New Directions Behavioral Health Coverage for Drug & Alcohol Rehab

For more than 25 years, New Directions has been one of the fastest-growing behavioral healthcare companies in the U.S. that is striving to improve access to highest quality behavioral health services through a growing network of insurance and treatment providers.4 

New Directions provides 15 million students, employees, large and medium businesses, and labor groups an integrated approach to whole-person care and an extensive list of services like individual problem assessments, short-term counseling, substance abuse programs, crisis and case management, 24/7 resource center, and consulting and health coaching to private and public health professionals.5

New Directions Behavioral Health Plans

Depending on your healthcare plan, New Directions substance abuse coverage offers various types and levels of coverage for scientifically proven, individually targeted treatment options like safe and adjusted detox services or medications assisted treatment (MAT) at specialized inpatient or residential rehab facilities or within outpatient programs. 

The Mental Health Parity and Addiction Equity Act (MHPAEA) mandMHPAEA) mandates mental health parity protections and requires all health providers to ensure the existence of “parity” protections between mental health coverage that is offered for substance abuse and existing surgical and medical benefits.6

In general, this means that limitations placed on mental health and addiction recovery services aren’t allowed to be greater than those that the same plan imposes on surgical and medical services.3

Parity protections typically include the following:3

• Financial limits that include various deductibles, copayments, as well as coinsurance and limits to out-of-pocket payments.
• Treatment limits which impose limitations such as for how long your coverage will cover your treatment.
• Care management limitations, meaning you can’t be required to submit treatment authorization before receiving the treatment.

Since no two cases are the same when it comes to mental health challenges, there is no universal one size-fits-all health insurance. Your New Directions addiction treatment coverage provides you with different coverage options, so you can work with your provider to find a plan that fits your specific needs.7

What Services Will New Directions Insurance Cover?

New Directions Behavioral Health Florida insurance is likely to cover some of the following proven approaches:8

• Outpatient treatment could be a good solution for those who have mild symptoms and find themselves in early stages of substance abuse. Individuals who attend outpatient programs should typically have a stable home situation and not lack the motivation and willingness to attend their appointments regularly.
• Intensive outpatient programs (IOP) might be a suitable choice for individuals who have moderate symptoms This type of program is more intensive than regular outpatient care as it involved more frequent or intense therapy sessions. 
• Residential rehab provides a facility level of care while the patient spends time in a comfortable and monitored environment, making it a good fit for those who would benefit from inpatient type of rehab but require additional levels of care or prolonged stay.
• Inpatient treatment offers the highest level of care that is best fit for those who need a complete change in their lifestyle and constant medical attention because they suffer from severe symptoms that are rendering them incapable to function in an everyday environment.
• Partial hospitalization programs (PHP), sometimes called day treatment, are similar in their approach and intensity to inpatient rehab but they do not require patients to spend the night in a facility, making them a more affordable option.

Does New Directions Behavioral Health Plans Provide Coverage for Inpatient Mental Health Facilities?

According to SAMHSA research from 2019, 2.2 million people struggled with combination of illicit drug use and alcohol substance use disorder in the U.S..1 There’s a greater risk for persons struggling with one substance to have problems with misuse of other substances or mental health issues referred to as co-occurring disorders.9

Successful treatment requires professionals to address all substance use disorders and mental health issues simultaneously. For instance, adolescents have significantly increased rates of substance abuse issues, while there is a significant increase in mental disorders relating to substance use disorders in adult population aged 18-49 years old.1

Under the Affordable Care Act of 2010, all marketplace insurance providers are required to provide coverage for mental health rehabilitation, which includes co-occurring disorder treatment, as well as stand-alone substance use rehabilitation for substances like alcohol and heroin.2

Since every patient needs a different case-by-case treatment approach, marketplace plans are not allowed to put yearly or lifetime dollar limits on coverage of essential health benefits that include alcohol and drug rehab programs. 3

There is no single appropriate duration of rehabilitation. Instead, the particular needs of the patient will determine the type and degree of suitable treatment in each individual case.7 Remaining in treatment for an adequate period of time can be a crucial feature of a successful rehab as best results and outcomes tend to occur in cases that involve a longer treatment duration.7

In general, at least 3 months in treatment is needed to make people significantly reduce their substance use or even completely drop their compulsive habit.7 Recovering from drug and alcohol is not easy and requires a long-term commitment that in severe cases can be a yearlong process with multiple episodes of treatment and relapse.7

If you’re not sure what type of coverage you have, or what would be an appropriate intensity, duration, or treatment approach in your specific case, you should call the number on the back of your insurance card to get the answers to all the questions you might have.

What if My New Directions Behavioral Health Policy Does Not Cover an Inpatient Drug Rehab Program?

One of the biggest challenges struggling individuals face is of financial nature. For this reason, some New Directions rehabilitation centers offer various financing options for their patients to assist them with paying for the necessary treatment. This gives treatment-seeking individuals the option to pay in installments over a certain period of time, easesing their financial burden.

In some cases, scholarships and grants may be offered by a specific facility or other organization that seeks to help struggling individuals with addiction. Other options also include state or government funded substance abuse programs.10 To get more information about alternative ways of paying for rehabilitation, you can directly contact your chosen facility or call a helpline that is available 24/7 to answer any of your treatment related questions.

One of the most important principles of successful substance use disorder therapy is that it needs to be readily available. Since it’s very hard for individuals that suffer from SUD to make the decision to enter rehab, treatment providers have to be prepared to react instantaneously when people show they’re ready for treatment.7 Because SUD is a chronic disease, the likelihood of successful treatment greatly increases if treatment is offered in the early stage of addiction process.7

In-network providers have a signed contract with your health insurance company. This means that New Directions is likely to cover your addiction recovery services if you attend treatment at a an in-network facility. In som cases, you may have to pay only certain deductibles and related copayments.11

With an out-of-network provider, the insurance company may only cover a part of the cost, or in some cases, nothing at all. However, the details will depend on the terms of your specific health policy. This makes an in-network program a more affordable option in a vast majority of cases.11

If you want to easily find out the details about in-network options that are available to you under  your New Directions substance abuse insurance coverage, you should call the number on the back of your insurance Membership Card.

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1. Substance Abuse and Mental Health Services (2019). The National Survey on Drug Use and Health: 2019.
2. HealthCare.gov. What Marketplace health insurance cover.
3. HealthCare.gov. Mental health & substance abuse coverage.
4. New Directions Behavioral Health. About.
5. New Directions Behavioral Health. Solutions.
6. Centers for Medicare & Medicaid Services. The Mental Health Parity and Addiction Equity Act (MHPAEA).
7. National Institute on Drug Abuse. (2018). Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition).
8. National Institute on Drug Abuse. (2019). Treatment Approaches for Drug Addiction DrugFacts.
9. SurgeonGeneral.gov. Health Care Systems and Substance Use Disorders.
10. Substance Abuse and Mental Health Services. (2021). Grants.
11.  Maryland Insurance Administration. In-Network vs. Out-of-Network Providers.
12. Substance Abuse and Mental Health Services. (2022). Medication-Assisted Treatment (MAT).
13. Medicare.gov. Mental health care (partial hospitalization).
14.  Health Care Authority. Alcohol use treatment.