Do Drug and Alcohol Rehab Centers Take HealthSmart Insurance?

What is Arizona Known For?

Arizona, also referred to as the Grand Canyon State, is endowed with incredible natural beauty, booming metropolitan areas, and a diverse culture that makes it one of the most visited states in the US. With a population of over 7.4 million residents¹ and home to some of the most recognizable natural landmarks in the world, Arizona is fast becoming a hub for education, tourism, and economic growth.

From the remarkable Grand Canyon and colorful formations at Petrified Forest to the picturesque Canyon Lake, you will find breathtaking natural wonders in Arizona that amaze visitors and locals alike. More than just natural beauty, the state is also renowned for its cities, including Phoenix, Tucson, and Mesa, which offer a wealth of cultural experiences, fine dining, and entertainment options.

Arizona's economy has a strong focus on healthcare, retail, finance, and real estate, accompanied by a growing tech industry, making it a destination for entrepreneurs and business owners alike. The state's job market thrives on tourism, construction, and hospitality, with major companies like American Airlines, Honeywell, and Intel calling Arizona home.²

The state is also home to some of the most renowned universities, such as Arizona State University and the University of Arizona, which offer excellent programs in business, engineering, health, and social sciences. Alongside universities and colleges, Arizona is popular with sports fans, with professional teams such as the Arizona Diamondbacks, Phoenix Suns, Arizona Cardinals, and Arizona Coyotes calling the state their home.

Arizona boasts a range of popular tourist attractions, ranging from parks, museums, and zoos, to shopping centers and nature preserves. Whether you're interested in outdoor activities like hiking, camping, and golfing, or indoor attractions such as museums, theaters, and galleries, Arizona has something to offer everyone.

Our rehabilitation centers are located in the heart of Arizona, and we're proud to offer exceptional addiction recovery services to those looking to overcome substance abuse. Come explore Arizona and experience the lifestyle you deserve today.

What is Rehab Insurance Coverage?

Rehab insurance coverage provides financial assistance to persons who seek help for for drug and alcohol addiction and mental health disorders. A variety of care options maybe covered such as detoxification, behavioral therapy, medication-assisted treatment, inpatient and outpatient therapies. The degree of coverage may vary depending on the kind of insurance plan, the requirements for treatment, and other factors.

Who is HealthSmart?

Although HealthSmart offers healthcare services, it is not an insurance company. To help self-funded employers and insurance carriers manage the healthcare benefits for their insured employees and members, HealthSmart, a third-party administrator, offers innovative administrative, cost management, and health improvement initiatives.

Based in the central Texas city of Irving, the company opened its doors in 1996. HealthSmart was founded to offer healthcare solutions to employers and other healthcare industry stakeholders and has since grown to be one of the largest third-party administrators (TPAs) in the US, serving clients in all 50 states.⁴

HealthSmart provides services such as managed care, wellness programs, health savings accounts, network management, and pharmaceutical benefit administration. The business's services assist clients in lowering healthcare expenses while enhancing the health and well-being of their staff members.

Check Your HealthSmart Insurance for Addiction Treatment

You can check your HealthSmart insurance coverage levels for drug or alcohol addiction rehab in Arizona by calling us on 866-461-3339 or by using the form below.

Our admissions coordinators will interact directly with HealthSmart on your behalf, removing from your shoulders the burden of figuring out if your insurance will pay for your addiction treatment.

Do HealthSmart Insurance Plans Cover Drug and Alcohol Addiction Recovery in Arizona

Despite not being an insurance provider, HealthSmart often handles claims for behavioral health services, such as substance abuse and addiction treatment. HealthSmart has a strong presence in Arizona and offers healthcare services and solutions to individuals, employers, and healthcare providers in the state. These services might include medication-assisted treatment, counseling, and inpatient and outpatient rehabilitation programs.

Call us at 866-461-3339 to find out the details of your specific coverage for alcohol and drug addiction recovery. We can review the specifics of your particular plan with you.

Do HealthSmart Insurance Plans Cover Mental Health Recovery in Arizona?

Mental health rehab could be be covered by Healthsmart, similarly to how substance abuse treatment is covered. Because mental health services and drug abuse treatment are recognized as essential health benefits under the Affordable Care Act (ACA), you can rely on HealthSmart mental health coverage to cover some of the cost at in network providers.⁵

Mental health rehab can include a variety of services and therapies, such as inpatient or outpatient programs, individual or group therapy, medication management, and other forms of treatment. Not every therapeutic technique or length of treatment may be included in your particular policy, however. Most insurance policies have limitations and exclusions.

Your coverage will depend on your specific health insurance plan and other factors. Call us at 866-461-3339 so we can provide more detailed information about your HealthSmart insurance coverage for mental health recovery in Arizona.

Arizona Inpatient and Outpatient Addiction Recovery Centers That Take HealthSmart Insurance Plans

Virtue Recovery Center has saved lives from substance abuse and addiction for years. Our treatment facilities are located throughout the country, including two luxury facilities with national accreditation in Arizona. Patients with addiction, drug abuse, alcoholism, dual diagnosis, and underlying trauma are treated at these evidence-based inpatient and outpatient rehabilitation facilities.

Below are links to our Arizona-based addiction recovery centers that may accept HealthSmart insurance plans:

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How Much Does Addiction Recovery Cost in Arizona With a HealthSmart Insurance Policy?

The cost of addiction recovery in Arizona with HealthSmart will depend on several factors, including your specific insurance plan, the location of treatment, the type of program you need, and whether you receive care in-network or out-of-network. Virtue Recovery Center can review your policy and provide more details on the specifics of your benefits. Call 866-461-3339 today.

Inpatient therapy requires a longer stay at a treatment facility and is often more expensive than outpatient therapy, which lets you continue living at home while receiving help. Arizona is in the middle of the pack in the nation for residential drug recovery programs. Depending on the previously mentioned factors, an individual in residential treatment in Arizona may anticipate paying, on average, $56,789.⁶

How To Check HealthSmart Coverage Levels for Addiction Recovery in Arizona?

The best way to verify insurance coverage levels for addiction recovery in Arizona is to complete our no-obligation online form or call us at 866-461-3339. An admissions specialist will quickly review your insurance coverage levels while addressing any concerns or questions you may have regarding addiction recovery. Virtue Recovery Center guarantees to keep any information shared or discussed entirely confidential.

How To Get My HealthSmart Insurance To Pay For Addiction Recovery Treatment

Below are some general steps you can follow to get your insurance to minimize your out of pocket costs on your journey to sobriety:

Understand your coverage: First, you should confirm that your HealthSmart policy includes coverage for addiction recovery services. Virtue Recovery Center will complete this step for you. Call 866-461-3339 or fill out our confidential online insurance verification form
Choose an in-network provider: You can expect to receive greater coverage for treatment from in-network providers. As such, it is often beneficial to choose addiction recovery centers in Arizona that accept HealthSmart insurance policies. You can search HealthSmart's provider networks via their website or by contacting Virtue Recovery Center at 866-461-3339.
Get a referral or pre-authorization: Certain health insurance policies could require referrals or pre-authorization before being covered. You must give your health insurance carrier a documented diagnosis or details about the treatment services you need and why they are medically necessary. A treatment center, like Virtue Recovery Center, can help you with this step.
Pay any out-of-pocket costs: You could be liable for paying deductibles, copays, or coinsurance for addiction rehabilitation therapies, depending on your plan supplied by HealthSmart. Before starting treatment, ensure you understand your out-of-pocket expenses.
Follow your treatment plan: To get HealthSmart to pay for inpatient rehab in Arizona or a related service, it's crucial to adhere to the treatment plan and show up for all visits. If not, you risk claims being rejected.

How Many Times Will HealthSmart Pay for Addiction Recovery in Arizona?

Only services for addiction rehabilitation deemed medically necessary are covered by HealthSmart. Depending on your medical insurance coverage, HealthSmart may cover addiction rehabilitation therapies several times. Some plans can have a cap on how many treatments are covered, but many others may provide limitless coverage.

While some insurance policies provide better coverage than others, most require a referral from your primary care physician (PCP). In addition, some plans are quite limited and may only only offer coverage for alcoholism and addiction treatment for prescription pain medication abuse.

Don't let other people's behavior or a lack of insurance coverage discourage you; each person's path to sobriety is unique. If you're unclear about how often HealthSmart will cover treatment, call 866-461-3339 to confirm your coverage details.

Can You Go Into Addiction Recovery Without Insurance?

Yes, you can access addiction recovery without health insurance. Don't let not having insurance stop you from receiving the care you require. Without insurance, there are ways to cover the expense of rehab treatment, such as having access to state-funded and cost-free rehabilitation programs.

You can also inquire with treatment providers about payment plans or other forms of financial aid. In addition, if any government or local community groups in your area promote addiction recovery, try contacting them to learn more about other alternatives accessible to you.

You can also reach out to one of our qualified admissions coordinators with a request. A coordinator can answer questions about Virtue Recovery Center’s rehabilitation programs, including cost and payment options.

Check Your HealthSmart 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 HealthSmart on your behalf to check your insurance coverage levels for drug or alcohol addiction rehab.

STEP 1

Using your Health Insurance Card, fill out all of the fields on the confidential form.

STEP 2

A member of our staff will contact your insurer to verify if your policy will cover your treatment

STEP 3

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.

Your Name*

Phone Number

Email

Who is seeking treatment?*

Yourself

A Loved One

Name of Patient

Date of Birth of Patient*

Insurance Company's Name*

Insurance Company's Phone Number*

Member ID*

*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.

Sources and Citations

^[1]United States Census Bureau's QuickFacts for Arizona as of 2021, https://www.census.gov/quickfacts/AZ.
^[2]Visit Arizona, Arizona's official tourism site. https://www.visitarizona.com/
^[3]National Geographic Society. “Dec 29, 1845 CE: Texas Becomes a State.” National Geographic, 2022, education.nationalgeographic.org/resource/texas-becomes-state.
^[4]“About HealthSmart.” HealthSmart, 2023, www.healthsmart.com/Who-We-Are/About-HealthSmart.
^[5]U.S. Centers for Medicare & Medicaid Services. “Find Out What Marketplace Health Insurance Plans Cover.” HealthCare.gov, www.healthcare.gov/coverage/what-marketplace-plans-cover. Accessed 19 Apr. 2023.
^[6]Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab