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Empire Blue Cross Blue Shield New York: Rehabs & Detox Centers in NY That Take BCBS

Table of Contents

Does Empire BCBS of New York Insurance Cover Inpatient Alcohol and Drug Rehab Centers?

With an Empire BlueCross BlueShield insurance plan, you’ll have behavioral health coverage that includes provisions for alcohol and drug rehab.1 These behavioral health benefits are a part of your Empire BCBS plan. Empire is the second-largest health plan-owned behavioral health company in the nation.1

The extent of your Empire Blue Cross insurance coverage will vary depending on what type of policy or plan you have. However, you can easily verify your insurance with any Anthem Blue Cross Blue Shield New York facility by calling the rehab directly. An admissions navigator will check your Blue Cross Blue Shield of New York benefits and direct you to convenient rehab locations.

If you prefer, you can contact your insurance company by checking the back of your insurance card for the phone number. An insurance representative will provide you with your plan details.

How to Find Empire BCBS of New York Covered Inpatient Drug Treatment Centers in NY?

Another simple and quick way to find any of the Empire BCBS of New York rehabilitation centers is to contact American Addiction Centers (AAC). AAC offers top-quality rehab facilities throughout the U.S. and has locations near you. When you call the Blue Cross Blue Shield of New York hotline number, an admissions navigator will check your insurance and use the treatment locator to find facilities near you.

There are numerous ways to get more information about your benefits or to find a treatment facility. You can call, use the chat option, or fill out the form on this page. You’ll be in touch with a highly rated rehab facility in no time.

What Is Empire BCBS of New York?

Empire BCBS New York has been serving the area for over 85 years and has more than four million members and more than 38,000 businesses.2 With a mission to improve the health of New Yorkers, Empire BCBS is the largest health insurer in New York. Their service area for individual and family plans extends to the five boroughs, Bronx, Brooklyn, Manhattan, Queens, Staten Island, and Putnam and Nassau Counties.3 If you have the Medicaid plan, it also covers Suffolk and Westchester counties.3

How Much Does Empire BCBS of New York Cover (Addiction Treatment)?

Before beginning the admissions process, you may wonder how much of your addiction treatment will be covered by Empire Blue Cross Blue Shield of New York insurance rehab. The specifics on how much is covered will be explained in your insurance policy. However, the first step is to determine more about what type of treatment you require. Everyone has different treatment needs.

Some people may need the full spectrum of rehab services before they feel comfortable taking on the real world. Others may need extensive Blue Cross Blue Shield residential treatment and then feel ready to move forward. Working with a Blue Cross Blue Shield of NY case manager will help ensure that you get on the right path for recovery.

Your Empire Blue Cross Blue Shield of New York substance abuse treatment coverage should cover some of the cost of the following types of treatment programs:4(pg.

  • Inpatient treatment program: Participating in an inpatient program is what many people do after detox. This is when your treatment regimen begins in depth. Clinical professionals will guide you through the therapy process, ensuring you have the tools for life after rehab. You’ll stay in inpatient rehab overnight for several weeks or months, depending on your treatment plan. 5(inpatient)
  • Partial hospitalization program (PHP): A PHP also provides an intense level of treatment. You will participate in therapy throughout the day and return home at night. This is the type of program that is best if you have a solid home environment.6(pg. 10)
  • Intensive outpatient program (IOP): An IOP is the highest level of outpatient treatment. It provides a more intense therapy program than standard outpatient.5(outpatient)
  • Outpatient treatment program and therapy: An outpatient treatment program will help you with gaining the strength for living sober.5(outpatient)

Does Empire Blue Cross Blue Shield of New York Provide Coverage for Mental Health Facilities?

Co-occurring disorders consist of a substance misuse issue and a mental health disorder occurring at the same time.7 It’s quite common for people with substance use disorder to also have a mental health disorder.7 Your Blue Cross Blue Shield New York mental health coverage can provide treatment for both conditions in tandem, which is recommended.7

Before beginning the admissions process at a rehab facility, you can check to make sure they have co-occurring disorder treatment. Specialized treatment may be the best option for someone struggling with mental health and substance use disorders. It will help you to get to the root of the problem and prevent relapse.7

Since Empire Blue Cross Blue Shield of New York insurance drug treatment programs are marketplace plans, they will follow the mandates of the Affordable Care Act (ACA). ACA states that insurance providers must provide coverage for mental health care and substance use treatment.8

Does Empire Blue Cross Blue Shield of New York Cover Addiction Treatment Therapies?

Your Empire BCBS of NY coverage provides for behavioral healthcare, including substance use treatment. This means you’ll have Blue Cross Blue Shield New York therapy coverage. Some of the commonly used therapies are evidenced based and include the following:9

  • Cognitive-behavioral therapy
  • Motivational enhancement therapy
  • Contingency management interventions
  • Community reinforcements
  • The Matrix Model program
  • 12-step programs
  • Family therapy

How Long Does Empire BCBS of New York Insurance Cover Alcohol and Drug Rehab Programs?

Your Empire Blue Cross Blue Shield of New York drug treatment plan may cover the total length of your rehab experience. It depends on how long you need to stay in inpatient treatment. An admissions navigator will help you determine what type of treatment plan is best for you.

Several factors determine the length and type of Blue Cross Blue Shield addiction treatment that will be right for you. Experts say you should be sure to get an adequate amount of time in rehab, at least three months.

What if My Empire BCBS of New York Policy Does Not Cover an Inpatient Drug Rehab Program?

If your plan does not cover the extent of inpatient drug rehab you need, you can check with one of the Empire Blue Cross Blue Shield of New York insurance rehab centers for additional payment options. Many drug detox centers in New York will offer scholarships, financial aid, or other financial programs that can help defray the cost of rehab.

Empire BCBS of New York In-Network vs. Out-of-Network Inpatient Drug Rehab Centers

Some doctors, medical facilities, hospitals, and drug rehabs who provide health care services for Empire BCBS have a contract with them. This means they are in the network with the insurance. They are also called in-network providers.11(what’s the diff)

In-network rehabs not only accept the pay rates given by the facility, but they are also committed to providing quality care to members.11(why)

Facilities and doctors that don’t have a contract with Empire BCBS are outside of the network, also called out-of-network providers.11(what’s the diff)

If you receive treatment from an out-of-network provider, you may be responsible for getting preauthorization, and you may have to pay more for services.11(why) Check your insurance plan for more details or call the rehab to verify in-network status.11(why)

Which Rehab Centers Take Empire Blue Cross Blue Shield?

Empire BCBS members have access to a vast network of healthcare providers in New York state and beyond, including providers who offer treatment for substance use disorders.

If you have an Empire BCBS insurance plan, Sunrise House Treatment Center is an American Addiction Centers’ facility that accepts this insurance. Located in Lafayette, New Jersey, Sunrise House Treatment Center is a premier addiction center that provides a comprehensive continuum of care and individualized treatment plans.

American Addiction Centers is committed to helping those struggling with addiction on their recovery journey. You can get the answers you need about addiction treatment or your Empire BCBS coverage by contacting us at . Our admissions navigators are available 24 hours a day, 7 days a week to answer questions, provide resources, and assist you with the admissions process when you’re ready.

How to Verify Empire BCBS of New York Insurance Coverage of Drug Rehab Centers?

Contact American Addiction Centers (AAC) to verify your insurance coverage confidentially and quickly. They will also help you locate Empire Blue Cross Blue Shield of New York drug treatment providers near you. When you call the AAC Empire BCBS helpline, you’ll speak to an admissions navigator. They will provide many of the answers you need about treatment, the admissions process, and insurance verification.