Alcohol Rehab Insurance
In This Article
How Expensive is Alcohol Rehab?
The cost of alcohol addiction treatment varies by center and the treatment type needed. Other factors that affect the cost of rehab include medical care and amenities.
Some programs are free, while others may cost thousands of dollars a day. However, no matter what your budget is, there is an alcohol rehab program for you. The chance to recover is accessible to anyone if they know what resources are available to them.
In 2014, approximately 17 million people in the United States had an alcohol use disorder (AUD).- Substance Abuse and Mental Health Services Administration (SAMHSA)
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Cost of Alcohol Rehab (By Type)
The type of care provided by an alcohol and drug rehab facility affects the cost of becoming sober. Treatment options are also different for certain addictions.
Some inpatient rehab facilities cost around $6,000 for a 30-day treatment program. More renowned centers often charge between $20,000 and $50,000 for a 30-day program.
Those requiring 60 or 90-day programs may have to pay anywhere between $12,000 to $60,000.
Outpatient programs for mild to moderate alcohol use disorders are more affordable than inpatient rehab centers. Typically, outpatient programs cost around $5,000 for a three-month schedule.
Some outpatient programs are more expensive, like the treatment at Hazelden Betty Ford, which costs $10,000.
The total cost depends on how often the patient visits the healthcare center each week and how long.
Partial Hospitalization Programs
People taking part in a partial hospitalization program (PHPs) live at home. This makes care costs less expensive than those associated with residential care. Treatment typically costs around $350 to $450 per day. Programs often last for weeks rather than days.
Behavioral therapies can be expensive, often costing $100 or more per hour. Some therapists or clinics offer treatment on a sliding scale, which means that costs fluctuate based on income.
Ask about a sliding scale or other payment options when visiting a therapist or clinic for a consultation.
Medication-Assisted Treatment (MAT)
The medications required for alcohol addiction treatment affect how much rehab costs. Some people do not require medication for their addiction, while others need a significant amount.
Medications most often address alcohol and opioid addiction. These can cost several thousands of dollars a year.
Does Insurance Cover Alcohol Rehab?
Insurance is one of the most common ways of covering rehab costs. The amount insurance covers depend on the insurance company and what the healthcare provider accepts.
What Does Alcohol Rehab Insurance Cover?
Insurance providers such as Blue Cross Blue Shield, AmeriHealth, Cigna, QualCare, Humana Health, Kaiser Permanente, and many more can provide alcohol rehab coverage. But what alcohol rehab insurance covers depend on the specific plan.
Outpatient and inpatient alcohol rehab insurance coverage aren't all the same. Coverage differs by individual plans and the treatment provided. Typically, insurance covers the medically necessary aspects of treatment.
This could include:
- Screening and intervention services
- Detoxification from alcohol use
- Medication for detox or recovery maintenance
- Inpatient services at a hospital or specialty facility
- Outpatient rehab or treatment services
- Individual or group counseling
Anything that is not medically necessary is less likely to be covered by alcohol rehab insurance. Services that are likely to be excluded from coverage include luxury services at high-end treatment centers, including:
Services that are likely to be excluded from coverage include luxury services at high-end treatment centers, including:
- Gourmet food
- Recreation programs
- Some holistic care services
- Other non-medical additions
The out-of-pocket fees of medication-assisted treatment (MAT) programs can vary depending on the insurance provider. For example, the medication naltrexone’s insurance fees may differ based on what your insurance plan covers and the provider prescribing and distributing it.
Some states also mandate laws that enable private insurers to deny coverage to intoxicated persons when they request service. This is particularly if emergency care is necessary for an injury or illness resulting from actions taken while drunk.
Tips For Finding Rehabs That Accept Health Insurance
Those with private insurance can check their policy to see what types of alcohol addiction treatments are covered. The higher the coverage, the pricier the cost of the plan.
If an insurance plan has excellent rehab coverage, those health benefits are likely met with a high premium cost. This usually applies to group insurance plans offered by employers. In the case of these policies, those covered by the plan only receive the coverage chosen by their employers.
Some of these plans may have coverage subject to exclusions. For example, if the policyholder requires alcohol rehab treatment for the first time, the insurance policy may cover it. However, if the person were to relapse and need to return to treatment, the insurance plan may exclude extra treatment because prior help was given.
In 2008, the Affordable Care Act (ACA) was passed. It requires insurance plans providing drug and alcohol addiction coverage to offer advantages equal to those of the plan’s surgical and medical insurance benefits. This ensures that employers of over 50 people offer that equality in their benefits programs.
However, the ACA did not require insurance plans to include coverage for substance use disorders to start with. It is only valid with insurance plans that already have that coverage.
Other Ways to Pay for Rehab
There are other ways to pay for substance abuse treatment aside from using health insurance companies:
Medicare Parts A and B provide coverage for substance abuse treatment, including alcohol rehab.
- Medicare Part A can help cover hospitalization for alcohol abuse treatment.
- Medicare Part B can help pay for treatment for partial hospitalization or outpatient alcohol and drug addiction treatment services.
- Medicare Part D offers coverage for medications used to treat substance use disorders, including naltrexone, as long as the medicine is considered medically necessary for the patient.
At the same time that the ACA was introduced, the United States government put forward a requirement that specific medical insurance plans must include substance abuse treatments as part of each plan.
Treatment for mental health and substance abuse problems is considered essential for premium and high-quality healthcare. As a result, Medicaid programs running under the ACA must provide coverage for alcohol rehab.
People with low-income levels or with disabilities may qualify for Medicaid. Additionally, people's healthcare policies through the Affordable Care Act marketplace or state exchanges must include this coverage.
For those who are not insured via their workplace, are self-employed, or do not have insurance, the Marketplace or exchange plans are great ways to get the coverage required for alcohol addiction treatment.
Private Financing or Financing Plans
The cost of alcohol rehab varies depending on the length of stay and type of facility. Sometimes, the cost can get very high. If the person is uninsured or does not qualify for state or federal assistance, private financing is needed to cover the cost of treatment.
There are addiction treatment centers that offer scholarships.
Talking to the admissions office of a rehab center of your choice is highly recommended. However, if scholarships are unavailable, financing plans are another option. These plans allow you to pay after discharge. Some third-party lenders offer a loan package, where you can arrange financing options according to your financial capabilities.
Crowdfunding or Fundraising
Other members of your family may be able to extend help for your rehab treatment.
To ensure that the money is being used as intended, suggest to them that they make direct payments to the facility. Additionally, your friends can also help raise funds for your rehab treatments using GoFundMe and other crowdfunding sites.
Call to find out how much your insurance will cover
- "Is drug addiction treatment worth its cost?," National Institute on Drug Abuse (NIH), January 2018.
- Dye, Meredith Huey et al., "The availability of integrated care in a national sample of therapeutic communities," The journal of behavioral health services & research vol. 39,1 : 17-27.
- "Treatment for Alcohol Problems: Finding and Getting Help," National Institute on Drug Abuse (NIH), 2014.
- Breithaupt, D. “Why health insurers should pay for addiction treatment. Treatment works and would lead to net societal benefits,” The Western journal of medicine vol. 174,6 : 375-7. doi:10.1136/ewjm.174.6.375
- French, Michael T et al. “The economic costs of substance abuse treatment: updated estimates and cost bands for program assessment and reimbursement,” Journal of substance abuse treatment vol. 35,4 : 462-9. doi:10.1016/j.jsat.2007.12.008
- "Substance Abuse: Facing the Costs," Georgetown University Health Policy Institute.