FEP BCBS Coverage Facts for Addiction Treatment
Know your rights. Call 1-800-270-1389 to get help today!
Entering a rehabilitation program for drug or alcohol addiction is a transformative experience. Ultimately, we hope that it’s something you or a loved one only has to do once. However, to end addiction for good it’s important to get the best, most effective care available. There are roadblocks that can make it difficult to get into treatment, particularly when you’re trying to figure out what is covered and what isn’t. Inpatient and outpatient rehab is often expensive, and other financial factors related to FEP BCBC coverage in deductibles and co-pays are difficult to determine.
The good news is that if you or a loved one is struggling with addiction, alcoholism, or mental health problems – there is expert help available at 1 Method Center. FEP BCBS covers our programs, including our individualized dual diagnosis program, detoxification, and short/long term residential setting. To learn more about your health insurance coverage visit “Check Benefits” at the top of this page or continue reading.
Your Treatment is Probably Covered
Visit our confidential Verification Form
We accept FEP Blue Cross/Blue Shield Health Insurance at 1 Method Center. Help is standing by 24 hours a day, 7 days a week. If you or a loved one would like to learn more about how to enroll quickly, feel free to call 1-800-270-1389 or submit your insurance online to see if you qualify. (You can also request more information about about federal insurance coverage under group 104 and group 105.)
Remember, we offer multiple levels of care, and Federal Employee Blue Cross Blue Shield usually covers all or most of the cost of care in our program.
Does FEP BCBS Cover Drug Rehab?
The short answer is yes. As one of the most expansive and largest insurance providers with literally dozens of policy types across the United States, Fed Blue Plans, and Blue Cross Blue Shield offers extensive coverage for drug and alcohol rehab. The Federal Employee Program (FEP) covers both inpatient and outpatient addiction treatment, including medical detoxification, and group and private one on one outpatient therapy. With most of these policies, you as a member are responsible for a copay, deductible, and will often have to go through a precertification process. FEP members, and family members that are covered, often have the luxury of being able to recover and complete treatment at their own pace, because the health insurance plans are flexible and provide coverage that is designed to meet specific needs.
History of FEP BCBS (Blue Cross/Blue Shield)
Surprisingly, the Federal Employee Program has been a part of the Federal Employees Health Benefits Program (FEHBP) since around 1960. This is also known as the Blue Cross Blue Shield Service Benefit Plan, and this specific policy covers about 5.4 million federal employees, their families, and even retirees. The headquarters are located in Chicago, Illinois, and FEP works with the U.S. Office of Personnel Management to determine the best benefits and premiums for members covered by the Federal Employee Program. This is often based on the services available based on a plan holders area of residence. Because effective drug and alcohol treatment programs may not be located in your area, the insurance plans are structured in such a way to allow you to access high-quality treatment settings like 1 Method Center.
For free information on your specific benefits, drug treatment coverage and the different FEP BCBS plans, call 1-800-270-1389 today.
What is Detox?
Detoxification is the process of ridding the body of its physical dependence on substances, such as; prescription medications, drugs or alcohol. When you use alcohol, drugs, or certain types of prescription medications for an extended period of time, dangerous toxins build up in your system and you may become physically dependent. Once this occurs it can be very dangerous to attempt to withdraw without the oversight of a licensed medical provider.
1 Method Center offers a medical detoxification process that will safely eliminate these harmful toxins and gently free you from your dependence to drugs. Most of the detoxification process is often covered by Federal Employee Health Insurance Plans.
We offer individualized detoxification plans that are supervised by a qualified medical doctor, and we work with you one on one throughout your detox to help you during this difficult time. Once you are freed from physiological dependence your mind and body will be prepared for the therapeutic experience that follows in the next stage of treatment.
Most FEP insurance covers the detox phase of rehab since it’s often considered the most important step of the recovery process. Depending on the drug of choice or how often it’s used, detox can last anywhere from a few days to a few weeks. Highly addictive drugs such as heroin, cocaine, or methamphetamine may also require a medically assisted detox. As the body becomes less dependent on substances, various types of withdrawal symptoms can occur. Common withdrawal symptoms are anxiety, depression, nausea, paranoia, fever, shakes and sleep disturbances. Detoxing with the help of a licensed medical professional is always preferred since they can help with withdrawal symptoms and ensure the safety of the individual, regardless of the type of detoxification needed.
DETOXING ALONE CAN BE VERY DANGEROUS. TO LEARN MORE ABOUT SAFE, MEDICALLY-ASSISTED DETOXIFICATION CALL: 1-800-270-1389
You can also check your detox coverage here.
What are the Primary Differences Between Inpatient and Outpatient Treatment?
Again, under FEP BCBS’s plan, both inpatient and outpatient alcoholism and addiction treatment services are covered. Choosing a treatment plan that works best for you is critical in ensuring the overall success of the treatment. It should be noted that there are a few differences between the two treatments.
Inpatient Vs Outpatient Care:
Inpatient:
- Typically lasts between 30-90 days, depending on how long is required for detox.
- The client must live at the facility for the duration of treatment, sometimes requiring time off through FMLA or short-term disability.
- Expenses such as housing, activities and food are covered within the cost of the program.
- Often considered more intense and more effective, since there are daily individual therapy sessions.
- Clients receive 24/7 care from medical professionals.
Outpatient:
- The length of treatment is dependent on the client’s needs, typically between 90-180 days.
- Clients are NOT required to live on site, and can stay at home and continue working or going to school.
- Individual therapy sessions are far less frequent.
- Clients must be able to self-regulate their exposure to substances, as they are not living in a highly monitored, safe environment.
FEP BCBS rehab coverage offers benefits for both inpatient and outpatient rehab services – although the coverage may differ depending on the specific plan that you or your loved one has. The most effective way to determine coverage and any out-of-pocket expense is by contacting us to identify the specific benefits and restrictions of the plan.
More General Information about FEP BCBS
Coverage for rehab, addiction services, mental health treatment…and more!
As you already know, in 2008, the Affordable Care Act passed. This required all insurance companies to provide coverage for certain types of drug or alcohol treatment. As a treatable disease, we now know that addiction changes essential brain function and completely rewires the reward and pleasure center of the brain. Professional treatment at a licensed facility like 1 Method Center is one of the best ways to treat addiction and mental health problems, REWIRE the brain, gain personal and family recovery and help prevent relapse.
The Substance Abuse and Mental Health Services Administration (SAMHSA) estimates that roughly 23.5 million Americans suffer from addiction. Of all those who experience addiction, it’s estimated that only about 1o percent actually receive treatment. Of those 10%, most don’t find programs as effective as 1 Method Center. The most common reason that deters individuals from seeking help at programs like ours is the prohibitive cost of rehab. For many, financial hardship is a normal byproduct of addiction, and the thought of taking time off work and school seems completely impossible. In addition to this, the added stress of thinking about paying for treatment can feel like it would be detrimental to recovery and may lead to you or your loved ones relapse.
The good news is that your FEP BCBS Plan probably covers the cost of treatment at our program. Simply submit your insurance information and we’ll get the process started of getting you the help you deserve.
By offering rehab coverage on all standard insurance policies, individuals can now seek treatment without worrying about paying the full amount of rehab without support. This makes both inpatient and outpatient rehab treatment more accessible to those who need it and helps individuals and families, just like yours. Believe it or not, getting treatment also helps the economy. Recent figures from the National Institute on Drug Abuse (NIDA) showed that approximately $700 billion per year is spent on addiction-related costs. From crime to healthcare and reduced productivity, one thing is for sure; improving access to rehab has benefited everyone.
Call 1-800-270-1389 to learn more about 1 Method Center today!
How is FEP BCBS Coverage Different for Rehab?
As a member that’s enrolled in a Federal Employee Program BCBS plan, you actually get many benefits and advantages not available to standard Blue Cross or Blue Shield policy holders. If you review the comprehensive FEP BCBS website you’ll find a great deal of resources that will come in handy for you and your family, especially if you need addiction or mental health treatment services.
Some of the most popular online FEP resources include:
- Complete access to online health coaching that allows you to set health goals and track progress.
- 24/7 365 access to a nurse with the proprietary Nurse Line. You get a dedicated 800 number to call if needed.
- Sophisticated online symptom checkers.
- Many other discount incentives offered through the FEP BCBS Wellness Incentive Program.
A simple and easy-to-use website makes identifying your plan and confirming coverage options a complete breeze for FEP BCBS members. To learn more about your coverage for rehab, addiction treatment, detoxification or outpatient care, visit FEP Benefits and Coverage Information Process through 1 Method Center.
Will FEP BCBS Pay for Rehab Treatment from an Out-of-Network Provider?
This is the million dollar question!
Unlike many insurance policies that only allow members to use in-network providers, FEP BCBS allows members to choose their own rehab facility. For a higher out-of-pocket fee, clients can work with any rehab they choose, including luxury treatment centers like 1 Method Center with amenities that are on par with a 5-star hotel. The benefits of these facilities are improved relaxation, more privacy, and a more luxurious setting. With FEP BCBS, you control your own recovery and help create a treatment plan that is perfect for your needs.
Get Addiction Help Without Worrying about Money
Drug or alcohol rehab is about getting better and moving on to a happy, sober, successful life. Worrying about paying the full amount of treatment while in recovery is detrimental to the success of the program. Take advantage of the benefits and advantages of having some or all of the costs of rehab coverage paid for by your FEP BCBS benefit plan.
If you or a loved one is suffering from addiction to drugs or alcohol, rehab may be the answer. Call us today to speak with an expert and find out what your insurance plan will cover.
Know your rights. Call 1-800-270-1389 to get help today!
Tabytha Dyne is a professional in both the mental health and drug and alcohol recovery field. She has worked extensively in both the public and private sectors and has given many presentations on the subject of alcohol and substance abuse. She has worked for the past 10 years providing direct service education for individuals impacted by SUD and behavioral health issues.