How Many Times Will Insurance Pay For Rehab?

Frequently, health insurance covers all or a portion of alcohol recovery. Because addiction is a disease, it must be treated similarly to cardiovascular disease and cancer.

Some factors influence the extent and kind of alcohol addiction treatment coverage given by each insurance plan.

Here, you may find out more about your specific coverage options.

For rehabilitation therapies that are not covered by insurance, private payment and personal loans may help bridge the financial gap, making therapy more accessible to those in need.

How Many Times Will Insurance Pay For Rehab?

SUD (Substance Use Disorder) continues to be an issue in the United States. In 2019, more than 20 million Americans aged 12 and older suffered from a substance use disorder.

Less than four percent of these patients received treatment for their illness, and less than one percent sought rehabilitation in a specialized facility.

For many, the cost of health care services for alcoholism treatment is an obstacle to recovery. Therefore, these folks do not seek help because they believe it to be beyond their financial means.

Fortunately, health insurance often covers at least a part of the cost of addiction treatment.

Using Insurance To Cover Alcohol Rehab

The Affordable Care Act was enacted in 2010. By 2014, it was intended that all new small group and individual health insurance policies will include 10 categories of essential health coverage.

In addition, it stipulated that health plans and insurers that provide coverage for mental health and drug use problems must give coverage comparable to that of routine surgical and medical treatment. 

Consequently, health insurance may cover inpatient rehabilitation, outpatient rehabilitation, and other kinds of treatment for drug abuse.

However, policies and even individual plans subsidize rehabilitation to varying degrees.

Therefore, it may be difficult to negotiate coverage, exclusions, and whether or not the suggested treatment program takes insurance.

Thankfully, most rehabilitation centers hire insurance professionals to assist potential customers in comprehending their coverage in particular.

In addition, anyone seeking addiction treatment may get into contact with their insurance directly to verify coverage details.

How Many Times Will Insurance Pay For Rehab? 

Relapses can happen, and you might need to return to rehab. But will your insurance cover a return to rehab? And how many times will you be covered?

Each insurance provider has different coverage limits for treatment. Some of these choices are based on your strategy, while others include your treatment history.

The majority of insurance providers will assign you a care manager when you begin making many visits to rehab within the same year.

Based on your treatment history, this individual analyses the likelihood that your next rehabilitation endeavor will be successful.

Different insurance plans cover various treatments and services. However, coverage may differ depending on your recent medical history.

Initially, check your policy. Contact your insurance provider and learn about the types of addiction treatment that are covered under your policy.

Private insurance policies are often the most comprehensive, but also the most costly.

In other words, if a plan offers extensive rehabilitative coverage, the policyholder will likely be compelled to pay considerable premiums.

Remember, you must seek advice from your insurance provider, for more immediate answers about your situation and requirements.

What Does Health Insurance Cover For Alcohol Treatment?

Coverage varies throughout health insurance packages. Consequently, each health insurer and treatment provider covers outpatient and inpatient rehabilitation differently.

In general, coverage for alcoholism treatment includes the following therapies, medications, and services:

  • Screening and alcohol intervention services
  • Detoxification from alcohol
  • Medication for detox or recovery maintenance
  • Inpatient services at a hospital or specialty care center
  • Outpatient rehab or treatment services
  • Individual or group counseling

Additional services deemed medically unnecessary have a lower likelihood of being paid.

Some institutions may not reimburse certain amenities, such as gourmet meals, leisure programs, holistic care treatments, and other luxury accommodations.

Moreover, the price of Medication-Assisted Treatment (MAT) prescription programs varies by provider. For example, the cost of naltrexone covered by insurance may differ across plans.

Will Insurance Cover Rehab Costs If You Have Relapsed?

Any recovery from addiction is a lifetime journey. Substance addiction and alcoholism are diseases that may be suppressed but will always resurface.

Unfortunately, far too many individuals in recovery have relapses. Relapse is not the consequence of human failings, but rather the potency of the disease.

As long as the addict responds appropriately to their relapse, there is no true guilt associated with relapsing. What is permissible?

A person who has just relapsed should focus only on re-entering therapy. In the majority of cases, the second stay in rehabilitation is the best line of action.

Upon realizing they must return to treatment, several fears are likely to surface. Primarily among these concerns would be the rehabilitation costs.

For individuals lucky enough to comply with the law and have health insurance, at least a part of their previous medical bills were likely repaid.

Is the same coverage available with a relapse? That is a fantastic question. This topic and future relapse prevention will be discussed in the following discussion.

Final Thoughts

State-funded health programs may be able to help with the cost of rehabilitation if you lack health insurance. Medicare and Medicaid are included in these schemes.

Additionally, the majority of treatment facilities provide payment plans, loans, and government assistance.

Preventing relapses is the best way to avoid worrying about how to pay for treatment following a relapse. Patients are often told of relapse prevention techniques upon leaving therapy.

The alternatives are highlighted for a particular reason. These are the tools that have helped millions of persons in recovery maintain sober.

If you have recently relapsed, we recommend that you begin therapy once again. If you have insurance, a percentage of the charges will be paid.

Ryan Ascroft