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Blue Cross Blue Shield of Massachusetts: Rehabs & Detox Centers in MA That Take BCBS

Blue Cross Blue Shield (BCBS) of Massachusetts provides health insurance coverage to individuals and families throughout the state. If you’re a BCBS of Massachusetts member and are struggling with drug or alcohol use, your insurance plan may provide coverage for addiction treatment, such as medical detox, inpatient and outpatient rehab, and long-term residential treatment. This page will help you understand the types of addiction treatment that may be covered by your BCBS of Massachusetts plan.

If you’re struggling with addiction, you’re not alone. Addiction is a common disease in Massachusetts and across the country with approximately 1 in 14 Americans experiencing a substance use disorder (SUD).1 In Massachusetts, studies show that more than 19% of adults have engaged in illicit drug use in the past month, while nearly 28% of adults in the state reported binging alcohol in the past month.2

While recovery looks different for everyone, it often involves detox and rehab. The cost of addiction treatment may feel like a barrier to getting the help you need, there are many ways to pay for rehab. Depending on your BCBS of Massachusetts plan, the full or partial cost of addiction treatment may be covered.

What Is Blue Cross Blue Shield of Massachusetts?

Blue Cross Blue Shield of Massachusetts is 1 of 35 independent licensees of the Blue Cross and Blue Shield Association (BCBSA).3 The company has provided members with access to affordable, quality care since 1937.4 Today, BCBS of Massachusetts serves nearly 3 million members throughout the state thanks to its network featuring more than 67,000 providers and 74 hospitals.5

Does Blue Cross Blue Shield of Massachusetts Cover Rehab Treatment?

Yes, although coverage may vary depending on your Blue Cross Blue Shield of Massachusetts plan.

BCBS of Massachusetts plans must provide coverage in some capacity for substance use disorder (SUD) treatment.6 This is because such services are considered an essential health benefit under the Affordable Care Act (ACA), which went into effect in 2010.6

BCBS of Massachusetts also has dedicated resources for members struggling with SUD and provides coverage for:7

  • Detox.
  • Residential inpatient treatment.
  • Outpatient treatment.
  • Intensive outpatient programs (IOP).
  • Partial hospital programs (PHP).

It’s a good idea to verify your coverage before entering treatment whenever possible. If you have questions about your BCBS of Massachusetts plan, you can call the number on the back of your insurance card to speak with a representative.

American Addiction Centers (AAC) is proud to be part of the provider network for BCBS. AAC has several treatment centers that you can access using your plan. Our admissions navigators are available for you at any time at to discuss addiction treatment options and help you start the admissions process when you’re ready.

Types of Addiction Treatment That Blue Cross Blue Shield of Massachusetts May Cover

Coverage for SUD treatment will depend on your specific Blue Cross Blue Shield of Massachusetts plan and what your doctor decides is the best continuum of care for you. In any case, your plan should provide at least partial coverage for SUD treatment, including treatment for alcohol, marijuana, or opioid use.

Your BCBS of Massachusetts plan may cover addiction treatment such as:8,9

  • Medical detox: While not always necessary, some patients’ continuum of care includes medical detox, which helps rid the body of substances. Medical detox can help you withdraw from substances comfortably and safely.
  • Inpatient programs: Inpatient programs are designed for patients who need around-the-clock care. With an inpatient program, you live in a facility for weeks or months and receive several addiction treatments, such as group and individual therapy.
  • Outpatient programs: Outpatient programs are a good option if you need to attend to family, school, or work responsibilities while in treatment. You can live at home and attend treatment several hours per week. Many times, outpatient programs follow inpatient treatment as a step-down.
  • Intensive outpatient programs (IOP): These are for patients needing a bit more intensive care than a traditional outpatient program provides. Patients typically attend sessions for a minimum number of hours per week.
  • Partial hospitalization programs (PHP): Patients in a PHP typically receive care 4 to 8 hours per day, multiple days a week, but do not stay overnight in a facility.
  • Aftercare: Aftercare includes any care administered after rehab is completed. The goal of aftercare is to help patients maintain sobriety.

Does Blue Cross Blue Shield of Massachusetts Cover Mental Health & Dual Diagnosis Treatment?

Yes, although coverage may vary depending on your Blue Cross Blue Shield of Massachusetts plan.

BCBS of Massachusetts plans must provide coverage for mental health and dual diagnosis treatment under the ACA’s mandate.6 A dual diagnosis, which is also called a co-occurring disorder, refers to when a patient experiences both a mental health disorder and SUD (e.g., anxiety and alcohol use disorder) at the same time.10

In the U.S., approximately 9.2 million Americans have a co-occurring disorder.10 Studies suggest that treating both conditions together is the most effective treatment path.11

How to Check Your Blue Cross Blue Shield of Massachusetts Coverage for Rehab

Finding addiction treatment in Massachusetts can feel overwhelming, but knowing in advance what your Blue Cross Blue Shield of Massachusetts insurance will cover can give you peace of mind. The good news is, checking your coverage is easy. To learn about your specific coverage in Massachusetts or out of state, contact an admissions navigator at , or fill out the form below.

Which Rehab Centers Take Blue Cross Blue Shield of Massachusetts?

Blue Cross Blue Shield of Massachusetts has a vast network of facilities and providers for you to receive fully or partially covered rehab treatment.

American Addiction Centers (AAC) works with a variety of insurance companies, including BCBS, meaning AAC may be an in-network provider through your BCBS of Massachusetts plan. Some AAC facilities that accept BCBS include:

  • AdCare Rhode Island: AdCare Rhode Island has 4 locations and offers a variety of addiction treatments, including co-occurring disorder treatment, medical detox, inpatient residential, PHP/day treatment, IOP, telehealth treatment, and outpatient therapy.
  • Desert Hope Treatment Center: Located near Las Vegas, Nevada, Desert Hope Treatment Center is an upscale rehab facility specializing in veterans and first responder rehab.
  • Greenhouse Treatment Center: This Texas location provides medical detox, inpatient and residential treatment, PHP, IOP, telehealth, and outpatient therapy services.
  • Laguna Treatment Center: Located in California, this facility offers medical detox and inpatient and residential addiction treatments.
  • Oxford Treatment Center: Set in a natural, serene environment, this Mississippi facility provides medical detox, inpatient and residential treatment, PHP, IOP, telehealth, and outpatient therapy services.
  • River Oaks Treatment Center: Located near Tampa, this location provides medical detox, inpatient and residential treatment, PHP, IOP, telehealth, and outpatient therapy services.
  • Sunrise House Treatment Center: This premier facility in New Jersey specializes in providing inpatient residential and medical detox services.

Deciding to seek help for drug or alcohol use is brave, and you deserve all the support you can get. American Addiction Centers is committed to helping break the cycle of addiction. If you have questions about addiction treatment or what your Blue Cross Blue Shield of Massachusetts insurance plan covers, you can contact us at 24 hours a day, 7 days a week. Our compassionate team of admissions navigators can offer support, provide resources, and help you with the admissions process once you’re ready.

 

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