Insurance for Your Addiction Treatment Needs
New Directions for Women is an in-network provider for most insurance providers, including:
- Cigna
- Optum
- Beacon Health Options/Value Options
- Magellan (Blue Shield)
- Managed Health Net/MHN (Health Net)
- United Healthcare
- Value Options
Does Insurance Cover Rehab for Substance Use Disorder?
Having addiction rehab insurance coverage doesn’t always mean your policy will allow you to receive addiction treatment services. But, in many cases, it does! So, it is important to speak with our team to learn more about your coverage options.
How Our Team Can Help You Determine Coverage Details
First, our team here at New Directions for Women will verify your insurance coverage and determine if you have the benefit. Next, we will get authorization for treatment if you or your loved is clinically appropriate. Finally, once you begin receiving treatment at our facility, we will bill your insurance on your behalf so you can simply focus on becoming well again!
An “out of network” provider has not been contracted with a rate to deliver services to the members of their plans. It is rare for us not to be contracted, but on those rare occasions, we work with the family and insurance provider to offer treatment and work with both on the payment arrangement.
“In-network” simply means that New Directions is one of the providers that has been included as proprietary with your particular insurance plan. Insurance plans do not cover every single possible location for treatment, regardless of the treatment type. You should check with your provider or research on their website to see if New Directions is “in-network” for you or not. Regardless of network status, we are committed to providing a plan that will provide competitive value for anyone who could benefit from our services.
New Directions for Women is in-network with many rehab insurance providers which can reduce the cost of treatment services for the women in our program. Contact our insurance specialists so we can verify your insurance and give you more information.
However, this truth shouldn’t deter individuals who think it’s the best option for them. New Directions for Women offers residential treatment, which is a part of our inpatient rehab programs. If we feel a potential patient is the right match for residential treatment, we will recommend it. This makes it more likely for insurance to cover it in full, or at least a portion of it.
More and more insurance companies are offering supplemental “mental health” and rehabilitation coverage in addition to traditional offerings. Many insurance providers are also now considering “mental health” coverage as a standard part of their holistic health offerings.
As many patients receive coverage from their employers, it’s important to note that most employers now consider mental health paramount to overall health. They’re also adding supplemental care such as free counseling sessions and similar perks. Don’t let fears about rehab insurance keep you from seeking help for you or a loved one.
The 10 essential health benefits Marketplace health insurance policies cover are:
- Coverage of outpatient services (ambulatory services)
- Emergency services (insurance can’t charge patients more for an out-of-network emergency room visit)
- Newborn, prenatal, and maternity services
- Substance use disorder and mental health services
- Prescription medications
- Rehabilitative/habilitative services and devices (help for people with disabilities or chronic conditions)
- Lab services
- Preventative services (to prevent people from getting sick or sicker)
- Hospitalization (for both overnight visits and surgery)
- Medical services for infants to adolescents (pediatric care)
The Affordable Care Act specifies that insurers might not place spending limits on annual or lifetime amounts in the plan. A plan that is purchased with your state should provide coverage on substance abuse or mental health services.
Luxury amenities may not be covered by certain plans. But the Affordable Care Act ensures health insurance covers many drug rehab services, like detox programs. We can interpret a policy to help patients get the help they need.
- Cognitive behavioral therapy: Focuses on how subconscious thoughts affect people’s actions
- Dialectical behavior therapy: Also focuses on subconscious thoughts, but has more of an emphasis on behaviors and emotional validation
- Experiential therapy: A type of therapy that uses enriching activities and adventures to help patients overcome addiction
- Family therapy: Helps mend broken bonds and shows family members how they can actively help loves ones with their alcohol or substance use disorder
- Holistic therapy: Therapy that focuses on healing the mind, body, and soul through natural practices
- Individual therapy: Sometimes patients need one-on-one time with a therapist to get the most out of it
We’re always happy to help patients get the help they need. The cost of treatment should never deter people from overcoming their addiction.
For all women using their in-network benefit, this price has been predetermined by your insurance company and you will only be responsible for out-of-pocket costs.
While the cost of rehab treatment can be high, research shows the cost of not receiving treatment — in dollars, lost lives, and ruined families — can be even higher. Our costs are well within or lower than the standard market value.
We believe that the benefits of treatment at New Directions for Women far outweigh whatever costs you may incur. Whether your rehab insurance provides full, partial, or no coverage, we are committed to providing great value for patients and seeing their success through to the end.
These costs may be subject to change from year to year or depending on what costs have been incurred towards your deductible elsewhere. For example, if you had surgery this calendar year and the cost was $5,000, that may have fulfilled your “deductible” and left you with no more “out-of-pocket costs” until that amount refreshes in the new calendar year.
While this can lead to confusion, we are committed to making sure that there are no hidden costs. We’ll work with patients and providers to have an accurate idea of the total cost before treatment begins. Keep in mind that treatment can span months or even years. “Out-of-pocket” expenses can also vary greatly depending on outside circumstances.
Specifically, this means that insurance companies may not enforce lifetime or annual payment limits on mental health care that they wouldn’t place on other forms of care. We are thankful that more insurance providers are using this legislation to continue expanding mental health and rehabilitation service coverage.
New Directions For Women Helps Patients Find Affordable Treatment in California
Regardless of your insurance status, there is a treatment plan here for you. Truth be told, you do not necessarily have to have insurance to attend rehab. There are many excellent treatment options for uninsured individuals.
If you are unsure about how you will pay for addiction treatment, please do not let it hinder you from reaching out for help. Here at New Directions for Women, your health and happiness are our main priorities! Just reach out to our team to learn how we can help you through each step of recovery, from payment to treatment program selection to ultimate sobriety and freedom!
If you are looking for addiction treatment services for women in California and you have a question about insurance or our services, please contact us today. We are waiting for your call.