Dual Diagnosis Treatment Centers That Take Insurance
Co-occurring mental health conditions alongside substance abuse issues are common. It is now recognized that simultaneously treating substance abuse and mental health conditions is required for the highest chance of recovery success. Dual diagnosis treatment centers are rehabilitation facilities that deal with comorbidity. Below is all the information you need for dual diagnosis treatment and insurance coverage.
What is Dual Diagnosis Treatment?
Dual diagnosis treatment addresses substance abuse, addiction, and co-occurring mental health disorders, recognizing that addiction and mental health issues often go hand in hand. It refers to two or more disorders occurring simultaneously, such as addiction and depression, anxiety, or schizophrenia, which can interact and worsen one another, making treatment more complicated.
Substance abuse and co-occurring mental health disorders must be treated together to achieve long-term recovery. Dual diagnosis treatment involves a multidisciplinary approach that combines medical detoxification, therapy, medication management, and support groups. The primary goal of dual diagnosis treatment is to help individuals achieve and maintain sobriety from drug abuse and alcoholism while improving their mental health and overall quality of life.
Treatment may involve cognitive-behavioral therapy (CBT), dialectical behavior therapy, motivational interviewing, family therapy, or other evidence-based approaches. It may also include medication to manage symptoms of mental health disorders, such as antidepressants or antipsychotics.1
What is Dual Diagnosis Treatment Insurance Coverage?
Dual diagnosis treatment insurance coverage refers to the extent to which health insurance policies cover the cost of treatment for individuals with co-occurring substance abuse or addiction and mental health disorders. Health insurance plans often pay part, if not all, of the expenses of treating co-occurring disorders and view dual diagnosis rehabilitation coverage as essential.
Under the Affordable Care Act (ACA), all health insurance plans in the United States are required to cover mental health and substance use disorder services as essential health benefits.2 This means that most insurance plans will cover at least some form of dual diagnosis treatment, including outpatient or inpatient care, counseling, and medication management.
However, the specific coverage and benefits for dual diagnosis treatment will vary depending on the insurance policy and your unique needs. For example, some insurance plans may limit the number of days or sessions covered, require pre-authorization, or have different cost-sharing requirements for mental health and substance abuse treatment than other medical services.
Does Insurance Cover Dual Diagnosis Treatment?
Yes, health insurance plans in the United States are required by law to cover mental health and substance use disorder services as essential health benefits, which include dual diagnosis treatment. However, the specifics and benefits of dual diagnosis treatment coverage vary depending on your insurance policy, the treatment provider, and other factors.
Most insurance plans will cover some form of dual diagnosis treatment, including outpatient or inpatient care, counseling, medications, and aftercare. However, some insurance plans may limit the number of days or sessions covered, require pre-authorization for treatment, or have different cost-sharing requirements for mental health and substance abuse treatment compared to other medical services.
Check Your Insurance for Dual Diagnosis Treatment Coverage
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.
Inpatient and Outpatient Dual Diagnosis Rehabs That Take Insurance
Our rehabilitation and addiction recovery centers have saved lives from substance abuse and restored families for years. With nationally accredited treatment facilities in multiple states, our addiction treatment specialists have created the most reliable and thorough treatment plans, including inpatient detoxification and residential treatment programs.
Below you'll find links to all of the Virtue Recovery Centers:
How Much Does Dual Diagnosis Rehab Cost With Insurance?
Dual diagnosis costs with rehab insurance can significantly vary depending on your insurance policy, the type of treatment program, and the specific services needed. However, most insurance plans will include some form of dual diagnosis treatment coverage. Some insurance plans may even cover the full cost of treatment, while others may require co-payments, deductibles, or other cost-sharing requirements.
On average, a 30-day inpatient treatment program may cost anywhere between $5,000 and $20,000, depending on the facility.1
How To Check My Insurance Coverage Levels for Dual Diagnosis Treatment
Easily verify insurance for your dual diagnosis treatment coverage by filling out our confidential online form. After you submit the no-obligation form, one of our professional staff members will contact your health insurance provider to verify your dual diagnosis treatment benefits. We'll contact you as soon as possible to review your policy and discuss the next steps.
Virtue Recovery Center is in-network with most insurance plans, and our admissions coordinators will speak with your insurance company directly, eliminating the challenges and confusion associated with contacting your provider yourself. In addition, all information provided or discussed will remain completely confidential.
How To Get My Insurance To Pay For Dual Diagnosis Treatment
The process will vary with each insurance plan. However, you can generally begin by reviewing your insurance policy to understand what is covered. You’ll then want to choose an in-network treatment provider with your insurance plan. Your dual diagnosis treatment provider can further assist with any information verification, such as out-of-pocket costs you may be responsible for.
Next, you’ll most likely need to obtain prior authorization. You can work with your treatment provider to get the necessary documentation submitted to your insurance company. Finally, once your insurance coverage is confirmed, follow the treatment plan recommended by your provider. Be sure to attend all scheduled appointments and follow any medication or psychotherapy recommendations, or you’ll risk the loss of coverage.
How Many Times Will Insurance Pay For Rehab?
The number of times insurance will pay for rehab depends on your insurance policy and the specific treatment plan recommended by your healthcare provider. Many insurance policies have maximum days or sessions for mental health and substance use disorder treatment, meaning the insurance company will only pay for a certain amount of treatment before you’re responsible for paying out-of-pocket.
In addition, some insurance plans may offer extended coverage for individuals with complex or chronic mental health and addiction or substance use disorders. This may include coverage for longer-term or intensive treatment programs.
Can You Go Into Dual Diagnosis Treatment Without Insurance?
Yes, it is possible to receive dual diagnosis treatment without insurance, although it can be expensive. Treatment programs for dual diagnosis can range from outpatient therapy to residential programs with 24-hour care and medical supervision. The cost can vary widely depending on the specific program and the level of care required.
Some treatment facilities may offer financial assistance or sliding scale fees based on income. Government-funded programs also provide low-cost or free treatment options for individuals without insurance. In addition, community mental health centers, faith-based and nonprofit organizations, and local government agencies may also offer low-cost or free mental health and substance use disorder services.
While you might be able to receive dual diagnosis therapy without insurance thanks to these options, the degree of care and service accessibility may vary significantly. Therefore, to ensure you receive the best care possible, it is crucial to research all of your alternatives and talk with treatment providers to learn about expenses and possible financing options.
Facts and Statistics About Dual Diagnosis Treatment
The following facts and statistics provide valuable information about dual diagnosis treatment but remember that each individual's experience with dual diagnosis is unique.
- About 50% of individuals with a substance use disorder also have a co-occurring mental health disorder.1
- One or more major mental illnesses exist in 37% of alcohol abusers and 53% of drug abusers.
- The Substance Abuse and Mental Health Services Administration (SAMHSA) reports that individuals with co-occurring disorders have higher hospitalization rates, longer treatment stays, and higher healthcare costs than those with only one disorder.2
- Those with a co-occurring mental health disorder and substance abuse issues receive integrated care in only 7% of cases.3
- A study published in the Journal of Substance Abuse Treatment found that integrated treatment for co-occurring disorders was associated with improved mental health outcomes, decreased substance use, and reduced healthcare costs.4
- The National Alliance on Mental Illness (NAMI) reports that individuals with co-occurring disorders are at higher risk for suicide, homelessness, and involvement in the criminal justice system.5
- One in every eight emergency room visits by an adult in the United States involves mental illness or substance use disorders. (estimated 12 million visits)6
- The American Society of Addiction Medicine (ASAM) recommends that all individuals with a substance use disorder be screened for co-occurring mental health conditions and that treatment be tailored to address both disorders simultaneously.7
Check Your 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 programs, including interacting directly with your insurance provider on your behalf to check your insurance coverage levels for dual diagnoses treatment.
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.
- National Library of Medicine. “Dual Diagnosis.” Medline Plus, 2 Oct. 2019, medlineplus.gov/dualdiagnosis.html.
- Mental Health and Substance Abuse Health Coverage Options.” HealthCare.gov, www.healthcare.gov/coverage/mental-health-substance-abuse-coverage. Accessed 11 Apr. 2023.
- Stilkind, Joseph. “Average Cost of Drug Rehab : By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab
- Robinson, Lawrence. “Dual Diagnosis: Substance Abuse and Mental Health.” HelpGuide.org, Feb. 2023, www.helpguide.org/articles/addictions/substance-abuse-and-mental-health.htm.
- “Substance Use Disorder Treatment for People With Co-Occurring Disorders.” • the Substance Abuse and Mental Health Services Administration (SAMHSA), 2020, store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-02-01-004_Final_508.pdf.
- Ford, James D., et al. “Improving Medication Access Within Integrated Treatment for Individuals With Co-occurring Disorders in Substance Use Treatment Agencies.” Implementation Research and Practice, vol. 2, SAGE Publishing, Sept. 2021, p. 263348952110336. https://doi.org/10.1177/26334895211033659.
- Kikkert, Martijn J., et al. “Effectiveness of Integrated Dual Diagnosis Treatment (IDDT) in Severe Mental Illness Outpatients With a Co-occurring Substance Use Disorder.” Journal of Substance Abuse Treatment, vol. 95, Elsevier BV, Sept. 2018, pp. 35–42. https://doi.org/10.1016/j.jsat.2018.09.005.
- “Mental Health by the Numbers.” NAMI: National Alliance on Mental Illness, 2023, www.nami.org/mhstats.
- Agency for Healthcare Research and Quality. “Mental Health and Substance Abuse-Related Emergency Department Visits Among Adults, 2007.” HEALTHCARE COST AND UTILIZATION PROJECT, July 2010, hcup-us.ahrq.gov/reports/statbriefs/sb92.pdf.
- Substance Abuse and Mental Health Services Administration (US). “Chapter 3—Screening and Assessment of Co-Occurring Disorders.” Substance Use Disorder Treatment for People With Co-Occurring Disorders - NCBI Bookshelf, 2020, www.ncbi.nlm.nih.gov/books/NBK571017.
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