Emblem Health Coverage for Substance Abuse Treatment
Drugs, alcohol and prescription pills don’t have to rule your life
Drugs, alcohol and prescription pills don’t have to rule your life
Emblem Health Coverage is here for people experiencing the many possibilities that life has to offer. Encountering a serious health concern such as addiction or substance abuse naturally brings up many questions, especially regarding treatment. Emblem Health (GHI) is here to support patients going through substance abuse rehab to recover from the many effects caused by street drugs, prescription drugs, alcohol, and more.
Recovery from addiction is possible with the right treatment choices and positive lifestyle changes. We want to help people conquer their addictions, so we cover a range of drug and alcohol detox solutions as well as treatment center admission and other clinically effective interventions.
Whether you or a member of your family is experiencing drug or alcohol addiction, we can help you find the service providers that specialize in treating these conditions. By partnering with physicians, nurses, substance abuse counselors, and other experienced providers we can help you recover from addiction and get back on the road towards a healthy life.
Emblem Health provides robust health insurance coverage to members thanks in part to our being part Blue Cross and Blue Shield Association. This is a very large network of carriers that serves 70 million individuals. For generations BCBSA has helped individuals and families live better, healthier lives thanks to region-specific divisions and independent licensees. At Emblem Health, we bring a local perspective to the job of providing health insurance coverage; we combine the power of one of the most trusted insurance networks with the personalized touch that comes from being part of your community.
The wide reaching coverage network we have developed lets us bring more options and better options to our valued members. Emblem Health members experiencing addiction or substance abuse can find appropriate treatment from several different sources. At present, we cover similar forms of treatment as those covered by Blue Cross and Blue Shield Association, including:
• Outpatient treatment
• Intensive outpatient treatment
• Partial hospitalization
• Acute inpatient hospitalization
• Treatment in residential centers
These treatment options provide patients with the best and strongest opportunities for recovery. By working together with physicians, nurses, and other providers who specialize in addressing the complexities of this particular medical problem we can help patients find the road to improved health.
If you have questions about the specifics of drug and alcohol detox, including treatment center stays, contact the Emblem Health (GHI) customer support line. Many clinics and centers also have team members that can discuss which insurance plans are accepted although they cannot speak on behalf of any Emblem Health coverage program.
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Many people are unaware that medical help is available for those suffering from substance abuse and addiction. Even relatively common substances like alcohol, over-the-counter medicine, and prescription medicine can lead to addiction. Unfortunately addiction can be a very subtle problem that appears almost harmless in its earliest stages but will progress into a condition that damages personal health, family well-being, intimate relationships, financial stability, career path, and many other parts of life. Seeing addiction as a disease or health condition, not as a personal failing, is the first step in seeking qualified help with recovery.
The reasons that addiction develops are complicated and not always clear. Regardless of their specific cause in any individual, many treatment solutions are available today. Researchers, scientists, and clinicians work together to develop new ways of addressing this particular concern. People choosing to seek alcohol and drug rehab now have a greater variety of interventions to consider. This makes it simpler to find the course of treatment best able to manage your particular concerns.
Inpatient treatment is handled by hospitals where patients are admitted for at least one overnight stay. Not all hospitals offer inpatient drug and alcohol rehab or detox treatments while others specialize in this particular area of care. Look for a hospital that offers these treatment solutions to access services that best suit your care goals. Private hospitals are another option to consider. These are discrete alternatives to large public hospitals and may have the advantage of more focused care. Generally speaking, private hospitals are a more expensive option and may not accept popular insurance networks, including the Blue Cross and Blue Shield Association that supports Emblem Health
Residential centers offer a good compromise between the treatment power of a large hospital and the focused care of a private one. A residential substance abuse rehabilitation center provides inpatient treatment just like a hospital. Patients are cared for by nurses and other providers who have medical training. The entire facility is focused on recovery and beating addiction, so patients enjoy the same attentive care they would find in a private hospital. Residential centers typically have programs lasting multiple days during which patients are monitored.
Outpatient treatment often happens in conjunction with a rehabilitation clinic or a hospital facility. Treating someone on an outpatient basis involves making appointments with providers and following their care instructions at home; no hospital admittance is required during outpatient treatment. Sometimes outpatient care follows a period of inpatient treatment; other times it is an independent approach to addiction and substance abuse treatment. Some patients benefit from a more intensive schedule of outpatient care, such as daily appointments or therapy group attendance.
Outpatient treatment may involve visiting with substance abuse counselors and therapists who specialize in recovery issues. Addressing recovery from multiple perspectives helps ensure that every aspect of a patient’s life is supported through this important process. Therapy might include one-on-one visits with providers, family visits, and couple’s visits.
Detoxification – also known as detox – is the process by which the body eliminates toxic substances. Detox is sometimes the first step in recovering from addiction. Detoxing occurs when the addictive substance is withdrawn; the patient is supported through this process during critical hours and days. Medication and monitoring by medical personnel may be part of this process. Once the patient’s body has been cleared of toxins other aspects of recovery can begin.
Any of these interventions may also include family or couple’s counseling to address the complex nature of abuse within a household. Speaking with dieticians and personal trainers can help people recovering from addiction create a lifestyle that supports all aspects of health and well-being.
By approaching addiction and substance abuse as medical concerns new avenues of treatment have been developed. Patients are able to address this problem with caring, compassionate, and understanding providers who share your dedication to beating substance abuse.
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Emblem Health has designed coverage levels that accommodate a variety of treatment programs, including those lasting one, two, and three months.
One-month programs last 28 – 30 days and require patients to live at a rehab center for the entire time. Many treatment centers offer this type of treatment, including faith-based centers, public clinics, and private centers. Programs may include the family as part of the recovery process while others strongly emphasize fitness, nutrition, and general healthy living. While in the center, patients detox from alcohol and drugs, attend group counseling sessions and individual sessions, participate in group activities, and undergo periodic evaluation.
The most common detox and recovery programs last for two months; these programs are widely offered. Patients often choose two month programs because less time is required away from family and work than intensive long-term care; at the same time, patients can focus on thoroughly learning the new skills required to resist substance use. These 60 day programs last enough for patients to successfully detox from addictive substances and learn to deal with cravings in a supportive and sober environment.
Three month programs are best-suited to patients who have a long history of substance abuse or who have tried to recover in the past and relapsed into use. Detoxing from heavy substance abuse can take a long time and this must be followed by sustained support, therapy, and assessment. This additional time helps patients hone their recovery skills in a safe environment away from illegal substances and alcohol.
Teens and young adults can participate in treatment programs designed especially for them. These programs focus on the same recovery outcomes that standard adult programs have along with therapy, healthy lifestyle skill building, and peer support relevant to this age group. Young adults have an opportunity to turn their lives around and choose a better course through life. Early intervention can prevent worsening drug, alcohol, and prescription abuse. These programs vary in length and may be a few weeks to the standard 30 – 60 days.
Methadone maintenance is another long-term treatment solution that many patients find helpful. This maintenance program aims to support patients in recovery with the help of specialized medication. Methadone is a lab-created medication that reduces cravings for opioids, such as prescription drugs. Because methadone does not have the euphoric high associated with opioids many patients find this an appropriate intervention. However, methadone must be prescribed by a doctor and dispensed by a specialty clinic. Clinics may only give a single dose each day and so patients must be willing to commit to a daily visit to receive their prescription.
Patients should realize that there is no sure-fire formula to beating addiction. Everyone heals at a different rate and patients should take each day as it comes with the support of family, friends, and providers. Substance abuse rehab programs are often the first step towards lifelong recovery.
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Anyone considering rehab for themselves or a loved one is going to have many questions. Asking questions like these is very important:
How long does treatment really take?: Generally speaking, treatment programs are scheduled to take 30, 60, or 90 days. This time is required for patients to receive the full benefit of detoxification and subsequent therapy and assessment. Committing to the full time is essential, so planning ahead to be absent from work or school is required. Rehab can be most done with committed to by the whole family. The patient does not have to face this treatment alone.
How much time does it take to detox?: Each patient takes a different amount of time to detox from the addictive substance. In relatively mild cases of addiction detox can take a few days or a week to complete; in more severe cases detox may last for several weeks. The length of time can be affected by the food eaten during the process as well as by activity level, prescription drugs used to support detox, and other factors.
Do I have to travel to receive treatment?: Although Emblem Health has a wide network of providers, some substance abuse treatment centers are located away from major cities. This is so that patients can focus entirely on getting better instead of being surrounded by the places and people associated with substance abuse. Some patients may live a distance away from the nearest rehabilitation center and so will have to travel to access appropriate care. We can help you locate providers and centers in your area as well as centers further away.
What does treatment actually involve?: The first stage of treatment is detox. This is a period of time in which the patient halts all addictive substances and gives their body time to recover from the effects of drugs or alcohol. This can be a difficult, even dangerous process so detoxing in a managed environment where you can be monitored and cared for is very important. In some cases, detox may be supported with the administration of specialized medications. Once detox is complete patients will receive therapy in groups and individually to discuss addiction and to learn how to manage the cravings.
Addiction is a serious health problem that should be treated by experienced practitioners. Speaking with doctors about addiction treatment is often the first step towards taking back control of your life and beating addiction. Because addiction and substance abuse affects the whole family, seeking family therapy during the recovery process can be very valuable. Patients can recover from substance abuse with the right treatment and Emblem Health (GHI) is here to help. Contact us today or call our addiction hotline at (866) 578-7471.