Do Drug and Alcohol Rehab Centers Take Baylor Scott & White Health Plan?
“Does Baylor Scott and White cover rehab?” This is a common question. Learn about your Baylor Scott & White Health Plan coverage for rehab treatment below. In addition to providing a thorough breakdown of your options for rehabilitation treatment, our team at Virtue Recovery Center can also help you understand your benefits and financial obligations.
Who is Baylor Scott & White Health Plan?
Baylor Scott & White Health Plan is a health insurance provider offering various health insurance plans to individuals, families, and businesses in Texas. The health plan is affiliated with Baylor Scott & White Health, one of Texas's largest not-for-profit healthcare systems.
Baylor Scott & White Health was founded in 2012 as part of the Baylor Scott & White Health system. However, the health system has a much longer history, with Baylor University Medical Center in Dallas and Scott & White Memorial Hospital in Temple, Texas, tracing their origins back to the early 1900s.[i]
Baylor Scott & White Health was created to provide a health insurance option that would be closely integrated with the Baylor Scott & White Health system, allowing for greater coordination of managed care and improved patient health outcomes. Since its founding, the health plan has grown to serve thousands of members across Texas, offering a range of health insurance plans designed to meet the diverse needs of its members.
Baylor Scott & White Health offers a variety of health insurance plans, including HMO, PPO, EPO plans, and Medicare Advantage plans. These plans cover various medical services, including preventive care, doctor visits, hospital stays, prescription drugs, and more. The health plan works with a network of healthcare providers to ensure its members have access to high-quality care.
What is Baylor Scott & White Health Plan Rehab Insurance Coverage?
Baylor Scott and White rehab coverage is part of the benefits offered by their insurance plans. The specific details of the coverage will depend on your particular policy and other factors. Still, in general, Baylor Scott & White rehab coverage can include benefits for services such as:
- Inpatient rehabilitation
- Outpatient rehabilitation
- Substance abuse treatment
- Mental health treatment
- Behavioral health services
Does Baylor Scott & White Health Plan Cover Drug and Alcohol Rehab?
Yes. The specific details of the coverage will depend on your particular policy, the duration of treatment, and several other factors. Generally, rehabilitation expenses may be partially or entirely covered by your Baylor Scott & White Health Plan. Coverage for substance abuse treatment may include services such as:
- Detoxification programs: Medical detoxification programs help individuals safely and comfortably withdraw from drugs or alcohol.
- Inpatient rehabilitation: Inpatient rehabilitation programs provide intensive, around-the-clock care for individuals struggling with drug or alcohol addiction.
- Outpatient rehabilitation: Outpatient rehabilitation programs provide therapy and other support services to those struggling with addiction.
- Medication-assisted treatment: Medications can help individuals manage withdrawal symptoms and reduce cravings for drugs or alcohol.
- Counseling and therapy: Individual or group counseling and therapy sessions help individuals address the underlying causes of addiction and develop coping strategies to maintain sobriety.
You can call 866-461-3339 to quickly verify coverage details for Baylor Scott and White alcohol rehab and Baylor Scott and White drug rehab.
Check Your Baylor Scott & White Insurance for Drug and Alcohol Recovery Treatment
Our admissions coordinators will interact directly with your insurance provider on your behalf, removing from your shoulders the burden of figuring out if your insurance will pay for your addiction treatment.
Does Baylor Scott & White Health Plan Cover Mental Health Rehab?
Yes, Baylor Scott & White Health Plan does offer coverage for mental health rehab as part of its health insurance plans. To better your health outcomes, improve your quality of life, and help you deal with emotional issues brought on by mental illness, Baylor Scott & White offers diagnostic and therapeutic inpatient and outpatient care, including the following:[i]
- Wellness programs
- Motivational interviewing
- Prescription drug plans
- Psychiatric evaluations
- Individual therapy
- Group therapy
- Couples therapy
- Family therapy
- Cognitive-behavioral therapy
- Dual diagnosis treatment
- Hypnosis and biofeedback
- Medication management
- Support groups
Inpatient and Outpatient Rehab Centers That Take Baylor Scott & White Health Plan Insurance
With multiple treatment locations across several states, Virtue Recovery Center has supported individuals on their path to recovery and sobriety for generations. Our addiction treatment specialists have created the most reliable treatment plans for drug addiction, alcoholism, dual diagnosis, trauma treatment, and eating disorders, including inpatient care and residential treatment programs, sober living options, aftercare, and recovery management and resources.
The Joint Commission accredits all of our treatment facilities, and we are members of the National Association of Addiction Treatment Providers (NAATP) while remaining HIPAA compliant. Below you'll find links to all of our treatment facilities that are part of Baylor Scott & White Health Plan’s provider networks:
How Much Does Rehab Cost with Baylor Scott & White Health Plan Insurance?
The cost of rehab with Baylor Scott & White Health Plan insurance will depend on several factors, including your specific policy, the type of treatment needed, the location of the treatment facility, and any applicable deductibles, copayments, and other out-of-pocket expenses. We can easily verify cost and payment options for you. Just call 866-461-3339.
Baylor Scott & White Health Plan insurance may cover a portion or all rehab expenses. Therefore, you should review your plan documents or contact your provider to better understand your rehab insurance coverage and associated costs. One of our admissions coordinators would happily contact Baylor Scott & White to retrieve all the details you need.
Rehab costs can vary widely. Inpatient care, for example, is generally more expensive than outpatient care due to the cost of room and board. The cost of treatment may also be affected by the length of stay, the type of therapy or counseling received, and the level of medical care provided, among other variables.
How To Check My Baylor Scott & White Health Plan Insurance Coverage Levels for Rehab Treatment
The best and easiest way to verify insurance coverage is by filling out our no-obligation online form. One of our qualified staff members will contact your provider to confirm your coverage levels and then contact you as soon as possible to review your policy and discuss the next steps. Any information you provide or discuss will remain completely confidential.
Virtue Recovery Center will be able verify your coverage levels and let you know what costs, if any, you will be responsible for. Determine your out-of-pocket costs: If there are costs associated with your treatment such as co-pays or deductibles, and how you will be expected pay.
How To Get Baylor Scott & White Health Plan to Pay For Rehab Treatment
When seeking Baylor Scott and White rehab coverage, it’s important to review your plan documents to understand what type of treatment is covered and what costs you may be responsible for. We can assist with this step – just call 866-461-3339.
Before beginning treatment, seek pre-authorization to ensure that your treatment is covered. Choosing a provider that is part of the Baylor Scott and White rehab provider network can also help to reduce costs, as these providers have a contract with the health plan to offer services at a discounted rate.
In addition, it's crucial to follow the treatment plan outlined by your provider, attend therapy sessions, take medications as prescribed, and follow any recommendations provided by your treatment team. Otherwise, you risk losing coverage.
Finally, keeping track of all expenses related to your rehab treatment can ensure that you are being billed correctly and can help with any disputes or claims that may arise. Following these basic steps, you can receive the necessary rehab treatment while minimizing your financial burden.
How Many Times Will Baylor Scott & White Health Plan Pay for Rehab?
The number of times that Baylor Scott & White Health Plan will pay for rehab treatment will depend on your policy, the type of treatment received, and your individual needs, among other factors. Baylor Scott & White Health Plan generally covers multiple rounds of rehab treatment if deemed medically necessary and recommended by a licensed healthcare provider.
The length of treatment may also be determined by medical necessity rather than a set number of covered treatments. This means that if you require additional rehab treatment beyond what is typically covered by your plan, you may be eligible to appeal for additional coverage if it is deemed medically necessary.1
Rehab Treatment and Insurance Statistics
- In addition to the Baylor Scott & White Health Plan, Baylor Scott & White has 51 hospitals, more than 800 patient care locations, over 7,300 active physicians, and over 49,000 staff members.
- Baylor Scott & White Health is a non-profit organization, and in 2021, it provided $929,776,680 in community benefit programs.2
- S. News & World Report Names 29 Baylor Scott & White Hospitals to Best Hospital List for 2022–2023; two hospitals were among the top five in the state.3
- Medicaid is the largest payer for addiction treatment in the United States, covering about one-third of all costs.4
- The COVID-19 pandemic has increased rates of substance abuse and mental health disorders, highlighting the importance of insurance coverage for these types of treatments.5
- Despite the legal requirement to provide coverage for mental health services and addiction treatment as mandated by the Affordable Care Act and Mental Health Parity and Addiction Equity Act, there are still barriers to accessing care, such as high deductibles and co-pays.6
- According to a National Alliance on Mental Illness (NAMI) survey, 55% of respondents reported that their insurance coverage for mental health and addiction treatment was inadequate.
- In the United States, nearly half of the 60 million adults and children with mental health disorders live without receiving any kind of treatment.
- The integration of treatment for substance use disorders into general medical practice may improve the standard of care's efficacy and efficiency, according to promising scientific research.7
Verify Your Baylor Scott & White Insurance Coverage With Virtue Recovery Center
If you’re committed to recovery, submit a request to one of our professional admission coordinators today using the form below. Before discussing the next steps, a coordinator will address any inquiries regarding our Texas programs, including interacting directly with Baylor Scott & White on your behalf to check your insurance coverage levels for drug or alcohol addiction rehab.
Using your Health Insurance Card, fill out all of the fields on the confidential form.
A member of our staff will contact your insurer to verify if your policy will cover your treatment
We will contact you promptly with the results of the verification and discuss the next steps
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note that this is only a quote of benefits and/or authorization. We cannot guarantee that payment or verification eligibility will be accurate and complete as conveyed by your health insurance provider. Payment of benefits is subject to all terms, conditions, limitations, and exclusions of the member’s contract at the time of service. Your health insurance company will only pay for services it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. Suppose your health insurance company determines that a particular service is not reasonable and necessary or that a specific service is not covered under your plan. In that case, your insurer will deny payment for that service, and it will become your responsibility.
*Insurance Disclaimer: Virtue Recovery Center will attempt to verify your health insurance benefits and/or necessary authorizations on your behalf. Please note, this is only a quote of benefits and/or authorization. We cannot guarantee payment or verification eligibility as conveyed by your health insurance provider will be accurate and complete. Payment of benefits are subject to all terms, conditions, limitations, and exclusions of the member’s contract at time of service. Your health insurance company will only pay for services that it determines to be “reasonable and necessary.” Virtue Recovery Center will make every effort to have all services preauthorized by your health insurance company. If your health insurance company determines that a particular service is not reasonable and necessary, or that a particular service is not covered under your plan, your insurer will deny payment for that service and it will become your responsibility.
“About.” Baylor Scott & White Health, www.bswhealth.com/about_gl=1*eapxae*_up*MQ..*_ga*MTExMjY2Nzk1NS4xNjgzNzU0MDY5*_ga_1GC5C44BQN*MTY4Mzc1NDA1NS4xLjAuMTY4Mzc1NDA1NS4wLjAuMA. Accessed 10 May 2023.
“Mental Health.” Baylor Scott & White Health, www.bswhealth.com/specialties/mental-health.Accessed 10 May 2023.
“Summary Plan Description: Health and Welfare Benefit Plans.” Baylor Scott & White Health, Oct. 2022, www.bswhealth.com/benefits/Documents/Resources/Legal-Notices/Current_Benefits_Health-and-Welfare_SPD_BSWH.pdf.
“Community Benefit Reports.” Baylor Scott & White Health, www.bswhealth.com/about/community-impact/community-benefit-reports?_gl=1*1dmklvt*_up*MQ..*_ga*NDk3MDQzODQ0LjE2ODM3NTczNTE.*_ga_1GC5C44BQN*MTY4Mzc1NzM0Ni4xLjAuMTY4Mzc1NzM0Ni4wLjAuMA.. Accessed 10 May 2023.
“29 Baylor Scott and White Hospitals Named to U.S. News & World Report’s Best Hospital List 2022-23.” Baylor Scott & White Health, 3 Aug. 2022, news.bswhealth.com/en-US/releases/29-baylor-scott-white-hospitals-named-to-us-news-world-reports-best-hospital-list-2022-23.
“Substance Use Disorders.” Medicaid, www.medicaid.gov/medicaid/benefits/behavioral-health-services/substance-use-disorders/index.html. Accessed 10 May 2023.
Panchal, Nirmita, et al. “The Implications of COVID-19 for Mental Health and Substance Use.” Kaiser Family Foundation, 20 Mar. 2023, www.kff.org/coronavirus-covid-19/issue-brief/the-implications-of-covid-19-for-mental-health-and-substance-use.
“The Doctor Is Out.” NAMI: National Alliance on Mental Illness. www.nami.org/Support-Education/Publications-Reports/Public-Policy-Reports/The-Doctor-is-Out.
US Department of Health and Human Services. “HEALTH CARE SYSTEMS AND SUBSTANCE USE DISORDERS.” Facing Addiction in America - NCBI Bookshelf, 1 Nov. 2016, www.ncbi.nlm.nih.gov/books/NBK424848.
Lipari, Rachel N. “Substance Use and Mental Health Estimates From the 2013 National Survey on Drug Use and Health: Overview of Findings.” The CBHSQ Report - NCBI Bookshelf, 4 Sept. 2014, www.ncbi.nlm.nih.gov/books/NBK385055
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