What Does Blue Cross Blue Shield Cover?
Blue Cross Blue Shield health insurance plans typically cover a variety of substance abuse and addiction treatment services, including inpatient treatment, outpatient programs, and medication-assisted treatment. The extent of coverage can vary based on the specific plan and the state in which you reside.
Coverage Variations
It is important to note that coverage details can differ depending on your specific BCBS plan and the state you live in. Some plans may have different copays, deductibles, or out-of-pocket maximums for addiction treatment services. To get a clear understanding of your coverage, it is best to contact BCBS directly or review your plan documents.
Treatment Options
BCBS plans generally cover a range of addiction treatment options, including inpatient treatment centers, outpatient programs, partial hospitalization, intensive outpatient programs, individual therapy, group therapy, family therapy, and medication-assisted treatment. The specific treatment options covered may depend on the plan and the medical necessity of the services.
Verifying Coverage
To verify your BCBS insurance coverage for addiction treatment, you can visit the Blue Cross Blue Shield Association’s website and enter the three-letter prefix before the identification number on your member card. Alternatively, you can find your specific company on the website’s listing of the 36 member companies by state.
Federal Employee Program
If you are a federal employee or retiree enrolled in the Federal Employees Health Benefits (FEHB) program, BCBS offers a Federal Employee Program (FEP) plan. The FEP and FEHB plans typically provide similar benefits to other BCBS plans, with some exceptions. You can review your benefits and coverage details on the FEP Blue site.