Learn About Our Mission
Our CommunityCompasionate & Caring
Tour our FacilityModern & Luxurious
Contact UsGet in Touch Today
Why Choose UsWe Are Accredited
Privacy PolicyWe Take Privacy Seriously
Meet The TeamExperts in Addiction Treatment
Editorial PolicyTrustworthy Information
Addiction & Recovery BlogHelping Educate Individuals
Explore Our Resource Library
Addiction is a DiseaseThe Disease of Addiction
Signs of AddictionLearn the Signs & Symptoms
Families & AddictionHow Addiction Impacts the Family
Detox ProgramsFind Your Medical Detox Options
Inpatient ProgramsIs Inpatient Rehab Right for You?
Can You Get Fired for Going to Rehab?Know Your Rights and How to Get Help
Family Medical Leave Act (FMLA)How You Can Go to Rehab Without Loosing Your Job
Learn More About Our Partial Day Program
Intensive Outpatient ProgramDiscover Flexibility in Treatment
Outpatient ProgramHigh-Quality Outpatient Treatment
Co-Occurring DisordersTreating Dual-Diagnosis Conditions
Relapse PreventionExplore How RHRC Approaches Relapse Prevention
Treatment for VeteransServing Those Who Serve Us
Treatment for First RespondersTrauma-Informed Care for First Responders
Treatment for Healthcare ProfessionalsTreatment Designed for Working Professionals
Learn More About the Benefits of Group Therapy
Individual TherapyDiscover How Individual Therapy Works
Cognitive Behavioral TherapyFind Out How CBT Can Help Treat Addiction
Dialectical Behavioral TherapyThe Benefits of DBT in Addiction Treatment
Recreational TherapyTake a Look at Our Recreational Activities at RHRC
Art TherapyFind Freedom in Creative Expression
Music TherapyMusic Can Help Heal Your Soul
Yoga TherapyLearn How Yoga Can Help You Recover
Reiki TherapyLearn More About the Art of Reiki
Massage TherapyDiscover the Benefits of Massage Therapy
Equine TherapyCheck Out Our Equine Therapy Offerings
PTSD & Trauma TherapyTreat the Root Causes of Addiction
Learn more about Value Options drug and alcohol rehab coverage.
Value Options
Value Options insurance covers many addiction treatment services.
Rolling Hills Recovery Center accepts a variety of Value Options insurance coverage.
Drug and alcohol dependency, like any other chronic disease, requires treatment. The cure aims to undo the substance’s effects and restore the body’s chemical balance. Some methods used in treating the patient may require the patient to be housed in an inpatient rehab facility. Many people in need of treatment may shy away from inpatient treatment due to the associated cost, which most consider too expensive. Only 11% of people suffering from substance use disorders receive therapy compared to 70% of individuals suffering from diabetes and hypertension.
Value Options administers behavioral health coverage to individuals with health policy plans that are either fully funded or funded by the state or local governments. Value Options insurance coverage contains a list of licensed and certified providers and facilities through which members can access different behavioral wellness services. Federal state laws require that health plans for substance abuse provide the same coverage as medical/surgical coverage.
A person seeking behavioral health therapy will visit a healthcare provider who will determine the kind of remedy necessary for the individual. Inpatient rehabilitation requires preauthorization requests or notifications, which the provider will file on behalf of the patient. The plan will then review whether the treatment is needful or which category it falls into. Treatment could be inpatient, intensive outpatient, or partial hospitalization.
A request for drug or alcohol rehabilitation can be approved or denied. If the service is already provided, the patient will claim benefits from the Value Options insurance. Value Options may pay the claim immediately, or the claim may be denied.
The plan provider will most likely deny a claim after conducting a utilization review for the claim. Any treatment that fails to meet the threshold of medical necessity will most likely be denied. One of the criteria used is that a patient seeking inpatient facility options for drug and alcohol abuse should have first attempted and used an outpatient service and failed. A patient, however, has a right to appeal a denied request.
A patient navigator is ready to help. Our team of dedicated professionals are here to help 24 hours a day.
Some common words or phrases are important to understand in drug and alcohol therapy medicaments.
A patient hospitalized for an extended period or has spent significant amounts of cost beyond the typical expenditure on long-term care. In such a case, Value Options insurance coverage may need further information to help determine the utilization of the treatment.
A patient with more than one addiction, for instance, drug and alcohol use disorder, is said to have a complex diagnosis. The treatment of one could affect the other, and the outcome could be adverse.
Complex diagnosis may affect the choice of health care provider, duration of treatment and plans, and hence cost.
These are available to the patient under the insurance coverage. A benefit plan considers the number of premiums paid under a policy.
The benefits cover medically necessary procedures. The kind of benefit plan determines the compensation of a claim.
This is a restriction regarding the regularity of treatment, the permitted number of visits, and the days covered by a policy required for a treatment cycle. Mental health patients and those suffering from substance abuse disorders should be covered equally as those with other medical or surgical conditions.
These are payments that are not covered by your insurance and cannot be claimed.
The payments include the following;
A co-payment is an amount a patient must pay when seeking health services.
Deductibles are when a patient needs to pay for a certain amount of money up to a specific duration before the insurance coverage begins to cover the treatment.
It is essential to know that, as a patient, some preventive services are financed by your insurer whether or not out-of-pocket costs are part of the agreement.
You can pay a set limit for the out-of-pocket cost, known as the maximum out-of-pocket. For an individual, the amount should not exceed $8700 per annum and $17,400 for a family, in accordance with the 2022 plan.
Typically, co-insurance percentage range from 20% to 40%, and the insurance company clears the rest.
The amount you pay out-of-pocket for treatment before the health plan starts helping with payments.
Co-pay is a fixed amount you must clear (usually when you receive treatment) for covered treatment services.
Let us point you in the right direction.
Value Options insurance policy will take care of an amount in your bill depending on the procedure’s medical necessity and the policy’s terms.
The intervention cost includes the assessment done to provide the diagnosis. Experimental and clinical trials are excluded.
Any detox plans necessary for the rehab may include medication and hospitalization of the patient. Some patients may need inpatient services or out-of-home rehabilitation to manage their withdrawal syndromes and keep them away from their triggers.
Round-the-clock emergency services for drug and alcohol use disorder.
Assessment and treatment of psychological and psychiatric disorders could be essential in the proposed treatment of the alcohol and drug disorder patient.
Maintenance therapy. An aftercare regimen is required while the patient is recovering. After detox and rehabilitation, follow-up is needed to ensure a patient does not fall back.
The medication program for a person should not have significant discrepancies from what is considered the norm.
Our caring treatment navigators are standing by 24 hours a day, 7 days a week ready to help you or your loved one. When you call Rolling Hills Recovery Center you can trust that you will find the help you need – at no cost or obligation to choose our program. Get started right now.
Value Options health plan for drug and alcohol use disorder offers the crucial support you need to get the best care for your mental wellness. Members have access to a broad network of providers, tailored premiums, and treatment strategies to aid them in their recovery journey.
Whether you seek a Medicare plan, employer plan, government or union plan or plans for individuals and families, Value Options insurance coverage will sort it out.
Written By:
Mental Health Writer
Geoffrey Andaria is an experienced mental health content writer and editor. With a B.A. in English and Journalism, Geoffrey is highly educated in freelance articles and research. Having taken courses on social work, Geoffrey is adamant about providing valuable and educational information to individuals affected by mental health and the disease of addiction.
Medically Reviewed By:
Expert Contributor
Dr. Williams presently serves on the board of Directors for two non-profit service organizations. He holds a Master’s degree in Human Services from Lincoln University, Philadelphia, Pa, and a Ph.D. with a concentration in Clinical Psychology from Union Institute and University. In Cincinnati, Ohio. He is licensed to practice addictions counseling in both New Jersey and Connecticut and has a pending application as a practicing Psychologist in New Jersey.
Learn about MagnaCare coverage for drug and alcohol rehab, including services covered, out-of-network options, payment limits, and in-network facilities.
Learn about GHI Insurance coverage for alcohol and drug rehab. Understand the tier system, deductibles, co-pays, and out-of-pocket costs. Discover differences between in-network and out-of-network coverage.
At RHRC, we frequently collaborate with Oxford Health insurance to cover drug and alcohol rehab. Read on to learn about what the different plans cover.
Anthem BCBS insurance coverage for drug and alcohol rehab: Costs, Services, and Plans. Explore rehab costs with Anthem BCBS, in-network vs. out-of-network options, covered services, and the different Anthem BCBS and Federal plans available for addiction treatment.
Value Options insurance plans cover both inpatient and outpatient programs for drug and alcohol rehab. Here is how to get the most out of the coverage.
Understand AmeriHealth insurance coverage for drug and alcohol rehab, including scope, costs, and plan types. Learn about covered services, out-of-pocket costs, and policies for in-network vs. out-of-network rehab centers.