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Blue Cross Blue Shield Federal: Rehab & Detox Centers That Take BCBS Federal

Over 20 million Americans struggle with addiction to drugs and/or alcohol.1 The misuse or overuse of alcohol, illicit drugs, and prescription medications is known as substance use disorder (SUD). Of the millions of Americans who live with addiction, nearly 14.8 million have alcohol use disorder (AUD), 8.1 million have illicit drug use disorder, and 2 million have an opioid use disorder (OUD).2

Substance use disorders (SUDs) have a major impact on the social, physical, and mental health of individuals, families, and communities. Addiction is linked to many health problems, including heart disease, cancer, HIV/AIDS, mental health disorders, lung disease, hepatitis, and stroke.3

Many individuals with SUDs get the treatment they need, but it doesn’t have to be this way.1 Rehab centers located throughout the United States provide treatments for addiction to help people start their journey to recovery and live a life free from addiction to harmful substances.

Health insurance plans can help cover the costs of treatment so that people can get the help they need, when they need it, without worrying about the financial impact treatment may have on their lives. If you are seeking addiction treatment for yourself or a loved one and have health insurance through the Blue Cross Blue Shield (BCBS) Federal Employee Program (FEP), your plan should cover at least some of the costs of addiction treatments.4


How to Check My Blue Cross Blue Shield FEP Coverage for Rehab

Finding a treatment facility can feel overwhelming but knowing in advance what your BCBS FEP insurance will cover can give you peace of mind. The good news is, checking your coverage is easy. To learn about your specific coverage, contact one of our admissions navigators at , get a text, click here, or fill out the form below.


What Is Blue Cross and Blue Shield Federal?

The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based, and locally operated Blue Cross and Blue Shield companies.5 These companies provide health care coverage for 1 in 3 Americans.5

The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program (FEP), provides health insurance coverage to federal employees in the United States.6 The program began in 1960 and covers over 5.5 million federal employees, retirees, and their families.6

Every FEP plan includes:7

  • Free preventative care (e.g., annual physicals, flu shots, nutritional counseling, cancer screenings).
  • Worldwide coverage (for use if you travel for work/pleasure and need healthcare in another country).
  • Two free Teledoc visits per year.
  • Incentives and discounts to members.
  • Specialist visits with no referral required from your primary care physician.

As an FEP member, you have access to the largest preferred provider network in the nation, with more doctors, hospitals, and specialists than any other network.7


Does the Blue Cross Blue Shield Federal Employee Program Cover Rehab Treatment?

The Blue Cross Blue Shield Federal Employee Program should be able to cover some, if not all, of the costs of rehab and other addiction treatments.4 Exactly what is covered may depend on the specific FEP plan you have.

Under the Affordable Care Act (ACA), SUD treatments are considered an “essential health benefit.” The ACA mandates that health insurance providers must provide coverage for the 10 essential health benefits, including mental health and substance abuse disorder services (including behavioral health treatment).8

As an FEP member, the ACA ensures that your plan must provide at least partial coverage for any addiction treatments you access, including rehab.


What Addictions Does Treatment Cover?

An SUD is a condition in which a person uses and/or abuses substances despite the harmful consequences. People with addiction/substance use disorder have an intense focus on using certain substances, including (but not limited to):9

  • Alcohol.
  • Marijuana.
  • Heroin.
  • Opioids.
  • Crystal meth.
  • Prescription drugs.

Getting treatment for addiction to any substances will be at least partially covered by your BCBS Federal Employee Program plan, no matter what substance(s) you are misusing.

Call the number on the back of your insurance card to speak with a BCBS Federal Employee Program customer service agent for details on exactly what your plan covers for addiction treatments. In addition to asking about your plan’s coverage, you may also want to consider asking them about how to begin the process of getting into treatment and/or if you need pre-authorization from your primary care physician before entering a treatment program.

What Rehab Programs Does the Blue Cross Blue Shield Service and Benefit Plan Cover?

SUDs can be effectively treated through several different treatment options. The type of treatment you access will depend on your specific needs as well as your personal preferences. As you think about your different treatment options, you may want to consider the following factors:

  • The type of substances you are using and the severity of your addiction
  • If you have other mental health conditions that require treatment
  • Your current living situation
  • How you will pay for treatment
  • The time commitment involved for the type of treatment you are considering

Your FEP insurance coverage may provide coverage for many different types of addiction treatments, including:4

  • Medical detox: Detoxification is the process of clearing drugs and/or alcohol from the body. It uses prescription medications to help manage withdrawal symptoms in a safe, supervised setting. Once you’ve completed detox, you may transition to another form of treatment.
  • Inpatient programs: Also known as residential programming, this treatment program provides a safe and supportive place for you to live while in treatment. This allows you to leave your stressors and triggers behind to focus on your sobriety and recovery. These programs may last anywhere from 3-6 months and will involve attending individual and group therapies as well as learning coping mechanisms to support your long-term recovery.
  • Partial Hospitalization Programs (PHPs): The time commitment of a PHP program is similar to an inpatient recovery program, but you will live at home while in treatment. Most PHP programs involve attending treatment 5-7 days a week for 6-8 hours each day.
  • Outpatient programs: There are many different structures to outpatient programming. Most involve a 12-step program, individual and group therapy, and peer support groups to provide therapy, counseling, and relapse prevention skills. You can live at home while in this type of treatment program.
  • Intensive Outpatient Programs (IOPs): IOPs require you to attend the program for a few visits each week (approximately 9-12 hours/week, 3-5 days a week). These programs are ideal for those who have work and family responsibilities they must attend to but still need help with the psychological and medical impacts of addiction.
  • Aftercare recovery programs: Also known as “continuing care,” aftercare programs are structured to help you continue the progress you’ve made after you’ve completed another treatment program, such as rehab. Depending on your needs, you may choose to live in a sober living facility, attend therapy, and access peer support as you transition back into life in the community.

No matter what type of addiction treatment you receive, the goal is to improve your health and support your recovery now and well into the future. To learn more about what your BCBS Federal Employee Program plan covers for addiction treatments, call the number on the back of your insurance card to ask about coverage for various types of treatment programs.


Does BCBS Federal Cover Mental Health & Dual Diagnosis Treatment?

Your BCBS Federal plan will provide at least partial coverage for mental health and dual diagnosis treatments. These services are among the 10 essential health benefits outlined by the Affordable Care Act (ACA).8

Drug and alcohol addiction often go hand-in-hand with mental illness. Nearly half of all people addicted to drugs and/or alcohol also have a mental health disorder diagnosis, such as anxiety, attention-deficit/hyperactivity disorder (ADHD), bipolar disorder, depression, and post-traumatic stress disorder (PTSD).10 When a person with an SUD also has another mental health disorder, this is called a “dual diagnosis.”

When left untreated, mental health conditions can have a tremendous impact on a person’s overall health and wellbeing. As a result, some people with mental health struggles turn to drugs and alcohol as a way of alleviating symptoms associated with the condition.11 However, this can worsen the mental health disorder in the long run and increase the likelihood of addiction. For others, prolonged use of substances can increase the risk of mental illness.11

Many rehab centers throughout the United States offer treatments for individuals with dual diagnoses. These centers ensure that both mental health conditions are treated at the same time. Getting this type of evidence-based, comprehensive care may help boost your chances of long-term recovery.


Which Rehab Centers Take Blue Cross Blue Shield Federal Insurance?

American Addiction Centers (AAC) has many rehab facilities around the country that provide individualized, comprehensive drug and alcohol addiction treatment. Many of these facilities accept Blue Cross Blue Shield Federal Employee Program insurance.

  • AdCare Rhode Island: Located in three different Rhode Island facilities, you can access high-quality addiction treatment in a secure, supportive environment. There are many programs, amenities, and therapy types to choose from to ensure your needs are met.
  • Desert Hope Treatment Center: A premier drug and alcohol detox and rehab facility, this Las Vegas-based treatment center provides individualized treatment plans designed to meet your needs to support your recovery.
  • Greenhouse Treatment Center: Access world-class treatment at this Dallas, Texas, treatment facility. A wide menu of treatment options is available, from detox to inpatient and outpatient programs to ongoing aftercare support for individuals with dual diagnoses.
  • Laguna Treatment Hospital: Soak up the sun in Laguna Beach, California, while you attend this top-notch facility that provides individualized addiction treatments in a supportive environment.
  • Oxford Treatment Center: This Etta, Mississippi-based treatment facility provides high-quality addiction treatments in a serene natural environment where you can get the care and support you need.
  • River Oaks Treatment Center: Located in Riverview, Florida, this facility boasts advanced accreditations and diverse treatment options to provide the highest level of individualized addiction care.
  • Sunrise House Treatment Center: A premier treatment center located in Lafayette, New Jersey, that provides high-quality and individualized addiction treatments in a supportive setting.

If you would like to explore more AAC facilities in-network with BCBS Federal, use our directory and filter by “insurance.” There are rehabs near me that can provide the treatment you need. Check out the directory to find a list of facilities and programs.


Sources

  1. U.S. Department of Health and Human Services. (2022). Drugs and Alcohol.
  2. National Center for Drug Abuse Statistics. (2022). Drug Abuse Statistics.
  3. National Institute on Drug Abuse. (2020). Addiction and Health.
  4. Blue Cross Blue Shield. (n.d.). Supporting Your Journey to Recovery.
  5. Blue Cross Blue Shield. (September 2021). Blue Cross® and Blue Shield® Federal Employee Program® (FEP®) Introduces Enhanced Hypertension and Pregnancy Programs, Dental and Vision Benefits and New International Travel Insurance.
  6. BCBS Federal Employee Program. (n.d.). About Us.
  7. BCBS Federal Employee Program. (n.d.). Our Plans.
  8. Healthcare.gov. (n.d.). Essential Health Benefits.
  9. American Psychiatric Association. (December 2020). What Is Substance Use Disorder?
  10. National Institute of Mental Health. (n.d.) Substance Use and Co-Occurring Mental Health Disorders.
  11. National Alliance on Mental Illness. (n.d.). Understanding Dual Diagnosis.

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