Do Outpatient Rehab Centers Take Insurance?
If you’re wondering, “Does health insurance cover outpatient rehab,” substance use disorder services are one of the ten essential health benefits listed in the Affordable Care Act (ACA). So naturally, most insurance companies must cover some type of addiction treatment. Let’s get into the specifics.
What is Outpatient Treatment?
Outpatient treatment is a healthcare service where patients receive medical or mental health treatment outside a hospital or residential facility. It can include outpatient services, such as medical consultations, diagnostic procedures, detoxification, counseling, and medication management. This same-day treatment allows patients to receive care part-time, typically during daytime hours, and return home afterward.
Outpatient rehab is often used for less severe conditions that don’t require 24-hour monitoring or hospitalization. In addition, treatment at an outpatient clinic is usually more affordable and less disruptive to a patient’s daily life than inpatient treatment, which requires staying at a hospital or residential facility for an extended period. However, it may not be appropriate for everyone, particularly those with severe or life-threatening conditions that require close monitoring and emergency care.
Check Your Insurance for Outpatient Addiction 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.
What is Rehab Insurance Coverage?
Rehab insurance is a type of health insurance that pays for the costs of rehabilitation services for those battling substance abuse or addiction and those healing from mental health illnesses or injuries. Private insurance policies, public health insurance programs like Medicaid or Medicare, or employer-sponsored health insurance plans can all offer coverage for rehabilitation.
The insured’s policy will determine the scope of rehab insurance coverage. For example, rehab insurance often covers detoxification, inpatient or outpatient therapy, counseling, and medication management. Some insurance policies may also cover alternative or complementary therapies like acupuncture or yoga.
Does Insurance Cover Outpatient Rehab?
Many insurance plans cover outpatient rehab for substance abuse and addiction, as well as for other types of conditions that require rehabilitation treatment. The exact coverage and benefits will depend on the specific insurance policy, among other factors. We can verify your outpatient insurance coverage for you - just call 866-461-3339.
The specifics of outpatient rehab insurance coverage and premiums can vary widely. However, insurance plans generally cover outpatient rehab as it is considered a cost-effective and less intensive alternative to inpatient rehab.
Outpatient rehab can include individual and group therapy, medication management, and other types of counseling and support. Some insurance plans may also cover partial hospitalization programs (PHP), which provide intensive outpatient treatment.
Keep in mind some insurance plans may have limitations on the number of visits or amount of coverage for outpatient rehab. Additionally, insurance plans may require pre-authorization for outpatient rehab treatment or that you meet a deductible before coverage kicks in. They may also only cover medically necessary treatment.
Outpatient Rehab Centers That Take Insurance
With treatment facilities throughout many states, Virtue Recovery Center has assisted people on their path to sobriety from substance use disorders for years. Our addiction treatment professionals have developed the most reliable and recognized outpatient treatment methods, including detoxification, sober living choices, aftercare, and more.
Below you’ll find links to Virtue Recovery Center’s outpatient clinics:
Does Virtue Recovery Center Take Insurance for Outpatient Rehab?
Yes, Virtue Recovery Center accepts insurance for inpatient rehab services from most major health insurance providers. Virtue Recovery Center is also in-network with many insurance providers in Arizona, Nevada, Oregon and Texas. Some of these insurance providers include but not limited to:
Aetna, a nationwide insurance provider, offers plans that cover detox, rehab, and other forms of addiction treatment. In states like Arizona, Nevada, Oregon, and Texas, Aetna provides coverage for drug and alcohol rehab services. The specifics of the coverage can vary based on the individual’s Aetna plan and the type of treatment required.
Aetna also covers the costs of drug detox and inpatient residential rehab in Arizona. It’s important to note that every Aetna plan is different and the extent of coverage for rehab services can vary.
Blue Cross Blue Shield Insurance
Blue Cross Blue Shield offers comprehensive rehab insurance coverage in Arizona, Nevada, Oregon, and Texas, ensuring individuals have access to quality addiction treatment and mental health services. With a focus on providing support and assistance to those seeking recovery, Blue Cross Blue Shield’s insurance plans cover a wide range of rehab services, including detoxification, inpatient and outpatient treatment, counseling, therapy, and aftercare support.
Cigna offers comprehensive rehab insurance coverage in Arizona, Nevada, Oregon, and Texas, providing individuals with access to a wide range of addiction treatment and mental health services. With a focus on promoting health and wellness, Cigna’s insurance plans cover various aspects of rehab, including detoxification, inpatient and outpatient treatment, counseling, therapy, and ongoing support.
HealthSmart offers comprehensive rehab insurance coverage in Arizona, Nevada, Oregon, and Texas, providing individuals with access to high-quality addiction treatment and mental health services. With a focus on promoting overall well-being, HealthSmart’s insurance plans encompass a range of rehab services, including detoxification, inpatient and outpatient treatment, counseling, therapy, and ongoing support.
TriWest Network offers extensive rehab coverage provider for veterans in Arizona, Nevada, Oregon, and Texas, delivering essential support and resources for individuals seeking addiction treatment and mental health services. With a commitment to promoting overall wellness, TriWest Network’s insurance plans encompass a wide range of rehab options, including detoxification, residential and outpatient programs, counseling, therapy, and ongoing recovery support.
United HealthCare Insurance
UnitedHealthcare offers comprehensive rehab insurance coverage in Arizona, Nevada, Oregon, and Texas, providing vital support for individuals seeking addiction treatment and mental health services. With a strong commitment to promoting overall well-being, UnitedHealthcare’s insurance plans encompass a wide range of rehab options, including detoxification, inpatient and outpatient programs, counseling, therapy, and ongoing recovery support.
How Much Does Outpatient Rehab Cost With Insurance?
The average cost of outpatient rehab for a three-month program is $5,000.1 However, this cost can vary significantly depending on several factors, including the specific insurance plan, policy, and treatment type. To learn more about the cost of outpatient addiction rehab with or without insurance, call us at 866-461-3339.
How To Check My Insurance Coverage Levels for Outpatient Rehab Treatment
Contacting your insurance carrier about outpatient rehab coverage levels can be challenging. Allow one of our highly qualified staff members to verify insurance details for you. Simply fill out our no-obligation online form, and we'll get in touch as soon as possible to review your policy details and discuss the next steps.
Virtue Recovery Center handles the difficulties and wait times associated with calling your insurance provider because we are in-network with most insurance policies. We also guarantee to keep any information you share or discuss entirely confidential.
How To Get My Insurance To Pay For Outpatient Rehab Treatment
It may take patience and advocacy to successfully obtain insurance coverage for outpatient rehab treatment, as the procedure can be complex. Consider speaking with a healthcare provider such as Virtue Recovery Center. We can assist you in navigating the insurance system, advocating for your rights, and submitting claims.
How Many Times Will Insurance Pay For Outpatient Rehab?
The number of times that insurance will cover outpatient rehab depends on your specific insurance plan, among other factors. For example, insurance plans generally cover outpatient rehab treatment deemed medically necessary, but there may be limitations or exclusions on the amount and duration of coverage.
For example, some insurance plans may limit the number of visits or the duration of outpatient rehab treatment. In contrast, others may have more flexible coverage depending on your particular needs. Some policies may also have annual or lifetime caps on the amount of outpatient insurance coverage.
If you are unsure how often your policy will pay for outpatient rehab treatment, contact Virtue Recovery Center at 866-461-3339. We can provide details about your specific policy and any applicable limitations or restrictions.
Can You Go To Outpatient Rehab Without Insurance?
Yes, you can receive outpatient rehabilitation without health insurance. Don't let the lack of health insurance prevent you from getting the care you need. If you seek outpatient rehab treatment without insurance, options are available to help offset the cost, including access to various state-funded and free therapy programs.
If you wish to attend an outpatient facility for rehabilitation services but lack health insurance, look into local possibilities and ask 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 treatment, try contacting them to learn more about other options that could be accessible to you.
You can also reach out to one of our qualified admissions coordinators with a request. A coordinator will answer any questions about our outpatient programs, including details about cost and payment options.
Outpatient Rehabilitation Statistics
- In 2019, an estimated 1.7 million Americans aged 12 or older received treatment for a substance use disorder at an outpatient facility, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).1
- The proportion of persons 18 and older who received outpatient mental health care went from 7.4% in 2002 (or 15.5 million people) to 8.3% in 2019 (or 20.6 million people).
- Outpatient care is provided by about 82% of all substance abuse treatment centers.2
- The National Survey of Substance Abuse Treatment Services (N-SSATS) found that in 2019, the most commonly reported substance abuse primary treatment focus for outpatient facilities was alcohol abuse (67%), followed by drug abuse (49%).3
- The most commonly used types of therapy in outpatient substance use disorder treatment included cognitive behavioral therapy (72%), individual counseling (63%), and group counseling (62%).
- According to the National Institute on Drug Abuse (NIDA), drug use costs the US upwards of $600 billion annually. The economic burden would significantly decrease if everyone suffering from substance abuse committed to some degree of care, whether in an outpatient program or otherwise.4
- A study published in the Journal of Substance Abuse Treatment in 2019 found that people who received outpatient substance use disorder treatment had lower hospitalization rates, emergency department visits, and healthcare costs than those who received inpatient treatment.
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 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.
- “Find Out What Marketplace Health Insurance Plans Cover.” HealthCare.gov, www.healthcare.gov/coverage/what-marketplace-plans-cover.
- Stilkind, Joseph. “Average Cost of Drug Rehab : By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab
- “Key Substance Use and Mental Health Indicators in the United States: Results From the 2019
- National Survey on Drug Use and Health.” Substance Abuse and Mental Health Services Administration (SAMHSA), 2019, www.samhsa.gov/data/sites/default/files/reports/rpt29393/2019NSDUHFFRPDFWHTML/2019NSDUHFFR090120.htm.
- “Topic: Substance Abuse Treatment and Rehabilitation in the U.S.” Statista, 24 Mar. 2022, www.statista.com/topics/3997/substance-abuse-treatment-and-rehabilitation-in-the-us/#topicOverview.
- “Key Substance Use and Mental Health Indicators in the United States: Results From the 2020 National Survey on Drug Use and Health.” Substance Abuse and Mental Health Services Administration (SAMHSA), 2021, www.samhsa.gov/data/sites/default/files/reports/rpt35325/NSDUHFFRPDFWHTMLFiles2020/2020NSDUHFFR1PDFW102121.pdf.
- National Institutes of Health (NIH). “Costs of Substance Abuse.” National Institute on Drug Abuse, archives.nida.nih.gov/research-topics/trends-statistics/costs-substance-abuse. Accessed 14 Apr. 2023. Parthasarathy, Sujaya, et al. “Association of Outpatient Alcohol and Drug Treatment With Health Care Utilization and Cost: Revisiting the Offset Hypothesis.” Journal of Studies on Alcohol, vol. 62, no. 1, Alcohol Research Documentation, Inc., Jan. 2001, pp. 89–97. https://doi.org/10.15288/jsa.2001.62.89.
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