Background Image
In-Network with AAC

Blue Cross Blue Shield of Texas: Rehabs & Detox Centers in TX That Take BCBS

Blue Cross Blue Shield of Texas (BCBSTX) provides health insurance coverage to individuals and families throughout the state. If you are struggling with substance use, your BCBSTX insurance may cover some or all of the cost of rehab. Learn the types of addiction treatment that may be available to you below, or contact American Addiction Centers at to quickly check your insurance coverage.
Step 1/4 Check Coverage
* These fields are required
*
Aetna
WXY1030Z0
If you or a loved one are experiencing a medical emergency, call 9-1-1 immediately.

What Is Blue Cross Blue Shield of Texas?

Blue Cross Blue Shield of Texas (BCBSTX) is one of 35 independent and locally-owned licensees of the Blue Cross Blue Shield Association (BCBSA) that provides health insurance to millions of Americans.1 Across the independent companies, the Blue Cross Blue Shield (BCBS) parent company provides 1 in 3 Americans with health coverage.1 BCBSTX is a statewide customer-owned company that has provided health coverage to Texans for more than 90 years.2

BCBSTX provides different types of health care plans, including individual and family plans, and Medicaid and Medicare plans.3 The BCBSTX network includes nearly 80,000 physicians and practitioners and 500 hospitals.3

Does Blue Cross Blue Shield of Texas Cover Addiction Rehab Treatment?

Blue Cross Blue Shield (BCBS) is committed to improving the affordability and quality of all types of care, including mental health.4 To recognize facilities and providers that match the same commitment to affordable, quality care, BCBS created the Blue Distinction list.5 Blue Distinction Centers for Substance Use Treatment and Recovery also takes BCBSTX. Therefore, if you have BCBSTX and attend a named facility, you may be able to receive full or partial coverage for addiction treatment in Texas or out of state at little to no cost to you.6

The Affordable Care Act (ACA), the federal health care reform law, requires a set of 10 essential health benefits (EHBs) to be covered in some capacity by almost all health plans.7 Behavioral and mental health services are considered to be 1 of the 10 EHBs.7 This means that your BCBSTX plan must provide some type of coverage for treatment for substance use disorder (e.g., rehab), inpatient treatment for mental and behavioral health disorders, and treatment for behavioral health disorders.8 Although coverage in some capacity is required, this does not mean or guarantee that all treatments will be fully or partially covered under your specific plan.

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

What your specific Blue Cross Blue Shield of Texas (BCBSTX) plan may cover will vary depending on your plan’s design, the facility at which you receive care, and other factors. Still, per the Affordable Care Act (ACA), your BCBSTX plan may be able to help you cover the costs of treatment for substance use disorders related to alcohol, marijuana, opioids, and more.

BCBSTX has a portfolio of resources for members to gain access to behavioral health services.9 The level of coverage may vary based on your plan design, but BCBSTX may cover:9, 10, 11

  • Medical detox: Under the supervision of medical professionals, medical detox helps ease the withdrawal process so you can prepare for the next phase of treatment, such as inpatient or outpatient rehab.
  • Inpatient rehab: Inpatient programs, which are those that involve an overnight stay, will have a patient receiving care in a facility for a few days, weeks, or months.
  • Outpatient rehab: Available to patients who don’t require intensive or overnight stays, outpatient programs involve a patient visiting a facility once or twice a week to receive their care.
  • Intensive outpatient program (IOP): With an IOP, patients must attend their outpatient programs for a minimum number of hours each week, but no overnight stay is required.
  • Partial hospitalization program (PHP): With a PHP, patients typically attend a facility for 4 to 8 hours per day a few days a week and return home at the end of the day.
  • Aftercare: After a patient completes their initial rehab treatment program, they typically transition to aftercare programs, which are any type of follow-up or ongoing care after rehab is completed.

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

Due to the Affordable Care Act (ACA) mandate, your Blue Cross Blue Shield of Texas (BCBSTX) health plan should cover mental health and dual diagnosis treatment at some level.8 Depending on your plan, you may receive full or partial coverage for your treatment costs, regardless of whether you receive treatment for a mental health condition, a substance use disorder, or a dual diagnosis.

A dual diagnosis (or co-occurring disorder) is when a patient experiences a mental health and substance use disorder at the same time.12 According to the Substance Abuse and Mental Health Services Administration (SAMHSA), approximately 9.2 million Americans have a dual diagnosis. If you have a dual diagnosis, you will likely be treated for both concurrently, as many experts agree that treating both disorders together is the most effective treatment path.13

How to Check Your Blue Cross Blue Shield of Texas Coverage for Addiction Rehab

Finding a drug or alcohol treatment facility can feel overwhelming, but knowing in advance what your Blue Cross Blue Shield of Texas insurance will cover can give you peace of mind. Fortunately, checking your coverage is easy. To learn about your specific coverage in Texas or out of state, contact an admissions navigator at , or fill out the form above to verify your insurance.

Which Drug and Alcohol Rehab Centers Take Blue Cross Blue Shield of Texas?

Blue Cross Blue Shield of Texas (BCBSTX) has a network of nearly 80,000 physicians and practitioners and 500 hospitals, which means there are likely several rehab centers that will take your plan.5 American Addiction Centers is also an in-network provider with BCBSTX. This means that your BCBSTX plan may fully or partially cover treatment at one of our facilities, including:

  • AdCare Rhode Island: This Rhode Island treatment facility has 4 locations, one of which is an inpatient facility (North Kingstown). The Warwick, South Kingstown, and Greenville locations are all outpatient locations.
  • Desert Hope Treatment Center: The upscale Desert Hope Treatment Center in Nevada is well-known for its specialized veterans and first responder rehab program.
  • Greenhouse Treatment Center: This Texas AAC location can provide a variety of addiction treatments, including medical detox, inpatient, and residential treatment, PHP, IOP, telehealth, and outpatient therapy services.
  • Laguna Treatment Center: This California treatment facility, which is located near the famous Laguna Beach, can provide medical detox and inpatient and residential addiction treatments.
  • Oxford Treatment Center: This Mississippi location is set in a natural environment and can provide medical detox, inpatient and residential treatment, PHP, IOP, telehealth, and outpatient therapy services to patients.
  • River Oaks Treatment Center: This Florida location specializes in providing medical detox, inpatient and residential treatment, PHP, IOP, telehealth, and outpatient therapy services.

Deciding to seek treatment for substance use is courageous, and you deserve all the support you can get on your journey to recovery. American Addiction Centers is committed to helping individuals break the cycle of addiction. If you have questions about addiction treatment or want to know what your Blue Cross Blue Shield of Texas insurance covers, contact us at today. Our admissions navigators are available around the clock to offer support, provide resources, and assist you with the admissions process when you’re ready.

Sources

  1. Blue Cross Blue Shield. (n.d.). BCBS® Companies and Licensees.
  2. Blue Cross Blue Shield of Texas. (n.d.). Company Information.
  3. Blue Cross Blue Shield of Texas. (n.d.). Texas Health Insurance.
  4. Blue Cross Blue Shield of Texas. (n.d.). Who We Are.
  5. Blue Cross Blue Shield Association. (2019). Program Selection Criteria: Substance Use Treatment and Recovery.
  6. Blue Cross Blue Shield of Texas. (n.d.). Blue Distinction® Centers for Substance Use Treatment and Recovery.
  7. Healthcare.gov. (n.d.). Essential Health Benefits.
  8. Healthcare.gov. (n.d.). Mental health & substance abuse coverage.
  9. Blue Cross Blue Shield of Texas. (n.d.). Behavioral Health Program Components.
  10. Substance Abuse and Mental Health Services Administration. (2015). TIP 45: Detoxification and Substance Abuse Treatment.
  11. Substance Abuse and Mental Health Services Administration. (2014). What is substance abuse treatment?
  12. Substance Abuse and Mental Health Services Administration. (2020). Mental Health and Substance Use Disorders.
  13. National Institute on Drug Abuse. (2018). Comorbidity: Substance use and other mental disorders.
Get the Care & Support You Need

Rediscover your joy during your stay at one of our American Addiction Center's facilities. We provide you the care you need to get clean and stay sober.

Call 888-341-7785

Guides for other health insurance providers