At Michael’s House, we have been helping people find healing and recovery for over thirty years. We do this by partnering with major insurance providers to help our patients receive the treatment they need. However, even for those patients with health insurance, it can be challenging to navigate the maze of insurance coverage for co-occurring disorders, substance abuse, or alcohol addiction.
Addiction is a chronic disease. Those struggling with addiction and co-occurring mental health issues cannot simply stop using drugs for a few days and be cured. Most patients need long-term or repeated care to stop using completely and recover their lives.1
Michael’s House can help verify insurance and answer questions related to rehab admissions so you can begin needed treatment as soon as possible. Call 760.548.4032 to get started.
Affordable Care Act and Rehab Insurance Coverage
According to the Affordable Care Act (ACA), all health insurance plans must cover the following:
- Behavioral health treatment, such as psychotherapy and counseling
- Mental and behavioral health inpatient services
- Substance use disorder (commonly known as substance abuse) treatment.2
Insurance Coverage Verification
Navigating the different insurance companies, their various subsidiaries, and the numerous different plans available from each is daunting. Even if you’re an experienced researcher or very web-savvy, in many cases, you’ll only be guessing as to which services are covered.
Do you have Blue Cross Blue Shield, Anthem Blue Cross, or Blue Shield? It makes a difference. And did you know that Blue Shield’s California network is yet another entity—one that isn’t national? Let Michael’s House insurance coverage verification specialists help you cut through the confusion. By placing a call to 760.548.4032 with your insurance information in hand, we can help you sort through the options and tell you how each one affects your coverage.
We are in-network with most insurance providers. Some that we work with include:
- BlueCross BlueShield®
- 4 your Choice
- Prime Healthcare
- Value Options
- Connecticut Genera
- VA Insurance
*TRICARE® is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.
*Michael’s House is a TRICARE-certified and network provider for CD/Substance Use services.
How To Determine Your Coverage
How To Determine Your Coverage
When someone requires substance abuse treatment for drugs, alcohol, or a co-occurring disorder, there are often concerns about how much it will cost and who will pay.
Michael’s House is here to help. You can call us now at 760.548.4032—you will need to have your insurance info available—and we can give you all the information you need. We can even recommend other programs if ours isn’t the best fit.
Some variations of insurance plans may work like HMOs, and others like PPOs. Certain insurance companies may work only with their own providers or serve an extensive network. Certain providers reimburse the member instead of the provider. Each insurance provider may handle their claims in a slightly different manner.
Common Questions We Can Answer
- Am I “in-network” or “out-of-network”?
- Is detox covered or not?
- What forms of treatment are covered by my insurance?
- How many days are covered for residential treatment?
- What’s the difference between Blue Shield in and out of California?
- Isn’t all Blue Cross Blue Shield coverage the same?
- What is Anthem, and how is it linked to BCBS?
Contact Michael's House with Your Questions About Rehab Insurance Coverage
While you likely have some form of treatment covered by your insurance, it is essential to have clarity in this process. Move past the confusion and get the answers you need by giving us a call. If you don’t have insurance, that is not a problem, as we are glad to help you learn more about your treatment options. Call us at 760.548.4032 or contact us online today.