Does Highmark Cover Addiction Treatment?
As part of the Affordable Care Act (ACA), Highmark provides marketplace insurance plans that cover some or all the costs of drug and alcohol rehab programs. Since the ACA mandates that plans provide some degree of coverage for the medically-necessary treatment of substance use disorders, you may be able to use your Highmark insurance plan to cover some or all of your rehab costs.
Highmark typically provides some level of coverage for substance abuse rehabilitation programs since substance abuse is considered an illness. The amount of coverage depends on your plan, so the amounts and types of coverage vary. There may also be coverage available if you have been diagnosed with a co-occurring mental illness that contributed to your drug or alcohol addiction.
Highmark covers a variety of recovery programs, including both inpatient and outpatient treatment facilities. Be sure to carefully review your Summary of Benefits or speak with a Highmark representative to accurately determine your coverage prior to undergoing treatment.
The amount of coverage you have can vary widely based on your state of residence, whether the facility is in- or out-of-network, the length of your stay, and your insurance plan level. The cost of drug and alcohol addiction treatment will vary from person to person and will also depend on the rehab center, the type of program attended, and specific services received.