Solution Based Treatment Insurance

Insurance

Understanding what your health insurance will cover and what it won’t can be confusing. There are levels of care to consider and specific providers of care and locations to consider as well. Calling an insurance company to determine if your treatment needs will be covered may feel frustrating. Our Admission Advisors can walk you through the process over the phone or you can read more about treatment and insurance and call your insurance company directly.

What Types of Treatment Does Insurance Cover?

The passage of the Affordable Care Act (ACA) categorized behavioral health and mental health services as “Essential.” This means that the vast majority of all insurance companies have to cover substance abuse treatment and mental health treatment. There are some restrictions on where you can get treatment based on your plan. The good news is, almost everyone can get the treatment they needs.

Inpatient Detox and Insurance

Inpatient detox for alcohol, heroin, other opioids such as fentanyl and benzodiazepines are almost always covered. Even before the ACA, many insurers would cover inpatient detox for these substances because it’s considered a medical necessity. Failure to provide care for alcohol detox, opioid detox or benzodiazepine detox can be life threatening.

Inpatient Treatment and Insurance

Inpatient treatment for substance use disorders and mental health disorders is commonly covered by insurance. This might be a residential treatment program for alcohol that lasts 30, 45 or 60 days. The biggest factor in determining where you can get inpatient care is if your insurance is a PPO, HMO or EPO plan. Some insurance types will restrict you to an in-network provider or geographically. 

Day Treatment (Partial Hospitalization Programs) and Insurance

Day treatment (partial hospitalization programs) are considered a step-down from residential care. Depending on your plan, you might not even need prior authorization for day treatment before you’re admitted. These programs may last 15-30 days in length.

Intensive Outpatient Treatment and Insurance

Many insurance providers will allow their clients to be admitted to an intensive outpatient program without prior authorization. In these programs, people typically live at home or in a sober living environment. IOP’s can last anywhere from 30 days to a year. 

Detailed Insurance Information

Many Insurance Plans cover the cost of treatment

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Licenses, Accreditations & Insurances We Accept

Solution Based Treatment accepts health insurance from over 100 different companies

Solution Based Treatment Insurance Accepted
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Insurance