Curious about whether your Highmark insurance covers substance abuse and mental health treatment? Since the Affordable Care Act (ACA) of 2010, most major insurance providers must offer some form of addiction rehab and mental health treatment coverage. So, what should you know about Highmark rehab coverage?

Addiction is considered a medical condition, meaning it requires professional treatment to overcome. This is why Highmark offers various coverage options. At United Recovery Project, our team understands the stress that finances can bring when exploring addiction treatment. Below, we explore what Highmark addiction treatment covers, other costs, and how to use your Highmark coverage for rehab.

Highmark Insurance Coverage for Rehab - United Recovery Project
Source: www.highmark.com

Keep reading for more information. If you require assistance or want to learn more about United Recovery Project’s programs, call us at 888-960-5121.

What is Highmark Insurance?

Highmark Insurance is part of the Blue Cross Blue Shield Association (a leading health insurance provider in many states), offering coverage to over six million Americans. However, only policyholders in Pennsylvania, West Virginia, Delaware, and selected other regions can receive coverage from this insurance provider.

Highmark covers:

  • Preferred Provider Organizations (PPO)
  • Exclusive Provider Organization (EPO)
  • Health Maintenance Organizations (HMO)
  • ACA Plans
  • Independent Practice Association (IPA)
  • Employee-sponsored options

Highmark provides a range of plans tailored to individuals, families, and businesses, ensuring access to quality healthcare services. Coverage details, including in-network providers and benefits, vary based on the specific plan and states. Ensure you review your specific plan thoroughly to confirm your coverage options. Need help? United Recovery Project can help verify your insurance.

Does Highmark Cover Rehab for Addiction?

Highmark covers various substance use disorder treatments, including:

  • Medical detox
  • Inpatient rehab (residential rehab)
  • Outpatient rehab
  • Medication-Assisted Treatment (MAT)
  • Mental Health Services

For Highmark drug rehab or Highmark alcohol rehab, however, specifics depend on your policy and plan. For instance, Highmark inpatient rehab may not be covered fully under all individual plans. This is why it’s always important to check with your insurance before making any financial commitment.

At United Recovery Project, we recommend getting pre-authorization from your insurance before signing up for rehab. This helps determine if your treatment is covered or how much of it is covered, helping you avoid unexpected financial expenses. Make sure you also check whether you’re looking into in-network versus out-of-network providers. In-network providers, like United Recovery Project, tend to be associated with lower costs.

What Types of Rehab Services Does Highmark Cover?

Types of rehab covered by Highmark insurance may include:

  • Detox Projects: This covers the initial phase of ridding the body of the abused substance in a safe, supportive, and medically-monitored environment.
  • Residential Treatment: This type of treatment involves 24/7 care, where you stay in the rehab center.
  • Partial Hospitalization Programs (PHP): This treatment offers daytime options, while allowing you to go home at night.
  • Intensive Outpatient Programs (IOP): During Highmark outpatient treatment, you get to stay within the comfort of your own home while attending evening and daytime sessions.
  • Dual Diagnosis Treatment: Getting to the root cause of addiction is essential for lasting recovery. Highmark mental health coverage will, thus, usually include treatment for co-occurring conditions like PTSD, depression, and anxiety.

How Much Does Rehab Cost with Highmark?

Ultimately, exact costs vary based on your plan type. As mentioned previously, in-network providers versus out-of-network providers will cost less. At the same time, it’s important to be aware of additional expenses that insurance may not cover.

For example, deductibles for insurance refer to the amount you must pay before your insurance policy kicks in. Co-pays may also play a part; this means you are still required to pay a set amount for your treatment or medications. Being aware of these out-of-pocket expenses can prepare you for any financial obligations and keep unwanted financial stress at bay, allowing you to focus on your recovery.

How to Use Highmark for Rehab at United Recovery Project

United Recovery Project accepts Highmark insurance, enabling you to get the treatment you need. Here’s how you can take advantage of your coverage in the best way possible.

  • Start by verifying your insurance. Call Highmark or use their online portal to check your specific plan. Alternatively, our team at United Recovery Project can also help with this step.
  • Get a referral, if needed. For some individual plans, it may be necessary to obtain insurance by first getting a referral from your family physician.
  • Select a Highmark-approved rehab center. Choosing in-network facilities, like United Recovery Project, ensures you keep your out-of-pocket expenses low.
  • Begin treatment. Whichever treatment option you choose, it’s essential to make sure it’s covered beforehand so you can fully engage in your treatment program.

Verify Your Insurance Today

Highmark is an insurance provider that can help cover expenses associated with addiction and mental health treatment. By taking advantage of your coverage, you can reduce stress and focus on your recovery. Don’t wait to get the help you need; the sooner you verify your insurance, the sooner you can begin treatment, and the faster you can start anew.

If you or a loved one is struggling with substance abuse, United Recovery Project is here to guide you every step of the way. We can help verify your insurance, offer support, and help pave your way toward lasting recovery and a healthier life! Contact our team at 888-960-5121 today.

Popular In-network Insurances at United Recovery Project: