Blue Cross Blue Shield Insurance Coverage

Insurance coverage from Blue Cross Blue Shield (of Ohio) along with other insurance providers depends on what type of coverage you have and what types of treatments are medically necessary for you to receive. BCBS does cover some treatment for substance abuse. They often cover detoxification and medically-assisted detox. They sometimes cover other treatments, such as inpatient and intensive outpatient treatment.

Insurance coverage will require a pre-authorization before you begin treatment. You can reach out to the company itself, or you can let us do the hard work.

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Table of Contents

What Addiction Treatments Will Blue Cross Blue Shield Insurance Cover?

Blue Cross Blue Shield covers all levels of addiction treatment if you require the treatment from a medical and clinical standpoint. The out-of-pocket expenses for treatment will depend on your specific plan and needs.

The levels of care we offer as an in-network BCBS provider include the following:

  • Drug and Alcohol Detox
  • Inpatient Rehab
  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient Treatment

For substance abuse and mental health coverage, you will have access to a wide range of specialists. Counselors, therapists, social workers, psychiatrists, and psychologists are readily available. Many substance abusers have a co-occurring dual diagnosis that must be treated for successful recovery.

To make things easier for you, you can verify your insurance here online. Let us do the heavy lifting for you!

Does Blue Cross Blue Shield Cover Addiction Treatment In Ohio?

Insurance providers cover substance use disorder treatment. It’s important to understand if the treatment provider is in-network or out of network because the financial responsibility for patients is higher when you see an out-of-network provider. Aetna often covers individual therapy and cognitive behavioral therapy. It truly depends on the coverage you have and the treatment center that you attend. The therapist creates a treatment plan that must be approved by the insurance company and be a medical necessity based on the conditions and diagnosis.

Medical Necessity For Treatment

When you first enter treatment the first step is a comprehensive evaluation. Based on that evaluation, a treatment plan is designed which is reviewed by the insurance company. At this point, the insurance company will either approve or deny coverage. Treatment centers that are in-network have a pre-agreed contracted rate for every step of the treatment plan, which means there are no surprises when it comes to your bill (expenses).

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Our Treatment Centers In Ohio Are In Network With BCBS

We have in network-contracts at several of our locations including the following:

  1. Cigna. (2020). Company profile.
  2. (2021). Mental Health and Substance Abuse Coverage.
  3. Cigna. (2020). Summary of benefits and coverage: what this plan covers & what you pay for covered services: Cigna Connect 6500.