Does Insurance Cover Detox?
Following the enactment of the Affordable Care Act (ACA) in 2010, addiction recovery treatment has been designated as an “essential” health benefit by most insurance providers, making it eligible for coverage under most insurance plans.
It’s important to note that some types of recovery programs may not be fully covered. For instance, your insurance plan may only offer coverage for outpatient services or detox programs in Port St. Lucie, and inpatient rehab services may not be covered at all. When in doubt, contact your insurance provider for further clarification.
Paying for Rehab Using Insurance
There are many things that can affect the cost of treatment, which include:
- The type of recovery program needed. For example, inpatient treatments are typically higher than outpatient treatments.
- The length of the recommended treatment.
- Additional medical conditions that require treatment during your recovery program.
- The location of the facility.
Using insurance coverage to pay for inpatient rehab treatment can lead to significant savings in the overall cost of treatment. In certain cases, your insurance may even cover the total cost of rehab. Your out-of-pocket expenses will be determined by the extent of care needed and the specifics of your insurance policy.
What is the Affordable Care Act?
The Affordable Care Act was put in place to ensure more affordable and inclusive healthcare options. It provides tax credits that reduce the cost of health coverage for individuals with low income. The Affordable Care Act also protects those with pre-existing conditions from being denied coverage or being charged higher premiums based on these conditions.
This law mandates that mental health conditions and substance use disorder treatments must be regarded as equally important as physical health treatments. Thus, services for treating these conditions should be offered by all plans to comply with the act.
What is Covered Under the ACA?
- Psychotherapy
- Counseling
- Inpatient services for behavioral and mental health
- Treatments for substance use disorder
- Dual diagnosis treatment
Types of Insurance Plans Used for Treatment
Numerous insurance providers offer coverage for substance use disorder treatment expenses. By understanding the specifics of your plan and coverage, you can effectively assess which expenses are covered and which medical centers are considered in-network.
Some of the most common types of insurance used to pay for treatment include:
- Medical Detox: Medical detox is usually best for those that have used highly addictive substances for extended periods. Because severe addictions can cause extreme, sometimes dangerous, withdrawal symptoms, some individuals may need to be monitored by a medical care team during the initial period. In some cases, medications are used to help lessen the mental and physical effects of stopping the drug.
- Outpatient Program: An outpatient program can allow treatment without interfering with daily life. While being treated in an outpatient program, you can continue your usual home life and visit the clinic periodically for treatment.
- Inpatient Program: Inpatient programs involve a temporary stay at a rehab facility. This method allows individuals to focus entirely on their recovery. These programs offer around-the-clock support, behavioral therapies, and other tools to help manage the impulses that drive addiction. The length of the program will vary based on your unique circumstances.
- Partial Hospitalization Program: A partial hospitalization program combines inpatient and outpatient program options. This treatment provides the same type of care you receive in an inpatient program while you can still live at home. During this program, you will only spend a set number of hours at the treatment facility daily.
After completing your recovery program, several health plans may include coverage for the care that follows. This care typically comprises a comprehensive support system that assists in sustaining your recovery beyond the initial treatment.
Start Your Journey To Recovery
Give us a call today. Our admissions coordinators will answer any questions you may have about our program and walk you through the admissions process.
Using My Insurance at Agape Detox Center
Submit the Verify Your Health Insurance Coverage form to confirm your insurance is accepted by Agape Detox Center. Rest assured, all information submitted through our online form is secure and confidential. An Agape team member will be in touch within hours of your request.
Agape is partnered with several insurance providers, including TRICARE and Bright Healthcare, to help you access a successful and affordable recovery beyond the standard recovery program. In addition to extensive recovery programs, we implement many holistic measures to ensure your mental health is restored as well.
If you have any questions about the form or treatment options, call our team anytime — our helpline is open 24/7.
- November 25, 2022
- Updated Date: December 13, 2023
Admissions Programs
Have any questions?
Stephanie Robilio is an accomplished Clinical Director at Agape Behavioral Healthcare. With a Master of Social Work degree, LCSW license, and extensive training in Rapid Resolution Therapy under her belt, she brings a wealth of expertise to her role. Her unique combination of education and experience allows her to provide exceptional care to clients and lead her team with confidence. Stephanie’s joy comes from witnessing the moments when her patients creatively connect the dots and bravely move toward reclaiming their power. Her purpose is to help individuals understand their past so they can create a future full of hope, growth, and success. Stephanie attributes a large portion of her success to the supportive culture and strong sense of community fostered by the Agape team.
