Does BCBS of Rhode Island Insurance Cover Inpatient Alcohol and Drug Rehab Centers?

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Blue Cross Blue Shield of Rhode Island is a healthcare plan that puts mental health on its list of provided treatments.¹ Whether you are dealing with opioids, alcohol, marijuana, cocaine, or something else, accessing your Blue Cross Blue Shield Rhode Island mental health coverage at a participating rehab is the first step to getting help.

To find out if a facility is an in-network Blue Cross Blue Shield of Rhode Island drug treatment provider, just call, and they will verify your insurance over the phone. You can also contact the number on the back of your Blue Cross Blue Shield of Rhode Island card for more information.

How to Find BCBS of Rhode Island Covered Inpatient Drug Treatment Centers in RI?

An effective and confidential way to check for covered inpatient drug treatment at facilities near you is to contact American Addiction Centers (AAC). AAC has top-rated rehabs throughout the United States and can verify your Blue Cross Blue Shield RI insurance coverage for you. They will also help you find a treatment center near you.

AAC offers several easy options to obtain the information and facilitate the process for you. You can call the helpline and talk to the admissions navigator, use the chat function on the website, or fill out the form on this page. No matter the option you choose, you’ll receive a quick answer about rehab availability.

What Is BCBS of Rhode Island?

Blue Cross & Blue Shield of Rhode Island has been around for over 8 decades, providing outstanding healthcare to the community.² It is a non-profit insurance plan dedicated to assisting Rhode Islanders with their healthcare needs.² With over 400,000 members, they are a leader in the state.²

BCBS of RI offers the following four health plan tiers:³

Bronze
Silver
Gold
Platinum

How Much Does BCBS of Rhode Island Cover (Addiction Treatment)?

Rehabs in Rhode Island offer a range of addiction treatment programs. The extent of how much your Blue Cross Blue Shield of Rhode Island benefits covers depends on which tier level you have, among other things.

It’s essential to first determine what type of program you need and for how long. Every person’s needs are unique, so the amount of addiction treatment will vary. Either way, your Blue Cross Blue Shield of Rhode Island substance use treatment coverage should assist with the cost of some of these treatments:

Inpatient treatment program: An inpatient treatment program is a good starting point for individuals who are starting the path of sobriety. During inpatient treatment, you will receive thorough clinical and therapeutic support. Medical professionals will closely monitor you during your overnight stays, which could last weeks or months. You can safely withdraw while in an inpatient rehab facility.^4(inpatient)
Partial hospitalization program (PHP): At a PHP, you will participate in an intensive program that involves several hours a day in a hospital-like setting with qualified staff. You can find therapeutic support while in a partial hospitalization program. PHP is a program that consists of an intense level of treatment that is similar to inpatient treatment. There will be therapists and medical professionals to help you through the program. Then you will go home in the evening.^{5(pg. 10)}
Intensive outpatient program (IOP): An IOP is also an extensive program but is an outpatient one. You will attend for several hours a throughout the week. You have more flexibility with an IOP because it’s not quite as long as a PHP.^{4(outpatient)}
Outpatient treatment program and therapy: During an outpatient treatment program, you will receive therapy from a certified therapist about once or twice a week.^{4(outpatient)}

Does BCBS of Rhode Island Cover MAT (Methadone Assisted Treatment)?

Some people require methadone-assisted treatment.⁶ This type of treatment uses an FDA-approved medication to help individuals who risk serious withdrawal symptoms from opioids.⁶ It must be dispensed by a federally approved facility during inpatient or outpatient rehab.⁶ It’s often recommended for opioid use disorder.⁶ Participants are recommended to take MAT for at least 12 months, according to the National Institute on Drug Abuse.⁶

Since Blue Cross Blue Shield of Rhode Island insurance is a marketplace plan, they must ensure members receive appropriate treatment for essential health benefits. These essential health benefits include mental health and substance use disorders.⁷ However, the extent or amount of Blue Cross Blue Shield of Rhode Island drug treatment you will have covered for methadone varies based on your exact plan. It’s helpful to contact your insurance to find out if there are any limitations on this type of treatment.

Does Blue Cross Blue Shield of Rhode Island Provide Coverage for Mental Health Facilities?

Rhode Island substance misuse treatment centers often treat people who have mental health and substance use disorders. These 2 disorders existing simultaneously are referred to as co-occurring disorders.⁸ It’s common to have these 2 conditions existing together, but experts can’t say that one causes the other. ⁸

The only thing that is known is that you are more predisposed to having both conditions if you already have 1 of them. ⁸ Also, therapists recommend that you treat a mental illness alongside a substance use disorder so that you don’t struggle with relapses as much. ⁸

Under the Affordable Care Act (ACA), which was passed in 2010, insurance providers must allow members to have access to mental health care and substance use treatment.⁷ So, you can seek a co-occurring disorder treatment plan at any of the BCBS of Rhode Island rehabilitation centers that are in-network. Remember to call ahead to ensure they have dual diagnosis treatment programs.

How Long Does BCBS of Rhode Island Insurance Cover Alcohol and Drug Rehab Programs?

Some people may be concerned about whether their Blue Cross Blue Shield Rhode Island coverage will extend long enough for them to complete a rehab program. This all depends on how long your rehab stay is.

Some people need an extensive treatment regimen based on factors such as how long they were taking the substance, how much they were taking, and so on. However, no matter what your condition is, it’s recommended that you stay in Blue Cross Blue Shield of Rhode Island drug treatment for at least 3 months to get the best results.

To find out if your specific policy will cover this timeframe, you can check your insurance card for details about what tier level you have or call the BCBS Of Rhode Island substance abuse treatment facility for verification.

What if My BCBS of Rhode Island Policy Does Not Cover an Inpatient Drug Rehab Program?

You may discover that your Blue Cross Blue Shield addiction treatment plan doesn’t cover inpatient rehab. Maybe it only covers therapy or outpatient treatment. However, if you need inpatient care, don’t put off seeking the proper care for your need. You can contact 1 of the Blue Cross Blue Shield of Rhode Island insurance rehab centers and get more information about the financial payment options they offer.

Many of the drug detox centers in Rhode Island will provide rehab services for people who don’t have the insurance coverage for it and can’t afford to pay. There may be scholarships, financial aid, or sliding scale fee reductions.

BCBS of Rhode Island In-Network vs. Out-of-Network Inpatient Drug Rehab Centers

When searching for one of the Blue Cross Blue Shield of Rhode Island insurance drug treatment programs, be sure to verify that they are in network with your insurance. In-network providers have a contract with the insurance company and offer a lower rate. So, when you go to an in-network facility, you may get the costs covered. You can check with the facility to find out if they are a BCBS of Rhode Island treatment center.

Rehabs That Take Blue Cross Blue Shield Insurance

American Addiction Centers (AAC) has various rehab facilities around the country that provide drug and alcohol addiction treatment. If you have a Blue Cross Blue Shield insurance plan, the following AAC facilities accept Blue Cross Blue Shield for drug and alcohol addiction rehab.

AdCare Rhode Island: With various facilities located in Rhode Island, AdCare provides innovative, quality, and cost-efficient addiction treatment. Its integrated system of care offers an inpatient treatment center in North Kingstown and a network of outpatient offices throughout Rhode Island. AdCare’s continuum of care includes detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, inpatient and outpatient services, and tele-health.
Desert Hope Treatment Center: Located in Las Vegas, Nevada, Desert Hope provides individualized care programs as well as offering a full continuum of care including detox services, residential treatment dual-diagnosis treatment, intensive outpatient services, and tele-health.
Greenhouse Treatment Center: Located in Grand Prairie, Texas, Greenhouse offers individualized treatment plans and many levels of care including detox services, residential treatment, dual-diagnosis treatment, intensive outpatient services, outpatient services, and tele-health, all in a luxurious setting with high-end amenities.
Laguna Treatment Hospital: Located in Orange County, California, Laguna is a chemical dependency recovery hospital that focuses on treating people who are medically compromised and need 24/7 oversight. Provided care includes detox services, residential treatment, dual-diagnosis treatment inpatient treatment, and intensive outpatient services.
Oxford Treatment Center: Located in Etta, Mississippi, Oxford offers gender-specific rehab while offering an opportunity to connect with nature and try new activities. Provided care includes detox, residential treatment, dual-diagnosis treatment, inpatient and outpatient treatment, intensive outpatient services, and tele-health, all with individualized treatment programs.
Sunrise House Treatment Center: Located in Lafayette Township, New Jersey, Sunrise House provides treatment for people suffering from substance abuse from a medical and holistic standpoint. With various evidence-based therapeutic interventions, personalized care is provided through detox, residential treatment, dual-diagnosis treatment, and outpatient services.

There are various treatment programs for individuals struggling with drug or alcohol addiction, so don’t give up if the first program you check out doesn’t meet your individual needs. There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs. You can search by location and filter by Blue Cross Blue Shield insurance.