so call your insurance provider or a selected treatment center to learn more about what length of treatment is covered by your plan.2,7
Are Luxury Amenities Covered by Bright HealthCare Insurance Nationwide?
Some luxury treatment centers may be in-network with Bright HealthCare, although most non-medical amenities offered there, such as access to the gym, spa, or holistic therapies, may not be included in the coverage. The best way to check whether your Bright HealthCare coverage nationwide includes luxury rehab centers is to verify it with your insurance company or the treatment center admissions navigator.2
Does Bright HealthCare Insurance Coverage Apply to Christian Rehab Centers?
Some Christian rehab centers may be in-network with Bright HealthCare rehab coverage, although it's best to confirm this through the insurance company or the treatment center representative. Christian rehab centers may incorporate evidence-based treatment such as behavioral therapies and MAT with faith-based practices like Bible study, religious counsel, and the 12-step program. Since insurance typically covers only science-based approaches, it’s advisable that you verify the extent of your coverage by calling the Bright HealthCare helpline.8
Does Bright HealthCare Substance Abuse Coverage Include Treatment for Women or Mothers?
Opioid treatment for women or mothers may incorporate female-only groups and therapists to ensure treatment caters to gender differences and creates a healing environment for women. The treatment also caters to other gender-specific factors such as financial stability, pregnancy, care for a child, or how a patient enters treatment (as women are more likely to seek help from a general practitioner than a treatment center).7 Some, if not most, Bright HealthCare substance abuse treatment facilities are equipped to cater to women’s and mothers’ unique needs, but it’s best to confirm this with the AAC admissions navigators, who can help you find an adequate treatment center.

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