Do Drug and Alcohol Addiction Recovery Centers in Texas Take HealthSmart Insurance Policies?
You might be wondering, “Do HealthSmart insurance plans cover rehab in Texas” if you need treatment for drug or alcohol addiction? Concerns regarding the extent of coverage and what you may need to pay out of pocket may also be on your mind. Keep reading to learn more about HealthSmart insurance coverage and how to verify your benefits.
What is Texas Known For?
Texas is in the country's southern region, sharing its southeast border with the Gulf of Mexico. It ranks as the second-largest state in both population and size, with approximately 30 million inhabitants.1
When you think of Texas, you might envision cowboys and barbecue. But did you know that The Lone Star State has a fascinating history and cultural diversity?
Texas has a long history of indigenous cultures, including the Comanche, Apache, and Karankawa tribes. It was first explored and claimed by Spanish explorers in the 16th century, and it remained a part of New Spain until Mexico gained independence in 1821.
In the 1820s and 1830s, Anglo-American settlers began to move into Texas, which was then part of Mexico. Tensions between these settlers and the Mexican government eventually led to the Texas Revolution, in which Texans declared independence and formed the Republic of Texas in 1836.2
From 1836 until 1845, Texas operated as a sovereign republic before becoming the 28th state.3 Agriculture, oil, healthcare, the military, and manufacturing are some of the state’s key industries, contributing significantly to its economy.
The Alamo in San Antonio, Tex-Mex cuisine, and the saying "Don't mess with Texas" are just a few of the state's iconic symbols. Texas is also home to several Fortune 500 companies, including Exxon Mobil, AT&T, and American Airlines, as well as many sports franchises, including the Houston Astros and the Dallas Cowboys.
What is Rehab Insurance Coverage?
Rehab insurance coverage provides financial assistance to persons who need treatment for addiction, mental illness, or substance abuse. Detoxification, behavioral therapy, medication-assisted treatment, inpatient and outpatient therapies, and other types of specialty care may all be covered. 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.
The Irving, Texas-based company was established in 1996. The business was founded to offer healthcare solutions to employers and other healthcare industry stakeholders. HealthSmart has since grown to be one of the largest third-party administrators 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 in Texas
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 Texas?
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 Texas 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 Texas?
Mental health rehab will probably 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.5
Mental health rehab can involve a range of services and therapies, such as inpatient or outpatient programs, individual or group therapy, medication management, and other forms of support. 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 Texas.
Texas Inpatient and Outpatient Addiction Recovery Centers That Take HealthSmart Insurance Plans
Virtue Recovery Center has saved lives from substance abuse and addiction for years. Several treatment centers are located throughout different states, including two luxury facilities with national accreditation in Texas. 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 Texas-based addiction recovery centers that may accept HealthSmart insurance plans:
If you or your loved one are still deciding if addiction treatment is needed, contact us today to schedule a free drug and alcohol assessment. These evaluations are often the first step in any recovery journey.
How Much Does Addiction Recovery Cost in Texas With a HealthSmart Insurance Policy?
The cost of addiction recovery in Texas with HealthSmart will depend on several factors, including your specific policy, your location, the type of treatment you need, and whether you receive treatment 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 treatment. Texas is the 18th most affordable state in the nation for residential drug recovery programs. Depending on the previously mentioned factors, an individual in residential treatment in Texas may anticipate paying, on average, $56,623.6
How To Check HealthSmart Coverage Levels for Addiction Recovery in Texas?
The best way to verify insurance coverage levels for addiction recovery in Texas is to complete our no-obligation online form or call us at 866-461-3339. An admissions specialist can 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 cover your journey to sobriety:
- Confirm your coverage: First, you should confirm that your HealthSmart policy includes coverage for addiction recovery services. Virtue Recovery Center can complete this step for you. Call 866-461-3339 or fill out our confidential online insurance verification form
- Choose an in-network provider: You’ll typically receive greater coverage for treatment from in-network providers. Therefore, choose addiction recovery centers in Texas that take 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 Texas 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 Texas?
Only services for addiction rehabilitation deemed medically necessary are covered by HealthSmart. Depending on your plan and policy, HealthSmart may cover addiction rehabilitation therapies several times. Although some plans can have a cap on how many treatments are covered, others may provide limitless coverage.
While some insurance plans provide better coverage than others, most require a referral from your primary care physician. In addition, some policies are quite limited and 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 different. 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 HealthSmart 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.
“Texas Population 2023.” World Population Review, 2023, worldpopulationreview.com/states/texas-population.
“Anglo-American Colonization Efforts.” Texas State Library and Archives Commission, 20 May 2016, www.tsl.texas.gov/lobbyexhibits/struggles-anglo.
National Geographic Society. “Dec 29, 1845 CE: Texas Becomes a State.” National Geographic, 2022, education.nationalgeographic.org/resource/texas-becomes-state.
“About HealthSmart.” HealthSmart, 2023, www.healthsmart.com/Who-We-Are/About-HealthSmart.
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.
Stilkind, Joseph. “Average Cost of Drug Rehab : By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab
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