Florida Addiction Treatment In-Network With Bright Health

Drug & Alcohol Rehab With Bright Health Insurance

If you’re struggling with addiction and ready to get help, you may find yourself wondering how you’ll ever pay for rehab. You’re not alone–many people who struggle with addiction aren’t in the best place financially when they decide to get help. However, if you have insurance through Bright Health or any other major insurer, your insurance will cover at least part of your treatment.

This wasn’t always the case. Before legislation known as the Affordable Care Act (ACA) was passed in 2010, insurance providers weren’t required to cover addiction treatment or behavioral healthcare. Now, treatment for addiction and mental health issues is considered an Essential Health Benefit. This means that all insurance companies are required to pay for a certain level of treatment, as long as it’s considered medically necessary. However, the length of treatment and the level and type of coverage vary substantially depending on your particular insurance plan.

Bright Health Individual and Family Life Insurance is available in at least thirteen states, including Florida. Their plans offer comprehensive coverage for addiction and mental health treatment, at 1st Step Behavioral Health in Florida is in-network with Bright Health.

Types of Addiction Treatment Covered by Bright Health in Florida

Bright Health insurance plans pay for a range of treatments for substance abuse and addiction, but they work only with top-tier treatment facilities that meet specific requirements. To be considered, treatment programs must be proven effective, evidence-based, and approved by a physician. Treatment programs must also be certified and licensed. Bright Health coverage doesn’t include experimental, unproven, or investigational treatments, or those not yet approved by the U.S. Food and Drug Administration (FDA).

Some addiction treatment centers may offer alternative or complementary therapies such as herbal medicine, hypnotherapy, aromatherapy, reiki, or tai chi. While these treatments may be helpful for some people, they aren’t included in your Bright Health coverage.

It’s also important to note that Bright Health may not cover all of your treatment program costs. For instance, some plans may cover only inpatient rehab, while others pay for outpatient treatment. Your plan may cover the entire cost of treatment after you’ve met a deductible, or you may be required to pay copays for some or all services.

Regardless of your plan, treatment must be deemed medically necessary and approved by a physician. However, your Bright Health drug rehab coverage is there for you, whether your treatment is voluntary or court-ordered.

Treatments typically covered by Bright Health include:

  • Assessment and diagnosis
  • Treatment planning
  • Standard outpatient treatment
  • Intensive outpatient treatment, consisting of at least nine hours per week
  • Inpatient treatment (semi-private room)
  • Residential treatment
  • Medical, inpatient, or outpatient detox when required for treatment of addiction
  • Partial hospitalization programs (PHP), consist of at least twenty hours per week, but not more than 12 hours in a 24-hour period
  • Prescription medicines
  • Medically-assisted treatment (MAT)
  • Biofeedback
  • Treatment of depression, anxiety, or other co-occurring issues that often underlie addiction or substance abuse
  • Short-term family therapy
  • Referrals to other services
medication-assisted treatment with Bright Health Insurance

Does Bright Health Cover Medication-Assisted Treatment (MAT)?

Medication-assisted treatment (MAT) is an integrated approach that combines FDA-approved medications like buprenorphine, naltrexone, or methadone with counseling and behavioral therapy. During treatment, a doctor may prescribe you one of these medications, and Bright Health may help you pay for it. The extent of your coverage will depend on factors like the details of your plan, your copays, and whether or not you’ve met your deductible.

Medication-assisted treatment helps people stay in treatment longer, makes it easier for patients to retain the skills learned in counseling, and significantly reduces the risk of relapse. It also improves the survival rate for people addicted to opioid drugs or alcohol while improving overall health and mental clarity.

Finding Drug & Alcohol Rehab in Florida that is In-Network With Bright Health

What is “in-network,” and exactly what does it mean for you? Essentially, working with an in-network treatment provider ensures you receive quality care. You save a great deal of money because the participating treatment center has agreed to offer treatment at a fair, competitive price. Bright Health will also provide more extensive coverage for addiction treatment centers that are in their network.

Bright Health may cover a smaller percentage of out-of-network treatment, depending on your plan, although copays and other out-of-pocket costs may be higher. Some plans may not cover out-of-network treatment under any circumstances, but you can rest assured that Bright Health will cover emergency treatment or crisis intervention, even when it’s out of network.

To learn more about your Bright Health coverage or to verify your insurance, please contact our trusted admissions counselors at 1st Step Behavioral Health today.

Will I Need a Prior Authorization?

Some programs, including inpatient treatment, may require approval or preauthorization. The goal of prior authorization is to ensure treatment is medically necessary and that it’s the best treatment for you. In the long run, this step saves you money and offers treatment targeted to your particular situation.

Prior authorization may take up to a couple of weeks in Florida. However, the treatment center can request an expedited review to be completed within three days if your situation is urgent.

Bright health treatment authorization
opioid addiction treatment in Pompano Beach

Navigating the Details of Your Bright Health Plan’s Coverage

Navigating any insurance plan can be overwhelming, but Bright Health uses technology to simplify health insurance and eliminate confusion so things run as smoothly as possible. The quickest way to determine your plan’s specifics is to ask a treatment facility or rehab for a review. Alternatively, you can also speak with Bright Health Member Services at the number listed on your membership card.

We’re Proud to Partner With Bright Health

At 1st Step Behavioral Healthcare in Pompano Beach, Florida, we are pleased to partner with Bright Health to offer the finest treatment for addiction and mental health. You can verify your insurance information here, or give us a call or text at (855) 425-4846 and we’ll sort out the details of your plan together. Your confidentiality and privacy are always guaranteed.

Bright health insurance partnered with 1st Step Behavioral Health
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