Rehabs in California That Accept Blue Shield

South Shores Accepts Blue Shield Rehab Coverage for Treatment

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Finding rehabs in California that accept Blue Shield plans can be very confusing, especially when you’re already dealing with addiction or other mental health issues. Most Blue Cross Blue Shield programs do include behavioral health services.

However, their program language doesn’t make it easy to understand what’s covered and access your benefits.

South Shores Recovery in Dana Point, CA, employs an expert admissions team who understand Blue Shield policies and can provide you with all the answers you need about coverage for your mental health care services. This support allows you to start drug and alcohol rehab without excessive worry over payments.

We encourage you to keep reading if you’re unclear about using Blue Cross Blue Shield to cover the costs of substance abuse treatment and related mental health challenges at our DHCS and JCAHO-accredited treatment center.

Our resource page on using Blue Shield of California for rehab will help you understand what to expect and guide you on how to move forward with treatment, whether for yourself or a loved one.

The Basics on Blue Shield Rehab Coverage in California

Blue Shield provides drug and alcohol rehab coverage under its behavioral health benefits. However, specific plans have varying deductibles and medical necessity requirements.

California plans often offer different treatment levels, allowing for customized experiences that range from outpatient services to residential treatment. The BCBS insurance plan language can be wordy and unclear for people trying to understand their benefits.

What Blue Cross Blue Shield Plans Typically Cover for Substance Use Disorder Treatment

Many BCBS plans include attending a treatment center for medically necessary substance use disorder rehabilitation. Covered services are based on individual needs and can include:

Medication-assisted treatment
Medical detox to reduce withdrawal symptoms
Relapse prevention planning
Intensive outpatient treatment
Partial hospitalization programs
Residential treatment centers
Peer support groups
Dual diagnosis therapy
Individual counseling services

South Shores Recovery offers individualized treatment planning for all adults dealing with mental health issues. We can custom-fit our evidence-based therapies around your insurance coverage to ensure you receive the compassionate care you need.

How BCBS Insurance Works for Addiction Treatment at South Shores

Our admissions team will review your Blue Shield health insurance plan and determine eligibility. We also communicate on your behalf with Blue Shield throughout your time in treatment, providing documentation when they ask for updates.

Our commitment to providing you with the best mental health treatment allows you to focus on personal growth without worrying about filling in insurance paperwork.

Does BCBS Cover Alcohol Rehab in California?

Blue Shield policies often cover alcohol treatment and recovery services. These may include detox, medically-assisted treatments, counseling sessions with addiction specialists, residential treatment, or outpatient programs.

Each BCBS plan differs, so it’s best to call our insurance specialist for details.

What Behavioral Health Services Are Included in Blue Shield Plans?

Blue Cross Blue Shield offers a range of behavioral health services for those who need the supportive environment of a treatment center:

Psychiatric evaluations
Withdrawal management and detoxification
Therapy sessions
Medication management
Dual diagnosis therapy
Some holistic practices, as part of an overall treatment program
Aftercare

South Shore will provide evidence-based care within the scope of coverage for each client.

Taking the Right Steps to Verify Your Blue Shield Rehab Coverage

Knowing which services are covered by Blue Shield is quick and easy when you leave the details to our team. You will provide us with your full name, contact data, and policy details; we will call BCBS to discover more about your insurance plan.

After we speak with Blue Shield and receive approval, we’ll call you back and explain your:

Deductibles
Co-payments (our goal is always $0, not partial reimbursement)
Level of care approved: residential care or inpatient rehab
Any holistic therapies approved

We will take the time to ensure you have a clear and complete rundown of your coverage. You can start alcohol or drug rehab without insurance coverage questions hanging over your head.

Why It’s Best to Call Our Southern California Rehab for Insurance Verification

Our past clients have explained that calling BCBS can be overwhelming. Many have walked away in frustration, with unclear answers, and ultimately called our team for assistance with their insurance coverage. Insurance companies have been notorious for their use of industry buzzwords, annoying automated systems, and vague explanations.

They even scare some users, who don’t understand that they can seek help from both in-network providers and out-of-network providers, albeit with different coverage considerations.

Until the Affordable Care Act was passed into law in 2010, insurance companies used every loophole they could create or find to avoid paying for behavioral health care services. The ACA finally forced the insurance industry to treat mental health problems and substance use disorders as essential services. Still, that industry culture remains somewhat baked in with many long-term employees, making them somewhat hostile to the therapeutic community.

We kindly request that you allow us to advocate on your behalf and handle all communication with Blue Shield. We are confident our evidence-based approach will help you achieve your goal of sober living, at least once you clear those insurance hurdles.

Why Insurance-Supported Treatment Improves Long-Term Recovery

When drug and alcohol treatment and recovery services are covered by insurance, you can stabilize, heal, and build a relapse-prevention toolkit without worrying about financial barriers.

Your Blue Shield insurance coverage helps ensure continuity of services with less stress.

Treatment Programs Available to Blue Shield Members at South Shores

South Shores offers clients a full continuum of care, which allows us to customize programs that meet your needs and align with your insurance company’s guidelines. The following sections will give you a better idea of how our holistic approaches can help you heal:

Outpatient and Residential Options for Blue Shield Members

Clients who have Blue Shield coverage often qualify for our intensive outpatient programs and partial hospitalization programs. They’ll usually approve these services for clients with enough stability to receive counseling during the day and return home at night.

The insurer will consider factors like family involvement and support, past rehab efforts, and the severity of the person’s addiction. BCBS usually considers outpatient programs a first-line treatment, unless the person is in a severe crisis.

Inpatient treatment, or residential care, receives BCBS approval for long-term or complex addiction dual diagnosis, or for those for whom outpatient programs have proven ineffective. They’ll also usually approve inpatient services for anyone having a mental health crisis or with suicidal ideation.

When you call us to start the insurance approval process, we’ll ask you some questions to help determine which level of care to seek.

Your Rehab Coverage from Blue Shield Allows for Drug and Alcohol Abuse Treatment in a Comprehensive and Holistic Setting

Our comprehensive rehab program addresses how addiction has impacted your overall health. We look at physical stabilization of symptoms, emotional healing, and long-term relapse prevention strategies.

This whole-person approach increases the chances of lasting recovery.

Individual and Group Counseling

Individual, group, and family therapy each play an enormous part in helping clients to get clean and sober.

Individual sessions allow clients private space where they can explore their triggers, past trauma, and any unresolved issues that have contributed to their substance use disorders.
Group counseling allows each person to receive peer support, work on communication skills, and stay accountable to peers.
Family counseling is a space for educating family members, helping them become a better support network, and healing bonds that have been stretched thin by addiction.

Each therapy contributes to ongoing sobriety and long-term stability.

Using Blue Shield Coverage for Dual Diagnosis Disorder Treatment

Many who struggle with addiction also have co-occurring mental health disorders, underlying conditions that exist alongside the substance abuse.

We commonly see bipolar disorder, depression, PTSD, eating disorders, and personality disorders. When this happens, our team treats the addiction and the other condition at the same time. This practice ensures that both the substance use and mental health disorder receive the attention needed for healing.

It can be hard to know which condition occurred first. Did the person start drinking alcohol or using drugs to mask their symptoms? Or, did the symptoms happen because they were using or drinking? By treating both disorders together, we eliminate the guesswork and support recovery.

South Shores Offers an Integrated Treatment Center for Co-Occurring Mental Health Disorders

The clinical team at South Shores Recovery will evaluate each client, gaining a clear picture of how their mental health symptoms influence their addiction and physical wellness.

BCBS-approved integrated treatments might include therapy, medications, trauma-informed care, nutrition, aftercare planning, and more. We look at every aspect of wellness, not just the addiction symptoms, to aid each client as they build a new life.

Choosing the Right California Facility That Accepts Blue Shield

When choosing rehabs in California that accept Blue Shield, it’s important to look for quality, staff experience, and the levels of available support. South Shores Recovery offers evidence-based therapies with a dedicated team of treatment professionals who care about your long-term recovery.

Our facility in beautiful Dana Point provides you with ample opportunity for fresh air, sunshine, and long walks on the beach as you make progress working with our addiction specialists.

While your main focus is recovering from any mental health issues, you will definitely enjoy the vacation vibe of our treatment center.

Call South Shores Recovery Today for Blue Shield Rehab Support

Are you unclear about what your Blue Shield plan covers or even whether or not it applies to drug and alcohol rehab? Call South Shores right away.

Our compassionate Admissions staff will walk you through your benefits and explain your treatment options. With their help, you will receive approval for an individualized treatment plan that perfectly suits your needs.

Call us confidentially now to learn more about getting the recovery services you deserve, covered.