A binder with Health Maintenance Organization (HMO) information rests on a desk.

Can In-Network or Out-of-Network Insurance Help Pay for Heroin Rehab?

By DFCAdmin in Blogs | | 29 Jan 2018
 

Choosing the right rehabilitation program to help with heroin addiction can be overwhelming. Do you need a residential care facility, or would an outpatient program work for you? Should you seek help outside of your local area?

Then, there’s the question of cost. One of the most common reasons people fail to follow through with treatment is the perception that they won’t be able to afford a rehabilitation program. However, there’s an answer that you might not have considered. If you have an HMO health plan, it may provide in-network coverage for heroin rehab. Likewise, if you have a PPO health plan, you may be able to pay for heroin rehab with Design For Change as an out-of-network provider.

At Design For Change, we work with in- and out-of-network policies, so whether you have a PPO or HMO plan, it’s very likely that you have options available.

Our Admissions Team Can Assist with HMO or PPO Coverage for Heroin Addiction Treatment

We believe you should have all the available information regarding your coverage and potential out-of-pocket costs before treatment begins. That’s why we have a dedicated admissions team here to help answer any questions you or your insurance company may have. Even if you don’t have all your policy details handy, we can work with limited information to make sure your policy is active and answer your questions about qualifying for coverage.

After the initial step of consulting with our admissions specialists, they will advocate for you or your loved one to your insurance company. We will make sure you understand the extent of your coverage and any personal financial responsibility. Then, we can begin customizing a heroin treatment plan that’s just right for your mental, emotional, physical and financial needs.

Is Heroin Detox Covered by HMO or PPO Insurance?

Detox is the vital first stage of your rehabilitation, and it will most likely be a covered benefit under your policy. Our team can coordinate treatment with a medical detox facility that accepts your in-network or out-of-network insurance if that level of treatment is required. Depending on the specific details of your addiction and coverage, you might be able to receive sub-acute detox treatment at our facility.

Your Right to Privacy During Heroin Rehab

Thanks to federal law and HIPAA regulations, you can seek treatment confidentially. Even if you are using an HMO or PPO insurance policy obtained through employment, you are not required to inform your employer that you’re receiving treatment for heroin addiction. You might also have access to an Employee Assistance program. Benefits of these types of programs typically allow you to take time off to seek help while also protecting against discrimination due to seeking drug rehabilitation. We will not release information to family members, employers or anyone else without specific, written consent from you. In some cases, an employer, medical provider or court may require documentation confirming you attended treatment. That can be provided upon request.

In-Network & Out-of-Network Heroin Rehab in California

At Design for Change, our rehabilitation program is accredited and located in Lancaster, California. After our admissions team helps you sort out the details of your HMO (in-network) or PPO (out-of-network) insurance coverage and any additional expected costs, our highly trained staff and medical personnel will work with you to develop a heroin treatment plan that meets your individual needs. As most of our staff has had addiction impact their lives in some capacity, they are deeply invested in helping you succeed. If you or your loved one is ready to live a happier, healthier, heroin-free life, contact our admissions team for a free consultation today.