Highmark Coverage for Addiction Treatment

highmark insuranceAt Boca Detox Center we’re here for you when you’re ready to detoxify from alcohol or drugs in a comfortable and luxurious environment, with the support of an individualized treatment plan to minimize your withdrawal symptoms.

As you begin on this hopeful journey, worries about money should be last on your mind. At our insurance-friendly detox center, our compassionate and knowledgeable staff are here to assist you with leveraging your insurance plan to get the most from your coverage during your stay. Patients with Highmark health plans may contact their healthcare provider directly to inquire about benefits, although the most efficient way to find out if your plan covers services at Boca Detox is to call us directly at 877-337-9077. Our insurance specialists can verify our ability to work with your insurance provider in a brief, 20-minute phone call.

florida opioid crisisHighmark Health offers individual or employer-based health plans, as well as plans through Medicare and Medicaid. Your plan may be a Health Maintenance Organization plan (HMO) such as Blue Flex HMO or Security Blue HMO, requiring you to visit an in-network facility, or it may be an Preferred Provider Organization plan (PPO), such as Highmark BCBS or Direct Blue EPO with access to out-of-network providers.

The amount of your policy’s deductible and co-payments will also impact your coverage amounts. In general, plans with the lowest monthly payments have higher deductibles and cover about 60% of medical costs. Plans with lower deductibles, or up to 90% of medical cost coverage typically have higher monthly premiums. Highmark Health’s benefits for detoxification services and withdrawal medications will vary depending on your history of alcohol and drug abuse, as well as your specific plan coverage and treatment needs, such as medications required, or the length of your stay.

Verify Highmark

Fortunately, since the 2008 Mental Health Parity and Addiction Equity Act, health insurance plans must offer protections and benefits to the insured for substance abuse treatment that equal those offered for general medical or surgical care. Limits to substance abuse treatment covered by this law include:

  • Financial Limits – deductibles and co-payments can be no more restrictive
  • Treatment Limits – number of days or visits covered must be the same
  • Care Management – pre-authorization requirements can be no more restrictive

At Boca Detox Center we’ll work closely with you to ensure that your insurance coverage is maximized for both your treatment and medications for the duration of your stay. We’re able to access out-of-network coverage for most insurance providers, and our knowledgeable staff understand the ins and outs of your specific plan. Contact us directly at 877-337-9077 to confidentially discuss your policy and treatment history with one of our insurance specialists.

Boca Detox Center is a place for you to comfortably and safely eliminate physical dependence on substances and leave behind the stress of the cost of your treatment. At Boca Detox Center, we will work to ensure that every client who wishes to use insurance while with us, has the ability to do so.