Options For Paying For Rehab

Every treatment facility charges differently. Depending on the needs of the treatment seeker, the options for paying for rehab will vary. No matter what insurance you have, or if you have to pay out of pocket, there is a treatment center out there willing to work with you to help you recover.

For patients with health insurance, typical out-of-pocket costs for drug or alcohol rehab include copays and/or coinsurance of 10%-50%. However, some plans cover treatment at 100% after the deductible is met.

If you can’t afford to pay for rehab out-of-pocket, there are several other ways to admit to a rehab facility.Some options for funding include:

  • Private Insurance
  • Military Insurance
  • Governmental Programs
  • Medicare
  • Medicaid
  • Affordable Care Act

The costs might seem high, especially out-of-pocket costs, however nothing compares to the cost of an addiction. Addicts blow several hundreds, even thousands of dollars on drugs to fix their cravings. If the addiction is very intense, they may lose their job and their income altogether, not to mention losing invaluable relationships and high cost of medical bills due to addiction.

Private Insurance

Private Health Insurance Is One Of The Primary Ways By Which Treatment Seekers Are Paying For RehabPrivate insurance is health insurance provided by private health insurance companies. Plans are usually issued through employers, which accounts for 49% of Americans’ health insurance, or individuals, which accounts for an additional 7% of Americans’ health insurance. Private insurance is largely a go-to option for covering the costs of rehabilitation. However, the coverage all depends on your specific plan as well as the facility in which the user wishes to admit to.

Military Insurance

TRICARE is the health care program for military members and their families. The program covers:

Inpatient hospital services for:

  • Detox
  • Stabilization
  • Any medical complications as a result of the disorder

Outpatient Programs if you:

  • Have a psychiatric or substance abuse disorder
  • Are in transition from an inpatient program or other treatment center
  • Need stabilization or prevention or relapse

Depending on where they have served, on average, 11-20 veterans out of 100 have PTSD. TRICARE takes this very seriously which is why they offer coverage for these intense and much needed services.

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Governmental Programs

The Affordable Care Act

Under the Affordable Care Act… all new small group and individual market plans will be required to cover ten Essential Health Benefit categories, including mental health and substance use disorder services, and will be required to cover them at parity with medical and surgical benefits.

The Affordable Care Act was put in place to make sure those seeking treatment are able to cover the costs with help of their insurance. It aims to cover around 27 million Americans who previously did not have insurance, potentially providing treatment to millions in need who would have stayed suffering otherwise. No one should have to worry about the cost of rehab, they should be focused on one thing- to recover.

Thanks to the Affordable Care Act, your “pre-existing condition,” such as alcoholism or a history of drug or mental illness, cannot be denied any longer, making treatment at any facility you choose, more affordable.

Medicaid and Medicare

Medicaid and Medicare are government-funded health insurance programs that aim to reduce the high costs of medical bills. The difference between the two is that Medicare (federally funded) is provided to people 65 or older or have a disability while Medicaid (state and federally funded) will supply health coverage if you have a low income. You are able to get both if you meet both requirements.

Medicare

Medicare pays for treatments in both inpatient and outpatient programs if:

  • You are already under treatment from a Medicare provider
  • You doctor deems the inpatient or outpatient programs are “medically necessary”
  • Your doctor creates and controls your treatment plan

Be aware: Medicare only covers up to 190 days of treatment within a psychiatric hospital, and if those days are used up, the insurance may not cover other rehab fees. However, they still may cover inpatient programs in a general hospital, but not a psychiatric hospital.

Another important note to consider- Medicare pays for 80% within approved limits of mental health services, meaning you or any other insurance you may have will be responsible for covering the remaining 20%.

Medicaid

Medicaid has several benefits for those who qualify for the program, however the benefits and coverage vary by state.

For example, in Delaware, 30 days of residential treatment are covered by the program. However, in the District of Columbia the rehab centers must be certified and approved before costs are covered and range by treatment length. While in Iowa, the coverage of services is limited to treatment of chronic illness. Taking into consideration the state on which the user picks for their inpatient program, the user’s costs could potentially be covered, or have they might be paying for rehab out-of-pocket.

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Factors That Come into Play Of Costs For Addiction Treatment

There are several factors included in the cost of treatment, and every one should be considered separately. Some include:

Type of center

Inpatient programs are typically costlier than outpatient programs due to round the clock observation and treatment. Outpatient programs allow the patient to stay within their own home, thus receiving less in-depth treatment and reduced costs for living arrangements. However, inpatient programs are generally more successful and are recommended in almost all circumstances.

Length of stay

Depending on the severity of the addiction and treatment plan, patients typically stay in treatment for 30, 60, or 90 days. The longer you stay, the larger the cost is due to prolonged services of treatment and use of amenities.

Treatments offered

Different centers offer different treatments, and some patients take advantage of different treatments than others. For example, patients who do not experience severe withdrawals will require lower quantities of addiction treatment medications. As there are separate costs for many individual treatments, patients who utilize those treatments will often find themselves paying more.

Amenities

Rehab centers have all kinds of amenities, including a pool, gym, meditation, massages, etc. Facilities with more amenities offered typically cost a little more.

Location

Location of the treatment facility is a big factor of cost. For example, if the user chooses to stay in a facility in California, the price will likely be higher due to higher costs of living and doing business within the state.

What are you struggling with?

Finding Out How You Will Be Paying For Rehab

Don’t let worrying about cost get in the way of your recovery. There are many solutions to help aid in paying for rehab. Contact a professional today, and let us help find the best payment option for you.

Last Edited: April 13, 2018

Now that you know what to expect for a typical day in drug rehab, it’s time to find the perfect place to start your treatment.

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