Empire Blue Cross Blue Shield Insurance Coverage for Drug and Alcohol Rehab

The cost of alcohol and substance use disorder therapy may differ depending on whether the provider utilizes inpatient amenities or outpatient programs. Outpatient services may require a copay of $15 if the healthcare provider is within the network, while inpatient admissions may need a copay of around $300. The Affordable Health Act requires parity in the provision of services falling under mental health. 

Empire BCBS insurance coverage covers different treatment programs depending on your addiction treatment needs. The coverage requires preauthorization; you may need to call the office before treatment. The cost covered in SUD and alcohol treatment includes:

• Drug and alcohol screening and evaluation. 

• Clinical insurance includes outpatient services, including telephone guidance, counseling, office visits, and nurse practitioners: preventive care and aftercare assistance.

• Hospital insurance covers inpatient facilities and can be paid in full. Inpatient service is necessary for patients who require detoxification and have painful withdrawal symptoms that need management by healthcare professionals.

• Crisis intervention and management are paid for up to three visits after your copay.

• Medication Assisted Treatment for substance use disorders. This will entail prescription drugs which can be generic or brand names depending on the policy in the plan or specialty drugs.

• Intensive outpatient programs for patients who do not need round-the-clock supervision can make do with scheduled visits to the provider facilities.